What would the nurse assessing growth and development of a 2-year-old child expect to find?

a. The child jumps with both feet.
b. Twenty deciduous teeth have erupted.
c. The child can hop on one foot.
d. The child has a vocabulary of 900 words.


ANS: A
The 2-year-old can jump with both feet. The remaining achievements occur after 2 years of age.

Nursing

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The nurse is caring for a postoperative patient whose urinary catheter was removed 8 hours previously. The patient has not been able to void since the catheter was removed and now reports suprapubic pain. What is the priority action of the nurse?

a. Encourage oral fluid intake and administer a diuretic. b. Obtain a urine sample to test for culture and sensitivity. c. Carefully calculate the patient's daily intake and output. d. Obtain an order to straight-catheterize the patient.

Nursing

A 25-year-old man receives a tetanus booster. When should the nurse instruct the man to get his next booster?

a. Next year b. In 2 years c. In 5 years d. In 10 years

Nursing

Select the scientific theory used in several nursing theories to explain the following scenario: One nurse, whose adult son died in the ER 11 years ago, contends that she can never walk into a hospital again and quits her job

A second nurse, whose husband died in the hospital, continues to work her shifts responsibly and compassionately without incident. a. Role theory b. Adaptation theory c. Developmental theories d. Systems theory

Nursing

A psychiatric–mental health nurse has been named in a malpractice suit in which certain criteria have to be demonstrated by the client's legal team. Which of the following lists includes the correct criteria?

A) Duty of care, professional performance, injury related to the nurse's action, action foreseeably could have caused the injury, and proven injury B) Duty of care, professional performance, injury related to the nurse's action, failure to document injury, and proven injury C) Professional performance, injury related to the nurse's action, action foreseeably could have caused the injury, and proven injury D) Duty of care, professional performance, injury related to the nurse's action, and action foreseeably could have caused the injury

Nursing