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 B

Explanation

A. Identity vs. role diffusion is focused on adolescents developing a personal identity and sense of self, not on acceptance of death.
B. Integrity vs. despair is the final stage of Erikson's psychosocial development and involves reflecting on one's life and coming to terms with it, which includes accepting the inevitability of death.
C. Generativity vs. stagnation involves concerns about contributing to society and guiding future generations, not the acceptance of death.
D. Autonomy vs. shame and doubt is a stage focused on toddlers developing independence and self-control, rather than on issues related to death.

A. "They can prevent further stretch marks." B. "They can help reduce back aches." C. "These exercises help prevent constipation." D. "These exercises help pelvic muscles to stretch during birth."

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.

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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 caring for several clients who are at various developmental stages. The nurse should explain that, according to Erikson, acceptance of death is a primary task of which of the following stages of psychosocial development?

Correct Answer is B

Explanation

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 in a prenatal clinic is caring for a client who is at 38 weeks of gestation and undergoing a contraction stress test. The test results are negative. Which of the following interpretations of this finding should the nurse make?

A nurse is preparing to measure the fundal height of a client who is at 22 weeks of gestation. At which location should the nurse expect to palpate the fundus?

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 teaching about fetal development to a group of clients in the antenatal clinic. Which of the following statements should the nurse include in the teaching?

A nurse is caring for a client who is in her first trimester of pregnancy and asks the nurse if she can continue to exercise during pregnancy. Which of the following responses by the nurse is appropriate?

A nurse is caring for a 12-month-old toddler who is hospitalized and confined to a room with contact precautions in place. Which of the following toys would be best for the nurse to recommend in order to meet the developmental needs of the client?

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