When a nurse sees an infant picking up items and immediately putting them in his or her mouth, the nurse identifies that the infant is encouraging cognitive development through
1. Egocentric experiences.
2. Sensorimotor experiences.
3. Formal operational thinking.
4. Concrete operational thought.
ANS: 2
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A nurse conducted a safety class for a group of older adult clients in the community on fall prevention. Which client action during a follow-up visit in the home indicates understanding of the information presented?
A) All meats have been placed in the freezer. B) The locks on all the doors have been changed. C) Scatter rugs have been placed in the kitchen. D) Non-slip strips have been installed in the shower.
A client diagnosed with glaucoma is being discharged to an assisted living facility. In what way should the discharge nurse modify teaching to most effectively present information to this client?
A. Repeat information at least four times. B. Present discharge teaching to client's spouse. C. Use a taped message that can be repeated as needed. D. Reinforce critical content by providing large-print handouts.
A nurse is assessing the fontanels of a crying newborn and notes that posterior fontanel pulsates and briefly bulges. What do these findings indicate?
A) Increased intracranial pressure B) Overhydration C) Dehydration D) These are normal findings.
As skeletal traction overcomes the shortening spasms of affected muscles what happens to the skeletal traction?
A) Nothing changes B) More weight is added to keep the limb in proper alignment C) Weight is removed to promote healing D) Weight is balanced between heavier and lighter