A nurse planning care for an adolescent client will consider interventions that address the devel-opmental task of:
1. Developing a trusting relationship with older siblings
2. Achieving individuation from the parents
3. Mastering a competitive sport
4. Completing career goals
ANS: 2
An important task of the adolescent is separation from his or her parents in preparation for lead-ing life as an independent adult. 1. This has been an ongoing task and is not specifically related to adolescence. 3. This activity is not significant to adolescent development. 4. Adolescence is a time to develop special interest in future goals, but goal completion is not a developmental task.
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The nurse is caring for a client with lymphedema of the left arm in the clinic
The nurse measures a circumference of the affected extremity 4 cm larger in circumference than the opposite limb, and the client complains of feeling a heaviness and pain. There is limited movement of the left arm. What would the nurse grade and document this lymphedema as? A) Grade I (Mild) B) Grade II (Moderate) C) Grade III (Severe) D) Grade IV (Grossly edematous)
The client is having prolonged, severe allergic reactions during the fall pollen season. Which change in white blood cell differential should the nurse expect this client to have?
A. Band neutrophils outnumber segmented neutrophils. B. The macrophage count is low. C. The eosinophil count is high. D. The monocyte count is low.
The nurse is assessing a toddler's vaccination status. Which vaccines does the nurse anticipate administering during the 18-month well-child visit? Select all that apply
1) Haemophilus influenza vaccine 2) Hepatitis B vaccine (HepB) 3) Measles, Mumps, Rubella (MMR) vaccine 4) Chickenpox vaccine 5) Diptheria, tetanus, and pertussis (DTP)
A candidate has scheduled to take the NCLEX® Exam and has a family emergency before the scheduled date. What is the best action for the candidate to take?
a. Call the respective state board of nursing and request a change in the testing date. b. Call the Candidate Services office at least 24 hours or 1 business day before the scheduled testing day. c. Call the school and request that someone notify the board of nursing regarding your change in schedule. d. It is not necessary to notify anyone re-garding rescheduling the testing date; it will be rescheduled automatically.