The nurse is assessing a 9-month-old girl during a well-child checkup. She is quiet and does not demonstrate much social interaction. The child appears petite and unusually small for her age
The nurse plots her height and weight on a growth chart and sees that the baby was in the 50th percentile for weight at age 6 months, and the baby is in the 5th percentile at this visit. The nurse suspects which of the following conditions in this child? 1. Congestive heart failure
2. Dehydration
3. Undernutrition
4. Hypoglycemia
3
Rationale 1: Congestive Heart Failure. There is no indication the client has cardiac problems.
Rationale 2: Dehydration.There is no indication the client's hydration status is compromised.
Rationale 3: Undernutrition. Undernutrition can lead to growth faltering, compromised immune status, poor wound healing, muscle loss, physical and functional decline, and lack of proper development. The client's weight changes indicate a lack of nutritional intake.
Rationale 4: Hypoglycemia. There is no indication the client has alterations in endocrine function.
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The nurse determines that a patient is in the process of acculturation. What did the nurse assess in this patient?
A. Americanization of the patient's name B. Engaging in activities with members of the family's preferred social group C. Speaking the family's native language D. Living away from the family of origin
An elderly woman has lived with her son and his family for about 10 years. When she came to live with them, she was independent and healthy, but now she has rheumatoid arthritis and is nearly blind
To take care of her, her daughter-in-law took early retirement from a job she enjoyed. Although the daughter-in-law did so voluntarily, she now feels resentful about staying home, and the family's income has lessened. Recently, the family hired a part-time home care worker to help out. This gives the daughter-in-law more freedom but adds to the financial burden. The marriage is beginning to suffer. What might a marriage counselor tell the couple? A) Set firmer boundaries with the mother B) Arrange for additional in-home care C) Consider finding an assisted-living facility for the mother D) Make their own decisions without outside input
What is the priority nursing diagnosis for a client admitted with a medical diagnosis of acute myocardial infarction?
A. Potential for Heart Failure B. Potential for Dysrhythmia C. Altered Tissue Perfusion D. Acute Pain
The federal bill called HIPAA (Health Insurance Portability and Accountability Act) guarantees access to private insurance for selected groups of individuals, but the bill was not successful at making insurance more available because
A. Medical savings accounts were not what people wanted. B. The bill primarily focused on protecting the confidentiality of patient records, not insurance. C. The bill was repealed shortly after its passage. D. It did not limit what companies could charge for the insurance.