The school nurse meets with the parents of a 7-year-old child who frequently shows a lack of respect for his teacher and the rules of the classroom
His parents report he fights with his siblings and has tried to run away from home when they attempt to take away privileges. Based on this assessment, what does the nurse understand about his future? a. He is experiencing a normal developmental task and will grow out of it.
b. His prognosis for recovery will be good if not punished.
c. Due to his age, future prognosis is poor.
d. He should be allowed to set his own limits.
C
The long-term outlook for children with conduct disorders is poor if the problems are present before the child is 10 years old. This behavior is not typical, and relaxing rules and discipline will not aid in his recovery.
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A nurse is reviewing the medical record of a child and finds that the child has a grade III murmur. After auscultating the child's heart sounds, the nurse would document this murmur as which of the following?
A) Loud without a thrill B) Loud with a precordial thrill C) Soft and easily heard D) Loud, audible with a stethoscope
The nurse assesses a patient diagnosed with Parkinson's disease. When will tremors be most pronounced?
a. When sleeping b. When sitting quietly c. When focusing intently d. When reaching for something
The nurse obtains a health history from a patient who is scheduled for elective hip surgery in 1 week. The patient reports use of garlic and ginkgo biloba. Which action by the nurse is most appropriate?
a. Ascertain that there will be no interactions with anesthetic agents. b. Teach the patient that these products may be continued preoperatively. c. Advise the patient to stop the use of all herbs and supplements at this time. d. Discuss the herb and supplement use with the patient's health care provider.
The nurse is assigned to care for a client with multiple sclerosis who is receiving an intravenous (IV) dose of methocarbamol (Robaxin). The nurse monitors the client knowing that which of the following is an expected side effect?
1. Dark green colored urine 2. Excitability 3. Insomnia 4. Hypertension