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- When determining the difference between cephalohematoma and caput succedaneum, the nurse understands that with caput succedaneum the: a. Swelling does not cross the suture line b.Swelling not limited by cranial bones c. Affected area will be tender d. Scalp over the swelling becomes ecchymoticWhen assessing a male neonate about 12 hours old after a vaginal delivery , the nurse notes a swelling on the neonate's scalp that crosses the suture line. The nurse interprets this finding as indicating which of the following ? a. cranial edema b. cephalhematoma c. caput succedaneum d. craniotabesA patient tells the nurse she is having pain in her rightlower leg. How does the nurse assess for the presence ofthrombophlebitis?a. By palpating the skin over the tibia and fibulab. By documenting daily calf circumference measurementsc. By recording vital signs obtained four times a dayd. By noting difficulty with ambulation
- Mr. Wright is recovering from abdominal surgery. When thenurse assists him to walk, she observes that he grimaces, moves stiffly, and becomes pale. She is aware that he hasconsistently refused his pain medication. What would be apriority nursing diagnosis for this patient? a. Acute Pain related to fear of taking prescribed post-operative medications b. Impaired Physical Mobility related to surgical procedurec. Anxiety related to outcome of surgeryd. Risk for Infection related to surgical incisionDescribe the following to a physician using the correct anatomical term. a. The location of an appendectomy scar b. A wound that is on the front of the leg c. The end of the spine d. A pain near the breastbonea. What is the diagnosis for the patient and Is this a diagnosis with a ‘cure’? b. The tissue in itself is considered benign, but it is invasive. Suggest a reason as to how that could be contributing to the intense pain felt by the patient. c. Adhesions between the organs make the space ‘rigid’. How is that related to the discomfort during defecation and the pain during intercourse
- A nurse observes a marked inflammation of the gums, alongwith recession and bleeding of the gums, and documents thisobservation using which term?a. Glossitisb. Cariesc. Cheilosisd. PeriodontitisA visiting nurse is performing a family assessment of ayoung couple caring for their newborn who was diagnosedwith cerebral palsy. The nurse notes that the mother’s hairand clothing are unkempt, the house is untidy, and themother states that she is “so busy with the baby that I don’thave time to do anything else.” What would be the priorityintervention for this family?a. Arrange to have the infant removed from the home.b. Inform other members of the family of the situation. c. Increase the number of visits by the visiting nurse.d. Notify the care provider and recommend respite care forthe mother.Damage to the nerves that pass through the foramen indicated by the black arrow include: Select ALL that apply. Apraxia Dysphagia Ataxia Dysarthria Aguesia
- As the SLP in an acute rehab facility, you are given a referral to assess a new patient s/p CVA with dysarthria. The case report indicates that the patient has a lower motor neuron lesion, weak and breathy vocal quality, and right-sided facial droop. What type of dysarthria would MOST LIKELY be the diagnosis? A: Flaccid B : Spastic C : HyperkineticA nurse is caring for an obese 62-year-old patient with arthri-tis who has developed an open reddened area over his sacrum. What is a priority nursing diagnosis for this patient?a. Imbalanced Nutrition: More Than Body Requirementsrelated to immobilityb. Impaired Physical Mobility related to pain and discomfortc. Chronic Pain related to immobilityd. Risk for Infection related to altered skin integrityA patient complains of abdominal pain that is difficult tolocalize. The nurse documents this as which type of pain?a. Cutaneousb. Visceralc. Superficiald. Somatic
