To measure the 8-month-old's vital signs during a well-baby check, the nurse:
a. Assesses temperature using a rectal thermometer.
b. Observes the infant's abdomen when counting respirations.
c. Takes the infant from the parent's arms to assess pulse.
d. Measures blood pressure in the leg.
ANS: B
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A patient treated for bipolar disorder with lithium carbonate (Eskalith) is scheduled for a lithium blood level. What is the therapeutic serum lithium level?
A) 0.5 to 1.2 mEq/L B) 1.5 to 2.0 mEq/L C) 2.7 to 2.9 mEq/L D) 2.75 to 3.25 mEq/L
A mother of a 4-year-old child is concerned because the child is frequently exploring her genitalia. According to Freud, this behavior means the child is:
a. probably sexually abused. b. in the normal Oedipal stage of development. c. abnormally curious and should be told "no." d. acting out because she is anxious about something.
A 14-year-old is brought to the clinic by her mother. The nurse determines that the teen is about 28 weeks pregnant. The mother states, "We knew she was gaining weight, but she said she couldn't be pregnant
" The nurse understands that this typical behavior exemplifies: 1. Low self-esteem. 2. Anger. 3. Denial. 4. Ignorance.
The nurse on a medical-surgical unit notices that there has been an increase in the number of client falls. Which methods would be effective in promoting quality improvement on this is-sue? (Select all that apply.)
a. Identify causes of falls on the unit by looking at specific client cases. b. Look at the research and the literature on prevention of falls. c. Complain to the manager that team members are neglecting the clients. d. Use sit and stand alarms because they seem to be working on other units. e. Try more frequent rounding on clients as suggested by co-workers.