The parent of a 20-month-old is very concerned because the baby touches the genital area during diaper changes. How should the nurse respond to this concern?
A)
Masturbation to orgasm is common and normal at this age.
B)
Genital stimulation should not be occurring until the age of 2½ or 3.
C)
At 20 months, this touching is not a sexual experience.
D)
Babies are sexual beings, but this activity should be discouraged.
C
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A nurse is field-triaging clients after an industrial accident. Which client condition should the nurse triage with a red tag?
a. Dislocated right hip and an open fracture of the right lower leg b. Large contusion to the forehead and a bloody nose c. Closed fracture of the right clavicle and arm numbness d. Multiple fractured ribs and shortness of breath
The nurse is caring for a patient who has pain following abdominal surgery. Which of the following are independent nursing interventions that can be used to make the patient more comfortable? (Select all that apply.)
a. Encourage the patient to relax and imagine that he is resting on a tropical beach. b. Provide headphones so that the patient can listen to his favorite music. c. Increase pain medication dosage if prescribed regimen is ineffective to manage pain. d. Teach the patient to take pain medication before discomfort becomes severe. e. Switch the patient from IV to oral pain medication when bowel sounds return. f. Demonstrate the use of relaxation breathing before painful procedures.
A terminally ill female client chooses the time and place of her own death. This is an example of:
a. Suicide b. Self-injury c. Rational suicide d. Planned suicide
A patient has been diagnosed with von Willebrand's disease (vWD). What patient education should the nurse provide? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply
1. This disorder is inherited. 2. This disorder affects only women. 3. This disorder occurs more frequently than was once recognized. 4. This disorder can cause excessive bleeding or excessive clotting. 5. This disease can be cured with administration of von Willebrand's factor.