The nurse is assessing the heart rate of a healthy 13-month-old child. The nurse knows to auscultate which of the following sites to obtain an accurate assessment?
A) Radial pulse
B) Brachial pulse
C) Apical pulse at the third or fourth intercostal space
D) Apical pulse at the fourth or fifth intercostal space at the midclavicular line
C
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A mother was concerned about her child dying of some childhood disease, because that is how some of her siblings died before her family came to the United States. Which of the following would be the most appropriate response by the nurse?
a. "You should see your doctor immediately if you ever think your child is ill." b. "Your child has been immunized, so the biggest danger is from accidents." c. "You have made sure your child has all the right immunizations so you can quit worrying." d. "You're right to be concerned, since susceptibility runs in families."
The nurse is caring for four postsurgical patients who have experienced similar abdominal procedures and are all 68 years of age
The nurse anticipates that the patient with the greatest risk for complications resulting in an extended hospitalization has: a. a history of Crohn disease. b. developed mild confusion. c. an allergy to latex. d. severe postoperative nausea and vomiting.
Which intervention will the nurse consider to be a central responsibility when planning for culturally competent treatment?
a. Learn what the illness means to the patient and how the patient's beliefs can help mediate the stressors. b. Learn as much as possible regarding the beliefs of both the patient and the patient's extended family. c. Ask the patient about beliefs in a formal organized religion and daily or weekly religious practices that can be factored into treatment. d. Tell the patient that it will be important to examine together the belief systems of both the nurse and patient to be sure that they are congruent.
As part of a community wide education program, a community health nurse is developing a teaching plan about Medicare. Which of the following would the nurse include in the plan? Select all that apply
A) It is a state health insurance program for elderly and the disabled. B) Medicare Part A covers medically necessary hospitalization, home care, hospice services, and limited-skilled nursing services. C) Medicare Part D covers prescription drug costs. D) Medicare Part A is supplementary and voluntary. E) Medicare beneficiaries can make changes to their coverage at any time.