The school nurse has seen several students in the health office. For which of the following students should the nurse suggest a follow-up exam?

a. A 14-year-old girl who has not experienced menarche
b. A 7-year-old boy who has grown 2 inches in a year
c. A 10-year-old girl who has gained 11 pounds in a year
d. An 8-year-old boy who has lost four deciduous teeth in the past year


Ans: c. A 10-year-old girl who has gained 11 pounds in a year

Nursing

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The nurse has been practicing for several years and has become the unofficial leader, with newer nurses going to her for advice about patient care. They are amazed at how much the older nurse "thinks like a nurse." In order to "think like a nurse," the nurse must: (Select all that apply.)

a. be a nurse for several years. b. be able to apply knowledge in making clinical decisions. c. actively participate in the process. d. accept procedures that have been in place for years as right. e. develop a questioning attitude.

Nursing

The nurse is interviewing a female client that reports a grayish discharge with a fishy odor. The nurse would suspect which of the following conditions in this situation?

1. Bacterial vaginosis 2. Chlamydia 3. Genital warts 4. Gonorrhea

Nursing

A client had a total knee replacement this morning and has a continuous passive motion (CPM) machine. What activity related to the CPM does the RN delegate to the unlicensed assistive per-sonnel?

a. Placing controls out of the reach of con-fused clients b. Assessing the client's response to the CPM c. Teaching the client's family the rationale for the CPM d. Assessing neurovascular status of the leg in the CPM

Nursing

An older patient diagnosed with dementia has begun behaviors that increase the risk of falling. The patient's son tells the nurse that "physical restraints may be used." The nurse responds

a. "I'll document that, so that the staff can use them when necessary." b. "Physical restraints are seldom effective on patients with dementia." c. "The staff will use physical restraints only as a last resort." d. "There are more effective methods to use to help ensure her safety."

Nursing