Which of the following medications should then nurse explain may cause headache as a side effect?

Correct Answer: D

Rationale: Adalat (Procardia) belongs to a class of medications known as calcium channel blockers. Headache is a common side effect associated with the use of calcium channel blockers, including Adalat (Procardia). The mechanism behind this side effect is related to the vasodilatory effects of calcium channel blockers, which can lead to relaxation and widening of blood vessels, potentially causing headaches. It is important for the nurse to explain to the patient that headache is a possible side effect of Adalat (Procardia) and to consult the healthcare provider if it becomes bothersome or severe.

Correct Answer: C

Rationale: Most clients are not hospitalized long after a mastectomy. This is a key reason for providing early discharge instructions and making arrangements for home care for clients undergoing mastectomy. Typically, clients undergoing mastectomy have shorter hospital stays, often as part of the trend toward faster postoperative recovery and reduced healthcare costs. By ensuring that clients have appropriate home care arrangements and understand postoperative instructions early on, healthcare providers can support a smooth transition from the hospital to the home environment, promoting optimal recovery and outcomes for the client.

Correct Answer: C

Rationale: In this scenario, the nurse is performing Ortolani's maneuver, which is used to assess for developmental dysplasia of the hip (DDH) in infants. After abducting the infant's flexed legs, the nurse should then listen for a "click" that may indicate hip instability. A positive click suggests subluxation of the femoral head and may indicate the presence of DDH. It is important for the nurse to recognize this finding promptly and report it to the healthcare provider for further evaluation and management. Rotation of the hips, extending the legs, and palpating for a mass are not the appropriate next steps in this specific assessment for DDH.

Correct Answer: C

Rationale: In children with hemophilia, the most common site for bleeding is at the ends of the long bones, such as the joints (especially the knees, elbows, and ankles). This is due to the joints being more prone to injury and stress during physical activities. As a result, spontaneous bleeding or bleeding following minor trauma can occur at these sites. Internal bleeding in the cerebrum or intestines is less common in children with hemophilia compared to bleeding in the joints.

Correct Answer: D

Rationale: Face recognition typically occurs earlier than 26 weeks.