The nurse explains to the parents of a toddler that the function of the tonsils and adenoids in small children is to:
1. help promote antibody formation.
2. assist in some digestive processes.
3. protect against bacterial infections of the throat.
4. support blood cell production.
3
The tonsils and adenoids consist of lymphatic tissue that acts as a bacterial barrier for the respiratory and gastrointestinal tract.
PTS: 1 DIF: Cognitive Level: Knowledge REF: 1210
OBJ: 4 TOP: Anatomy of the Nose, Sinuses, and Throat
KEY: Nursing Process Step: N/A MSC: NCLEX: Physiological Integrity
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You are caring for a client with a valvular disorder. What nutritional intervention would be appropriate for a client with a valvular disorder?
A) Limit sodium intake. B) Eat six small meals a day. C) Limit caloric intake to maintain optimal weight. D) Increase intake of B and C vitamins.
A client has a circumferential third-degree burn on the upper left arm. The nursing assessments specific for this client would include
a. assessing capillary refill in the left hand. b. evaluating left hand strength. c. measuring left forearm circumference. d. monitoring blood pressure in the left arm.
To assess the apical pulse, the nurse should place the stethoscope on the
a. third intercostal space to the right of the midclavicular line b. fifth intercostal space to the left of the mid-clavicular line c. sixth intercostal space at the midclavicular line d. seventh intercostal space to the left of the midclavicular line
During a physical assessment of an at-risk patient, the nurse notes generalized edema, crackles at the base of the lungs, and some pulse irregularity. These are most likely signs of:
1. euglycemia. 2. rheumatic fever. 3. pneumonia. 4. cardiac decomposition.