When assessing a child for possible congenital heart defects, where should the nurse measure blood pressure?
a. The right arm
b. The left arm
c. All four extremities
d. Both arms while the child is crying
C
When a congenital heart defect is suspected, the blood pressure should be measured in all four extremities while the child is quiet. Discrepancies between upper and lower extremities may indicate cardiac disease. Blood pressure measurements when the child is crying are likely to be elevated; thus, the readings will be inaccurate. Blood pressure measurements for upper and lower extremities are compared during an assessment for congenital heart defects.
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A) "Use of oral contraceptives increases the risk of ovarian cancer." B) "Most cases of ovarian cancer are attributed to tobacco use." C) "Most cases of ovarian cancer are considered to be random, with no obvious causation." D) "The majority of women who get ovarian cancer have a family history of the disease."
An older school-age child asks the nurse, "What is the reason for this topical corticosteroid cream?" What rationale should the nurse give?
a. The cream is used for an antifungal effect. b. The cream is used for an analgesic effect. c. The cream is used for an antibacterial effect. d. The cream is used for an anti-inflammatory effect.
A school nurse is putting together a program for adolescents about positive lifestyle choices. What should the nurse keep in mind when preparing content to present to this age group?
1. Based on learning outcomes 2. Current 3. Adjusted to the adolescent client 4. Based on sources available within the school system 5. Consistent with the teaching topics
The nurse is making a first home-care visit to a patient recently discharged after hip replacement surgery. Which home observations should the nurse document as safety concerns? (Select all that apply.)
a. The patient's recliner faces the television. b. A safety bar has been installed in the shower. c. A bathmat towel is on the floor in front of the tub. d. Smoke detectors are located in the kitchen and near the bedrooms. e. The patient has a large birdcage sitting on the floor in the middle of the living room. f. The hallway between the bedroom and bathroom is partially blocked by a cedar chest.