ANSWER.
3) Firm fontanel is the normal finding for an infant.
* Sunken and depressed fontanel indicate dehydration.
* Bulged fontanel indicate accumulation fluid in the brain.
Which assessment data would the nurse report as a normal finding for an infant's fontanels? 10...
Which assessment data would the nurse find for an infant with a positive Macewen sign? 0 Larger-than-normal fontanels upon palpation 2 O A"cracked pot" sound upon head percussion 3 @ Visible sclera above the iris of the eyes A transverse line across the nose
11. Which assessment finding would the nurse observe in a patient with atelectasis in the left lung lobe? 1 Trachea shifts to the right 2 Trachea is pulled to the left There is a tracheal tug The www
The nurse is monitoring a client who is taking propranolol. Which assessment finding indicates a potential adverse complication associated with this medication?
Which assessment finding by the nurse characterizes a concussion? a Permanent confusion b Significant behavioral changes c Hypertension d Temporary confusion
4. Uterine Assessment a. Describe how a nurse would perform an assessment of fundus b. What is the difference between a "firm" fundus and a "bogey" fundus? Which type requires medical intervention? d. List FIVE types of medical intervention used.
The nurse cares for a patient in bucks traction. which finding would be most important. 1. pain level 5/10 in the affected extremity during movement. 2. cool and pale toes on affected extremity 3. rhonchi auscultates bilaterally on breathe sounds 4. patient has not had a bowel movement in 3 days
A nurse is assessing the fontanels of an 8-month-old infant. Which of the following findings should the nurse recognize as an expected finding? The anterior fontanel is open. The posterior fontanel is open. Both fontanels are the same size. Both fontanels show molding. A nurse is caring for a client who has acute diverticulitis. Which of the following diets should the nurse recommend to the client? High residue Lactose-free Gluten-free Low-fiber A nurse is caring for a client who is...
Which skin finding in a newborn would alert the nurse to notify the provider of fetal distress? Bluish color in hands and feet Transient mottling in the trunk and extremities 2 "Flea bite" rash on the anterior and posterior trunk 3 Greenish-brown discoloration of the nails and cord 4 EVIER evolve Credits
1. A nurse is completing a focused assessment evaluating bowel function. Which assessment by the nurse is considered objective data? a. The client passes flatus while the nurse is in the room. b. The client notes ‘’ I get really bloated when l eat beans c. The client recalls the amount of fruits and vegetables they eat in a day d. The client states they have a bowel movement everyday 2. A nurse is completing the...
the nurse is caring for a client after a mastectomy. which finding would indicate the client is experiencing a complication to the surgery.