The nurse is confident that a client has met the developmental guidelines for a preschooler. What did the nurse assess to make this clinical decision?
1. Can print her own name.
2. Proudly announces, "I put my own toys away."
3. Shares that, "I know I shouldn't hit, even when I'm mad."
4. Effectively brushes her own teeth.
5. Washes her hands after toileting without prompting.
Correct Answer: 1, 2, 4
Rationale 1: Development is assessed when the child is able to print letters and numbers by 5 years of age.
Rationale 2: Development is assessed when the child is able to cooperate in doing simple chores by 5 years of age.
Rationale 3: This is a developmental task more appropriate for school-age children.
Rationale 4: Development is assessed when the child is able to perform simple hygiene measures by 5 years of age.
Rationale 5: This is a developmental task more appropriate for a school-age child.
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The nurse is preparing to administer a rectal suppository and should place the client in which position for insertion?
a. dorsal recumbent c. Sims' b. prone d. supine
The nurse researcher is completing a review of literature. Why will this work be useful to the researcher as the project continues? Standard Text: Select all that apply
1. It helps to develop a theoretical or conceptual framework for the study. 2. It helps to identify what is already known on the topic of the study. 3. It assists in the identification of data collection tools to measure the study variables. 4. It determines the purpose of conducting a study. 5. It helps identify the research problem.
A 6-year-old boy is admitted to the hospital for a surgical procedure associated with a hospital stay. When the nurse asks his mother about the boy's sleep patterns, she says,
"Sometimes he will get out of bed, walk into the kitchen, and get the cereal out of the cabinet. Then he just turns around and goes back to bed." The nurse explains that he is sleepwalking. The best nursing diagnosis for Tad would be: a. Risk for Insomnia related to sleepwalking. b. Risk for Fatigue related to sleepwalking. c. Disturbed Sleep Pattern related to dyssomnia. d. Risk for Injury related to sleepwalking.
The MMR vaccine is not recommended for pregnant women because:
1. Pregnant women do not build adequate immunity to the vaccine. 2. There is a risk of the pregnant women developing measles encephalopathy. 3. There is a risk of the fetus developing congenital rubella syndrome. 4. Pregnant women can receive the MMR vaccine.