A symptom often seen in the child diagnosed with hemophilia is bleeding into the joints. How should the nurse document this finding?
A) Hemarthrosis
B) Nuchal rigidity
C) Encephalopathy
D) Purpuric rash
Ans: A
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The nurse assessing a patient with a sacral decubitus finds that the ulcer extends into the muscle and bone. In which stage is this ulcer?
A) I B) II C) III D) IV
Nursing measures that help prevent postpartum urinary tract infection include
a. Promoting bed rest for 12 hours after delivery b. Discouraging voiding until the sensation of a full bladder is present c. Forcing fluids to at least 3000 mL/day d. Encouraging the intake of orange, grapefruit, or apple juice
The nurse's completion of interventions to assist the client to an optimum health state or quality end of life
Match each item with its correct description. a. Nursing diagnosis d. Planning nursing care b. Evaluating the plan e. Assessment c. Implementing the plan f. Nursing interventions
The nurse is conducting a health maintenance visit for a 10-year-old patient. The patient's mother states, "My daughter has missed a lot of school this year."
Which assessment questions are appropriate to determine whether a school phobia is the reason for this absenteeism? Select all that apply. 1) "Is your child a latch-key kid?" 2) "Does your child complain of headaches?" 3) "Does your child have fevers often?" 4) "Does your child feel better later in the day?" 5) "Does your child visit the nurse's office frequently?"