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Which of the following statements should the nurse include in the assessment? a) Tell me about
your siblings b) Tell me what kind of music you like c) Tell me how often do you drink alcohol d)
Tell me about your school schedule - CORRECTANSWER Assessment for adolescent with
conduct disorder
Which of the following actions by the client requires the nurse to intervene? a) Holding the
newborn in face position b) Asking the father to change the newborn's diaper c) Requesting the
nurse take the newborn nursery so she can rest d) Viewing the newborn's actions to be
uncooperative - CORRECTANSWER Nurse observing bonding with newborn
Which of the following findings should indicate that the medication is effective? a) Weight loss
b) Decreased blood pressure c) Absence of seizures d) Decrease inflammation -
CORRECTANSWER Effectiveness of levothyroxin
Which instructions would you include in the teaching? a) Contact provider if the cord still turns
black b) Clean the base of the cord with hydrogen peroxide daily c) Keep the cord dry until it
falls off d) The cord stump will fall off in five days - CORRECTANSWER Discharge teaching for
cord care
,Which of the following findings indicates decreased cardiac output? a) Shivering b) Oliguria c)
Bradypnea d) Constricted pupils - CORRECTANSWER Indication of decreased cardiac output
Which of the following client should the nurse identify as the priority? a) A client that has
massive head trauma b) A client has full thickness burns to face and trunk c) A client with
indications of hypovolemic shock d) A client with open fracture of the lower extremity -
CORRECTANSWER Priority client in mass casualty triage
Which of the following clients should the nurse assess first? c) A client whose chronic kidney
disease with cloudy diasylate outflow - CORRECTANSWER Client with chronic kidney disease
A client who has ileal conduit and mucus in the pouch. - CORRECTANSWER Client with ileal
conduit
Client pleasant arteriovenous additional vibration palpated. - CORRECTANSWER Pleasant
arteriovenous vibration
A client whose chronic kidney disease with cloudy diasylate outflow. - CORRECTANSWER
Chronic kidney disease
A client was transurethral resection of the prostate with a red tinged urine in the bag. -
CORRECTANSWER Transurethral resection of the prostate
The following is an appropriate nursing intervention for a client just received the first dose of
lisinopril: Provide standby assist with the client from bed. - CORRECTANSWER Lisinopril nursing
intervention
The nurse should expect head compression when reviewing the monitor tracing and notes early
decelerations. - CORRECTANSWER Early decelerations in labor
,The following laboratory value is an indication for hemodialysis: glomerular filtration rate of 14
mL/minute. - CORRECTANSWER Indication for hemodialysis
An appropriate action for the nurse to take is to heat the skin one minute prior to placing the
program. - CORRECTANSWER Continuous pulse oximetry for infants
The nurse should plan to assess the client placed in restraints due to aggressive behavior first. -
CORRECTANSWER Client in restraints
A new limited client has a history of 4.5 kg weight loss in the past two months. -
CORRECTANSWER Weight loss in mental health client
Client is receiving a PRN dose of health heard all two hours ago for increased anxiety. -
CORRECTANSWER PRN dose for anxiety
Applied he'll be receiving his first ECT treatment today. - CORRECTANSWER First ECT treatment
Hypnosis promotes increased control of her pain perception during contractions. -
CORRECTANSWER Hypnosis in labor
Focuses on the biofeedback as a relaxation technique. - CORRECTANSWER Hypnosis
Promotes increased control of pain perception during contractions. - CORRECTANSWER
Hypnosis
Uses therapeutic touch to reduce anxiety during labor. - CORRECTANSWER Hypnosis
, Provides instruction to minimize pain. - CORRECTANSWER Hypnosis
An example is saying 'I steal things because it's the only way I can keep my mind off my bad
marriage'. - CORRECTANSWER Reaction Formation
Glaucoma is identified as a contraindication. - CORRECTANSWER Contraindication for Isosorbide
Mononitrate
Obtain a cardiac rehabilitation consult. - CORRECTANSWER Acute Myocardial Infarction
Intervention
WBC 3,000/mm3 should be reported to the provider. - CORRECTANSWER Laboratory Value
Reporting
Place a daily calendar in the kitchen. - CORRECTANSWER Alzheimer's Care Plan
Client who has gastroenteritis and is lethargic and confused should be reported first. -
CORRECTANSWER Gastroenteritis Assessment
A genetic disorder that affects the lungs and digestive system, characterized by thick, sticky
mucus production. - CORRECTANSWER Cystic Fibrosis
An inflammation of the stomach and intestines, often resulting in vomiting and diarrhea. -
CORRECTANSWER Gastroenteritis
A chronic condition characterized by high blood sugar levels due to insulin resistance or
insufficient insulin production. - CORRECTANSWER Diabetes Mellitus