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A mom with the heart rate of 180 what side should she lay on?
- answer-Left side
A nurse is assessing a patient who had a colostomy created six hours ago. The
stone appears dark red dry inflated with a small amount of mucus drain in the bag.
Which Action would be priority for the nurse to make
- answer-Call the provider
A nurse is caring for a client receiving chemotherapy. The client is not eating well,
but denies any nausea or vomiting. Which of the following will be best for the
nurse to suggest to the client.
- answer-Chicken, green beans, and cottage cheese
A nurse is caring for a meal client who has a deep partial thickness and full
thickness burns to 45% of the lower body. It will be priority for the nurse to notify
the provider if the client has.
- answer-Urinary output of 45 mls over the past two hours
A nurse is caring for a newborn under phototherapy. Which adverse effect should
the nurse monitor for?
- answer-Grey color skin
Sunken Fontenelle
A nurse is caring for a patient with a traumatic brain injury. Which intervention is
the highest priority?
- answer-Provide a quiet environment to reduce stimulation
,A nurse is teaching a caregiver about PEG tube. Which statement indicates the
correct understanding of the teaching.
- answer-The client should sit up for one hour after giving the feeding
A nurse is teaching a mother of a five-year-old child about age-appropriate toys
which of the following toys will be appropriate for the nurse to recommend
- answer-Adele and a coloring book with crayons
A patient is receiving peritoneal dialysis, which symptom would alert the RN to
the possibility of peritonitis
- answer-Nausea and vomiting
A patient is showing signs of overdose on tricyclic antidepressants. What action
should be taken next
- answer-Placed a patient on a cardiac monitor
A patient presents with ventricular tachycardia on the ECG. What is the priority
medication to administer?
- answer-Amiodarone
A patient was sick of cell disease should avoid what
- answer-Hi altitude
A patient with an increased risk for cervical cancer would be
- answer-A 53-year-old who never had a HPV vaccine
A patient with burns to the chest is priority due to
- answer-Risk for inhalation
A postpartum nurse just came for a patient who gave birth vaginally two hours ago.
The nurse knows that the patient has soak a perineal pad within 10 minutes. The
,patient's uterus is boggy upon palpitation, and the patient reports feeling
lightheaded. Vital signs are as follows.
Bp 88/56
HR 120
RR 20
Which of the following action should the nurse take first?
- answer-Massage the funds to promote uterine contractions
A rhythm strip with PVCs you wanna
- answer-Check the peripheral pulses or check potassium
Alcohol withdrawal patient is agitated and becomes increasingly unresponsive as
the RN gives lorazepam. What is the next Action by the RN?
- answer-Administer flumazenil
An egg verse reaction of magnesium sulfate is
- answer-Respirations of 10
Anterior Fontaines should close by
- answer-18 months
Bargaining for a terminal cancer patient
- answer-I am going to watch my son graduate from college
By how many months should the infant develop their social Smile?
- answer-By three months
Can vaccine be given to a patient with a WBC of 3800
- answer-No
Car seat teaching
, - answer-Harness should be at armpit level facing until two years old and anchored
in the middle seat
Catheter question requiring further teaching
- answer-UA inflated balloon as soon as they see the urine
Chronic strep throat infections with facial swelling (periorbital edema)
- answer-Assessed for generalized edema the patient would have hypertension
Dementia, patient keeps trying to get up out of the chair
- answer-Place chair alarm under the patient
Developmental Delay
- answer-A three-year-old that can only say 100 words
Developmental milestone
- answer-Should be able to pull up to standing at nine months
Ethical dilemma
- answer-A hospice patient that goes home with a PICC line for IV antibiotics
Fiberglass cast with crutches
- answer-Apply ice
for dumping syndrome, you should arrange for ...
- answer-Increase protein and lay down after meals
For the patient with a sealed radiation implant can equipment be removed from the
room without opposing a threat to others
- answer-Yes