After completing the mental status assessment of a 9-year-old boy, the nurse documents the findings. Which of the following would the nurse document as reflecting the child's motor activity? Select all that apply
A) Favorite story, Huckleberry Finn
B) Short attention span
C) Hyperalertness
D) "Went to the park last weekend"
E) Nail biting
F) History of temper tantrums
C, E
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The nurse is assisting the client onto the examination table. The nurse states, "take your time" but is looking at her watch and appears annoyed. Which professional characteristic in the nurse-client relationship does this nurse lack?
1. Positive regard. 2. Empathy. 3. Genuineness. 4. Concreteness.
When explaining the final stages of the inflammatory response to pathogens, the nurse will educate the patient about
A) how the body can kill the pathogen by generating toxic oxygen and nitrogen products producing such things as nitric oxide and hydrogen peroxide. B) margination, which is a process whereby white cells (leukocytes) stick to the endothelium and accumulate along the blood vessel. C) the increase in vascular permeability, which lets fluids leak into the extravascular tissues. D) the promotion of tissue regeneration whereby monocytes and macrophages produce potent prostaglandins and leukotrienes.
A client states she has taken megadoses of vitamin E for 3 months to improve her circulation but
thinks she feels somewhat worse. The priority action for the nurse should be to a. assess the client for symptoms and signs of hypervitaminosis E: headaches, fatigue, blurred vision, and thrombophlebitis. b. remind the client that the Food and Drug Administration has not evaluated vitamin E as preventive or curative of any disease. c. formulate the outcome that the client will use a reliable resource to investigate megadosing before her next visit. d. evaluate the effectiveness of the vitamin by performing ultrasound examination of the legs and a mental status examination.
A young client has a smooth, bright red tongue, sores on the lips and in the corners of the mouth, and pallor. Which dietary deficiency should the nurse expect to discover during the nutritional assessment? (Select all that apply.)
a. Iron b. Niacin c. Vitamin A d. Vitamin D e. Riboflavin