The nurse is assessing a baby with a known diagnosis of Tetralogy of Fallot with pulmonary atresia. The nurse should expect which of the following in her assessment of the baby?
1. A VSD murmur
2. Normal growth and development
3. Decreased peripheral pulses
4. Profound cyanosis
4
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1. PDA murmur is common, not a VSD.
2. Growth and development will be delayed.
3. Peripheral pulses will be bounding.
4. Cyanosis will be present due to where the holes in the heart are located.
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Place the steps of providing foot care to a diabetic client in the appropriate order. Click on the down arrow for each response in the right column and select the correct choice from the list
Response 1. Provide for privacy by pulling curtain or closing door to room. Response 2. Fill washbasin with warm water and test temperature of water. Response 3. File fingernails straight across and even with tops of toes. Use nail clippers to clip nails straight across, then shape with nail file. Response 4. Assist client to sitting position. Help bedridden client to supine position with head of bed elevated. Place disposable bath mat on floor under client's feet, or place towel on mattress. Response 5. Perform hand hygiene. Arrange equipment on over-bed table. Response 6. Help client place feet in basin. Fill basin with warm water, and soak for 10 minutes.
Which of the following are examples of nonselective mechanical débridement methods? Choose all that apply
1) Wet-to-dry dressings 2) Sharp débridement 3) Whirlpool 4) Pulsed lavage
The manager is reviewing informatics competencies for each level of staff nurse. Which statement indicates the appropriate level of informatics competencies to the correct nurse?
A) An informatics nurse extrapolates data to develop a best practice model for indwelling catheter care. B) The novice nurse uses a spreadsheet to document medication reactions. C) An experienced staff nurse creates databases. D) A beginning nurse utilizes the Internet to integrate multidisciplinary languages.
A new mother states that her infant must be cold because the baby's hands and feet are blue. The nurse explains that this is a common and temporary condition called:
a. Acrocyanosis. b. Erythema neonatorum. c. Harlequin color. d. Vernix caseosa.