A group of 10-year-old children are playing a board game. Which of these patient outcomes would the nurse evaluate as evidence of a favorable response to the frustration of losing?
a. The child congratulates the winner.
b. The child walks away to read a book.
c. The child invites another child to join.
d. The child wants an immediate rematch.
A
Being able to lose a game with good sportsmanship is a good indication of social adaptation. Poor concentration and limited attention span can cause the child to interrupt the game or add others to increase distraction. Poor ability to delay gratification would engender demanding behavior and the intolerance of loss.
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The nurse admits an older man who had abdominal surgery. Admission vital signs are heart rate (pulse) (P), 73 beats per minute (bpm); respiration rate (R), 20 breaths per minute; blood pressure (BP), 136/84 mm Hg
He is receiving intravenous (IV) fluids but has not requested pain medication since surgery. Seven hours later, his vital signs are P, 98 bpm; R, 26 breaths per minute; and BP, 164/90 mm Hg; and he denies pain. Which intervention should the nurse im-plement? a. Administer an opioid medication by IV route. b. Check the surgical dressing for bleeding. c. Report the vital signs to the health care provider. d. Ask if he has about discomfort at the sur-gical site or any other location.
A nurse is teaching mothers of preschoolers about how to prevent burn injuries. Which information should the nurse include in this teaching? Note: Credit will be given only if all correct choices and no incorrect choices are selected
Select all that apply. 1. Set home hot water heaters at 130°F. 2. Run cold water in the bathtub before adding hot water. 3. Check the temperature of children's baths with the hand before putting the child in the bathtub. 4. Cook on front burners with the pot handle turned to the rear. 5. Place hot items in the middle of the table during meals.
An older adult with dementia describes a pencil as "that thing that writes" and a water faucet as "the thing you turn." The nurse documents which problem?
a. Echolalia b. Apraxia c. Agnosia d. Amnesia
The nurse is creating a poster for pregnant mothers. Which description of fetal development does the nurse include?
1. Four layers of cells form after the embryo is at the ball stage. 2. After fertilization, the cells only become larger for several weeks. 3. Most organs are formed by 8 weeks after fertilization. 4. The embryonic stage is from fertilization until 5 months.