The teacher is speaking to the school nurse about one of the girls in the fifth grade. The girl has always been a good student but lately seems to be daydreaming a lot
The teacher says, "Sometimes when I ask her a question, she will just stare at me for 15 seconds, then blink and ask me to repeat the question. What do you think is going on with her?" Based on this data, the nurse will suspect: 1. The girl has a crush on a boy in the class.
2. The girl has increased intracranial pressure.
3. The child may have had a head injury.
4. The girl is experiencing absence seizures.
4
Rationale 1: There is no data to suspect a childhood crush is creating the situation.
Rationale 2: There is no indication of increased intracranial pressure.
Rationale 3: There is no indication of a head injury.
Rationale 4: Absence seizures may cause staring and blinking; they are more common in girls in this age group and often are first noticed by the classroom teacher.
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A statement describing the client's health problem
Match each item with its correct description. a. Nursing diagnosis d. Planning nursing care b. Evaluating the plan e. Assessment c. Implementing the plan f. Nursing interventions
Finish this formula: Cardiac output = Volume of blood ejected at each heart beat × ____
1. Stroke volume 2. Preload 3. Afterload 4. Heart rate
A client is discussing stressors with the nurse and is describing how she feels better when she takes a brisk walk. The client's action is an example of:
A) appraisal. B) secondary appraisal. C) buffering. D) adaptation.