A ten-month-old client is being assessed by the family health clinic nurse. What type of play activity or toy is appropriate for this client’s expected level of development? (Select all that apply)
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A child who has been diagnosed with Tetralogy of Fallot expe…
A child who has been diagnosed with Tetralogy of Fallot experiences an episode of acute cyanosis. Which assessment finding would the nurse expect?
A child has a left femur fracture and is placed in skeletal…
A child has a left femur fracture and is placed in skeletal traction. When planning care, which intervention should the nurse include?
A parent of an 8-month-old infant tells the nurse the baby r…
A parent of an 8-month-old infant tells the nurse the baby recently met his grandparents for the first time, but then says, “He cried and screamed the whole time!” What is the best response by the nurse?
The nurse is caring for a child with cleft lip and palate. W…
The nurse is caring for a child with cleft lip and palate. Which of the following would the nurse identify as a potential complication of this disorder? (Select all that apply)
A nurse is caring for a client in active labor and assesses…
A nurse is caring for a client in active labor and assesses hypotonic labor contractions. Which action should the nurse perform next?
A child with thalassemia is receiving long-term blood transf…
A child with thalassemia is receiving long-term blood transfusion therapy for the treatment of this disorder. Chelation therapy is prescribed as a result of too much iron from the transfusions. Which medication should the nurse anticipate to be prescribed?
The nurse is caring for a client in labor whose membranes sp…
The nurse is caring for a client in labor whose membranes spontaneously rupture. The amniotic fluid is a pale yellow color. The priority nursing action is to:
The nurse is caring for a 6-year-old who is having chemother…
The nurse is caring for a 6-year-old who is having chemotherapy. When developing a teaching plan for the child and family about nutrition, what instruction would the nurse be least likely to include?
The nurse performs an assessment of a client who is receivin…
The nurse performs an assessment of a client who is receiving magnesium sulfate for preeclampsia and is being assessed hourly. The client has urinary output of 30 mL/hr., respiratory rate of 14 breaths per minute, and absent patellar reflexes. What is the nurse’s next intervention?