The nurse noticed that an 8-month-old child’s posterior fontanel is slightly open. Which of the following should the nurse do next
A. Check the child’s head circumference.
B. Question the mother about the child’s delivery.
C. Schedule an X-ray of the child’s head.
Document this as a normal findin
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Which of the following findings is suggestive of myocardial infarction (MI)
A. Below-normal erythrocyte sedimentation rate.
B. Elevated white blood cell count.
C. Elevated serum cholesterol value.
D. Elevated creatine phosphokinase (CPK) valu
The nurse is developing a discharge plan for a client who had cataract removal. Which of the following should be included in the discharge plan
A. Wear cataract glasses that correct vision by magnifying objects.
B. Wear corrective glasses or contact lenses.
C. Wear glasses only until the eye heals.
D. Relearn to judge distances accurately.
Which of the following symptoms would the nurse most likely observe in a client with cholecystitis from cholelithiasis
A. Black stools.
B. Decreased white blood cell count.
C. Nausea after ingestion of high-fat foods.
D. Elevated temperature of 103°F(39.4℃).
The client is taking medication to control his cancer pain. Which of the following statements indicates that the client needs further instruction
A. "I should take my medication around-the-clock to control my pain. "
B. "I should skip doses periodically so I don’t get hooked on my drugs. "
C. "It is okay to take my pain medication even if I am not having any pain. "
D. "I should contact the oncology nurse if my pain is not effectively controlled. "
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