A physician tells the nurse that a patient's skull is normocephalic.
This finding during the physician's inspection reveals:

Increased intracranial pressure.

Round symmetric skull that is appropriately related to the body.

An abnormally large head.

Abnormally small head.

Answer and Explanation

The Correct Answer is B

Choice A rationale

A normocephalic skull indicates a normal head size and shape, not increased intracranial pressure. Increased intracranial pressure typically manifests with symptoms like headache, altered mental status, and papilledema, and may or may not involve changes in head circumference depending on the patient's age and the chronicity of the pressure increase.

Choice B rationale

"Normocephalic" is a clinical term indicating that the patient's head is of a normal size and shape, appearing symmetrical and proportionally related to the rest of the body. This finding suggests the absence of conditions like microcephaly (abnormally small head) or macrocephaly (abnormally large head), reflecting healthy cranial development and morphology.

Choice C rationale

An abnormally large head is termed macrocephaly, which is distinctly different from normocephalic. Macrocephaly can be indicative of various underlying conditions, including hydrocephalus, genetic disorders, or brain tumors, leading to an enlarged skull circumference that deviates significantly from age and gender norms.

Choice D rationale

An abnormally small head is known as microcephaly, which is the opposite of normocephalic. Microcephaly is often associated with impaired brain development and can result from genetic factors, infections during pregnancy, or other congenital conditions, leading to a head circumference significantly below the expected range. .

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Correct Answer is ["68"]

Explanation

Step 1 is: Add the ordered units of Humulin NPH and Humulin R insulin.

Step 2 is: 52 units + 16 units = 68 units. Answer: The nurse will administer 68 units. (Shade SYRINGE #3 to the 68-unit mark).

A. Explain that the doctor probably changed her drug today to something more effective for her illness, and administer it. B. Tell her briefly the action of the red tablet and administer it. C. Withhold the drug until you have rechecked the MAR with her doctor's order sheet. D. Administer the medication, but make a mental note to check on it later.

Correct Answer is C

Explanation

Choice A rationale

Administering medication without verifying the order, especially when the patient expresses concern about a change in appearance, is a breach of medication safety principles. The patient's concern highlights a potential discrepancy, and simply explaining a possible change without confirmation is unprofessional and dangerous.

Choice B rationale

This action is incorrect and dangerous. The patient stated she always takes a yellow pill, but the nurse is preparing to administer a blue tablet. Telling her the action of a "red tablet" is confusing, indicates a potential misunderstanding of the medication, and demonstrates a failure to address the patient's valid concern about the color discrepancy.

Choice C rationale

When a patient questions a medication, especially regarding its appearance, it is imperative to withhold the drug and recheck the medication administration record (MAR) against the physician's original order. This verifies that the correct medication, dose, and form are being administered, preventing potential medication errors and ensuring patient safety.

Choice D rationale

Administering the medication and making a mental note to check later is unsafe practice. A patient's concern about medication is a critical alert. Ignoring it and administering the drug first could lead to serious adverse effects if a medication error has occurred. Verification must precede administration.

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A physician tells the nurse that a patient's skull is normocephalic. This finding during the physician's inspection reveals:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The physician orders 52 units of Humulin NPH insulin and 16 units of Humulin R insulin subcutaneously every morning. The medication is supplied in 100 units/mL. How many units will the nurse administer? (Shade SYRINGE #3; LABEL CORRECTLY TO RECEIVE CREDIT)

Correct Answer is ["68"]

Explanation

After handing your client her medication, she says, "What is this blue tablet for? I have always taken a yellow pill.”. Your most appropriate action would be to:

Correct Answer is C

Explanation

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A physician tells the nurse that a patient's skull is normocephalic.
This finding during the physician's inspection reveals: