How would you document your examination?

Ms. Wright comes to your office, complaining of palpitations. While checking her pulse you notice an irregular rhythm. When you listen to her heart, every fourth beat sounds different. It sounds like a triplet rather than the usual “lub dup.”

A) Regular rate and rhythm
B) Irregularly irregular rhythm
C) Regularly irregular rhythm
D) Bradycardia


C) Regularly irregular rhythm

Nursing

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A group of students are reviewing information about fluid balance and losses in children in comparison to adults. The students demonstrate a need for additional review when they identify which of the following?

A) Children have a proportionately greater amount of body water than do adults. B) Fever plays a greater role in insensible fluid losses in infants and children. C) A higher metabolic rate plays a major role in increased insensible fluid losses. D) The infant's immature kidneys have a tendency to overconcentrate urine more.

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The nurse is caring for a child undergoing highly active anti-retroviral therapy (HAART) for HIV infection. The nurse is preparing to administer the prescribed medication

In addition to the nucleoside analogue reverse transcriptase inhibitors (NRTIs) and the non-nucleoside analogue reverse transcriptase inhibitors (NNRTIs), the nurse knows that the child will be taking which of the following medications as part of the three-drug regimen? A) Protease inhibitors B) Corticosteroids C) Cytotoxic drugs D) Disease-modifying antirheumatic drugs (DMARDs)

Nursing

Appropriate interventions to facilitate socialization of the cognitively impaired child include

a. Providing age-appropriate toys and play activities b. Providing peer experiences, such as scouting, when older c. Avoiding exposure to strangers who may not understand cognitive development d. Emphasizing mastery of physical skills because they are delayed more often than verbal skills

Nursing

Aortic regurgitation requires medical treatment for early signs of CHF with

A. Beta blockers B. ACE inhibitors C. Surgery D. Hospitalization

Nursing