HEALTH PROMOTION AND MAINTENANCE

A 4-year-old girl has a urinary tract infection (UTI). Which statement by the mother demonstrates understanding of preventing future UTIs? a) "When she starts urinating frequently, I should call the physician to request antibiotics." b) "I should help my child learn to wipe her bottom from back to front." c) "I will let her take a warm bath for 15 minutes each day." d) "I shouldn't let my daughter take bubble baths."

"I shouldn't let my daughter take bubble baths."

Which of the following children should be referred for further assessment regarding language development? a) A 2-year-old who has a vocabulary of 100 words and can point to objects. b) A 3-year-old who has a vocabulary of 900 words and can make a complete sentence of three or four words. c) A 2-year-old who has a vocabulary of 300 words and can combine two or three words in a phrase. d) A 1-year-old who has a vocabulary of 8 words and can say "mommy" and "daddy" with specific reference to the correct person.

A 2-year-old who has a vocabulary of 100 words and can point to objects.

The nurse in the emergency department is caring for a 3-year-old child with a fractured humerus. The child is crying and screaming, "I hate you." Which of the following would be appropriate? a) Tell the parents they will need to wait out in the lobby. b) Reassure the parents that this a normal behavior under the circumstances. c) Ask the charge nurse to assign this client to another nurse. d) Ask the parents to discipline the child so that the physician can treat her.

A normal response to the birth.

A nurse is examining a client's scalp for evidence of lice. The nurse should pay particular attention to which part of the scalp? a) Middle area b) Temporal area c) Behind the ears d) Top of the head

Behind the ears

When planning a class for primigravid clients about the common discomforts of pregnancy, which of the following physiologic changes of pregnancy should the nurse include in the teaching plan?a) Cardiac output increases by 25% to 50% during pregnancy.b) The anterior pituitary gland secretes oxytocin late in pregnancy.c) The temperature decreases slightly early in pregnancy.d) The circulating fibrinogen level decreases as much as 50% during pregnancy.

Cardiac output increases by 25% to 50% during pregnancy.

The nurse makes a home visit to a 3-day-old full-term neonate who weighed 3,912 g (8 lb, 10 oz) at birth. Today the neonate, who is being bottle-fed, weighs 3,572 g (7 lb, 14 oz). Which of the following instructions should the nurse give to the mother? a) Contact the primary health care provider if the weight loss continues over the next few days. b) Switch to a soy-based formula because the current one seems inadequate. c) Change to a higher-calorie formula to prevent further weight loss. d) Continue feeding every 3 to 4 hours since the weight loss is normal.

Continue feeding every 3 to 4 hours since the weight loss is normal.

A client with heart failure has bilateral +4 edema of the right ankle that extends up to midcalf. The client is sitting in a chair with the legs in a dependent position. Which of the following goals is the priority? a) Maintain normal respirations. b) Maintain body temperature. c) Decrease venous congestion. d) Prevent injury to lower extremities.

Decrease venous congestion.

The nurse should teach the client with viral hepatitis to: a) Intensify routine exercise and increase strength. b) Avoid contact with others and live separately. c) Limit caloric intake and reduce weight. d) Increase carbohydrates and protein in the diet.

Increase carbohydrates and protein in the diet.

The nurse enlists the aid of an interpreter when caring for a primiparous client from Mexico who speaks only Spanish and gave birth to a viable term neonate 8 hours ago. When developing the postpartum dietary plan of care for the client, the nurse would encourage the client's intake of which of the following? a) Tomatoes. b) Meat products. c) Corn products. d) Potatoes

Meat products

A nurse is performing a psychosocial assessment on a 14-year-old adolescent. Which emotional response is typical during early adolescence? a) Moodiness b) Combativeness c) Cooperativeness d) Frequent anger

Moodiness

While a 31-year-old multigravida at 39 weeks' gestation in active labor is being admitted, her amniotic membranes rupture spontaneously. The client's cervix is 5 cm dilated and the presenting part is at 0 station. Which of the following should the nurse do first? a) Prepare the client for imminent birth. b) Note the color, amount, and odor of the amniotic fluid. c) Auscultate the client's blood pressure. d) Perform a vaginal examination to determine dilation.

Note the color, amount, and odor of the amniotic fluid.

Which of the following changes are associated with normal aging?a) Collagen becomes elastic and strong.b) The dermis becomes highly vascular and assists in the regulation of body temperature.c) Subcutaneous fat and extracellular water decrease.d) The outer layer of skin is replaced with new cells every 3 days.

Subcutaneous fat and extracellular water decrease.

A client is on complete bed rest. The nurse should assess the client for risk for developing which of the following complications? a) Fat embolus. b) Air embolus. c) Thrombophlebitis. d) Stress fractures.

Thrombophlebitis

A client tells a nurse that he has a rash on his back and right flank. The nurse observes elevated, round, blisterlike lesions filled with clear fluid. When documenting the findings, what medical term should the nurse use to describe these lesions? a) Papules b) Vesicles c) Plaque d) Pustules

Vesicles

Values are known to affect a person's functional health. Which of the following values may be related to the perception of health? Select all that apply. a) Responsibility. b) Intuition. c) Language. d) Cooperation. e) Discipline.

• Responsibility. • Discipline. • Cooperation.