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Terms in this set (69)
Ch 26
The nurse takes measures to reduce the mortality rate in infants (A), children between 5 to 14 years of age (B), and children between 2 to 4 years of age (C). If the nurse is required to focus more on children with high mortality incidence and less time on children with low mortality incidence in that order, what is the appropriate order
in which the nurse should work?
B, C, A
A, C, B
C, B, A
A, B, C
A stay-at-home father wants to purchase commercial toddler meals because his 16-month-old girl recently choked on table food. Which food items will the nurse suggest not be given to this child? Select all that apply.
Round foods such as hot dogs, whole grapes, and cherry tomatoes
Hard foods such as nuts, raw carrots, and popcorn
Sticky foods like peanut butter alone, gummy candies, and
marshmallows
Vegetables such as corn, green beans, and peas
Fruits such as peaches, pears, and kiwi
Rides a tricycle
Explanation:
Gross motor developmental milestones for a 2-year-old include jumping in place, standing on tiptoes, kicking a ball, and running. At 3 years old, the child should be able to pedal a tricycle, run easily, and walk up and down the stairs with alternate feet. At 12 to 18 months of age, the child should be able to stand on
one foot with help, walk independently, climb the stairs with assistance, and pull toys.
The Human Body in Health and Disease
7th EditionGary A. Thibodeau, Kevin T. Patton
1,505 solutions
Clinical Reasoning Cases in Nursing
7th EditionJulie S Snyder, Mariann M Harding
2,512 solutions
Introduction to Epidemiology
7th EditionRay M. Merrill
237 solutions
Health
11th EditionRebecca J. Donatelle
249 solutions
Initial client assessment information includes blood pressure 160/110 mm Hg, pulse 88 beats/minute, respiratory rate 22 breaths/minute, and reflexes +3/+4 with 2 beat clonus. Urine specimen reveals +3 protein, negative sugar and ketones. Based on these findings, the nurse would expect the client to have which complaints?
1. Headache, blurred vision, and facial and extremity swelling
2. Abdominal pain, urinary frequency, and pedal edema
3. Diaphoresis, nystagmus, and dizziness
4. Lethargy, chest pain, and shortness of breath
A client comes to the emergency department complaining of headache, malaise, chills, fever, and a stiff neck. Vital sign assessment reveals a temperature elevation, increased heart and respiratory rates, and normal blood pressure. On physical examination, the nurse notes confusion, a petechial rash, nuchal rigidity, Brudzinski's sign, and Kernig's sign. What does Brudzinski's sign indicate?
1. Increased intracranial pressure (ICP)
2. Cerebral edema
3. Low cerebrospinal fluid (CSF) pressure
4. Meningeal irritation
Correct Answer: 3
RATIONALES: Insulin requirements are increased by growth, pregnancy, increased food intake, stress, surgery, infection, illness, increased insulin antibodies, and some medications. Insulin requirements are decreased by hypothyroidism, decreased food intake, exercise, and some medications.
Correct Answer: 1,2,3,4,6
RATIONALES: The nurse needs to know when the last dose was administered. Some clients request pain medication earlier than is ordered by the physician. Pain, the fifth vital sign, should be assessed using a pain scale and documented in the nursing notes whenever a pain medication is given. Pain is usually reassessed about 30 minutes after the medication is given. Physicians commonly order several different types of pain medication based on the client's condition. The nurse should know which medication and which route was used to administer prior dosages. Evaluating the effectiveness of medications is also an important nursing function when managing the client's pain. Therefore, she should ask the client if the prior dose was helpful. The nurse should also note whether the client experienced any adverse effects of the medication. Most medications are ordered based on the client's admission weight, not current weight and height. A client's weight may fluctuate when he's in the hospital, so it's unlikely that the nurse will have the most current weight available. Also, taking steps to obtain the client's current weight postpones the pain treatment and can potentially worsen pain.