answers
1. The nurse is caring for a 3-year old toddler who's 2 hours postop from a cardiac
catheterization via the right femoral artery. Which evaluation finding is an indication of arterial
obstruction?
A.Blood strain fashion is downward and pulse is rapid and irregular.
B.Right foot is cool to the touch and looks pale and blanched.
C.Pulse distal to the femoral artery is weaker on the left foot than right foot.
D.The strain dressing at proper femoral area is wet and oozing blood.
B.Right foot is cool to the touch and appears pale and blanched.
2. Following a motor automobile collision, a 3-yr vintage girl has a spica cast applied. Which toy
is quality for the nurse for this three-year-vintage infant?
A. Duckthatsqueaks.
B. Fashiondollandclothes.
C. Set of material and hand puppets.
D. Hand held online game.
C. Set of cloth and hand puppets.
Three. An little one with tetralogy of Fallot becomes acutely cyanotic and hyperpneic. Which
movement must the nurse implement first?
A. Administer morphine sulphate.
B. Start IV fluids.
C. Place the little one in a knee-chest position.
D. Provide 100% oxygen via face masks.
C. Place the toddler in a knee-chest role.
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, Four. A baby admitted with diabetic ketoacidosis is demonstrating Kussmaul respirations. The
nurse determines that the multiplied respiration charge is a compensatory mechanism for which
acid base alteration?
A. Metabolicalkalosis.
B. Respiratory acidosis.
C. Respiratoryalkalosis.
D. Metabolic acidosis.
D. Metabolic acidosis.
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Five. 7 years antique is admitted to the clinic with chronic vomiting, and a nasogastric tube
connected to low intermittent suction is applied. Which finding is maximum vital for the nurse to
document to the healthcare company?
A. Gastric output of a hundred mL within the ultimate eight hours.
B. Shift intake of 640 mL IV fluids plus 30 mL PO ice chips.
C. Serum potassium of 3.Zero mg/dL.
D. Serum pH of 7.Forty five.
C. Serum potassium of three.0 mg/dL.
6. The nurse is evaluating weight loss plan coaching for a client who has nontropical sprue
(celiac disease). Choosing which food shows that the teaching has been effective?
A. Creamed corn.
B. Pancakes.
C. Rye crackers.
D. Cooked oatmeal.
A. Creamed corn.
7. During a properly-toddler take a look at, the nurse hides a block under the infant's blanket,
and the child seems for the block. Which ordinary increase and improvement milestone is the
child developing?
A. Separation tension.
B. Associativeplay.
C. Object prehension.
D. Object permanence.
D. Object permanence.
8. The nurse is measuring the frontal occipital circumference (FOC) of a 3-months vintage
toddler, and notes that the FOC has increased 5 inches given that start and the kid's head
appears massive when it comes to frame size. Which movement is most important for the nurse
to take next?