The nurse is very observant of patient behavior because all behavior has meaning and is:
a. preformed.
b. important.
c. learned.
d. repeated.
C
Behavior is learned and has meaning.
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After a stroke, a client has ataxia. What intervention is most appropriate to include on the client's plan of care?
a. Ambulate only with a gait belt. b. Encourage double swallowing. c. Monitor lung sounds after eating. d. Perform post-void residuals.
The nurse is counseling a 15-year-old who is pregnant for the first time. The nurse is aware that this client is at high risk for
a. incompetent cervix c. spontaneous abortion b. preterm birth d. placental abnormalities
The nurse performing an assessment of a client with a neuromuscular disorder finds that the left upper eyelid sags and covers a portion of the pupil. The nurse would note this finding on the client record as
a. amblyopia. b. lid eversion. c. presbyopia. d. ptosis.
In inspecting the eyes of a child, the nurse notes that there are some small white flecks around the perimeter of the iris. These white flecks are called:
a. cotton patches c. snow spots b. Brushfield spots d. northern lights