A nurse is performing an assessment on a school-age child. Which findings suggest the child is getting an excess of vitamin A? (Select all that apply.)
a. Delayed sexual development
b. Edema
c. Pruritus
d. Jaundice
e. Paresthesia
ANS: A, C, D
Excess vitamin A can cause delayed sexual development, pruritus, and jaundice. Edema is seen with excess sodium. Paresthesia occurs with excess riboflavin.
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As a component of the family assessment, the family assists the nurse in developing an ecomap. Prior to beginning the ecomap, the nurse explains that the ecomap:
1. Provides information about the family structure including family life events, health, and illness. 2. Illustrates family relationships and interactions with community activities including school, parental jobs, and children's activities. 3. Is a short questionnaire of five questions that measures family growth, affection, and resolve. 4. Is a family assessment that consists of three categories of information about the family's strengths and problems.
A nurse is teaching a couple about the postcoital test. What information should the nurse provide about the test? (Select all that apply.)
A. It assesses the quality and quantity of cervical mucus at ovulation. B. It assesses the quality of sperm function at the time of ovulation. C. It may cause cramping and discomfort when samples are obtained. D. The woman should have nothing by mouth for 6 hours before the test. E. The woman should return to the clinic 6 to 12 hours after intercourse.
The most effective approach for dealing with a values conflict in which substance abuse or an addiction is involved is to begin with an assessment interview, during which the nurse should: (Select all that apply.)
a. listen for subtle signs of denial. b. directly confront the patient about his drug abuse. c. use a matter-of-fact approach to inform the patient. d. provide straightforward information. e. avoid direct confrontation.
A nurse manager in a for-profit environment finds it difficult to recruit staff. This difficulty may be most related to aggressive profit goals and:
a. Lower salary compensation for staff. b. Rising expectations of impoverished and indigent individuals for services. c. Poor orientation and retention practices for staff. d. An overwhelming emphasis on accepting learners from health disciplines.