The nurse is assessing a child with suspected thalassemia. Which of the following would the nurse expect to assess?
A) Dactylitis
B) Frontal bossing
C) Presence of clubbing
D) Presence of spooning
B
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A terminally ill patient nearing end of life is dehydrated and complains of being thirsty. What can the nurse do to make the patient more comfortable?
1. Provide oral care every 2 hours. 2. Increase intravenous fluids. 3. Raise the head of the bed. 4. Begin enteral feedings.
The nurse is working with new parents who have recently immigrated to the United States. The nurse is not familiar with the family's cultural background. Which approach is most appropriate when discussing the newborn?
1. "You appear to be Muslim. Do you want your son circumcised?" 2. "Let me explain newborn care here in the United States." 3. "Your baby is a United States citizen. You must be very happy about that." 4. "Could you explain your preferences regarding childrearing?"
The nurse is counseling a family whose 4-year-old child has mild mental retardation. The nurse should tell the family that a realistic long-term goal for them would be:
A) Locating suitable residential placement for the child. B) Finding a foster home for the child. C) Achieving independent functioning of the child as an adult. D) Preventing the onset of psychiatric disorders in the child.
Which precaution should a nurse take when assessing the body temperature of a client when using the oral measurement?
A) Wait if the client has had cold water before measurement. B) Ensure that the client is resting during the measurement. C) Ensure that the client is not wearing any constrictive clothing. D) Record the temperature to the even six-tenths of a degree.