The nurse is caring for a 3-year-old boy. The parents are concerned that he is exhibiting signs of cognitive delays. Which of the following statements by the parents would indicate autism spectrum disorder rather than possible mental retardation?
A) "He is not speaking in complete sentences."
B) "We can understand a lot of what he says, but no one else can."
C) "He seems to be speaking less and less."
D) "He is unable to sit still for a short story."
C
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A patient is diagnosed with a lumbosacral spinal cord tumor. Which medications should the nurse expect to be prescribed for this patient?
Select all that apply. 1. morphine 2. furosemide (Lasix) 3. warfarin (Coumadin) 4. amoxicillin (Amoxil) 5. dexamethasone (Decadron)
The nurse is performing a pain assessment on a client who is unable to communicate verbally. Which vital sign data should the nurse understand is associated with acute pain? Select all that apply.
A. Temperature of 100.6 degrees. B. Blood pressure 158/92 mmHg. C. Pulse rate 94. D. Facial grimacing. E. Respiratory rate 32.
A client who asked for and was refused a pass to leave the unit left the nurse's station and went to
his room, where he slammed his closet door several times while looking for a sweater. A nurse came into the room and remarked "You seem pretty angry.". The client replied that he was not the least bit angry. In this instance the client is probably demonstrating a. reaction formation. b. rationalization. c. compensation. d. denial.
In infants and toddlers, it is recommended to perform the physical examination:
A. In head-to-toe sequence B. In noninvasive-to-invasive sequence C. On the parent's lap D. B and C