Developing motor control such as standing alone is a task of the
A)
toddler.
B)
preschooler.
C)
infant.
D)
none of the above
Answer:
C
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A heavily pigmented, slightly elevated area visible in the iris is commonly caused by which of the following?
a. benign iris nevus c. iridectomy b. hyphema caused by bleeding in the iris d. trauma to the iris during cataract surgery
During an endocrine assessment, the nurse notes that the patient's heart rate is sustained at 160 beats per minute. The patient reports nervousness but has no loss of consciousness or reduced mentation. What nursing intervention is priority?
1. Ask how long the patient's heart has been beating so fast. 2. Note the findings in the patient's medical record. 3. Notify the health care provider immediately. 4. Have the patient ambulate around the room and reassess.
An abdominal assessment is being performed on an older adult client. When the client is turned on the side, a sound of dullness is heard with percussion. The nurse interprets this as data consistent with:
1. Ascites. 2. Normal data. 3. Bowel obstruction. 4. Hepatomegaly.
The technique that is least susceptible to response-set bias is:
A) Interviews B) Vignettes C) Questionnaires D) Projective measures