When auscultating the heart of a 3-year-old girl, an irregular heartbeat is assessed. The nurse recognizes that:
a. This is normal for a child younger than 4 years of age
b. The arrhythmia should be documented and reported to the charge nurse
c. This may be caused by anxiety and should be rechecked in 1 hour
d. This is an emergency, and help should be called
B
A child of 3 years of age should have a regular rhythm. An irregular heart rhythm should be documented and reported to the nurse in charge immediately. Arrhythmias do not pose an immediate threat.
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A middle-aged patient with erectile dysfunction has sought care and is receiving health education from the nurses. The patient has expressed a desire to understand the physiology of the sex hormone production and the sexual response
The nurse should describe the fact that testosterone is normally secreted in response to A) sexual arousal. B) stimulation by luteinizing hormone. C) ACTH release by the adrenal cortex. D) decreased cortisol levels.
Which of the following accurately reflects the presence of HIV/AIDS in the elderly?
a. There is a low incidence of occurrence in the elderly population. b. The signs and symptoms mimic those of normal aging. c. There are more elderly women than men affected by this disease. d. Less than 5% of all new cases are in people over the age of 50.
A resident washes her hands over and over many times during the day. This behavior is a:
a. Hallucination b. Defense mechanism c. Phobia d. Compulsion
A client brought to the emergency department at the university hospital after PCP ingestion tries to run up and down the hallway. The nursing intervention that would be most therapeutic is
A. taking him to the gym on the psychiatric unit. B. obtaining an order for seclusion and close observation. C. assigning a psychiatric technician to "talk him down." D. administering naltrexone as needed per hospital protocol.