A nurse is developing a plan of care for a 4-year-old child scheduled for a renal biopsy. Based on the developmental level of the child the nurse considers which of the following?
1. Masturbation is common in this age group.
2. Body image may be a concern for the child.
3. Fears of mutilation may be present in the child.
4. The urination pattern will cause embarrassment for the child.
3
Rationale: During the preschool years, a child's fears of separation and mutilation are great, be-cause the child is facing the developmental task of trusting others. As the child gets older, fears about virility and reproductive ability may surface. Body image is a concern for the adolescent. Masturbation is most common in the toddler age group as they discover their genital organs" Masturbation is common in this age group," "body image may be a concern for the child," and "the urination pattern will cause embarrassment for the child" are not accurate occurrences in this age group.
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Patients who have aspiration pneumonia present with right lower lobe involvement more often than with involvement of the left lower lobe. You know this is because
a. the left mainstem bronchus angles down more than the right. b. more people are right-side dominant. c. the right mainstem bronchus angles down more than the left. d. the right mainstem bronchus is narrower than the left.
A child who is the victim of domestic violence refuses to talk about the experience. He is doing poorly in school and having trouble sleeping. Which therapy would he benefit from?
a. Massage b. Biofeedback c. Aromatherapy d. Art therapy
Which of the following questions should the nurse ask in order to judge the validity of a research study?
a. What reliability information has been provided? b. Are the instrument measures applied consistently? c. Does the instrument measure what it is supposed to measure? d. How much random error exists?
Which actions show the nurse has an understanding of the role documentation plays in minimizing the risk of malpractice? Select all that apply
a. Including patient quotes to document subjective symptomology b. Supporting documentation with personal opinions of the patient's behaviors c. Being mindful to use correct spelling and punctuation in the documentation d. Using common abbreviations in order to keep documentation brief and concise e. Documenting the nursing evaluation of the patient's understanding of all instruc-tions