When performing a physical assessment on a 7-month-old infant, the nurse notes that the child is able to smile responsively and unable to roll from the prone to the supine position. What is the most appropriate action for this nurse?
a. Reassure the parents that the infant is "performing like an 8-month-old."
b. Document the infant's growth and development as "within normal limits."
c. Continue to assess the infant for other signs of developmental delay.
d. Give the caretaker specific directions for specialized exercises.
ANS: C
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ANS:
A young healthy adult helps lift a sofa to move it 25 feet. The nurse knows which of the following sources of energy listed below will the client most likely use in this process?
A) Amino acids B) Stored ATP C) Fatty acids D) Glucose
A patient fearful of anesthesia asks the nurse to make sure that she wakes up after surgery just so she can see her family one more time if she is going to die. Which of the following should the nurse do to support this patient?
1. Attempt to reduce the patient's fears and discuss these fears with the surgical team. 2. Explain that everyone who undergoes anesthesia thinks they won't wake up. 3. Tell the patient that no one is going to let her die. 4. Tell the patient that there is no guarantee that she won't die during the procedure.
A 24-hour urine collection for vanillylmandelic acid (VMA) has been ordered on a child suspected of having neuroblastoma. When is the most appropriate time for the nurse to begin the collection?
1. At 0700 2. After the next time the child voids 3. At bedtime 4. When the order is noted