When performing a physical assessment on a developmentally appropriate 5 year old, which measurements should be obtained?
1. Height and weight
2. Height, weight, and abdominal girth
3. Height, weight, and head circumference
4. Height, weight, head circumference, and abdominal girth
1
Feedback
1. Height and weight measurements are appropriate to obtain when assessing a developmentally appropriate 5 year old.
2. Abdominal girth will not indicate proper developmental ability.
3. Head circumference is not measured after 2 years of age.
4. The head circumference and abdominal girth are not measured.
You might also like to view...
The nurse is caring for an infant girl with a suspected cardiovascular disorder. Which of the following statements by the mother would warrant further investigation?
A) "My baby does not make any grunting noises." B) "The baby seems more comfortable over my shoulder." C) "The baby gulps down all of her bottle." D) "I don't notice any rapid breathing patterns."
The nurse is reviewing the medical records of several clients who are receiving lithium. Which of the following would the nurse identify as being at increased risk for the development of lithium toxicity? Select all that apply
A) Clients receiving furosemide (Lasix) B) Clients experiencing diarrhea C) Clients with renal insufficiency D) Clients with liver cirrhosis E) Clients experiencing vomiting
The nurse is preparing an evidence summary. According to the ACE Star Model, this nurse is working within which point?
a. 1 c. 3 b. 2 d. 4
A home health nurse is conducting a nutritional assessment on a client with moderate Alzheimer's disease (AD) when it is noted that he has lost 5 pounds over the past month
The nursing intervention best directed at managing the client's need for nutrition is to: 1. Provide finger-food snacks several times throughout the day. 2. Recommend referral to a nutritionist who is familiar with AD clients. 3. Suggest menu choices that encourage a mechanical soft diet. 4. Encourage meals that include at least one of the client's favorite foods.