MULTIPLE CHOICE OF QUESTIONS AND
DETAILED CORRECT ANSWERS ALREADY
GRADED A+ AND 100% GUARANTEE PASS
(JUST RELEASED!!!!!)
The nurse is providing educations to a client who experiences
recurrent levels of moderate anxiety to situations and perceived
stress. In addition to informations about prescribed
medications and administration, which instruction should the
nurse include in the teaching?
A) Center attention on positive upbeat music
B) Find outlets for more social interaction
C) Practice using muscle relaxation techniques
D) Think about reasons the episodes occur - CORRECT ANSWER-C)
Practice using muscle relaxation techniques
The charge nurse is planning for the shift and has a RN and a
PN on the team. Which client should the charge nurse assign to
the RN?
A) A 75-year old client with renal calculi who requires urine
straining
B) A 64-year old client who had a total hip replacement the
preious day
,C) A 30-year old depresses client who admits to suicide ideation
D) An adolescent with multiple contusions due to a fall that
occurred 2 days ago - CORRECT ANSWER-C) A 30-year old depresses
client who admits to suicide ideation
NGN: (Nurses Notes)
1800: The client is a female neonate born at 37 weeks of
gestation to a G 2 P 1 mother, who was diagnosed with
gestational diabetes. Following a spontaneous vaginal birth, she
received Apgar scores of seven at one minute and eight at five
minutes. The client weighs 4036.97g (8lbs 9oz) and appears
pink with acrocyanosis and a moderate amount of
subcutaneous fat. She is noted to be slightly jittery at 30min of
age. Axillary temperature 96F, pulse 140, RR 80. Blood glucose
35, Billy Rubin seven, fontanelles soft, mongolian spot noted on
lower back, Ballard maturity rating 37 weeks. (For each
assessment finding, click to indicate whether the findings are
associated with an infant of a diabetic mother or normal
presentation.)
Soft Fontanelles
Blood Glucose 35
Axillary temp. 96F
Acrocyanosis
Ballard score maturity rating 37 - CORRECT ANSWER-Diabetic
Findings:
BG 35
Axillary temp 96
Ballard score maturity rating 37
,???????
Normal Presentation:
Soft Fontanelles
Acrocyanosis
(normal findings include acrocyanosis, soft fontanelles,
mongolian spots, and Apgar scores 7 to 10)
NGN: (Nurses Notes)
1800: The client is a female neonate born at 37 weeks of
gestation to a G 2 P 1 mother, who was diagnosed with
gestational diabetes. Following a spontaneous vaginal birth, she
received Apgar scores of seven at one minute and eight at five
minutes. The client weighs 4036.97g (8lbs 9oz) and appears
pink with acrocyanosis and a moderate amount of
subcutaneous fat. She is noted to be slightly jittery at 30min of
age. Axillary temperature 96F, pulse 140, RR 80. Blood glucose
35, Billy Rubin seven, fontanelles soft, mongolian spot noted on
lower back, Ballard maturity rating 37 weeks.
The nurse recognizes that the infant of a diabetic mother is at
risk for _________ , _____________ , and
_________________ - CORRECT ANSWER-Hyperbilirubinemia ,
Resppiratory Distress Syndrome , and Cardiomyopathy
NGN: Orders
Breast-feed immediately once stable then on demand. If
unstable, may feed breastmilk via orogastric tube. If two
feeding attempts failed to increase the glucose levels or if
symptoms of hypoglycemia develop, apply dextrose gel inside
, the babies cheek. If the above are ineffective, IV glucose should
be administered to maintain glucose levels above 45. Bolus of
2mL/kg glucose 10% IV, hello by a continuous glucose
perfusion of 6 to 8mg/kg/min, maintain glycemic levels over
40.
Which 6 orders take priority?
A) Feed Immediately
B) Monitor for respiratory distress
C) Apply dextrose gell inside the baby's cheek
D) Keep in warmer with bilirubin lights
E) Monitor temp every 30 min
F) Bolus 2 mL/kg glucose 10% IV
G) Contact RT for ABG and oxygen therapy
H) Echo
I) Transfer to NICU
J) Blood glucose level - CORRECT ANSWER-A) Feed Immedicately
B) Monitor for Respiratory Distress
D) Keep in warmer with bili lights
E) Monitor temp q30min
G) Contact RT for ABG and O2 therapy
J) Blood glucose level
NGN Laboratory Results (same case of patient who just gave
birth)
Which actions are appropriate for the nurse to take at this
time? SATA