A nurse states, that woman is 78 years old-too old to learn how to change a dressing. What is the nurse demonstrating?
a. cultural imposition
b. clustering
c. cultural competency
d. stereotyping
Answer: d. stereotyping
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A 6-month-old infant has been brought to the well-child clinic for a check-up. She is currently sleeping. What should the nurse do first when beginning the examination?
a. Auscultate the lungs and heart while the infant is still sleeping. b. Examine the infant's hips, because this procedure is uncomfortable. c. Begin with the assessment of the eye, and continue with the remainder of the examination in a head-to-toe approach. d. Wake the infant before beginning any portion of the examination to obtain the most accurate assessment of body systems.
A client is experiencing weight gain and foamy dark urine 4 weeks after being treated with antibiotics for a sore throat
Which client statement, made during the health history assessment, should the nurse provide further instruction? A) "I have been trying to get plenty of rest since I have been sick." B) "I have changed to a more nutritious diet." C) "I felt better after 1 week of the antibiotics, so I stopped taking them." D) "I have gained weight in the last 2 weeks."
A client in her second trimester of pregnancy is seen at the health care clinic. The nurse collects data from the client and notes that the fetal heart rate is 90 beats/min. Which of the following nursing actions is appropriate?
1. Document the findings. 2. Notify the physician. 3. Inform the client that everything is normal and fine. 4. Instruct the client to return to the clinic in 1 week for reevaluation of the fetal heart rate.
While collecting data, the nurse suspects that a patient is demonstrating signs of heart failure. What findings did the nurse use to come to this conclusion? (Select all that apply.)
a. Hunger b. Fatigue c. Dry cough d. Ankle edema e. Shortness of breath when lying down