A 1-year-old is brought into the clinic for a well check. Her birth weight was 8 pounds. If she is following normal growth and development patterns, what should her weight be at this point in her life?
A)
32 pounds
B)
20 pounds
C)
24 pounds
D)
16 pounds
C
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The nurse is instructing the unlicensed assistive personnel (UAP) on positioning the client in the Fowler's position. Which statement by the UAP indicates appropriate understanding of Fowler's position?
1. "I will put the client's head completely flat." 2. "I will elevate the client's head." 3. "I will only raise the head of the bed 30 °." 4. "I will place the bed in the Trendelenburg position."
One step in the functioning of a healthy immune system involves the T cells correctly interpreting that the antigen's protein is foreign. In an elderly adult, this response is affected by which age-related change?
A) The increased thickness and circulation to the skin. B) An increase in the delayed cutaneous hypersensitivity response. C) The thymus progressively declining in size. D) A decrease in the number of immature T cells.
A nurse needs to restrain a client who may be harmful to himself. Which of the following is the priority nursing action when applying restraints?
A) Take a physician's order for restraining. B) Administer chemical restraints. C) Put padding below the restraint. D) Reassess the client's condition regularly.
A patient's central venous pressure reading is 8 mm Hg. The nurse realizes this reading reflects which of the following?
1. The blood pressure within the right atrium 2. The blood pressure within the left atrium 3. The blood pressure within the pulmonary artery 4. The blood pressure within the left ventricle