While assessing the cognitive status of a school-age child, the nurse notes that the child was unable to perform division problems and unable to name several former presidents of the United States
Prior to determining that this client has cognitive issues, what should the nurse keep in mind?
A) The child's developmental level
B) The child's home environment
C) The child's nutritional status
D) The parent's participation in the child's cognitive development
Answer: A
The nurse must consider a pediatric client's level of cognitive development before asking questions that involve calculation, judgment, or abstract thought. Even children with normal cognition will be unable to respond appropriately if they have not yet achieved the level of development necessary for these activities. The child's home environment, nutrition, and parental involvement in cognitive development will not explain why the child is unable to correctly respond to questions having to do with complicated math or history.
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A client informs the nurse she is allergic to a certain medication. To verify the allergic condition, the nurse should ask the client:
A) "Can you explain what happens when you take the medication?" B) "Are you allergic to any other medications?" C) "How many times did you take the medication?" D) "Did you take the medication on an empty stomach?"
Which of the following is true about assertion communication?
a. Components include the ability to say no and to ask for what you want. b. It includes a demonstration of deference to the demands of others. c. It consistently violates the needs of others. d. It includes the expression of only positive thoughts and feelings.
A nurse assessing a 6 year old with cardiomyopathy would anticipate which of the following signs in his assessment? Select all that apply
1. A murmur with a thrill 2. Fatigue when eating 3. Dysrhythmia after playing with toy cars 4. Sweating while sitting in bed watching cartoons 5. Dizziness when standing at the bedside
A mother has just given birth to a baby boy. A nurse notes that the infant has a cleft palate and low-set, malformed ears. The mother is upset and wants to know what is wrong with her baby
The nurse's most appropriate answer would be a. "Do you recall any medications that you took during the second trimester of your pregnancy?" b. "Please don't be concerned, a cleft palate is not that uncommon and can be fixed." c. "It is important that I take a medication history from you concerning medications that you took, if any, during your first trimester." d. "Did you take any medications or herbal products during your last trimester?"