The nurse is conducting a well-child examination of a 5-year-old girl. The girl was 40.5 inches at her last examination at age 4 . Which of the following height measurements would be within the normal range of growth expected for a preschooler?
A) 41.5 inches
B) 42 inches
C) 43.5 inches
D) 44.5 inches
C
Response:
The average preschool-age child will grow 2.5 to 3 inches per year. A measurement of 43.5 inches would indicate a 3-inch increase and would be within the normal range.
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The nurse in a pediatric acute care unit is assigned the following tasks. Based on recognition that the action defined requires training beyond the preparation of a registered nurse, the nurse would refuse to:
1. Diagnose a six-year-old with diversional activity deficit related to placement in isolation. 2. Listen to the concerns of an adolescent about being out of school for a lengthy surgical recovery. 3. Diagnose an eight-year-old with acute otitis media and prescribe an antibiotic. 4. Provide information to a mother of a newly diagnosed four-year-old diabetic about local support group options.
The role of the certified nurse practitioner (CNP) has become a dominant role for nurses in all levels of health care. Which of the following activities are considered integral to the CNP role? Select all that apply
A) Educating patients and family members B) Coordinating care with other disciplines C) Using direct provision of interventions D) Educating registered nurses and practical nurses E) Coordinating payment plans for patients
If a patient recovering from a hemorrhoidectomy experiences dizziness within 5 minutes when taking a sitz bath, the nurse should:
a. cover the patient to prevent chilling. b. stay with the patient until the full time for the bath has elapsed. c. remove the patient from the sitz bath and return to bed. d. assess vital signs every 5 minutes during the remainder of the sitz bath.
A nurse is caring for a patient who has a nasogastric (NG) tube to suction. When caring for this patient, the nurse should do which of the following? Select all that apply
1. Assess the tube once per shift for patency. 2. Irrigate the clogged tube according to facility policy. 3. Position the tube so that it puts pressure on the naris. 4. Provide infrequent mouth care and lip moisturizer. 5. Assess color, amount, and consistency of gastric drainage.