Which situation would cause the nurse to suspect a hearing impairment?
a. 3-month-old infant with a positive Moro reflex
b. 15-month-old toddler who is babbling
c. 18-month-old toddler who is speaking one-syllable words
d. 24-month-old toddler who communicates by pointing
ANS: D
The child who is not making verbal attempts by 18 months should undergo a complete physical examination.
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The nurse is performing a functional assessment for a client who has had a mild stroke and will be discharged in 2 days from the hospital. What question would be important to ask when conducting this assessment?
A) "Do you have enough money to pay for the medications that you will be taking at home?" B) "Do you have friends that will come and visit and take you out to socialize?" C) "You have an appointment to see the physician in 1 week. How will you obtain transportation to come to the office?" D) "Do you understand that your medication can cause bleeding tendencies?"
Congenital adrenal hyperplasia (CAH) is suspected in a newborn because of ambiguous genitalia. The parents are appropriately upset and concerned about their child's gender. In teaching the parents about CAH, what should the nurse explain?
a. Reconstructive surgery as a female is preferred. b. Sexual assignment should wait until genetic sex is determined. c. Prenatal masculinization will strongly influence the child's development. d. The child should be raised as a boy because of the presence of a penis and scrotum.
The clinic nurse recommends to a client with cluster headaches that to abate the manifestations associated with an attack, he should inhale
a. 100% oxygen for 15 minutes. b. deeply for 5 minutes. c. oil of cloves for 5 minutes. d. warm mist for 10 minutes.
Mr. Brown was admitted from the emergency department, and you are completing his physical examination. His pupils are 2 mm bilaterally, and you notice that they fail to dilate when the penlight is moved away
This is characteristic in patients who are or have been: a. in a coma. b. taking sympathomimetic drugs (cocaine). c. taking opioid drugs (morphine). d. treated for head trauma.