Which gross motor milestones should the nurse assess in an 18-month-old child? (Select all that apply.)
a. Jumps in place with both feet
b. Takes a few steps on tiptoe
c. Throws ball overhand without falling
d. Pulls and pushes toys
e. Stands on one foot momentarily
ANS: A, C, D
An 18-month-old child can jump in place with both feet, throw a ball overhand without falling, and pull and push toys. Taking a few steps on tiptoe and standing on one foot momentarily is not acquired until 30 months of age.
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A critical care nurse is caring for a client in a hypertensive crisis. Blood pressure is being reduced slowly. The nurse is aware that if the blood pressure is lowered too much too quickly, the patient is at risk for
A) a myocardial infarction. B) a cerebral infarction. C) renal failure. D) All of the above are correct.
A client scheduled for surgery wants to continue to wear a religious medal. Which actions by the nurse support the client's religious needs? Select all that apply
A) Keep the medal on the client but remove it once anesthesia is provided. B) Ask the client if wearing a medal is going to ensure a successful surgery. C) Document that the medal is being worn by the client. D) Suggest the client not wear the medal because it will most likely be lost. E) Explain that the medal can be safety pinned to the client's gown.
What is the term for the beliefs held by the individual about what matters?
a. Values b. Ethics c. Morals d. Bioethics
FHTs with accelerations, no decelerations, and minimal variability would be categorized as
A. Category I B. Category II C. Category III