Which sociocultural finding in the history of a patient will alert the nurse to a possible developmental problem?

Childhood obesity.

Prolonged poverty.

Family relocation.

Loss of stamina.

Answer and Explanation

The Correct Answer is B

A. Childhood obesity may indicate dietary and lifestyle issues but does not directly reflect sociocultural factors affecting developmental problems.
B. Prolonged poverty can significantly impact a child's development by limiting access to resources such as nutrition, education, and healthcare, thus signaling a potential developmental issue.
C. Family relocation can cause stress and adjustment challenges but is not as directly associated with long-term developmental problems as prolonged poverty.
D. Loss of stamina may be a physical issue but does not necessarily correlate with sociocultural factors that would indicate developmental concerns.

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Correct Answer is A

Explanation

A. Hyperkalemia can lead to dangerous cardiac arrhythmias and other heart-related complications due to its effect on the electrical conduction system of the heart, making cardiac assessment the priority.
B. While neurological assessment is important in various conditions, it is secondary to assessing cardiac status in hyperkalemia.
C. Gastrointestinal symptoms can occur with hyperkalemia, but they do not pose an immediate life-threatening risk like cardiac issues do.
D. Respiratory assessment is essential in many contexts, but the immediate threat of hyperkalemia lies in its impact on heart function, making cardiac assessment the most critical.

A. Turn clean pillowcase inside out over the hand holding it. B. Keep soiled linen close to uniform. C. Apply sterile gloves. D. Make a modified mitered corner with sheet, blanket, and spread. E. Advise patient will feel a lump when rolling over.

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

Explanation

A. Turning the clean pillowcase inside out over the hand holding it helps avoid contamination and allows easy application.
B. Soiled linens should be kept away from the nurse's uniform to prevent cross-contamination; hence, this is incorrect.
C. Sterile gloves are not required for bed-making; clean gloves may be used when handling soiled linens.
D. A modified mitered corner keeps the bed neat and helps secure the sheet, blanket, and spread.
E. Advising the patient of a lump when rolling over is not necessary for bed making, as the goal is to provide comfort without lumps.

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Which sociocultural finding in the history of a patient will alert the nurse to a possible developmental problem?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is caring for a patient with hyperkalemia. Which body system assessment is the priority?

Correct Answer is A

Explanation

The patient must stay in bed for a bed change. Which actions will the nurse implement? (Select all that apply.)

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

Explanation

The nurse is caring for an older-adult patient who has been diagnosed with a stroke. Which intervention will the nurse add to the care plan?

A nurse develops a nursing diagnostic statement for a patient with a medical diagnosis of pneumonia with chest x-ray results of lower lobe infiltrates. Which nursing diagnosis did the nurse write?

The nurse is evaluating the body alignment of a patient in the sitting position. Which observation by the nurse will indicate a normal finding?

The nurse is caring for a patient with respiratory problems. Which assessment finding indicates a late sign of hypoxia?

The nurse is giving an intramuscular (IM) injection. Upon aspiration, the nurse notices blood return in the syringe. What should the nurse do?

Which diagnosis will the nurse document in a patient's care plan that is NANDA-I approved?

A nurse is performing passive range of motion (ROM) and splinting on an at-risk patient. The absence of which finding will indicate goal achievement for the nurse's action?