A nurse is caring for an adolescent girl experiencing menstruation for the first time. What are the changes that occur in the body at this stage that the nurse should share with the adolescent girl?
A) Irritability and insomnia
B) Hot flashes
C) Breast development
D) Urinary incontinence
C
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Breast development is a change that occurs in the body of an adolescent girl. Many changes take place in the body, such as the appearance of feminine contours, development of breast tissue, appearance of unique fatty deposits, and hair in the pubic and axillary areas. Menopausal clients often experience irritability and insomnia, hot flashes, and urinary incontinence.
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A toddler is brought to the clinic with a low-grade fever and the mother describes a grunting sound made by the child on expiration. The respiratory rate is 24 breaths/minute. What action by the nurse is most appropriate?
A. Assess nose and throat for foreign bodies. B. Facilitate a stat chest x-ray. C. Obtain an oxygen saturation; notify provider. D. Weigh and measure child then calculate BMI.
A nurse's plan of care for a patient with rheumatoid arthritis includes several exercise-based interventions. Exercises for patients with rheumatoid disorders should have which of the following goals?
A) Maximize range of motion while minimizing exertion B) Increase joint size and strength C) Limit energy output in order to preserve strength for healing D) Preserve and increase range of motion while limiting joint stress
Although some subjectivity is inescapable in performance appraisals, what action can the manager take to arrive at a more fair and accurate assessment?
A) Written anecdotal notes regarding the employee's performance should be maintained throughout the evaluation period. B) Evaluation criteria that reflect on the employee as a person rather than just on work performance should be used. C) Data gathered by the manager in preparation for the performance appraisal should be limited to no more than two sources, so no conflicting information is received. D) The manager should rate all employees using central tendency whenever possible.
A nurse manager makes all of the decisions for staff activities. What type of leadership is demonstrated by this action?
A) democratic B) self-governance C) laissez-faire D) autocratic