By which age should the nurse expect that most children could obey prepositional phrases such as "under," "on top of," "beside," and "behind"?
a. 18 months
b. 24 months
c. 3 years
d. 4 years
ANS: D
At 4 years, children can understand directional phrases. Children at 18 months, 24 months, and 3 years are too young.
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A 14-year-old boy is admitted with DKA. He is exhibiting Kussmaul's breathing. This is most likely
A) a sign of respiratory acidosis. B) an attempt to compensate for metabolic acidosis. C) caused by central nervous system failure. D) a sign of underlying pneumonia.
A 45-year-old obese patient has been scheduled for cardiac bypass surgery
The nurse who is preparing the patient for surgery asks, "Do you have a history of sleep apnea?" This is important to know before surgery because patients with sleep apnea: a. are prone to snore after surgery and require a private room. b. who receive general anesthesia have a greater risk for airway obstruction. c. generally need additional pain medication. d. usually require sleep aids to provide more restful sleep.
Which of the following actions must the nurse take when confirming the diagnosis before final decisions are made?
a. Ensuring that it is a diagnosis used in the Omaha diagnosis system b. Checking to see whether the diagnosis is reimbursable c. Prioritizing the diagnosis within the agency's mission d. Validating the diagnosis/conclusion with the community or client
Palpation
What will be an ideal response?