What would the nurse expect a 4-month-old to be able to accomplish?
a. Hold a cup.
b. Stand with assistance.
c. Lift head and shoulders.
d. Sit with back straight.
ANS: C
Because development is cephalocaudal, of these choices, lifting the head and shoulders is the one that the infant learns to do first. The infant can usually sit with support at about 5 months of age and can sit alone at about 8 months.
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The nurse is implementing a set of standing orders for a client's care. Standing orders are:
a. independent nursing orders. b. a collaborative nursing order. c. a standardized intervention written and approved by a physician for a common predictable situation. d. a document that provides the rationale for nursing interventions in a specific situation.
What threat to internal validity is most closely associated with a longitudinal design?
a. Instrumentation effects b. Mortality effects c. History effects d. Selection bias
During a health history the nurse suspects that a patient may be experiencing sleep apnea. What findings led the nurse to make this clinical decision?
Select all that apply. 1. The patient is yawning. 2. Blood pressure is 188/92 mmHg. 3. The patient reports having a headache every morning. 4. The patient reports a change in appetite and a 10 lb weight loss in 2 months. 5. The patient says family members complain about her snoring.
The parents of an 8-year-old child are concerned about their daughter's prognosis from the burn injuries sustained in a house fire. Which of the following should the nurse respond to these parents?
1. Your child will have many problems going forward. 2. Only time will tell. 3. Your child will be fine after the burns heal and extensive rehabilitation. 4. Children are more prone to burn injuries but the elderly have a greater risk for infection.