The nurse is completing a school health assessment for a 9-y…

The nurse is completing a school health assessment for a 9-year-old child. The teacher reports that the child frequently leaves the seat, interrupts classmates, loses assignments, and cannot stay organized. The parent reports that the child also becomes very upset when the daily routine changes, has intense sensory reactions to loud sounds, avoids reciprocal conversation, and has a restricted interest in train schedules. The child’s grades are declining, and the parent says, “I think he is just being defiant.” Which nursing response is most appropriate?

The nurse is providing discharge teaching to Ms. Reynolds, a…

The nurse is providing discharge teaching to Ms. Reynolds, a 58-year-old patient newly diagnosed with type 2 diabetes and hypertension. She states, “I know I need to eat better, but I get overwhelmed at the grocery store. I do not understand food labels, and I usually just buy whatever says ‘healthy’ on the front.” Her BMI is 31 kg/m², blood pressure is 148/88 mmHg, and her fasting blood glucose remains elevated. She also reports eating fast food several times per week and rarely exercising. Which nursing response best supports effective nutrition education?

The nurse is caring for a 6-week-old infant with an unrepair…

The nurse is caring for a 6-week-old infant with an unrepaired cleft palate. The parent reports that feedings take 55 minutes, formula leaks from the infant’s nose, and the infant coughs during feeds. The infant has gained only 3 ounces in the past 2 weeks. During the feeding observation, the nurse notes poor latch, frequent fatigue, and mild intercostal retractions after coughing. Which nursing action is the priority?

The nurse is caring for a 9-year-old child newly diagnosed w…

The nurse is caring for a 9-year-old child newly diagnosed with type 1 diabetes. The child says, “I am never going to be able to do this. Everyone else at school is normal.” The parent asks how to help the child cope. Which nursing intervention best supports this child’s Erikson stage?

The nurse is caring for a 3-month-old infant admitted with d…

The nurse is caring for a 3-month-old infant admitted with diarrhea and poor oral intake. During assessment, the nurse notes dry mucous membranes, cool extremities, and redness in the diaper area. The student nurse asks why the infant’s skin condition is a concern. Which response by the nurse is most accurate?

Mrs. Gonzalez is a 74-year-old patient recovering from a str…

Mrs. Gonzalez is a 74-year-old patient recovering from a stroke. The nurse notes right-sided facial drooping, delayed swallowing, a weak cough, and food pocketing in her cheek. During lunch, Mrs. Gonzalez coughs after drinking water, develops a wet-sounding voice, and her oxygen saturation decreases from 96% to 90%. She has eaten less than 25% of her meals for the past two days. Which nursing diagnosis is the priority?