A nurse palpates enlarged tonsils in a 3-year-old client who exhibits no symptoms of illness. What is the significance of this finding?
a. It is indicative of tumor growth and should be reported to the health care provider.
b. It is a normal finding for a child of this age.
c. It is a precursor to developing illness.
d. It is a response to increased allergens and not necessarily an indicator of illness.
B
Tonsils normally enlarge progressively between the ages of 2 and 10 years and reduce during preadolescence.
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What is the nursing action that has the highest priority for a client experiencing hypertonic contractions during oxytocin stimulation of labor?
a. Open up the IV. c. Stop the oxytocin infusion. b. Start oxygen per face mask. d. Turn the client on her left side.
A nursing student complains about difficulty remembering information read in the text. To resolve this problem effectively, the student should address the fact that the most common reason students cannot remember information is
a. information overload. b. lack of understanding of the material. c. new knowledge interferes with recall of old knowledge. d. old knowledge interferes with recall of new material.
A client's nursing diagnosis of "risk for self-directed violence" has been identified because of her recent history of cutting and self-mutilation
Which of the following expected outcomes is most appropriate for this client's plan of care during inpatient treatment? A) "The client will demonstrate resolution of her psychiatric diagnosis." B) "The client will demonstrate better coping skills." C) "Staff will observe the client for signs of self-mutilation." D) "The client will refrain from cutting or self-mutilation."
Gate control therapy proposes a mechanism to explain which phenomenon?
1. Pain modulation 2. Pain transmission 3. Pain perception 4. Pain transduction