At what age can the nurse expect a child's head and chest circumference to be almost equal?
a. Birth
b. 6 months
c. 1 year
d. 3 years
C
Head and chest measurements are almost equal at 1 year of age. Head circumference is larger than chest circumference until approximately 1 year of age. By 3 years of age, the chest circumference exceeds the head circumference.
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The nurse is working with a health care team with that believes in the philosophy of reality therapy. The nurse is aware that the team's belief is centered around:
a. Reorientation of the client to his or her environment b. Describing clients as irresponsible rather than mentally ill c. Looking at the client's past in determining how it has affected present behavior d. Accepting the client's perceptions of right and wrong behavior in the development of his treatment plan
A female tennis player has suffered an injury to her shoulder that has affected her bursae in the joint. Which of the following consequences would be most expected from this aspect of her injury?
A) Increased friction on the tendons of the shoulder joint B) Direct contact between the humerus and scapula bones C) Loss of connection between the humerus bone and biceps muscle. D) Fusing of the head of the humerus with the glenoid capsule of the scapula.
A patient has been admitted to the critical care unit with the diagnosis of acute respiratory distress syndrome (ARDS)
Arterial blood gasses (ABGs) revealed an elevated pH and decreased PaCO2 . The patient is becoming fatigued, and the health care provider orders a repeat ABG. The nurse anticipates the following results a. elevated pH and decreased PaCO2 b. elevated pH and elevated PaCO2 c. decreased pH and decreased PaCO2 d. decreased pH and elevated PaCO2
A nurse determines that the best way to clean a long incision that is sutured or stapled closed with approximated edges is to
1. Use antiseptic swabs and clean from the inferior end of the incision to the superior end. 2. Use antiseptic swabs and clean around the wound in a circular manner. 3. Use sterile antiseptic swabs or cotton balls and forceps, and clean from the superior end of the incision to the inferior end. 4. Use one cotton ball to make a circular sweep and then dispose of the cotton ball.