The nurse has gathered data on four different children. Which child will most likely be further assessed and tested for autism?
A) A 16-month-old who spends 30 minutes moving empty plastic bottles in and out of a container
B) An 18-month-old who enjoys spinning until she falls, then announces, "Me fall!"
C) A 14-month-old whose reaction to his caregiver leaving him is to calmly repeat the statement, "Bye bye, Will. Bye bye, Will."
D) A 20-month-old who frequently walks on tiptoe and smiles at her caregiver when the caregiver looks at the child
Ans: C
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A nurse is caring for a patient who is taking metoprolol (Lopressor). Which of the following statements would indicate that teaching by the nurse concerning the beta-adrenergic antagonist has been effective?
A) "I may have a very dry mouth while taking this drug." B) "I should never stop taking this drug abruptly." C) "I can stop walking a mile a day." D) "Since I am taking this drug, I no longer need to worry about my diet."
The nurse documents the assessment and interventions performed to relieve the client's pain on a pain management flow sheet. Why is this documentation important?
Select all that apply. 1. Reduces time spent on documentation. 2. Clarifies and communicates each client's pain experience. 3. Accurately documents the pain management efforts performed by the nurse. 4. Enhances pain relief efforts. 5. Ensures continuity of care.
The nurse is evaluating a skin lesion on a client brought to the emergency department. The nurse notes characteristics of chickenpox but has the physician evaluate the lesion for which biologic disaster agent?
A) Botulism B) Smallpox C) Rubella D) Anthrax
The nurse is assessing a toddler-age patient. Which question is appropriate for the nurse to ask the toddler's caregiver to assess for sexual abuse?
1) "How many times per day do you change your child's diaper?" 2) "How many bowel movements does your child have per week?" 3) "Have you noticed any vaginal discharge during diaper changes?" 4) "Has your child experienced low-grade fevers?"