When initiating a care plan for a child with special needs, the nurse recognizes the probability that the child will be:
a. accustomed to the hospital milieu.
b. unable to adapt to the hospital setting.
c. withdrawn and uncooperative.
d. hospitalized for a longer period of time.
D
Children with special needs who are hospitalized are more vulnerable to the emotional and developmental consequences of hospitalization and will have longer and more traumatic hospital stays.
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The nurse palpating the precordium of a 73-year-old client for the point of maximal intensity (PMI) would place the hands
a. at Erb's point in an elderly client. b. at the level of the sternal manubrium. c. at the fifth intercostal space, medial to the midclavicular line. d. to the left of the angle of Louis.
A patient is admitted to the critical care unit with a subdural hematom
a. The GCS is used to assess his level of consciousness. Which statement is true concerning the GCS? a. It provides data about level of consciousness only. b. It is considered equivalent to a complete neurologic examination. c. It is a sensitive tool for evaluation of an altered sensorium. d. It is the most critical assessment parameter to account for possible aphasia.
The nurse is reviewing a new prescription for propranolol (Inderal) for a patient with coronary heart disease (CHD). The nurse should call the physician and question this prescription if the patient's history includes what information?
1. asthma and chronic obstructive pulmonary disease (COPD) 2. taking antioxidants 3. taking simvastatin (Zocor) 4. bleeding disorders
The nurse should instruct a client with impaired hearing due to impacted cerumen to do which of the following?
1. Clean out the wax with an ear swab 2. Insert water into ears every day 3. Occlude nasal passages with pinched fingers and blow until the ears pop 4. Utilize prescribed lubricating and dissolving medication as indicated