A nurse is preparing to begin an assessment on a newly admitted child. The nurse should be aware that the single most important component of a pediatric physical examination is:

a. assessment of heart and lungs.
b. measurement of height and weight.
c. documentation of parental concerns.
d. obtaining an accurate history.


D
An accurate history is most helpful in identifying problems and potential problems. Heart and lung assessment and documentation of parental concerns are not as important as an accurate history. A single measurement of height and weight is not as significant as determining growth over time. The child's growth pattern can be elicited from the history.

Nursing

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Sibling violence is a form of family violence. Which is correct about sibling violence?

1. It is often unrecognized. 2. It occurs less in the early years and increases with age of the child. 3. Girls are more violent toward their siblings than are boys. 4. Sibling violence leads to less aggressive behavior problems with non-related peers.

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A patient presents to the clinic with confusion and provides a list of medications to the nurse. Which of the following medications could be a source of this problem?

a. meperidine b. aspirin c. benzodiazapines d. a and c

Nursing

Following a right mastectomy, a patient tells the nurse it feels like her nipple is still present. Which of the following is the nurse's best explanation?

A) "The feeling of the nipple is related to the dressing." B) "The sensation will disappear in a few months." C) "Once the wound heals that feeling will go away." D) "I will call your doctor and see if that is normal."

Nursing

The nurse is assessing victims of a building collapse. Ambulances are nearby and there is a shelter set up with carts, chairs, tables, and refreshments for the victims. The nurse is most likely working within which decontamination zone?

1. Cold 2. Warm 3. Control 4. Hot

Nursing