Upon assessment of an 8-month-old infant, the nurse notes a progression of coolness toward the baby's trunk. This may be indicative of
A) altered thermoregulation of the body.
B) increased intracranial pressure.
C) impaired neuroreflexes.
D) diminishing perfusion.
D
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An obese adolescent who adamantly denies sexual activity has a positive pregnancy test. Which statements would be most appropriate for the nurse to make to this adolescent?
1. "When was your last menstrual period (LMP)?" 2. "Tell me how you feel about your body image." 3. "Let's discuss some activities that you have done within the past few months that could possibly lead to pregnancy." 4. "Why are you denying sexual intercourse?"
When teaching a client about how loperamide HCl works, the nurse should include,
a. "It acts by decreasing gastrointestinal motility." b. "It increases gastric motility by pulling fluids into the intestines." c. "It softens the stools to make them easier to pass." d. "Only use this drug if you haven't had a bowel movement for three days."
An IV solution of 125 mL is to be infused over a 1-hour period. A microdrip infusion set will be used. The nurse calculates the infusion rate as:
1. 32 gtt/min 2. 60 gtt/min 3. 125 gtt/min 4. 250 gtt/min
A group of psychiatric–mental health nurses have completed an educational session on strategies for fostering cultural congruence. Cultural congruence is defined as:
A) Agreement between and among people of different cultural backgrounds B) Assimilation of a minority culture into the dominant culture C) Feelings of belonging despite cultural differences D) The expression of personal and cultural validation