A nurse is assessing a preschooler. Which of the following findings should indicate to the nurse a need for speech therapy? (Select all that apply)
The preschooler mispronounces words.
The preschooler speaks in three-word sentences.
The preschooler stutters when speaking.
The preschooler talks to himself when reading.
The preschooler speaks in a nasally tone.
Correct Answer : A,B,C,E
Choice A reason: The preschooler mispronounces words can be a sign of a speech sound disorder. While some mispronunciation is normal in early speech development, persistent difficulty with articulation may indicate a need for speech therapy to improve clarity and communication skills.
Choice B reason: The preschooler speaks in three-word sentences may indicate a delay in expressive language development. By preschool age, children typically use longer sentences and more complex language structures. Limited sentence length can suggest a need for further evaluation and intervention.
Choice C reason: The preschooler stutters when speaking can be a sign of a fluency disorder. Stuttering involves disruptions in the flow of speech, such as repetitions, prolongations, or blocks. Early intervention with speech therapy can help manage and reduce stuttering.
Choice D reason: The preschooler talks to himself when reading is generally not a concern. Self-talk can be a normal part of development and learning, as children often verbalize their thoughts and actions. It does not typically indicate a need for speech therapy.
Choice E reason: The preschooler speaks in a nasally tone can indicate a resonance disorder, which affects the quality of the voice. A nasally tone may result from structural issues or improper use of the vocal tract. Speech therapy can help address these issues and improve vocal quality.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["1"]
Explanation
Step 1: Determine the total daily dose of vancomycin.
- Total daily dose = 50 mg
Step 2: Divide the total daily dose into four equal doses.
- Each dose = 50 mg ÷ 4
- Each dose = 12.5 mg
Step 3: Determine the amount of vancomycin available per capsule.
- Each capsule = 125 mg
Step 4: Calculate the number of capsules needed for each dose.
- Number of capsules per dose = 12.5 mg ÷ 125 mg
- Number of capsules per dose = (12.5 ÷ 125)
- Number of capsules per dose = 0.1
Step 5: Round the answer to the nearest whole number.
- Rounded number of capsules per dose = 0.1 (rounded to 0)
Since 0 capsules is not practical, the nurse should administer 1 capsule per dose to ensure the patient receives the medication.
So, the nurse should administer 1 tabletwith each dose.
Correct Answer is C
Explanation
Choice A reason: Aspirating for a blood return before depressing the plunger is not recommended when administering enoxaparin. Enoxaparin is given subcutaneously, and aspiration is not necessary for subcutaneous injections. Aspiration can cause tissue damage and increase the risk of bleeding.
Choice B reason: Inserting the needle at a 45-degree angle is appropriate for subcutaneous injections if the patient has limited subcutaneous tissue. However, for enoxaparin, the preferred angle is 90 degrees to ensure the medication is delivered into the subcutaneous tissue.
Choice C reason: Not expelling the air bubble in the prefilled syringe is correct. The air bubble in the prefilled syringe of enoxaparin is designed to ensure the entire dose is administered and to prevent leakage of the medication. Expelling the air bubble can result in an incomplete dose.
Choice D reason: Administering the medication 2.54 cm (1 inch) from the umbilicus is correct for subcutaneous injections in the abdomen. However, this statement alone does not address the specific consideration of the air bubble in the prefilled syringe, which is crucial for enoxaparin administration.
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