A nurse is performing a developmental assessment on several children in a clinic setting. Which children exhibit a delay in meeting developmental milestones? Standard Text: Select all that apply
1. An 18-month-old toddler who is unable to speak in sentences
2. A two-year-old who is unable to cut with scissors
3. A two-year-old who cannot recite her phone number
4. A six-year-old who is unable to sit still for a short story
5. A five-year-old who is unable to button his shirt
4,5
Rationale 1: An 18-month-old is not usually able to speak in sentences. This is a skill to be accomplished by the age of two-and-a-half years.
Rationale 2: A child who cannot cut with scissors by kindergarten age is considered abnormal.
Rationale 3: A two-year-old is not expected to be able to recite a phone number.
Rationale 4: A six-year-old should be able to sit still for a short story. A three- to five-year-old should be able to sit still through a short story.
Rationale 5: A five-year-old should be able to button his shirt.
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A patient with a long-standing diagnosis of asthma is prescribed a beta-blocker for the treatment of angina. The nurse should consequently prioritize assessment for what health problem?
A) Bronchospasm B) Hyperglycemia C) Pleural effusion D) Pneumonia
A visiting nurse is seeing an older woman with the nursing diagnosis of risk for trauma related to decreased bone density secondary to osteoporosis. Which assessment findings would indicate to the nurse that a priority goal for this diagnosis has been met
(Select all that apply.) A. All scatter rugs have been removed. B. Burned-out light bulbs have been replaced. C. Hot water heater temperature is set to 110 °F. D. Patient wears non-skid shoes or slippers. E. Pets have been given away to friends.
A female client has been prescribed ampicillin (Principen). What should the nurse emphasize when instructing the client about the medication?
Standard Text: Select all that apply. 1. Do not become pregnant while on ampicillin. 2. If taking oral contraceptives, use an alternative form of birth control. 3. Ampicillin should be taken on an empty stomach. 4. Contact the health care provider immediately if persistent diarrhea with fever occurs. 5. Stop taking ampicillin if nausea occurs and report to the health care provider immediately.
A client is prescribed a disease-modifying antirheumatic agent. What will the nurse explain as the mechanism of action for this medication?
1. Provides rapid relief of symptoms 2. Prevents the need for orthopedic surgery 3. Reduces damage and delays disease progression 4. Allows the client to be more active