Terms in this set (25)
A newborn client is seen in the ER Vomit that is green (most likely caused by obstruction in the
for vomiting. Which assessment intestines and stool cannot pass, coming back up as green
finding vomit)
indicates a possible emergency?
The nurse observes a student Compressing the chest to a depth of at least 2 in. (5 cm)
performing chest compressions
on an adult client.
Which technique indicates that the
student understands how to
provide high-quality chest
compressions during
cardiopulmonary resuscitation?
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A 2-year-old at an outpatient Place one AED pad on the chest and the other pad on the back
clinic stops breathing and doesn't
have a pulse. CPR is initiated.
When the automated external
defibrillator (AED) arrives, the
nurse notes
that is has only adult AED pads.
What is the
appropriate action at this time?
, A practical nurse is evaluating -administer supplemental O2 by
the external fetal monitoring mask increase the IV fluid rate
strip of a laboring -stop the client's oxytocin infusion
primigravida who is at 36 weeks
gestation.
Which nursing interventions
should the practical nurse
anticipate when there is found
to be LATE DECELERATIONS?
A client who is pregnant at 30 -influenze injection
weeks gestation comes to the -tetanus, diphtheria & pertussis
prenatal clinic. Which vaccines
may be administered safely at this
prenatal visit?
The nurse is reinforcing education Prescribed antiretroviral therapy should be continued during pregnancy
to a
pregnant client who is HIV-
positive. Which information is
appropriate for the nurse to
include?
A nurse is reinforcing -i must wash the top of the concentrated formula can before opening it
information on formula -prepared formula should be kept in the refrigerator and discarded after 48
hours
preparation for a client with
a
newborn. Which statements
by the client indicate proper
understanding?
A PN is assisting the RN to Feed the newborn
care for a 6- hour-old term
newborn of a mother with
gestational diabetes. A bedside
capillary blood glucose
reveals the newborn's
blood glucose is 45mg/dl. The
new born is asymptomatic.
Which intervention should the
PN anticipate implementing