When caring for a child with a cognitive impairment, what is a primary factor for the nurse to consider regarding the approach for interaction with the child?
A) The developmental stage is based on developmental tasks achieved.
B) The developmental stage is based on the chronological age.
C) The developmental stage is based on the gestational age.
D) The developmental stage is based on the parent's report of level of functioning.
A
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A nurse is planning the care of an older adult patient with osteomalacia. What action should the nurse recommend in order to promote vitamin D synthesis?
A) Ensuring adequate exposure to sunlight B) Eating a low-purine diet C) Performing cardiovascular exercise while avoiding weight-bearing exercises D) Taking thyroid supplements as ordered
The nurse interviewing a client with suspected posttraumatic stress disorder should be alert to
findings indicating the client (more than one answer may be correct) A. experiences flashbacks. B. demonstrates hypervigilance. C. feels detached, estranged, or empty inside. D. feels driven to repeat ritualistic behaviors. E. avoids people and places that arouse painful memories. F. experiences sympathetic nervous system symptoms suggestive of a heart attack.
Patients in shock can experience fluid replacement complications. What does the nurse monitor the patient for? (Mark all that apply.)
A) Hypovolemia B) Difficulty breathing C) Cardiovascular overload D) Pulmonary edema E) Hypoglycemia
A female client has been admitted to the acute care unit with complaints of abdominal pain, nausea, and vomiting
During the interview the nurse determines the client's history includes pelvic inflammatory disease, mitral valve prolapse, and childbirth. The assessment finds the client's vital signs to be within normal limits. When analyzing the available data, what items should be clustered together? 1. Vital signs, complaints of pain history of childbirth 2. Abdominal pain, nausea, vomiting, and history of pelvic inflammatory disease 3. Gender, history of mitral valve prolapse, and vital signs 4. History of pelvic inflammatory disease, mitral valve prolapse, and pain scale reports