The nurse is observing a group of 2- and 3-year-olds in a playgroup setting. Which behavior in one child indicates that the child may be autistic?
A) After another child takes a toy, the child cries and stomps his feet
B) A child playing in the kitchen area pretends to pour a glass of milk and repeats this over and over
C) While the other children are eating a snack, the child walks around the room feeling the walls and ignores the caregiver who offers him a snack
D) A child flips the light switch off and on until the caregiver asks her to stop and join the other children in playing
Ans: C
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During her first prenatal visit to the clinic at 7 weeks' gestation, a 24-year-old primiparous client comments, "My blood type is A-negative, and my husband's blood type is B-positive
Will that cause problems with my pregnancy?" The nurse's best response would be: 1. "There is no danger to your baby, but there could be a few minor complications for you. Let's talk about what we can do to prevent those." 2. "We will do a blood test to see if your body is responding to the baby's blood type. If so, we will give the baby some medication to prevent harm." 3. "Because your partner is positive and you are negative, there is some risk to the baby, but because this is your first pregnancy, the risks are very small." 4. "If you were O-negative, you might have ABO incompatibility because of your partner's blood type; but since you are type A, there should be no problem."
A 12-year-boy is being discharged from the hospital after major surgery. The boy will be taking two medications at home for an extended period. The nurse who is discharging the patient should provide medication teaching specifically to
A) the mother regarding why the boy needs to take the medications. B) both the boy and his mother regarding all medication issued. C) the boy by telling him not to worry about the medications and to take them as directed. D) the mother and be sure to reinforce the need to force the medications, if her son does not want to take them.
The treatment team discusses the fact that a client diagnosed with paranoid schizophrenia and
cannabis abuse is experiencing increased hallucinations and delusions and has recently used cannabis on a daily basis. To plan effective treatment the team must a. consider each diagnosis primary and provide simultaneous treatment. b. first treat the schizophrenia, then establish goals for substance use treatment. c. withdraw the client from cannabis, then treat the symptoms of schizophrenia. d. hospitalize the client for the longest possible stay permitted by insurance.
The nurse is explaining to a client whose cast is being removed what to expect under the cast. Which of the following is a normal finding?
A) The skin may be covered with scales. B) The skin will be hot and edematous. C) The skin will appear red. D) The skin will be cyanotic.