The nurse is assessing a 9-month-old infant during a well-child checkup
The infant is quiet, does not demonstrate much social interaction, and is small for age. The nurse plots the infant's height and weight on a growth chart and sees that the baby was in the 50th percentile for weight at age 6 months, and is now in the 5th percentile. Which condition does the nurse suspect?
1. Congestive heart failure.
2. Dehydration.
3. Undernutrition.
4. Hypoglycemia.
Correct Answer: 3
Undernutrition, also called malnutrition, describes health effects of insufficient nutrient intake or stores. Children who drop at least 2 percentile bands are at risk for undernutrition. There are no indications the client has cardiac-health-related concerns. Hypoglycemia is not applicable in this situation.
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An elderly patient comes into the emergency department complaining of an earache. The patient and has an oral temperature of 100.2 degrees Fahrenheit
Otoscopic assessment of the ear reveals a pearly gray tympanic membrane with no evidence of discharge or inflammation. Which action should the triage nurse take next? A) Palpate the client's parotid glands to detect swelling and tenderness. B) Assess the temperomandibular joint for evidence of a malocclusion. C) Test the integrity of the12th cranial nerve by asking the client to protrude his tongue. D) Inspect the client's gums for bleeding and hyperpigmentation.
For the purpose of obtaining information about services needed to meet community needs, business leaders within a community were interviewed. This method of obtaining needs assessment data is called a(n):
a. Community forum b. Key informant interview c. Survey of existing agencies d. Indicator approach
The nurse is teaching a group of parents with premature infants about the various medical and developmental problems that may occur. The nurse determines that additional teaching is needed when the group identifies what as a problem?
A) Sudden infant death syndrome B) Hydrocephalus C) Peptic ulcer D) Bronchopulmonary dysplasia
A nurse is caring for a 10-year-old child who has nephrotic syndrome. Which of the following findings should the nurse report to the provider?
A. serum protein 5.0 g/dL B. Hgb 14.5 g/dL C. Hct 40% D. Platelet 200,00 mm3