When assessing a 2-year-old with suspected autistic disorder, a nurse would expect:
a. hyperactivity and attention deficits.
b. failure to develop interpersonal skills.
c. a history of disobedience and destructive acts.
d. high levels of anxiety when separated from the parent.
B
Autistic disorder involves distortions in development of social skills and language that include perception, motor movement, attention, and reality testing. Caretakers nearly always mention the child's failure to develop interpersonal skills. The distracters are more relevant to ADHD, separation anxiety, and conduct disorder.
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During the assessment of a client's eyes, the nurse suspects the client has entropion. Which assessment data caused the nurse to come to this conclusion?
1. Eversion of the lower eyelid. 2. Inversion of the lid and eyelashes. 3. Swollen, red hair follicles. 4. Firm, non-tender nodule on the eyelid.
A client who underwent a vagotomy has a high risk for developing stomach cancer. Which of the following advice would be useful?
A) Advise the client to change his dietary habits. B) Encourage medications that reduce hydrochloric acid formation. C) Encourage a liberal intake of fluid. D) Advise the client to take antacids.
Which side effect should the nurse discuss with patients receiving filgrastim?
a. Bone pain b. Fatigue c. Bleeding d. Headache
People learn coping patterns
A. early in life. B. during middle age. C. only through intensive therapy. D. by having their needs met.