A nurse is assessing a child who is suspected of having attention deficit hyperactivity disorder. Which of the following would the nurse identify as reflecting impulsiveness in the child?
A) Inability to wait his turn
B) Restlessness
C) Difficulty completing a task
D) Risk-taking behavior
D
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While taking BP for a new geriatric patient, the nurse notes that his BP is 162/70. When questioned by the nurse, the patient states, "That's a pretty good BP for me
My upper number is usually higher." Based on this finding, the nurse should further collect data related to which of the following body systems? Select all that apply. A) Detailed history surrounding cardiac events like chest pain or pressure B) Any paresthesia in limbs or noticeable facial drooping C) Decrease in urine output with increase in edema in the feet/legs D) Noticeable change in skin color (yellow), especially around the abdominal area E) Painless lumps palpated on his neck and cervical spine
A patient has conductive hearing loss caused by otosclerosis and has repeatedly refused surgery. To facilitate communication with the patient, the nurse should:
A) Sit or stand in front of the patient when speaking B) Use exaggerated lip and mouth movements when talking C) Stand in front of a light or window when speaking D) Say the patient's name loudly before starting to talk
The nurse is having difficulty with developing appropriate nursing diagnoses for a client's care. Which of the following could explain why this nurse is having difficulty?
a. Diagnosing is for the physician to do. c. Other nurses think it is a waste of time. b. The client has too many health issues. d. The nurse cannot find the diagnostic label appropriate for the client's needs.
The nurse is instructing a patient with a ruptured vertebral disk on self-care measures. What should the nurse include in this teaching?
Select all that apply. 1. Bend from the waist. 2. Wear low-heeled shoes. 3. Avoid twisting the back. 4. Sleep on a firm mattress. 5. Use a pillow under the knees when lying down.