The nurse is talking with a parent about tooth eruption. What teeth will the nurse explain are the first deciduous teeth to erupt?
a. Lower central incisors
b. Upper central incisors
c. Lower lateral incisors
d. Upper lateral incisors
ANS: A
The first teeth to erupt, usually at about 7 months, are the lower central incisors.
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A client undergoes a gastroduodenostomy for treatment of a perforated ulcer. Postoperatively, the nurse cannot detect bowel sounds, and there is 200 mL of bright red blood in theNG drainage container. What is the most appropriate nursing action?
1. Notify the physician. 2. Irrigate the NG tube. 3. Apply an abdominal binder. 4. Assess the client's pain level.
The nurse supports an older patient's desire to discuss advance directives with the patient's family. What action is the nurse performing with this patient?
1. Facilitation of palliative care 2. Engagement in professional development 3. Collaboration with the interdisciplinary team 4. Accountability to protect patient's rights and autonomy
The nurse would explain to a client that the voice, rather than a ticking watch, is used to test auditory acuity because watches
a. can be muffled by the examiner's hand. b. have different sound frequencies. c. make a familiar and predictable sound. d. produce a higher pitch.
A chest CT scan confirms that a patient has bronchiectasis. On which problems should the nurse focus when determining the care this patient will need?
Select all that apply. 1. airway clearance 2. changes in fluid balance 3. ineffective breathing pattern 4. inability to provide self-care 5. insufficient nutritional intake