The pediatric clinic nurse is aware that the most common time for the infant to begin to roll over occurs at approximately:
A) One month of age
B) Two months of age
C) Three months of age
D) Four months of age
C
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The nurse is caring for several medical-surgical clients. The nurse has delegated skin care of an incontinent client to new unlicensed assistive personnel (UAP) on the unit. Which action by the nurse will improve effectiveness of the client care provided?
A) Ask the client if the care was appropriate. B) Ask the UAP if the care was given. C) Demonstrate the appropriate care needed, then delegate the task for the remainder of the shift. D) Closely observe the UAP each time the care is given.
A patient is on the floor for monitoring after being admitted following an ischemic stroke. The nurse who knows the importance of the principles of body alignment and correct positioning will prevent joint deformities by:
A) Placing the patient in the prone position, laying flat, for 30 minutes a day B) Assisting the patient in acutely flexing the thigh to promote movement C) Placing a pillow in the axilla when there is limited external rotation D) Placing the patient's hand in pronation
A patient is demonstrating signs of thrombophlebitis. With this disorder, the nurse realizes that three mechanisms occur, which include:
Select all that apply. 1. pooling of blood in the vessel. 2. blood hypercoagulation. 3. stasis of blood flow. 4. elevated systemic blood pressure. 5. vessel damage.
A 13-year-old female patient asks the school nurse when her menstrual cycle will start, as she is already developing breasts. What should the nurse include in the response to this patient?
1. The teenager should be referred to a gynecologist for a pelvic examination. 2. The teenager should have started her period by now. 3. Menses will probably start within a few years. 4. The teenager should be tested for hormonal imbalances.