Which of these characteristics displayed by school-age children would be least likely to be a risk factor for poor school performance?
1. Increased ability to perform visual tracking
2. Increased auditory stimulation
3. Decreased muscle tone
4. Multiple dental caries
3
Rationale:
1. A decrease in ability to track visually would be a risk factor for poor school performance.
2. A decrease in auditory stimulation would be a risk factor for poor school performance.
3. Children with problems with muscle tone are at risk for poor school performance, since many school activities involve kinetic activity.
4. School performance be least likely to be affected by dental caries.
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A 53-year-old, 80-kg patient is admitted to the cardiac surgical intensive care unit after cardiac surgery
Four hours after admission to the surgical intensive care unit at 4 PM, the patient has stable vital signs and normal arterial blood gases (ABGs) and is placed on a T-piece for ventilatory weaning. During the nurse's 7 PM (1900) assessment, the patient is restless, heart rate has increased to 110 beats/min, respirations are 36 breaths/min, and blood pressure is 156/98 mm Hg. The cardiac monitor shows sinus tachycardia with 10 premature ventricular contractions (PVCs) per minute. Pulmonary artery pressures are elevated. The nurse suctions the patient and obtains pink, frothy secretions. Loud crackles are audible throughout lung fields. The nurse notifies the physician, who orders an ABG analysis, electrolyte levels, and a portable chest x-ray study. In communicating with the physician, which statement indicates the nurse understands what is likely occurring with the patient? a. "May we have an order for cardiac enzymes? This patient is exhibiting signs of a myocardial infarction." b. "My assessment indicates potential fluid overload." c. "The patient is having frequent PVCs that are compromising the cardiac output." d. "The patient is having a hypertensive crisis; what medications would you like to order?"
A patient with a history of recurrent venous micro emboli is scheduled for an insertion of a Greenfield filter. What should the nurse explain to the patient about this procedure?
Select all that apply. 1. The filter can be inserted under fluoroscopy. 2. Mortality from the insertion of the filter is low. 3. The filter will need to be replaced every 6 months. 4. The patient may only need local anesthesia for the procedure. 5. The filter traps emboli while maintaining the patency of the vena cava.
The patient requires prone positioning for a severe respiratory condition. Which areas are at risk for developing a pressure ulcer and require pillow bridging as a prevention strategy?
a. Ears and toes b. Nose and elbows c. Occipital area and knees d. Sacrum and coccyx
The parish nurse is often involved in selected activities related to the functions of parish nursing and these often serve as a starting point for practice. These include
1. Volunteering in public health departments without pay 2. Sharing the joys of a new member of the family, as well as sharing sorrows and losses 3. Making policies for the parish 4. Substituting for the clergyman in the event of illness