During a routine physical assessment for a 9-month-old client, the nurse notes swelling in the ankles. The nurse presses against the ankle bone for 5 seconds, then releases the pressure, noticing a markedly slow disappearance of the indentation.
Which system requires a more in-depth assessment based on these data? 1. Renal system
2. Musculoskeletal system
3. Respiratory system
4. Integumentary system
Question 2
The mother of a 2-day-old infant newly diagnosed with sepsis asks why she could not detect the symptoms. What should the nurse reply to this mother?
1. Your mothering skills will improve with time. You should take the newborn class.
2. Newborns have immature immune function at birth, and illness is very hard to detect.
3. Your baby did not get enough active acquired immunity from you during the pregnancy.
4. The immunity your baby gets in utero does not start to function until 4 to 8 weeks of age.
Inspecting a patient’s ear during a physical examination.
Physical Geography and Environmental Issues
Japan’s Physical Geography
Removing the sheet from underneath the client.
Nurse using a stethoscope