The nurse in the long-term–care clinic is reviewing the charts of a group of children with chronic physical, psychological, functional, and/or social limitations. Which conditions are most likely to lead to chronic limitations?
1. Near drowning
2. Congenital heart defect
3. Sinusitis
4. Fetal insult when the mother contracted rubella in the first trimester of pregnancy
5. Sepsis contracted as a neonate
Correct Answer: 1,2,4,5
Rationale: All of these conditions or events except sinusitis can leave a child with a permanent chronic condition.
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The immune response is complex and involves humoral and cell-mediated components. Which of the following is considered the first stage of the immune response?
A) Helper T cells are activated with the help of interleukin. B) Macrophages process antigens and give them to T cells in lymph tissue. C) T cells produce lymphokines which stimulate antibody-producing B cells. D) Macrophages remove cellular debris.
The ideal time to perform a comprehensive assessment is
a. at the patient's request. b. on the patient's first visit to the health care facility to establish a baseline database. c. on the patient's second or third visit after rapport has been established. d. when the patient is seen for an acute health problem, to identify accompanying health problems.
A client is being admitted for "hematochezia." The nurse would plan to assess for
a. blood in the stool. b. blood in the urine. c. large frothy stools. d. manifestations of malabsorption.
The nurse on a pediatric unit is writing guidelines for age-specific preparation of children for procedures based on developmental characteristics. What guideline is accurate?
a. Inform toddlers about an upcoming procedure 2 hours before the procedure is to be performed. b. Inform school-age children about an upcoming procedure immediately before the procedure is scheduled to occur. c. Discourage parent presence during procedures on infants and toddlers. d. Use simple diagrams of anatomy and physiology to explain a procedure to a school-age child.