During an assessment of a 12-hour-old newborn, the nurse notices pale pink spots on the nape of the neck. The nurse documents this finding as:
A. Nevus vasculosus.
B. Nevus flammeus.
C. Telangiectatic nevi.
D. A Mongolian spot.
C
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The client has just been diagnosed with acute glomerular nephritis. Which question should the nurse ask this client in attempting to establish a cause?
A. "Are you sexually active?" B. "Do you have pain or burning on urination?" C. "Has anyone in your family had chronic kidney problems?" D. "Have you had any type of infection within the last 2 weeks?"
The nurse assesses a patient who has numerous petechiae on both arms. Which question should the nurse ask the patient?
a. "Do you take salicylates?" b. "Are you taking any oral contraceptives?" c. "Have you been prescribed antiseizure drugs?" d. "How long have you taken antihypertensive drugs?"
A patient with pericarditis is being evaluated for dizziness and shortness of breath. His heart rate on the monitor demonstrates supraventricular tachycardia. Which of the following interventions is most appropriate in this situation?
a. Administer a vasopressor medication, such as epinephrine b. Have the patient perform the Valsalva maneuver c. Give the patient 8 oz. of water to drink d. Start CPR at a rate of 100 compressions per minute
The x-ray of a neonate with suspected necrotizing enterocolitis shows pneumoperitoneum. This finding is consistent with
a. air in the portal venous system b. bowel perforation c. diffuse gaseous intestinal distention