Retinal hemorrhages in an infant require investigation for:
a. retinoblastoma.
b. retrolental fibroplasia.
c. pituitary tumor.
d. child abuse.
D
Beyond newborn age, any hemorrhages to the retina indicate infection, allergy, or trauma and should be further investigated.
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A nurse is caring for four clients in the neurologic intensive care unit. After receiving the hand-off report, which client should the nurse see first?
a. Client with a Glasgow Coma Scale score that was 10 and is now is 8 b. Client with a Glasgow Coma Scale score that was 9 and is now is 12 c. Client with a moderate brain injury who is amnesic for the event d. Client who is requesting pain medication for a headache
A nurse is treating the pressure ulcer of an African American patient. How would the nurse assess for deep tissue injury in this patient?
A) Upon inspection the nurse would notice a purple or maroon localized area of discolored intact skin. B) Upon inspection, the nurse would see a blood-filled blister due to damage of underlying soft tissue from pressure and/or shear. C) Upon palpation, the nurse determines that the area preceded by deep tissue injury is painful, firm, boggy, and warmer or cooler as compared with adjacent tissue. D) Upon inspection the nurse notes partial thickness loss of dermis presenting as a shallow open ulcer with a red-pink wound bed, without slough.
The nurse has a goal of becoming a certified registered nurse anesthetist (CRNA). Which activity is appropriate for a CRNA?
a. Manages gynecological services such as PAP smears b. Works under the guidance of an anesthesiologist c. Obtains a PhD degree in anesthesiology d. Coordinates acute medical conditions
A student nurse is giving anticipatory guidance to the mother of an 18-month-old child. The student nurse is focusing on providing a safe environment for the child. Which of the following is the best statement regarding childhood safety?
A. "Whooping cough is the number one cause of death in children older than 1 year old." B. "The majority of deaths in children between the ages of 1 and 3 years old are caused by contagious diseases." C. "Injuries to children older than 1 year old cause more death than all diseases combined." D. "Measles causes more deaths in children younger than 5 years old than all other diseases combined."