A toddler cannot stand next to furniture and does not try to pull himself up from a sitting position. Based on this data, the nurse plans care for this client based on which deficiency?
A) Behavior
B) Height
C) Development
D) Growth
Answer: C
Development is an increase in the complexity of function and skill progression. It is the behavioral aspect of growth-the individual's ability to walk, talk, and run. Growth is the physical change and increase in size. Height is one of the indicators of growth. Behavior is a component of the developmental stage. Behavior can sometimes indicate that development has taken place, but its absence does not mean that development has not occurred. The fact that the child does not exhibit a behavior in one instance does not mean that development is lagging.
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Which of the following complications of diabetes is termed "macrovascular"?
A) Retinopathy B) Stroke C) Nephropathy D) Renal failure
The Omnibus Budget Reconciliation Act of 1987 established regulations for the education and certification of which healthcare worker?
A) Nurse aide B) Nursing assistive personnel C) Licensed practical nurse D) Registered nurse
A nurse is participating in a skin cancer screening clinic at a local hospital. Which descriptors should be used when the nurse is documenting her observations of a potential skin lesion? (Select all that apply.)
a. type d. location b. color e. amount and color or drainage c. size f. odor of drainage
After receiving change-of-shift report on the following four patients, which patient should the nurse see first?
a. A 60-year-old patient with right-sided weakness who has an infusion of tPA prescribed b. A 50-year-old patient who has atrial fibrillation and a new order for warfarin (Coumadin) c. A 40-year-old patient who experienced a transient ischemic attack yesterday who has a dose of aspirin due d. A 30-year-old patient with a subarachnoid hemorrhage 2 days ago who has nimodipine (Nimotop) scheduled