A child diagnosed with expressive language disorder has a nursing diagnosis of impaired verbal communication. Which of the following nursing interventions would be most appropriate?
A) Maintain consistency of caregivers.
B) Allow the child ample time to communicate.
C) Identify capabilities of the child related to self-care.
D) Establish a consistent pattern of reward for positive behavior.
B
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The patient is complaining of chest pain. The nurse asks several questions to determine the likelihood that this pain is cardiac in origin. What patient response is most likely to indicate cardiac pain?
A) Started suddenly and was at maximum intensity from the start B) Accompanied by no other symptoms, such as nausea C) Painful area is the size of a clenched fist and substernal. D) Described as stabbing and knifelike pain
The nurse is assessing pain level with vital signs for an adolescent client. The client is reporting pain but when the nurse asks for a description of the pain the client says, "It just hurts. Why can't I have something?"
Which action by the nurse is the most appropriate? 1. Leave the room and come back later. 2. Provide questions that require yes or no answers related to pain. 3. Ask the client what they would like to have for pain. 4. Continue with the vital signs assessment.
The nurse is performing risk assessments on adolescents in the school setting. Which one of the following teens should the nurse screen for hypertension?
A) An Asian female B) A white male C) An African American male D) A Jewish male
In addition to obtaining vital signs and FHT, what is a priority for the client with placenta previa?
a. Determining cervical dilation b. Monitoring uterine contractions c. Estimating blood loss d. Starting a Pitocin drip