The nurse preparing a teaching plan for a preschooler knows that, according to Piaget, the expected stage of development for a preschooler is
a. concrete operational.
b. formal operational.
c. preoperational.
d. sensorimotor.
ANS: C
The expected stage of development for a preschooler (3 to 4 years old) is pre-operational. Concrete operational describes the thinking of a school-age child (7 to 11 years old). Formal operational describes the thinking of an individual after about 11 years of age. Sensorimotor describes the earliest pattern of thinking from birth to 2 years old.
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During the precordial assessment on an patient who is 8 months pregnant, the nurse palpates the apical impulse at the fourth left intercostal space lateral to the midclavicular line. This finding would indicate:
a. Right ventricular hypertrophy. b. Increased volume and size of the heart as a result of pregnancy. c. Displacement of the heart from elevation of the diaphragm. d. Increased blood flow through the internal mammary artery.
A student nurse is caring for a patient at a rehabilitation facility. The student nurse educates the patient about the rehabilitation facility. A nurse intervenes when the student states:
1. "You will receive intense therapy services while you're here." 2. "You must participate in at least 6 hours of therapy each day." 3. "You will be seen by a physician who specializes in rehabilitation." 4. "If you get sick while you're here, we can transfer you to the hospital."
When caring for a child with an intravenous (IV) infusion, what is an appropriate nursing action?
a. Change the insertion site every 24 hours. b. Check the insertion site frequently for signs of infiltration. c. Use a macrodropper to facilitate reaching the prescribed flow rate. d. Avoid restraining the child to prevent undue emotional stress.
Cessation of menstrual periods after an established pattern of regularity could be an indication of:
1. Too much meat in the diet. 2. Deliberate food restriction. 3. Venereal diseases. 4. Late onset puberty.