The school nurse discusses the needs of a 6-year-old child with juvenile idiopathic arthritis (JIA) that can be met at school, which include:
a. Special food provided at lunch
b. Planned rest periods
c. Transportation to physical therapy appointments
d. Noninclusion in recess periods
B
Planned rest periods for the child with JIA will reduce the stress on the inflamed joints. The child should still be included in recess up to his or her ability.
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After a traumatic brain injury, a patient is found to be positioned with arms extended and hands clenched. This position is indicative of:
A) Spinal cord lesion. B) Frontal lobe lesion. C) Decorticate posturing. D) Decerebrate posturing.
The nurse is caring for a client who is having fetal tachycardia. The nurse knows that possible causes include which of the following? Note: Credit will be given only if all correct choices and no incorrect choices are selected
Select all that apply. 1. Maternal dehydration 2. Maternal hyperthyroidism 3. Fetal hypoxia 4. Prematurity 5. Anesthesia or regional analgesia
The nurse is preparing to assess blood pressure on a patient who has had two prior readings of 160/100. Physician's notes from a prior visit indicate that the patient is suspected to have hypertension
When reassessing this patient for hypertension, the nurse will do what? (Select all that apply.) a. Instruct patient to sit on the exam table. b. Choose a cuff encircling at least 80% of the arm. c. Support patient's arm at heart level. d. Encourage patient to sit quietly for 5 minutes before assessing blood pressure. e. Instruct the patient that one more increased reading is required before hypertension is diagnosed.
A nurse needs to take the BP of a new patient admitted to the unit. The patient has an arteriovenous fistula in her left lower arm and a right sided mastectomy. which is the best site and proper technique to measure blood pressure on this patient.
A. Left upper arm, standard cuff size, auscultate brachial artery. B. Left thigh, appropriate sized cuff, supine patient position C. Left ankle, standard cuff size, auscultate dorsalis pedis. D. right lower arm , appropriate size cuff, auscultate radial artery.