Which of these developmental milestones should the nurse expect to find in children who are between 2 and 3 years old? Select all that apply
1. Always feeds self.
2. Scribbles and draws on paper.
3. Kicks a ball.
4. Throws ball overhand.
5. Goes up and down stairs.
2, 3, 5
Rationale:
1. Children between the ages of 3 and 4 years old feed themselves.
2. Children between the ages of 2 and 3 years old can scribble and draw on paper.
3. Children between the ages of 2 and 3 years old can kick a ball.
4. Children between the ages of 4 and 5 years can throw a ball overhead.
5. Children between the ages of 2 and 3 years old can go up and down stairs.
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A nurse who plans care based on the patient's gender, ethnicity, spirituality, and lifestyle is said to:
a. be a moral advocate. b. facilitate learning. c. respond to diversity. d. use clinical judgment.
When assessing the patient with a diagnosis of SIADH during an intake interview, the nurse expects that the patient will complain of (select all that apply):
1. headache. 2. elevated blood pressure. 3. weight gain. 4. muscle cramps. 5. weakness.
Which data should alert the nurse that the neonate is postmature?
a. Cracked, peeling skin b. Short, chubby arms and legs c. Presence of vernix caseosa d. Presence of lanugo
On a hot, humid day, several clients present to the emergency department with symptoms of heat exposure. Which client will be treated first? A client who:
a. Has normal mental status and flu-like symptoms b. Is diaphoretic with nausea and vomiting c. Is hypotensive and tachycardic d. Is anxious and confused