A new mother asks the nurse when the "soft spot" on her son's head will go away. The nurse's answer is based on the knowledge that the anterior fontanel closes after birth by _____ months
a. 2 c. 12
b. 8 d. 18
ANS: D
The larger of the two fontanels, the anterior fontanel, closes by 18 months after birth.
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The school nurse notices a sixth-grade girl with bald patches in her hair. The hair itself is clean and shiny. Prior to referring the girl to her healthcare provider for alopecia, the nurse would want to watch the child for signs of:
1. Lice. 2. Dietary imbalances. 3. Schizophrenia. 4. Trichotillomania.
A nurse caring for an older client in the hospital is concerned the client is not competent to give consent for upcoming surgery. What action by the nurse is best?
a. Call Adult Protective Services. b. Discuss concerns with the health care team. c. Do not allow the client to sign the consent. d. Have the client's family sign the consent.
When removing an old central line dressing, which action by the nurse is the priority?
1. Pulling the tape off in the direction of the catheter 2. Inspecting the insertion site for signs of infection 3. Pressing the catheter into the client's skin while removing the tape 4. Applying sterile gloves
Protection from which infectious disease can be offered by routine immunization with PCV (children) or PPV (adults) vaccine?
a. Streptococcus pneumoniae b. Typhoid c. Cholera d. Toxoid