Solutions - Chapter 20 - Kozier Erb's Fundamentals Nursing - 10 Ed

 

10TYK. Which behavior is of most concern to the nurse caring for a 25-year-old client after surgery for an appendectomy?
1.  The client states: “It will be good to get back on my bike. I miss the exercise.”
2. The client states: “I have no problem living at my parents’ house. They have lots of room and money and it’s a very comfortable and easy lifestyle for me.”
3. The client gets out of bed and walks to the bathroom with assistance.
4. Several age-mate friends visit while the client is hospitalized.
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1CTC. Finnegan, an inquisitive, energetic 2-year-old, is diagnosed with am-blyopia (lazy eye) and far-sightedness in his stronger eye. Untreated, this condition will lead to blindness in the affected eye. Treatment in-cludes wearing an eye patch over his stronger eye for 2 hours a day and wearing glasses with a corrective lens at all times when he is awake. Finnegan’s mother says he resists actively when she or his father places the patch and that it is “almost impossible” to get him to leave his glasses on.
According to Erikson, at what stage of development is Finnegan?
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1TYK. The parents of a 5-month-old infant and a 3-year-old child ask the nurse about the sequence and timing of developmental milestones for the infant. Which is the most appropriate response?
1. "This infant should reach the milestones at the same time as your older child.”
2.  “The infant may reach the milestones in a different order than your older child."
3.  “The sequence of reaching each milestone should follow the same pattern but may be at a different rate.”
4.  “There are no predictable patterns. Try to enjoy the uniqueness of each child.”
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2CTC. Finnegan, an inquisitive, energetic 2-year-old, is diagnosed with am-blyopia (lazy eye) and far-sightedness in his stronger eye. Untreated, this condition will lead to blindness in the affected eye. Treatment in-cludes wearing an eye patch over his stronger eye for 2 hours a day and wearing glasses with a corrective lens at all times when he is awake. Finnegan’s mother says he resists actively when she or his father places the patch and that it is “almost impossible” to get him to leave his glasses on.
What strategies could you suggest Finnegan’s parents use to increase his cooperation with treatment?
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2TYK. nurse knows that the study of growth and development is an exploration of which of the following?
1.  Physical changes of the growing child
2.  Increasing complexity of function and skill progression of the growing child
3.  Environmental factors such as family, religion, and culture of the growing child
4.  Physical developments and the increasing level and progression of function and skill of the growing child
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3CTC. Finnegan, an inquisitive, energetic 2-year-old, is diagnosed with am-blyopia (lazy eye) and far-sightedness in his stronger eye. Untreated, this condition will lead to blindness in the affected eye. Treatment in-cludes wearing an eye patch over his stronger eye for 2 hours a day and wearing glasses with a corrective lens at all times when he is awake. Finnegan’s mother says he resists actively when she or his father places the patch and that it is “almost impossible” to get him to leave his glasses on.
Specifically describe strategies based on Piaget’s theory of cognitive development and the theory of social learning.
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3TYK. The nurse examines a 2-year-old child recently hospitalized with pneumonia. Which pattern of behavior is most likely to be exhibited by the child?
1.  Lies quietly while the nurse listens to the lungs
2.  Asks many questions about what the nurse is doing and hearing
3.  Fusses, cries, and pushes the nurse away during assessment of the breath sounds
4.  Enjoys playing “nurse” with the stethoscope, and listens to self and others’ breath sounds
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4TYK. A 14-year-old is scheduled to have surgical repair of a spinal curvature (scoliosis). The adolescent will be hospitalized for about 2 weeks. Which nursing intervention will be most helpful during the hospital stay?
1.  Have peers visit frequently during the day.
2.  Instruct parents to room-in with her.
3.  Encourage her to go to the recreation room.
4.  Encourage her to arrange for her teachers to provide her with homework.
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5TYK. A 65-year-old man who recently retired from 40 years of work as an independent contractor is scheduled for a physical examination. The nurse should be concerned about which commant?
1.  “My wife and I are planning to drive to Nebraska in June to visit our grandkids.”
2.  “Every day, when I wake up, it’s hard to find a reason to get out of bed."
3.  “I often take ibuprofen for the pain in my knees.”
4.  “People still call me for advice on building projects. I may never get to retire!"
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6TYK. An 11 -year-old child is scheduled for a yearly physical examination. The accompanying parent expresses concern because the child "seems all wrapped up in the soccer teammates and other peers, leaving very little time for the family.” Using Havighurst’s developmental tasks, what would be the nurse’s best response?
1.  “This is somewhat unusual. Are there problems that we need to discuss?”
2.  “Although this is normal for 11-year-olds, this transition can be difficult for families.”
3.  “Become involved in her life and insist that she set aside time for the family.”
4.  “This is normal development. You need to let her grow up.”
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7TYK. A nurse decides that a review of which theorist would be help­ful before teaching 4- and 5-year olds in a preschool class how to brush their teeth?
1. Fowler
2. Erikson
3. Gould
4. Peck
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8TYK. A 5-year-old boy arrives for the preadmission work-up for a surgical procedure. When the nurse brings in the intravenous (IV) control pump the child states: “It’s going to bite me because I have been bad.” Using knowledge of Piaget, Erikson, and Fowler, which is the best nursing action?
1. Reassure him by providing opportunities to touch and explore the machine, as well as explaining how it works.
2. Understand that his imagination is out of control. Tell him that his fears are unfounded and that he needs to be a “big boy.”
3. Recognize that he is too young to understand and that he needs to be quickly distracted.
4. Acknowledge his need for fantasy by reassuring him that if he is a “good boy” the bad machine will not bite him.
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9TYK. A 15-month-old is admitted to the hospital for hernia surgery. When his mother leaves him, he cries inconsolably. Using knowledge of attachment theory and cognitive theory, which is the best nursing action?
1. Encourage his mother to stay with him as much as possible.
2. Put a picture of his mother in his crib to remind him that she will return soon,
3. Hold and cuddle him as much as possible.
4. Distract him with toys and music.
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Solutions - Chapter U10 - Kozier Erb's Fundamentals Nursing - 10 Ed

  1Q . Develop an expected outcome for this client related to chapters in this unit including activity and exercise, pain management, feca...