An 8-month-old boy is diagnosed as having cerebral palsy. Which finding would make you suspect that he has this?
A) He cries when held in a ventral suspension position.
B) He holds his back very straight when in a sitting position.
C) He bears weight on both feet when held upright.
D) He has a strong Moro reflex when startled.
D
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A client is unsure of the decision to undergo peritoneal dialysis (PD) and wishes to discuss the advantages of this treatment with the nurse. Which statements by the nurse are accurate regarding PD? (Select all that apply.)
a. "You will not need vascular access to perform PD." b. "There is less restriction of protein and fluids." c. "You will have no risk for infection with PD." d. "You have flexible scheduling for the exchanges." e. "It takes less time than hemodialysis treatments."
What is the priority nursing diagnosis for the client who has a fever as a result of infection?
A. Risk for Social Isolation B. Risk for Infection C. Impaired Comfort D. Risk for Injury
A nurse is caring for a client with an ileal conduit for urinary diversion following a
bladder removal. What measure should the nurse employ when caring for this client? A) Change the conduit appliance daily B) Use a synthetic barrier cream that contains karaya C) Use solvent to loosen the appliance during removal D) Wet the skin before applying the new appliance
The nurse is discussing measures to minimize the risk of injury from an automobile accident with an 84-year-old independent female patient who lives alone and claims to drive only to church, the doctor's office, and for groceries
Which of the following suggestions has the greatest potential for affecting the patient's safety? a. Take public transportation whenever it is available. b. Plan all trips around church and doctor appointments. c. Plan to drive for short trips and only during daylight hours. d. Arrange for family and friends to drive the patient whenever possible.