Which nursing assessment activities should be included for the child and family at each health supervision visit? Standard Text: Select all that apply
1. Performing an age-appropriate developmental assessment
2. Performing age-appropriate screening examinations
3. Monitoring parents' ability to pay for services
4. Assessing for genetic abnormalities
5. Obtaining an updated health history
1,2,5
Rationale 1: Age-appropriate developmental assessments are included at every health supervision visit.
Rationale 2: Screening examinations will differ as the child grows and health concerns change over time.
Rationale 3: A nurse would not assess the parents' financial status at each health supervision visit.
Rationale 4: Physical assessments for genetic abnormalities would be done based on history and/or physical findings, not at each routine visit.
Rationale 5: It is necessary to update the health history at every visit in order to be fully knowledgeable of the child's needs.
Global Rationale:
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a. enhances and increases the time spent on documentation. b. makes patient data immediately available to the health care team. c. makes retrieval of data more difficult but safer. d. is enhanced by limiting the use of point-of-care technology.
Which of the following is a potential cause for acute liver failure? (Select all that apply.)
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A client has a small, shallow wound with a red base that does not require debridement. The dressing the nurse would choose when covering this wound is a
a. dry woven gauze fastened with adhesive tape. b. non-adhering dressing with antibiotic ointment. c. wet nonwoven gauze. d. wet-to-dry gauze dressing.
A patient prescribed to take allopurinol (Zyloprim) once daily asks, when is the best time to take the drug. What is your best response?
a. Right before bed to reduce the side effect of nausea. b. Right after a full meal to prevent conversion of purines into uric acid. c. On an empty stomach to ensure the best absorption of this oral drug. d. It doesn't matter whether your stomach is full or empty, just take it at the same time every day.