During an assessment, the nurse notes that an infant tries to reach a toy that the mother has hidden in her hand. This illustrates that the child has developed an understanding of which concept?
a. Object permanence
b. Trust versus mistrust
c. Autonomy
d. Parallel play
ANS: A
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A patient has an incompetent lower esophageal sphincter. What complication should the nurse expect in this patient?
A) Overdistension of the lower esophagus B) Gastric reflux C) Duodenal reflux D) Aspiration of food
A patient is admitted to the unit you work on with a diagnosis of enterocutaneous fistula. What is this fistula secondary to?
A) Diverticulosis B) Diverticulitis C) Crohn's disease D) IBS
A patient with chronic congestive heart failure has repeated hospitalizations in spite of ongoing treatment with hydrochlorothiazide (HydroDIURIL) and digoxin
The prescriber has ordered spironolactone (Aldactone) to be added to this patient's drug regimen, and the nurse provides education about this medication. Which statement by the patient indicates understanding of the teaching? a. "I can expect improvement within a few hours after taking this drug." b. "I need to stop taking potassium supplements." c. "I should use salt substitutes to prevent toxic side effects." d. "I should watch closely for dehydration."
The nurse is caring for a patient with inner ear problems. Which goal is the priority?
a. Maintain balance. b. Maintain proprioception. c. Maintain muscle strength. d. Maintain body alignment.