During well-baby checks for 4-month-old infants, a nurse recognizes that which infant needs further assessment of an abnormal finding?
a. The infant who is unable to sit independently
b. The infant whose head circumference and chest circumference are equal
c. The infant whose weight has doubled since birth
d. The infant whose length falls in the 90th percentile on the growth charts
ANS: B
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The home care nurse is providing teaching for a 59-year-old patient taking a nonselective beta-blocker. The nurse teaches the patient the importance of notifying the prescribing physician when what occurs related to this medication?
A) If the patient's pulse stays above 100 bpm for 3 or more days B) If the patient has a sudden onset of a cough C) If the patient falls D) If the patient's pulse falls below 60 bpm for 3 or more days
How should an individual be supported through the change process?
1. Recognition of contributions to build self-confidence 2. Given only a small amount of information concerning the change so as not to overwhelm with information 3. Instruction on any new processes within 6 weeks of the change occurring 4. Referral to the employee-assistance program
A 10-year-old boy tells a nurse that he wants to give his kidney to his grandfather. How many years of age should the nurse explain that kidney donors must be?
a. At least 14 years old b. At least 16 years old c. At least 18 years old d. At least 21 years old
The nurse is caring for a client who just had an esophagogastroduodenoscopy (EGD) completed. The client tells the nurse that her mouth is very dry after the procedure. Which is the nurse's best action?
a. Keep the client NPO (nothing by mouth). b. Check the client's gag reflex. c. Offer the client sips of clear liquids. d. Provide the client with a few ice chips.