A nurse is triaging clients in an urgent care clinic. Which of the following clients should the nurse have the provider care for immediately?

A toddler who has a laceration on his forehead and is crying

An adolescent female client who is belligerent and has slurred speech

A young adult with a painful sunburn of his face and arms

A middle adult male who is diaphoretic and reports epigastric pain

Answer and Explanation

The Correct Answer is D

A. A laceration on the forehead of a toddler, while needing attention, is not as urgent as symptoms suggestive of a myocardial infarction.
B. Belligerence and slurred speech in an adolescent could indicate substance use or neurological issues, but it is less immediately life-threatening than symptoms of a myocardial infarction.
C. While painful sunburn can be uncomfortable, it is not as critical as symptoms indicative of a potential heart attack.
D. Diaphoresis and epigastric pain can be symptoms of a myocardial infarction (heart attack), which is a potentially life-threatening condition requiring immediate medical attention.

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Correct Answer is D

Explanation

A. Kegel exercises do not affect stretch marks. Stretch marks are related to skin stretching and hormonal changes, not pelvic muscle exercises.
B. Kegel exercises are not specifically intended to reduce back aches. They primarily strengthen pelvic floor muscles, which may indirectly support posture but do not directly alleviate back pain.
C. While Kegel exercises can improve pelvic floor muscle strength, they are not directly effective in preventing constipation. Dietary changes and adequate fluid intake are more relevant for preventing constipation.
D. Kegel exercises strengthen the pelvic floor muscles, which support the uterus and can help during childbirth by improving muscle tone and flexibility in the pelvic region, facilitating a smoother delivery process.

A. Expresses need for privacy B. Builds a collection of cards C. Participates in imaginary play D. Controls impulsive feelings

Correct Answer is C

Explanation

A. The need for privacy typically becomes more pronounced in later childhood and adolescence. Preschoolers are usually less concerned with privacy.
B. Building a collection of cards is more typical of older children, such as school-age children, who have more developed organizational skills and interests.
C. Preschoolers (ages 3-5) often engage in imaginative play, which is a normal part of their development. This type of play helps them learn about the world and develop social and cognitive skills.
D. Preschoolers often have difficulty controlling impulsive feelings and are still developing self-regulation skills.

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A nurse is triaging clients in an urgent care clinic. Which of the following clients should the nurse have the provider care for immediately?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing teaching about Kegel exercises to a group of clients who are in the third trimester of pregnancy. Which of the following statements by a client indicates understanding of the teaching?

Correct Answer is D

Explanation

A nurse is providing anticipatory guidance about child development to the parents of a preschooler. Which of the following developmental tasks should the nurse include as being expected of a preschooler?

Correct Answer is C

Explanation

A nurse in an urgent care clinic is studying the developmental stages of various clients. In which of the following clients should the nurse expect to see manifestations of autism?

A nurse is collecting data from a child who is descending stairs by placing both feet on each step and holding on to the railing. The nurse should understand that these actions are developmentally appropriate at which of the following ages?

A nurse is assessing an older adult client who reports a sudden onset of urinary incontinence. The nurse should recognize which of the following conditions is most likely to cause incontinence in the older adult client?

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A nurse is providing home safety information for an older adult client who uses a cane. Which of the following statements should the nurse include in the teaching?

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