The parents of a toddler express concern that the child is not progressing the same way as their other children did at that age. What is the most appropriate suggestion the nurse can give the parents about monitoring the progress of the toddler?
a. Advising the parents to take the toddler to the clinic every 2 months for reevaluation
b. Teaching the parents how to use the Denver II test to assess for gross motor movement, language, fine motor movement, and personal-social skills
c. Suggesting that the child needs more time to reach the milestones and that additional monitoring is not necessary
d. Informing the parents about the ages and stages questionnaire (ASQ), which identifies developmental delays in children from 4 to 60 months
ANS: D
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According to Piaget's developmental theory in the cognitive dimension, which of these tasks is associated with the formal operations stage?
a. forming fulfilling peer relationships b. engaging in abstract reasoning and problem solving c. learning to rely on caregivers to meet needs and desires d. relating successfully to peers of the same gender
The nursing instructor is teaching the senior nursing class about pancreatitis. The instructor informs the students that the patient with pancreatitis is at risk for many complications related to the disorder
The instructor points out that a nurse caring for patients with pancreatitis is aware that is it necessary to assess for the onset of complications and take measures to decrease the risk for potential complications. Considering this information, in what position should the patient be placed? A) Supine position B) Lithotomy position C) Trendelenberg position D) Semi-Fowler's position.
The nurse teaches a patient about self-care of two Jackson-Pratt drains after breast surgery. What does the nurse include in patient teaching?
a. Empty the drain every 2 hours and meas-ure the contents. b. Maintain a small, steady amount of ten-sion on the drain tubing. c. Record the amount removed from each drain separately. d. Keep the collection end of the drain lower than the patient's waist.
The nurse is caring for a client who is admitted to the hospital following a cerebrovascular accident (CVA). Which of the following is a nursing intervention that should be implemented during this acute phase of CVA?
A) Position the client on the affected side. B) Avoid placing the unresponsive person on the back. C) Lower the head of the bed. D) Turn the person at least once every 4 hours.