Which complication may occur in the infant after forceps delivery?
a. Plagiocephaly
b. Hydrocephalus
c. Craniosynostosis
d. Caput succedaneum - d
What are the signs and symptoms of myxedema? Select all that apply.
a. Fatigue
b. Puffy face
c. Weight loss
d. Cold intolerance
e. Infrequent blinking - a, b, d
he nurse performs a cover test to measure a patient's eye muscle strength. Which condition can be
assessed with the cover test?
a. Esotropia
b. Esophoria
c. Entropion
d. Enophthalmos - b. nasal drift of the eye
While assessing a patient, the nurse palpates for tracheal shift. The nurse finds that the trachea is pulled
towards the diseased side. What does this finding indicate?
a. The patient may have a tumor.
b. The patient may have atelectasis.
c. The patient may have pneumothorax.
d. The patient may have aortic aneurysm. - b. partial or full lung collapse
, While collecting data on a patient, the nurse observes bright red blood on the patient's left eyeball. On
further examination, the nurse finds a round, bright red 1-mm patch over the lateral aspect of the globe.
What condition does the nurse suspect in the patient?
a. Conjunctivitis
b. Corneal abrasion
c. Vitreous hemorrhage
d. Subconjunctival hemorrhage - d
The nurse is caring for a patient with a brain injury. The nurse asks the patient to smile, but finds that
the patient is unable to smile properly, showing an asymmetric grin. Which nerve damage could cause
this appearance in the patient's smile?
a. Cranial nerve I
b. Cranial nerve VII
c. Cranial nerve VIII
d. Cranial nerve XI - b
Which signs and symptoms are likely to be found in a patient with hypothyroidism? Select all that apply.
a. Dry coarse hair
b. Dry cool skin
c. Cold intolerance
d. Muscle cramps
e. Infrequent blinking - a,b,c
The nurse is evaluating a student nurse who is examining the pupillary light reflex in a patient. Which
action by the student nurse needs correction?
a. Turning off the room lights before assessing
b. Focusing the light from in front of the patient
c. Asking the patient to gaze off into the distance
d. Instructing the patient to avoid shifting the gaze - b. should be from the side of the pt
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