The nurse is teaching parents of a 3-year-old child about gross motor developmental milestones. What milestones should the nurse include in the teaching session? (Select all that apply.)
a. Rides a tricycle
b. Catches a ball reliably
c. Jumps off the bottom step
d. Stands on one foot for a few seconds
e. Walks downstairs using alternate footing
ANS: A, C, D
The gross motor milestones of a 3-year-old child include riding a tricycle, jumping off the bottom step, and standing on one foot for a few seconds. Catching a ball reliably and walking downstairs using alternate footing are gross motor milestones seen at the age of 4 years.
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A nursing administrator is concerned about the incidence of complications related to IV therapy, including bloodstream infection. Which action by the administrator would have the biggest impact on decreasing complications?
a. Investigate initiating a dedicated IV team. b. Require inservice education for all RNs. c. Limit IV starts to the most experienced nurses. d. Perform quality control testing on skin preparation products.
Diagnosis-related group refers to a
1. Classification system that groups patients into categories and is used to establish health care payments under Medicare. 2. Fiscal payment system that uses an intermediary such as an insurance company. 3. Negotiated, prepaid fixed fee for each covered individual or family in a health care plan. 4. Prepaid and coordinated fee-for-service health care plan designed to encourage greater control over the use and cost of health care services.
A nurse is planning care for young-adult patients. Which information should the nurse consider when planning care?
a. Fertility issues do not occur in young adulthood. b. Young adults tend to suffer more from severe illness. c. Substance abuse is easy to observe in young-adult patients. d. Young adults are quite active but are at risk for illness in later years.
A client has a low serum potassium level and is ordered a dose of parenteral potassium chloride (KCl). How does a nurse safely administer KCl to the client?
A. Administers 5 mEq, intramuscularly (IM) B. Dilutes 200 mEq in 1 liter of normal saline and infuses at 100 mL/hr C. Infuses 10 mEq over a 1-hour period D. Pushes 5 mEq through a central access line