The nurse is caring for a 14-year-old patient in the hospital. Which goal will be priority?

Maintain idenity.

Maintain industry.

Maintain intimacy.

Maintain inititative.

Answer and Explanation

The Correct Answer is A

A. Adolescents are in a critical period of developing their sense of identity. Helping them maintain their identity is vital for their emotional and psychological well-being during hospitalization.
B. Maintaining industry is more relevant to younger children (school-age).
C. Maintaining intimacy is a focus for older adolescents but is not the priority for a 14-year-old.
D. Maintaining initiative is more important for younger children in the preschool stage.

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Correct Answer is D

Explanation

A. (PT/INR) is used to monitor warfarin, not heparin.
B. Vitamin K is not monitored for heparin.
C. Bleeding times are too nonspecific for therapeutic monitoring.
D. aPTT measures the effectiveness of heparin therapy and how well it is prolonging clotting time.

A. Hypoglycemia B. Dementia C. Electrolyte imbalance D. Drug effects E. Sensory deprivation

Correct Answer is ["A","C","D","E"]

Explanation

A. Hypoglycemia is a reversible cause of acute confusion or delirium.
B. Dementia is generally progressive and not reversible, making it a less likely cause of sudden confusion.
C. Electrolyte imbalance is a reversible cause of acute confusion or delirium.
D. Drug effects are reversible causes of acute confusion and delirium.
E. Sensory deprivation is reversible cause of acute confusion or delirium.

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The nurse is caring for a 14-year-old patient in the hospital. Which goal will be priority?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient is receiving heparin therapy as part of the treatment for a pulmonary embolism. The nurse monitors the results of which laboratory test to check the drug's effectiveness?

Correct Answer is D

Explanation

A recently widowed older-adult patient is dehydrated and is admitted to the hospital for intravenous fluid replacement. During the evening shift, the patient becomes acutely confused. Which possible reversible causes will the nurse consider when assessing this patient? (Select all that apply.)

Correct Answer is ["A","C","D","E"]

Explanation

A nurse is teaching young adults about health risks. Which statement from a young adult indicates a correct understanding of the teaching?

A nurse is working with a patient. When the nurse asks about family members, the patient states that it includes my spouse, children, and aunt and uncle. How will the nurse describe this type of family?

A nurse is measuring an infant's head circumference and height. Which area is the nurse assessing?

After a teaching session with a nurse, a patient learns that a normal adult heartbeat is 60 to 100 beats/min. In which domain did learning take place?

While recovering from a severe illness, a hospitalized patient wants to change a living will, which was signed 9 months ago. Which response by the nurse is most appropriate?

Which characteristic tends to make a nurse the best communicators with patients?