A community nurse is performing a physical assessment on an 18-month-old child. Which of the following would be best
A. Carry out the assessment from head to toe.
B. Assess motor function by having the child run and walk.
C. Have the mother hold the toddler on her lap.
D. Assess the respiratory and cardiac systems first.
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A mother of an ill child tells the nurse that her child "isn’t eating well. " Which of the following strategies devised by the mother to help increase the child’s intake is not appropriate
Asking the child to say why he is not eating.
B. Telling the child he must eat or else he will not get better.
C. Allowing the child to choose his meals from an acceptable list of foods.
D. Letting the child to substitute items on his tray for other nutritious foods.
A client is suffering from short-term memory loss after a head injury. Which of the following nursing actions would be appropriate to help him cope with his memory loss
A. Instruct family members to ignore his behavior.
B. Place a single-date calendar where he can view it.
C. Explain that he will have to try harder to remember things.
D. Tell him every morning what activities he will be expected to perform that day.
A client has had a cerebrovascular accident (CVA). Because the CVA affected the left side of the client’s brain, the nurse should anticipate that the client would most likely experience
A. dyslexia.
B. apraxia.
C. agnosia.
D. expressive aphasi
The nurse would evaluate that the client understands his home care instructions after scleral buckling for a detached retina if the client says which of the following statements
A. "I should avoid abrupt movements of the head. "
B. "I should exercise the eye muscles each day. "
C. "I should turn the entire head rather than just the eyes for sight. "
D. "I should avoid activities requiring good depth perception. "
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