ANSWERS VERIFIED 100% CORRECT!!
1 of 59
Term
inflammation of sac at the end of cecum
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cholecystitis appendicitis
peritonitis diverticulitis
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2 of 59
Term
The nurse is caring for a pediatric client with acute
poststreptococcal glomerulonephritis. Weight on admission was 55
kg. Blood pressure was 140/80. Which assessment finding is the best
indication of improvement?
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Weight 52 kg Weight 58 kg
Weight 56 kg with stable blood
pressure Blood pressure 150/90
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3 of 59
Term
The nurse is caring for an 8-year-old pediatric client in a healthcare
provider clinic. The child presents with eye swelling, poor appetite,
and brown colored urine. Which is the most important assessment
question for the nurse to ask?
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"can you describe your child's "is there any family history of eye
sleep patterns?" problems?"
"have you experienced any recent "Can you tell me about any
injuries?" recent illnesses?"
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4 of 59
Term
The nurse is caring for a child with cerebral palsy, seizures, and
severe mental retardation in an acute care setting. The child has a
complex home regimen and requires total care. The child has a
gastrostomy tube for feedings, multiple medications, a specialized
wheelchair, and hand splints.
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Identify client by name and date of birth.
Complete a thorough medication reconciliation upon admission.
Keep bedside rails up at all times.
Keep bag valve mask, suction equipment, and oxygen equipment at the
bedside.
Indicated:
- Administer acetaminophen as prescribed for pain.
- Elevate the leg for the next 2 days.
, - Monitor toes for color, swelling, and mobility.
- Use a garbage bag and plastic wrap to cover the cast during showers.
Assess surgical wound and/or dressing.
Administer pain medication as prescribed.
Assess for return of bowel sounds.
Monitor vital signs per post-operative protocol.
Advance oral intake as tolerated.
Parent reports increased number of diaper changes
Parent reports infant has decreased interest in eating
Temperature is 100.5º F
Anterior fontanel is sunken
Parent reports infant is sleeping more than usual
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5 of 59
Term
The nurse is admitting a 2-month-old infant prior to a surgical
intervention for pyloric stenosis. The parent reports the infant has
not had a wet diaper since the evening before. The nurse assesses
the infant has a sunken anterior fontanelle and is tachycardic. Which
is the most important order the nurse should request from the health
care provider?
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An order for nothing by mouth
status An order for intravenous fluids