Blood pressure checks in children:
1. Should occur with their annual physical examinations after 6 years of age
2. Require a blood pressure cuff that is one-third the diameter of the child's arm
3. Should be done during every health-care visit after 3 years of age
4. Require additional laboratory tests such as serum creatinine
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A 72-year-old patient tells the nurse that she is unable to take her antidepressant medication regularly because her granddaughter forgets to go to the drugstore for her. What perception of life events does this explanation demonstrate?
1. Resilience 2. External locus of control 3. Internal locus of control 4. Primary appraisal
In assessing the client 8 hours after a lumbar laminectomy, the nurse observes the dressing to be wet with clear fluid. What is the nurse's best action?
A. Assess the client's level of consciousness. B. Place the client in a semi-Fowler's position. C. Document the finding as the only action. D. Notify the physician after reinforcing the surgical dressing aseptically.
The new nurse was orienting and following the assigned mentor throughout the day when an 86-year-old gentleman was admitted to the home care agency for posthospitalization care
The mentor stressed the importance of asking if the gentleman had a durable power of attorney. Why would the mentor want this question answered? A. Agencies are required by law to ask if such a document exists. B. At age 86, he may not be capable of making his own decisions much longer. C. If the 86-year-old becomes confused, the nurse will know which family member to ask for a decision about his care. D. The information will tell the nurse if resuscitation should be given.
A child has a history of multiple hospitalizations for recurrent systemic infections. The child is not improving in the hospital, despite aggressive treatment. Factitious disorder by proxy is suspected
Which nursing interventions are appropriate? Select all that apply. a. Increase private visiting time for the parents to improve bonding. b. Keep careful, detailed records of visitation and untoward events. c. Place mittens on the child to reduce access to ports and incisions. d. Encourage family members to visit in groups of two or three. e. Interact with the patient frequently during visiting hours.