During a physical assessment of a newborn, the nurse observes bluish markings across the newborn's lower back. The nurse interprets this finding as:
A) Purpura B) Mongolian spots C) Stork bites D) Birth trauma
B
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A patient who has had surgery this morning for cataracts is now going home. What should the nurse include when providing discharge instructions? (Select all that apply.)
a. Sleep on the affected side. b. Use stool softeners. c. Avoid bending over. d. Avoid lifting anything heavier than 5 lb. e. Do not wear an eye shield at night.
The initial assessment of a client with cardiovascular disorder includes assessment of vital signs such as pulse. Which of the following steps is involved in determining the pulse deficit?
A) Count the radial pulse for 20 to 25 seconds. B) Calculate the palpated volume. C) Count the heart rate at the apex. D) Calculate the pauses between pulsations.
What are nurse-patient interactions dependent on?
A) The knowledge of patient tendencies during illness B) The nurse's ability to work with a multicultural health care team C) The ability to understand and be understood D) Cultural diversity among the unit staff
A patient who believes he has a peanut allergy presents at the emergency department concerned because he has ingested a small amount of commercially prepared food that may have contained peanut oil
Which nursing question best addresses the patient's risk for injury? 1. "Did you self-administer epinephrine?" 2. "What makes you think you are allergic to peanuts?" 3. "Have you every undergone testing for a peanut allergy?" 4. "Have you ever experienced an allergic reaction to peanuts before?"