The nurse is caring for a 4-year-old child immobilized by a fractured hip. Which complications should the nurse monitor?
a. Hypocalcemia
b. Decreased metabolic rate
c. Positive nitrogen balance
d. Increased production of stress hormones
ANS: B
Immobilization causes a decreased metabolic rate with slowing of all systems and a decreased food intake, leads to hypercalcemia, and causes a negative nitrogen balance secondary to muscle atrophy. A decreased production of stress hormones occurs with decreased physical and emotional coping capacity.
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Persons with normal age-related sensory changes are likely to have the most difficulty distin-guishing which of the following?
a. Spoken pairs of phrases like "she's praised" and "fees raised" b. Orange towel hanging on a beige wall c. "Go" and "to" in lowercase letters in fine print d. Spoken word pairs like "cupful" and "capful"
When the nurse manager orders supplies for the unit, which communication mode is best?
1. Telephone 2. E-mail 3. In person 4. Voice mail
Which of the following is proposed as the best method to measure improvement in patients' conditions?
a. An index of improvement b. Change scores c. Has not been a useful method suggested at this time d. Percentage of improvement
A 6-year-old child is scheduled for a cardiac catheterization. What consideration is most important in planning preoperative teaching?
a. Preoperative teaching should be directed at his parents because he is too young to understand. b. Preoperative teaching should be adapted to his level of development so that he can understand. c. Preoperative teaching should be done several days before the procedure so he will be prepared. d. Preoperative teaching should provide details about the actual procedures so he will know what to expect.