The nurse is measuring the height of a 13-year-old girl who has just started menstruating. At age 9, the child was 56 in tall
If the child is following a normal pattern of growth, the nurse would expect her to now be approximately how tall?
A) 58 in tall
B) 62 in tall
C) 68 in tall
D) 76 in tall
Ans: C
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Which statement best describes Nursing Interventions Classifications (NIC)?
a. They are mandated by the North Ameri-can Nursing Diagnosis Association Inter-national (NANDA-I) as interventions that are to be used for all patients. b. They are currently approved nursing goals. c. They are instituted on the basis of indi-vidual patient needs. d. They are guidelines for goal setting and documentation of nursing care given to patients.
The nurse is caring for a patient with hypertension who takes a thiazide diuretic. In addition, the patient recently was prescribed an angiotensin-converting enzyme (ACE) inhibitor
The nurse knows that the patient is knowledgeable about the two drugs when he says, "The ACE inhibitor a. should bring my blood pressure down further, because it is acting as a vasodila-tor." b. is preventing my heart from pumping so fast so I will have fewer palpitations." c. is increasing my angiotensin II so I can maintain a lower blood pressure." d. should help with my asthma, because it is causing my airways to dilate."
The patient has a pacemaker with one pacing spike seen on the ECG before every QRS complex. There is no change in the pacemaker rhythm over time, with rest or with activity. The nurse realizes the patient has what type of pacemaker?
1. asynchronous pacing 2. demand pacing 3. dual-chamber pacing 4. atrial single-chamber pacing
One postpartum patient, delivering two days prior, is asking when she needs to use "protection to not get pregnant again right now." How should the nurse respond?
A) You should not have intercourse until you are cleared by the provider B) Ovulation may return as soon as three weeks after delivery C) You will not ovulate until your menstrual cycle returns D) Ovulation does not return for six months after delivery