After assessment of each child, the nurse determines which child needs to be referred for further evaluation?
a. A 4-year-old child with a predominantly nasal breathing pattern
b. A 6-year-old child with a 5:7 anteroposterior-to-transverse-chest diameter
c. A 7-year-old child with a predominantly thoracic breathing pattern
d. A 9-year-old child with bronchovesicular breath sounds in the peripheral lung areas
ANS: D
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The nurse is caring for an elderly patient who has a urinary catheter in place and is showing signs of altered self-concept. In dealing with this age group it is probably safe to assume which of the following?
a. Sexuality concerns are not an issue. b. Sexual activity is probably harmful. c. Sexually active seniors are always heterosexual. d. Sexually active elderly adults have better overall health.
Which assessment indicates that a patient with a CVA is in transition to the rehabilitation phase?
a. BP has been within normal limits for 24 hours. b. Patient makes positive statements about his condition. c. No further neurologic deficits are ob-served. d. Successful attempts are made at indepen-dent function.
Your client is scheduled for a colonoscopy. To prepare this client, you:
1. administer a retention enema. 2. use a bowel cleansing protocol. 3. administer a suppository. 4. teach the BRATY diet.
Derrick is focused on helping his followers while using his values system and "heart." Even in tough times he does not compromise his values. Derrick is applying
a. Authentic leader behaviors consistent with the theoretical model b. Authentic leader behaviors consistent with the practical approach c. Transformational leader behaviors consistent with Bass's model d. Transactional leader behaviors consistent with Burns's model