The nurse is assessing a 3-year-old. What is the expected weight gain for this age child?
a. 2 times the birth weight
b. 2.5 times the birth weight
c. 3 times the birth weight
d. 4 times the birth weight
ANS: D
The expected weight of a -year-old toddler is four times the birth weight.
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During a genital examination, the nurse notices that a male patient has clusters of small vesicles on the glans, surrounded by erythema. The nurse recognizes that these lesions are:
a. Peyronie disease. b. Genital warts. c. Genital herpes. d. Syphilitic cancer.
There is a temporary agency registered nurse assigned to the nursing unit. You have no knowledge of this nurse's skills, and you want to assign the nurse to a patient who has a fresh tracheostomy. How should you handle this situation?
a. Assign the nurse to the patient with the tracheostomy and hope for the best. b. Ask the nurse about his or her competency to care for the patient with the tracheos-tomy. c. Assign the patient to another nurse and use the temporary agency nurse to do simple care tasks. d. Call the agency and ask for a nurse skilled in the care of a patient with a tracheosto-my.
A nurse assesses an 85-year-old Hispanic woman. The client states that her husband was punished by God. To which of the following illnesses is the woman most likely referring?
A) Alcohol abuse B) Fainting C) Posttraumatic stress disorder (PTSD) D) Voodoo
A 5-year-old child has been admitted for complications related to asthma. When the nurse auscultates the child's lungs, she would anticipate hearing:
1. Wheezes because the bronchioles have been restricted. 2. Rhonchi because of thick secretions from the flare-up. 3. Crackles because there is fluid in the alveoli. 4. All of the above may be heard.