A 12-year-old male client tells the nurse that he is happy to be taking growth hormones because
now he can expect to grow and be just as tall as all of his friends. What response is best for the
nurse to provide?
A"You must remember that this treatment regimen is not always effective."
B."Although being tall is important to you, remember there are far more important characteristics
than height."
C."You will grow with this medicine, and are likely to be taller than anyone in your family."
D."Being taller is important to you and taking your injections will help achieve that goal." - ANS -
"Being taller is important to you and taking your injections will help achieve that goal."
A 3-year-old boy is brought to the emergency room because of a possible diazepam (Valium)
overdose. He is lethargic and confused, and his vital signs are: pulse rate 100 beats/minute,
respiratory rate 20 breaths/minute, and blood pressure 70/30. Which nursing intervention has
the highest priority?
A. Insert an orogastric tube for gastric lavage.
B. Prepare a set-up for an endotracheal intubation.
C. Draw blood for stat chemistries and blood gases.
D. Insert a Foley catheter to monitor renal functioning. - ANS - B. Prepare a set-up for an
endotracheal intubation.
A 4-month-old breastfeeding infant is at the 10th percentile for weight and the 75th percentile for
height. How should the nurse interpret this finding?
Milk allergy.
Failure to thrive.
Inadequate milk supply in mother.
Normal growth curve of a breast-fed infant. - ANS - Normal growth curve of a breast-fed infant.
A mother brings her 6 month old infant to the clinic for a well child checkup. She comments, "I
want to go back to work, but I don't want my baby to suffer because I'll have less time at home".
How should the nurse response to the mother?
A. Stay home until the child starts school
B. Find a good babysitter close to the house
C. Let's talk about the child care options that are best for the child
D. Go back to work now so the infant will get used to being with others - ANS - C. Let's talk
about the child care options that are best for the child
A mother tells the nurse that her children are asking questions about divorce, but one male child
tells her that he is sorry that he caused the divorce of the parents. Which age group is most
likely to experience feelings of punishment or responsibity for the divorce of parents?
1 year.
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