The nurse is testing the sensory development of a toddler brought to the clinic for a well visit. Which of the following might alert the nurse to a potential problem with the child's sensory development?

A) The toddler places the nurse's stethoscope in his mouth.
B) The toddler's vision tests at 20/50 in both eyes.
C) The toddler does not respond to commands whispered in his ear.
D) The toddler's taste discrimination is not at adult levels yet.


C

Nursing

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The nurse is assisting with a patient who is having a test to measure intraocular pressure. Which of the following should the nurse expect to be used?

a. Ultrasonography b. An ophthalmoscope c. A slit-lamp microscope d. A tonometer

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Maintaining balance can become increasingly difficult as age increases. Which normal characteristic(s) of an older adult's musculoskeletal system potentially contribute(s) to this mobility problem?

a. Stability of joints b. Decrease in muscle bulk c. Limited range of motion d. Abnormal joint contours e. Decreased tissue regeneration f. Impaired glucose metabolism

Nursing

A client has experienced a subarachnoid hemorrhage and is at risk for intracranial pressure (ICP) due to the initiation of the vasodilatory cascade. The primary risk factor for this series of events is:

1. Cerebral tissue ischemia. 2. Cerebral edema. 3. Vasoconstriction of cerebral vessels. 4. Decreased cerebral perfusion pressure.

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A nurse educator is teaching a patient about a healthy diet. What information would be included to reduce the risk of hypertension?

A) "Eat a diet high in fruits and vegetables." B) "Remember to drink 8 to 10 glasses of water a day." C) "It is important to have increased fats in your diet." D) "Put away the salt shaker and eat low-salt foods."

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