The nurse is caring for a 20-year-old labor patient who is autistic. This patient will not talk with the nurse, she wants her mother right at her side, and she obviously does not understand what is going on with her
Which term best describes the disability of this patient? 1. Developmental
2. Learning
3. Neurological
4. Sensory
1
Rationale 1: Autism is classified as a developmental disability that manifests before 22 years of age and creates limitations in three or more areas.
Rationale 2: Learning disabilities inhibit educational attainment.
Rationale 3: Autism is not a neurological disability.
Rationale 4: Sensory disabilities have to do with vision and hearing.
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The nurse is admitting a patient to the unit who is diagnosed with a lower motor neuron lesion. What clinical manifestations would this patient most likely exhibit?
A) Increased muscle tone B) No muscle atrophy C) Hyperactive and abnormal reflexes D) Absent or decreased reflexes
A patient is being transitioned from total parenteral nutrition delivered through a central venous catheter to oral feedings. Which of the following would most likely occur with this patient?
1. provide peripheral parenteral nutrition for several days and progress as tolerated 2. pull the central venous catheter and provide oral meals as tolerated 3. pull the central venous catheter and insert a nasogastric tube for enteral feedings 4. cap the central venous catheter; provide peripheral parenteral nutrition and enteral feedings through a postpyloric tube
A school nurse, teaching a health class to adolescent males, explains that spermatozoa become motile and fertile during the two to ten days they are stored in the:
A. Epididymis. B. Vas deferens. C. Prostate gland. D. Urethra.
A nurse is preparing to administer routine immunizations to a 4-month-old infant. The infant is currently up to date on all previously recommended immunizations. Which immunizations will the nurse prepare to administer (select all that apply)?
a. Measles, mumps, and rubella (MMR) b. Rotavirus (RV) c. Diphtheria, tetanus, and acellular pertussis (DTaP) d. Varicella e. Haemophilus influenzae type b (HIB) f. Inactivated poliovirus (IPV)