WITH NURSING SOLUTIONS
a nurse is planning care for a child who has severe diarrhea. which of the following actions is the nurse priority? -
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correct answer- Assess fluid balance
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A nurse is caring for a toddler who's parent states that the child has a mass in his abdominal area and his urine is
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a pink color. Which of the following actions is the nurse's priority? - correct answer- Instruct the parent to avoid
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pressing on the abdominal area
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A nurse is caring for a child who has acute glomerulonephritis. Which of the following actions is the nurse's
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priority? - correct answer- Check the Childs weight daily
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, A nurse is caring for a child who has a suspected diagnosis of bacterial meningitis. Which of the following is the
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nurse's priority? - correct answer- Administer antibiotics when available
B B B BB B B B B B
A nurse is collecting data from an adolescent. Which of the following represents the greatest risk for suicide? -
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correct answer- Active psychiatric disorder (Mark, mental problems, patients mind is unstable)
B B B B B B B B B B B B
A nurse is collecting data from an infant who has otitis media (middle ear infection). The nurse should expect
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which of the following findings? - correct answer- Tugging on the affected ear lobe
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A nurse is reinforcing reaching with a parent of a 1 month old infant who is to undergo the initial surgery to treat
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Hirschsprung's disease (a ganglionic megacolon, part of the colon isn't connected to the nerves or not
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functioning, so there will be an increase size of the colon and stool gets stuck in there). Which of the following
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statements should indicate to the nurse that the parent understanding the goal of surgery? - correct answer-
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"I'm glad that the ostomy is only temporary " (1st there going to cut the nonfunctioning of the colon, and then
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apply temporary colostomy, after a couple of months they will suture it together)
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A nurse is caring for an infant who is 1 day postoperative following surgical repair of a cleft lip. Which of the
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following actions should the nurse take? - correct answer- Apply an antibiotic ointment to the suture site
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A nurse is reinforcing discharge instructions with a parent of a child who has cystic fibrosis. Which of the
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following statements by the parent indicates an understanding of the teaching? - correct answer- "I will make
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sure my child washes her hands before eating"
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A nurse working at a clinic speaks on the telephone with a parent of a 2-monthold infant. The parent tells the
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nurse that the infant has projectile vomiting followed by hunger after meals. Which of the following response
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by the nurse is appropriate? - correct answer- "Bring your infant into the clinic today to be seen"
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A nurse is caring for a 4 year old child who is 2 days postoperative following the insertion of a
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ventriculoperitoneal shunt. Which of the following findings should the nurse identify as the priority . (causes
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icp hydrocephalus) - correct answer- lethargy (high pitched cry, respiratory changes, bradycardia, wide pulse
B B B BB B B B B B B B B B B
pressure, irritability
B B