The nurse caring for a 4-year-old child with cerebral palsy recognizes that the priority nursing interventions are designed to:
a. assist with referral to specialized education.
b. support the child with independent toileting.
c. assist the child to develop effective communication.
d. encourage the child to ambulate independently.
D
A clinical manifestation of cerebral palsy is usually the need of support with communication, locomotion, and self-help.
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The health care provider has not ordered the use of a restraint for an alert patient at high risk for falling. The nurse should implement which side rail use?
a. Two full-length rails b. One -length rail c. No side rails d. Four -length rails
What type of cytokine will attract neutrophils and monocytes to remove debris?
A) Lymphokines B) Cytotoxic T cells C) Suppressor T cells D) Regulator T cells
A charge nurse assists a group of personnel to resolve their conflict, with the outcome being that the two opposing goals were discarded and new goals were adopted. What is this an example of?
A) Smoothing of conflict by the leader B) Facilitating collaboration among personnel C) A majority rule approach D) A good lesson in compromising
A patient with acute hepatic dysfunction demonstrates slow slurred speech and cold clammy skin. Which of the following should the nurse suspect is occurring with this patient?
1. increased ammonia level 2. hypoglycemia 3. cerebral embolism 4. bleeding esophageal varices