Nokea
The HCP is adducting the newborn's hip while pushing the thigh forward to detect developmental dysplasia of the hip (DDH). The nurse should identify this screening test as which maneuver?
- A. Barlow maneuver
- B. Pavlik maneuver
- C. Gowers maneuver
- D. Allis maneuver
Correct Answer: A
Rationale: The Barlow maneuver involves adducting the hip and pushing the thigh to detect DDH by assessing for hip dislocation.
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The nurse is teaching the client with gout about a diet low in purines. Which of the following is lowest in purine?
- A. Roast chicken
- B. Beef liver
- C. Fried shrimp
- D. Scrambled eggs
Correct Answer: D
Rationale: Scrambled eggs are low in purines, suitable for a gout diet, unlike high-purine foods like liver and shrimp.
The client with a pelvic fracture developed a fat embolism. The nurse should assess the client for which specific sign?
- A. Dyspnea
- B. Chest pain
- C. Delirium
- D. Petechiae
Correct Answer: D
Rationale: D. The nurse should assess for petechiae. Petechiae (small purplish hemorrhagic spots on the skin) are thought to be due to transient thrombocytopenia. They can occur over the chest, anterior axillary folds, hard palate, buccal membranes, and conjunctival sacs.
The occupational health nurse is preparing an in-service for a group of workers in a warehouse. Which information should be included to help prevent on-the-job injuries?
- A. Increase sodium and potassium in the diet during the winter months.
- B. Use the large thigh muscles when lifting and hold the weight near the body.
- C. Use soft-cushioned chairs when performing desk duties.
- D. Have the employee arrange for assistance with household chores.
Correct Answer: B
Rationale: Using thigh muscles and keeping weight close to the body promotes proper lifting mechanics, reducing back strain. Diet, chair cushioning, and household chores are unrelated to workplace injury prevention.
In this case, from whom is it most appropriate for the physician, with the nurse as a witness, to obtain consent to perform the surgical procedure?
- A. The client
- B. The client's physician
- C. The client's youth leader
- D. The client's parent
Correct Answer: D
Rationale: A 17-year-old is typically a minor, requiring parental consent for surgical procedures unless emancipated or in an emergency where consent cannot be obtained. The client, physician, or youth leader cannot provide legal consent.
Postoperatively, the client screams obscenities at the nurse after realizing that the injured forearm is missing. Which nursing action is most appropriate at this time?
- A. Leave until the client works through the anger.
- B. Stay quietly with the client at the bedside.
- C. Tell the client to gain emotional control.
- D. Call the physician and request a sedative.
Correct Answer: B
Rationale: Staying quietly with the client provides emotional support during a grief reaction to amputation, promoting trust. Leaving, reprimanding, or medicating without engagement dismisses the client's feelings.