What should the nurse check about the client as the fastest, easiest way for the nurse to determine the client's experiential readiness to learn?
A. Culture and ethnic background
B. Educational level
C. Family structure
D. Home environment
ANS: B
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A client with chronic pain from herniated intervertebral disks is experiencing constipation. What intervention would be appropriate for this client?
A) Restrict foods high in fiber. B) Avoid the use of stool softeners. C) Encourage fluid intake of 2,500-3,000 ml each day. D) Medicate for pain around the clock.
The nurse is assessing an infant who is 10 months old to determine if the infant is in Piaget's fourth substage of sensorimotor development called coordination of secondary schema
Which of the following actions would indicate to the nurse that the infant is indeed in this fourth substage? a. banging a toy to produce a sound b. looking and grasping for a favorite toy c. putting blocks of different shapes into a container with matching holes of varied shapes d. putting objects and substances into the mouth and spitting out those that taste bad
The nurse is caring for a pediatric client who sustained a severe burn. Determine the order of what would be done for this child when the medical team arrives on the scene:
1. Start intravenous fluids. 2. Provide for relief of pain. 3. Establish an airway. 4. Place a Foley catheter.
Which parental statement indicates to the nurse accurate understanding regarding the care of their child with tinea capitis (ringworm of the scalp)?
1. "We will give the griseofulvin with milk or peanut butter." 2. "We're glad ringworm isn't transmitted from person to person." 3. "Once the lesion is gone, we can stop the griseofulvin." 4. "Well, at least we don't have to worry about the family cat getting the ringworm."