Thirteen-year-old Kevin presents at his pre-high school checkup with his caregiver, who reports that although Kevin's grades show he is ready for high school, he is always in the principal's office or serving detention
His mother is worried that he might be too immature to be in high school. The nurse notes that Kevin has evident breasts, little underarm or chest hair, and a high-pitched voice. The nurse suspects that Kevin might have a diagnosis of:
A) Turner syndrome.
B) Klinefelter syndrome.
C) ambiguous genitalia.
D) hypothyroidism.
B
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In performing an examination of a 3-year-old child with a suspected ear infection, the nurse would:
a. Omit the otoscopic examination if the child has a fever. b. Pull the ear up and back before inserting the speculum. c. Ask the mother to leave the room while examining the child. d. Perform the otoscopic examination at the end of the assessment.
An elderly male is upset because he was "yelled at for driving too slow" by a younger male driver. The elderly patient experienced
a. discrimination c. anxiety b. chronic low self-esteem d. ageism
An RN delegates the task of taking a newly admitted client's vital signs to a nurse's aide. The client's blood pressure was 182/98, but did not get reported to the physician for several hours
Who is responsible for the lapse in time between discovery and action? 1. Nurse manager 2. Aide 3. Client 4. RN
James Fuller, aged 57, has a history of alcohol dependence. He has been admitted to a detoxification unit
He has tremors, he is anxious, his pulse has risen from 98 to 110, his blood pressure has risen from 140/88 to 152/100, and his temperature is six tenths of a degree above normal. He is slightly diaphoretic. Which of the following would be a priority nursing diagnosis for Mr. Fuller? A) Hallucinations B) Risk for injury C) Ineffective coping D) Denial of problems