What would be an expected finding when assessing language development in a 2-year-old?
a. A 900-word vocabulary
b. Use of two-word sentences
c. Use of pronouns and prepositions
d. 100% of speech is understandable
ANS: B
The 2-year-old should be using two-word sentences.
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The patient received a preoperative dose of lorazepam (Ativan) 20 minutes ago. The safety precaution the nurse should take in regard to this drug is to:
a. monitor respiratory status. b. raise bed rails. c. elevate the head of the bed 30 degrees. d. take seizure precautions.
A 16-year-old girl who has been confined to a wheelchair since early childhood has been acting rebellious and rude. Her parents ask you, "Are all adolescents like this?" What is your best response?
A) "Yes. Although your daughter's behaviors are more like those of an adolescent boy." B) "No. Your daughter must need some help in dealing with her feelings." C) "Your daughter's behavior seems to be typical adolescent behavior. Let's talk more about it." D) "Your daughter's behavior results from feelings about her disability; ignore them."
The patient asks whether something she did could have contributed to her conceiving twins. Which response(s) would be appropriate? (Select all that apply.)
a. "Fertility drugs have increased the incidence in multifetal pregnancies." b. "Women who are older have an increased probability of having twins." c. "Decreased maternal folate levels have been shown to cause multifetal pregnancies." d. "In vitro fertilization has increased the incidence of multifetal pregnancies." e. "Increased vitamin C levels have been linked to multifetal pregnancies."
For a client with a nursing diagnosis of impaired physical mobility related to bilateral arm casts, the nurse should select which of the following methods of nursing intervention?
1. Teaching 2. Counseling 3. Compensating for adverse reactions 4. Assisting with activities of daily living (ADLs)