When auscultating the heart of a 3-year-old girl, you hear an irregular heart beat. You understand that:
a. This is normal for a child under age 4
b. The heart should have a regular rhythm
c. This may be caused by anxiety and should be rechecked in 1 hour
d. This should be rechecked on the following shift
B
A child of 3 should have a regular rhythm. An irregular heart rhythm should be reported to the nurse in charge immediately.
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An 80-year-old diabetic is to be tested with the fructosamine assay instead of the glycosylated hemoglobin (HbA1c) test because the fructosamine assay:
a. can evaluate level of ketoacidosis. b. is less influenced by age. c. determines the amount of circulating glu-cose. d. is more accurate for type 2 diabetes.
The client has undergone an ultrasound, which estimated fetal weight at 4500 g (9 pounds 14 ounces). Which statement indicates that additional teaching is needed?
1. "Because my baby is big, I am at risk for excessive bleeding after delivery." 2. "Because my baby is big, his blood sugars could be high after he is born." 3. "Because my baby is big, my perineum could experience trauma during the birth." 4. "Because my baby is big, his shoulders could get stuck and a collarbone broken."
For optimal functioning, the brain requires a large amount of
A) Sodium B) Magnesium C) Glucose D) Vitamin A
A client changes topics quickly while relating past psychiatric history. This client's pattern of thinking is called:
A. looseness of association. B. flight of ideas. C. tangential thinking. D. circumstantial thinking.