The nurse is aware that a delay in language development may be caused by: (Select all that apply.)
a. Hearing loss
b. Severe allergies
c. Mental retardation
d. A learning disability
e. An emotional disturbance
A, C, D, E
Language delay may be caused by hearing loss, mental retardation, a learning disability, or an emotional disturbance. A preschooler should have an adequate vocabulary and speak in sentences.
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During a home visit, the nurse is concerned that an older adult client is developing renal failure. The client has no history of cardiovascular disease. Which data in the client's assessment caused the nurse to have this concern?
Select all that apply. A) Progressive edema B) Complaints of hip joint pain C) New onset of hypertension D) Recent increase in hunger and thirst E) Warm moist skin
A home care nurse is completing a follow-up visit of an 82-year-old client who is taking MS Contin for pain related to prostate cancer. During the visit, the client describes decrease in appetite and difficulty having a bowel movement
The client states the symptoms have developed gradually during the past 3 days. What interventions would the nurse take? A) send the client to the emergency department for evaluation B) ask the wife to prepare the client's favorite foods C) ask the client for the medication list and review how the client is taking pain medications D) tell the client that this is normal and should not be a concern unless it lasted longer than a week
When teaching an older adult about how many kilocalories the client should consume, the nurse understands that for each decade past 40 years, a decrease in what percentage of kilocalories is needed?
1. 2 2. 3 3. 4 4. 5
A client enjoys high-calorie carbohydrates but understands that they raise her blood sugar sharply and ultimately cause a feeling of butterflies in her stomach as her blood sugar decreases. This is considered:
A) health promotion. B) illness prevention. C) holism. D) self-awareness.