The nurse listens to the following parent–child interaction:
1. Authoritative
2. Authoritarian
3. Permissive
4. Mixed
1
Rationale: This is an example of give-and-take communication between parent and child, with clear expectations for behavior.
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Which of the following is an assessment finding in a client with secondary pulmonary hypertension?
A) Shock B) Orthopnea C) Lung tissue infarction D) Restlessness
The nurse is reviewing the plan of care for a client with delirium. Which interventions will the nurse include in the care for this client? Select all that apply.
A) Apply arm restraints to prevent self harm B) Allow client to eat alone during mealtimes C) Provide a calm, well-lit environment D) Reduce sound in the client's room at night E) Avoid constant observation to increase autonomy and security
To assess the child with severe burns for adequate perfusion, the nurse monitors
a. Distal pulses b. Skin turgor c. Urine output d. Mucous membranes
An inpatient client with COPD has been diagnosed with allergic rhinitis and is given an antihistamine. What is a priority for the nurse when providing care to this client?
1. Keeping resuscitative equipment accessible 2. Premedicating with acetaminophen (Tylenol) 3. Consulting the physician before administering 4. Administering before client starts wheezing