A nurse who is a native English speaker admits an elderly Mexican-American migrant worker after an accident that occurred during work. To facilitate communication the nurse should initially

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Question 1 of 5

A nurse who is a native English speaker admits an elderly Mexican-American migrant worker after an accident that occurred during work. To facilitate communication the nurse should initially

Correct Answer: D

Rationale: Assessing English proficiency first determines the need for further communication aids.

Question 2 of 5

A nurse manager is using the technique of brainstorming to help solve a problem. One nurse criticizes another nurse's contribution and begins to find objections to the suggestion. The nurse manager's best response is:

Correct Answer: B

Rationale: Brainstorming requires nonjudgmental idea collection; criticism stifles creativity.

Question 3 of 5

A 6 month-old infant who is being treated for developmental dysplasia of the hip has been placed in a hip spica cast. The nurse should teach the parents to

Correct Answer: C

Rationale: Monitoring for swelling ensures circulation isn't compromised by the cast.

Question 4 of 5

The nurse is assessing a newborn the day after birth. A high pitched cry, irritability and lack of interest in feeding are noted. The mother signed her own discharge against medical advice. What intervention is appropriate nursing care?

Correct Answer: A

Rationale: Reducing stimuli addresses irritability, possibly due to withdrawal or stress.

Question 5 of 5

A 4 month-old child taking digoxin (Lanoxin) has a blood pressure of 92/78; resting pulse of 78 BPM; respirations 28 and a potassium level of 4.8 mEq/L. The client is irritable and has vomited twice since the morning dose of digoxin. Which finding is most indicative of digoxin toxicity?

Correct Answer: A

Rationale: Bradycardia (pulse 78 BPM, low for an infant) is a classic sign of digoxin toxicity.

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