In assessing family structure, it is important for the nurse to recognize that
a. An individual may experience many different family structures over a lifetime
b. The variations in family structure are becoming less common
c. The traditional nuclear family is the only appropriate family structure
d. Although there is great variation among different family structures, there is little variation within particular family structures
ANS: A
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The nurse is caring for a child who has been sedated for a painful procedure. The priority nursing activity for this child is to:
1. Allow parents to stay with the child. 2. Monitor pulse oximetry. 3. Assess the child's respiratory effort. 4. Place the child on a cardiac monitor.
When the nurse asks a 2-year-old if he wants a cookie, he says, "No!" and reaches out to take it from the nurse. The nurse understands that this behavior indicates the child is in which stage of development according to Erikson?
a. Trust versus mistrust b. Autonomy versus shame and doubt c. Initiative versus guilt d. Industry versus inferiority
A nurse is teaching a male adult patient about the use of testosterone gel. Which statement by the patient indicates an understanding of the teaching?
a. "I should apply this to my forearms and neck after showering." b. "I should keep treated areas exposed to the air so that they can dry." c. "I should not let my child touch the gel to prevent behavioral problems." d. "I should not swim or bathe for 3 to 4 hours after applying the gel."
A client has been admitted to the intensive care unit with worsening pulmonary manifesta-tions of heart failure. What primary collaborative problem should the nurse be most alert for in this client?
A. Risk for aspiration B. Potential for acidosis C. Risk for activity intolerance D. Potential for pulmonary edema