The nurse assessing the musculoskeletal system of a 4-year-old child observes them rising to a standing position after being supine. Which finding should the nurse be concerned about?

A. The child places their hands on their knees and pushes their trunk up.
B. The child places their hands on the floor and straightens their legs.
C. The child rises without using arm support.
D. The child reaches out for the parent to pick them up.


Answer: A

Nursing

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A client admitted for pneumonia has been tachypneic for several days. When the nurse starts an IV to give fluids, the client questions this action, saying "I have been drinking tons of water. How am I dehydrated?" What response by the nurse is best?

a. "Breathing so quickly can be dehydrating." b. "Everyone with pneumonia is dehydrated." c. "This is really just to administer your antibiotics." d. "Why do you think you are so dehydrated?"

Nursing

The nursing instructor explains that future exposure to an antigen previously encountered elicits a much faster response as the result of what cells forming memory cells?

A) T cells B) Lymphocytes C) Monocytes D) B cells

Nursing

Which is the most important legal statement about creating personal Web pages?

1. A Web page developer does not have to abide by copyright laws before posting information. 2. A Web page developer must review copyright laws before posting information. 3. Nonprofit organizations are the only entities that must abide by copyright laws. 4. For profit agencies are the only entities that must abide by copyright laws.

Nursing

The nurse is working with a client who has been admitted to the hospital with a psychotic depression. Which of the following nursing diagnoses is the MOST important for this client at this time?

a. Social Isolation b. Powerlessness c. Risk for Injury d. Self-Care Deficit

Nursing