While analyzing the development of a 9-month-old infant, the nurse asks the mother whether the child actively looks for toys when they are placed out of sight. The nurse is determining whether the infant has developed:
1. Object permanence.
2. Centration.
3. Transductive reasoning.
4. Conservation.
1
Rationale:
1. A child who has developed object permanence has the ability to understand that even though something is out of sight, it still exists.
2. Centration is when a child focuses only on one particular aspect of a situation.
3. Transductive reasoning is when a child connects two events in a cause–effect relationship because they have occurred at the same time.
4. Conservation is when a child knows that matter is not changed when its form is altered.
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The nurse is reviewing the latest arterial blood gas results for a client with metabolic alkalosis. Which result indicates that the metabolic alkalosis is compensated?
A) pH 7.32 B) PaCO2 18 mmHg C) HCO3 8 mEq/L D) PaCO2 48 mmHg
It is determined that the patient needs a transcutaneous pacemaker until a transvenous pacemaker can be inserted. What is the most appropriate nursing intervention?
a. Apply conductive gel to the skin. b. Provide adequate sedation and analgesia. c. Recheck leads to make sure that the rhythm is asystole. d. Set the milliamperes to 2 mA below the capture level.
The Joint Commission (TJC) requires that:
a. pain be assessed on all discharges. b. repeated assessment of pain be limited to those patients who complain of pain. c. repeated intensity documentation be made of the course of pain relief for all patients. d. pain be assessed on surgical patients.
The nurse knows that a patient may develop sensorineural hearing loss as a result of ototoxic drugs. Which patient would be at the highest risk for this type of hearing deficit?
A. Patient with methicillin-resistant Staphylococcus aureus (MRSA) on high doses of vancomycin (Vancocin) B. Patient using atorvastatin (Lipitor) to prevent heart disease and stroke C. Patient on steroids (Prednisone) for chronic spondylolisthesis D. Patient on low-dose aspirin to prevent stroke