The nurse obtains a height and weight at each well-child visit to determine the risk for obesity. All young clients who are not in a healthy weight range should be evaluated for which of the following? Select all that apply
A) Medical risks C) Family dynamics
B) Behavior risks D) Child neglect
A, B
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All children and adolescents who are not in the healthy weight range should undergo further assessment of medical risks, behavior risks, and attitudes.
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The physician orders a patient to be placed in the reverse Trendelenburg position. How should the nurse place the bed?
a. On the floor b. Parallel with the floor c. Tilted with the head of the bed down d. Tilted with the foot of the bed down
The nurse assists the client to ambulate for the first time, and documents the distance, pace, and support required. What item is also appropriate for the nurse to include in the documentation for this client?
1. Activity tolerance 2. Client's sense of security 3. Use of a gait belt 4. Where the client walked
A patient is admitted for a lumbar laminectomy. The nurse reinforces teaching that which portion of the vertebra will be removed?
1. Roof of the arch 2. Cartilage inside the vertebra 3. Pedicles that attach the arch to the body 4. Spinous process
What is a strategy that can be used by a small community hospital with limited resources to develop an evidence-based nursing practice program?
a. Hiring a nurse researcher b. Partnering with nurse researchers at a local university c. Subscribing to journals devoted to evidence-based nursing d. Including research competencies in managers' job descriptions