The nurse is caring for an older adult client with pneumonia and a normal body temperature. The family asks the nurse why their mother does not have a fever with the infection. What is the best response by the nurse?  

A family member brings the patient to the clinic for a follow-up visit after a stroke. The family member asks the nurse what the patient can do to decrease his chance of having another stroke.  What would be the nurse’s best answer?  

 A nurse is teaching a postoperative patient about essential nutrition for healing. What statement by the patient would indicate a need for more information?

A nurse is diagnosing an 11-year-old 6th grade student following a physical assessment. The nurse notes that the student’s grades have dropped, she has difficulty completing her work on time, and she frequently rubs her eyes and squints.  Her visual acuity on a Snellen eye chart is 160/20.  Which nursing diagnosis would be most appropriate?  

A nurse formulated the following nursing diagnosis for an 8-month-old infant: Disturbed Sensory Perception related to inadequate parenting.    Since the diagnosis was made, both parents have attended parenting classes.  However, both parents work while the infant stays with her 86-year-old grandmother, who has reduced vision.  The parents provide appropriate stimulation in the evening.  At an evaluation conference at the age of 11 months, the infant lies on the floor sucking her thumb and rocking her body.  Her facial expression is dull, and she vocalizes only in a low monotone (“uh-h-h”).  Which statement accurately reflects evaluation about the child’s sensory deprivation?

A nurse is caring for a male patient with a severe hearing deficit who is able to read lips and use sign language. Which nursing intervention would be best to prevent sensory alterations for this patient?  

A patient gives birth to a full-term healthy newborn. Which of the following is the Nurse’s initial priority?  

A school nurse is teaching a class of middle-school girls how to promote urinary system health. Which of the following statements by one of the girls indicates a need for more information?  

Carhart’s notch is present at ________ kHz and is sign of __________________.

The Modified Hughson-Westlake procedure for pure-tone threshold testing suggests what method of changing levels?