The nurse is collecting data on a child who has been brought to the clinic. The child has urticaria, pruritus, stomach pains, and respiratory symptoms. The nurse recognizes that the clinical manifestations noted in this child are commonly seen in which disorder?
What will be an ideal response?
Food allergies
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Nurse Anne recognizes that John is always blaming others for his shortcomings. Finger pointing is usually related to the defense mechanism of:
A. Scapegoating. B. Identification. C. Restitution. D. Avoidance.
When caring for a client in the third stage of labor, the nurse anticipates expulsion of the placenta within which time frame after the birth of the newborn?
A) 5 to 30 minutes B) 1 to 2 hours C) 3 to 4 hours D) 4 to 5 hours
A patient prescribed a thiazide diuretic for hypertension reports having cramps and feeling like the heart is skipping beats. What side effect of this drug does the nurse suspect?
a. Dizziness b. Orthostatic hypotension c. Hypokalemia d. Dysrhythmia
The nurse is assessing the gastric residual volume of a patient receiving enteral feedings. The nurse notes there is a residual of 250 cc. Which of the following actions by the nurse is most appropriate?
A) Reduce the amount of the next feeding by 250 cc. B) Contact the primary care physician. C) Document the findings. D) Slow the next feeding to promote improved absorption.