By what age would the nurse expect that most children could understand prepositional phrases such as "under," "on top of," "beside," and "in back of"?
a. 18 months c. 3 years
b. 24 months d. 4 years
ANS: D
At 4 years, children can understand directional phrases. Children 18 to 24 months and 3 years of age are too young.
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A client is receiving an infusion of tissue plasminogen activator (t-PA). The nurse assesses the client to be disoriented to person, place, and time. What action by the nurse is best?
a. Assess the client's pupillary responses. b. Request a neurologic consultation. c. Stop the infusion and call the provider. d. Take and document a full set of vital signs.
The elderly patient may experience a decrease in height resulting from
a. muscle atrophy. c. a narrowing of the intervertebral disk. b. loss of bone density. d. thoracic kyphosis.
A child has a poorly controlled seizure disorder. He has restricted sports participation but would be able to engage in:
a. archery. b. swimming. c. weight lifting. d. badminton.
What questions would you ask T.Q. that would assure you the medication itself is safe to
administer? What will be an ideal response?