When measuring the newborn during a general assessment, which is the correct assessment?
A. Wrap the tape measure around the head below the ears.
B. Wrap the tape measure around the head starting at the nose.
C. Wrap the tape measure around the abdomen at the umbilicus.
D. Wrap the tape measure around the chest below the nipple line.
Answer: C
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A nurse cares for a client who had a colostomy placed in the ascending colon 2 weeks ago. The client states, "The stool in my pouch is still liquid." How should the nurse respond?
a. "The stool will always be liquid with this type of colostomy." b. "Eating additional fiber will bulk up your stool and decrease diarrhea." c. "Your stool will become firmer over the next couple of weeks." d. "This is abnormal. I will contact your health care provider."
Which of the following does the nurse recognize as complications of premature birth? (Select all that apply.)
A. Osteoporosis B. Cerebral palsy and mental retardation C. Diabetes mellitus type 1 D. Intraventricular hemorrhage E. Retinopathy of prematurity
The nurse caring for a client with pressure ulcers. What should the nurse consider as the role of vitamins and minerals in this client's care?
a. Promoting weight gain b. Maintaining fluid balances c. Replacement of muscle mass d. Encourage the healing process
What are the indications for a rapid sequence induction?
a. A patient with unknown or inadequate fasting status requires a general anaesthetic muscle relaxants such as actracurium and rocuronium. b. The patient wants to go to sleep quickly. c. The surgeon has requested that his list commences on time and is insisting the patient is anaesthetised quickly. d. The patient is well fasted and requiring local anaesthesia for a nail bed repair.