A registered nurse is preparing to perform a physical examination on a 5-year-old child. What can the nurse do to make the child feel safer during the examination?
A. Examining his fingernails before listening to his breath sounds
B. Asking the child to put on a gown before the examination
C. Using medical language to demonstrate her competence
D. Inviting the child's siblings to be present for the examination
A
Children will feel safer during an examination if it is initiated from the periphery and then moves to the central. For example, examine the extremities before moving to the chest.
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A 60-year-old patient with chronic myeloid leukemia will be treated in the home setting and the nurse is preparing appropriate health education. What topic should the nurse emphasize?
A) The importance of adhering to the prescribed drug regimen B) The need to ensure that vaccinations are up to date C) The importance of daily physical activity D) The need to avoid shellfish and raw foods
Blanching of the cervix after swabbing with a cotton-tipped applicator that was soaked in 5% acetic acid most likely indicates
a. bacterial infection. c. early cervical cancer. b. benign cellular changes of the cervix. d. human papillomavirus.
The nurse explains that the serum creatinine level is a better indicator for renal disorders because serum creatinine
a. closely reflects the dietary intake. b. does not change in other systemic disorders. c. has a constant ratio of 20:1 to blood urea nitrogen (BUN). d. is unaffected by hydration status.
The nurse recognizes that the risk for dehydration in the elderly increases significantly due to which age-related change in renal function?
1. decreased ability of the kidney to concentrate urine 2. hypoplasia 3. presence of renal cysts 4. reduced clearance of drugs excreted by the kidney