Nokea
Color-coded and gender-typed clothing of infants and children are
- A. No longer allowed in hospitals
- B. Likely to change dramatically in 20 years
- C. Universal
- D. Acceptable only in industrialized countries
Correct Answer: C
Rationale: Gender-typed clothing (e.g., pink for girls) is a universal practice.
You may also like to solve these questions
Your pediatric client weighs 48 pounds. How many mg of a medication would you administer to this client with each dose when the doctor has ordered 5 mg/kg/day in two equally divided doses?
- A. 45 mg
- B. 60 mg
- C. 52 mg
- D. 55 mg
Correct Answer: C
Rationale: 48 lbs = 21.8 kg; 5 mg/kg x 21.8 kg = 109 mg/day; 109 / 2 = 54.5 mg, closest to 52 mg (C).
Which assessment findings best correlate to the withdrawal from central nervous system depressants?
- A. Dilated pupils, tachycardia, elevated blood pressure, elation
- B. Labile mood, lack of coordination, fever, drowsiness
- C. Nausea, vomiting, diaphoresis, anxiety, tremors
- D. Excessive eating, constipation, headache
Correct Answer: C
Rationale: The correct answer is C because the assessment findings of nausea, vomiting, diaphoresis, anxiety, and tremors are classic symptoms of withdrawal from central nervous system depressants such as alcohol or benzodiazepines. Nausea and vomiting can result from the body's attempt to expel the toxic substance, diaphoresis can occur due to increased sympathetic activity, anxiety and tremors are common manifestations of central nervous system hyperactivity during withdrawal. The other choices (A, B, D) do not align with the typical withdrawal symptoms of CNS depressants and are more indicative of other conditions or substances.
A survivor of physical spousal abuse was treated in the emergency department for a broken wrist. This patient said, Ive considered leaving, but I made a vow and I must keep it no matter what happens. Which outcome should be met before discharge? The patient will:
- A. facilitate counseling for the abuser.
- B. name two community resources for help.
- C. demonstrate insight into the abusive relationship.
- D. reexamine cultural beliefs about marital commitment.
Correct Answer: B
Rationale: The only outcome indicator clearly attainable within this time is for staff to provide the victim with information about community resources that can be contacted. Development of insight into the abusive relationship and reexamining cultural beliefs will require time. Securing a restraining order can be accomplished quickly but not while the patient is in the emergency department. Facilitating the abusers counseling may require weeks or months.
You are caring for a client who has been assessed as having a past history of violent and dangerous behaviors towards others. You, as the nurse, are concerned about this client's past history and the dangers that may adversely affect others including staff, visitors and other clients on the unit. What is the first thing that you should do to prevent violence towards others?
- A. Restrain the client
- B. Place the client in seclusion
- C. Get an order for a sedating medication
- D. Establish trust with the client.
Correct Answer: D
Rationale: Establishing trust (D) is the first step to de-escalate potential violence.
Miss Lee is an Asian American on the psychiatric unit. She says to the nurse, 'I must have the hot ginger root for my headache. It is the only thing that will help.' What meaning does the nurse attach to this statement?
- A. She is being obstinate and wants control over her care.
- B. She believes ginger root has magical qualities.
- C. She subscribes to the restoration of health through the balance of yin and yang.
- D. Asian Americans refuse to take traditional medicine for pain.
Correct Answer: C
Rationale: Miss Lee's emphasis on ginger root for her headache reflects a belief in traditional Asian medicine, specifically the balance of yin and yang for health restoration, which aligns with option c.