When inspecting a patient's abdomen, the nurse notes which finding as abnormal?
a. Protruding abdomen with skin that is lighter in color than the arms and legs
b. Marked rhythmic pulsation to the left of the midline
c. Faint, fine vascular network
d. Small shadows created by changes in contour
ANS: B
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A nurse has brought a newborn to his mother's room. What action by the nurse takes priority?
A. Asking the mother her full name and her birth date B. Comparing the baby to a photograph on the mother's bedside table C. Having the mother wash her hands before taking the baby D. Matching the information on the mother's and baby's wristbands
During a prenatal examination, the nurse learns that a pregnant patient has a supernumerary nipple. What should the nurse teach the patient about this finding?
A) Such growths fade with menopause. B) Bleeding from such growths is not uncommon. C) Such growths deepen in color during pregnancy. D) The tendency for supernumerary nipples is genetic.
The parents of a 3 year old from India state that the child has been losing weight and coughing for a year. Additionally, the child's grandmother was diagnosed with TB
Which of the following is the most accurate statement regarding this situation? 1. Tubercules are more prevalent in children than adults, and all family members should be tested for TB. 2. Prevalence is high in developing countries, and only 20 percent of complete treatment because the length, intensity, and cost of treatment. 3. A blood culture is the definitive diagnosis for TB after a negative skin test. 4. Diagnosing TB in children is difficult because it varies with the changes in the seasons, and the symptoms can be vague.
A family member of an adolescent who has expressed a desire to commit suicide asks the nurse, "What might predict the possibility of future suicide attempts?" Which of the following would the nurse include in the response?
A) Unemployment B) Death of a spouse C) Previous suicide attempt D) Polydrug use