After giving an infant a bath, you need to report which of the following?
a. Bruising
b. A drying umbilical cord
c. Pink skin areas
d. Areas of intact skin
A
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The school nurse sees a child on the playground have an absence seizure identified by the occurrence of what characteristics?
A) Alterations in consciousness that last seconds B) Automatic and repetitive movements C) Abnormal movements and bizarre behavior D) Sustained contraction of skeletal muscle
An older patient with intermittent diarrhea has been advised to increase the amount of soluble fiber in the diet. What should the nurse suggest to this patient?
1. Use Metamucil as prescribed. 2. Restrict the intake of oranges. 3. Limit eating frozen vegetables. 4. Do not eat the peels of apples or pears.
An older patient is hospitalized with influenza and is prescribed amantadine (Symmetrel). What assessment finding would indicate this drug is not appropriate for the patient?
a. BUN 22 mg/dL b. Creatinine 3.2 mg/dL c. Sodium 132 mEq/L d. Potassium 4.2 mEq/L
A nurse is assessing a client with hyponatremia. Which finding requires immediate action?
A. Diminished bowel sounds B. Heightened acuity C. Muscular weakness D. Urine output of 35 mL/hr