During the health history, the client tells the nurse about all the following health problems. Which one increases the risk for impaired hearing?
A. Allergic rhinitis
B. Bilateral cataracts
C. Osteoarthritis of the spine
D. Myocardial infarction 2 years ago
A
Allergic rhinitis can result in the collection of serous fluid in the middle ear. This fluid prevents full movement of the tympanic membrane and reduces conduction of sound waves.
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A family has recently learned that their child will be permanently disabled. The parents do not deny the disability, but do not fully realize its impact. Which of the following levels of adjustment are the parents experiencing?
a. Self-actualization b. Normalization c. Ostrich phase d. Special designation
New parents ask the nurse, "Why is it necessary for our baby to have the newborn blood test?" The nurse explains that the priority outcome of mandatory newborn screening for inborn errors of metabolism is
a. Appropriate community referral for affected infants b. Parental education about raising a special needs child c. Early identification of serious genetically transmitted metabolic diseases d. Early identification of electrolyte imbalances
You encourage a woman with gestational diabetes to maintain an active exercise period during pregnancy. Prior to this exercise period, you would advise her to do which of the following?
A) Inject a bolus of insulin B) Eat a high-carbohydrate snack C) Eat a sustaining-carbohydrate snack D) Add a bolus of long-acting insulin
Which statement demonstrates the nurse's critical thinking skills?
A) "Please explain to me why we are changing our procedure for discarding biohazardously contaminated materials." B) "I want you to report any shortness of breath the client may be experiencing to me immediately." C) "You can expect the post operative client to need increased assessment for pain for at least 2 days post surgery." D) "The culturally diverse client will require additional attention when explaining new procedures."