The nurse is planning to explain the use of time-outs to the parent of a 3-year-old. How many minutes will the nurse indicate is appropriate for a child of this age?
a. 3
b. 6
c. 10
d. 15
ANS: A
Timing for time-out is usually based on 1 minute per year of age.
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The nurse working on a pediatric unit is reviewing a medication order for an assigned child. The physician's order is illegible and incomplete. The nurse would do which of the following as a priority action?
1. Call the physician and ask him to clarify the order. 2. Fax the order to the pharmacy, which will clarify the order with the physician. 3. Give the order to the unit secretary, who will clarify the order with the physician. 4. Give the medication as interpreted so as not to disrupt client care.
A community health nurse uses Roy's model with a community that is dealing with a particular health issue. The nurse would focus community assessment on which of the following?
A) A community's coping mechanisms for use in adaptation B) A community's lines of resistance and defense to stresses C) A community's environmental conditions to improve negative conditions D) A community's collective ability for independence and self-care
The nurse is assessing the client's pupillary responses. The client is found to have no consensual response. The finding indicates which of the following to the nurse?
1. Cranial nerve III may not be functioning appropriately. 2. This is a normal finding. 3. This is evidence of increased intracranial pressure. 4. This is evidence of optic nerve damage.
The nursing is preparing a presentation on the relationship of ligands to receptors. Which explanation should the nurse include in the presentation?
1. "The drug ligand works like a key that fits into a lock, which is the receptor protein in the neuron." 2. "The drug ligand is the door that opens into the house, which is the neuron." 3. "The receptor protein is like a flame that ignites the stove, which is the drug ligand." 4. "The drug ligand works like a comforter, providing a protective cover for the receptor protein."