Exam (elaborations) NUR 101

An agitated and incoherent client comes to the emergency department with complaints of visual and auditory hallucinations. The history reveals that this client was hospitalized for schizophrenia from ages 20 to 21. The physician orders haloperidol, 5 mg I.M. The nurse understands that this drug is used in this client to treat: The hospital is responding to a mass casualty disaster with adult and pediatric victims. After reallocating staff, the charge nurse on the pediatric floor should: The nurse understands that a client with acute respiratory distress related to asthma may experience: A charge nurse is completing client assignments for the nursing staff on the pediatric unit. Which client would the nurse refrain from assigning to a pregnant staff member? A nurse should intervene when a depressed client makes which statement? A nurse is caring for a three-year-old child following the removal of a Wilms’ tumor. The mother states that her child is in pain, and requests pain medication. What is the nurse’s priority in regards to this mother’s request? A nurse is instructing a new group of mental health aides. The nurse should teach the aides that setting limits is most important for: A client who used heroin during her pregnancy gives birth to a neonate. When assessing the neonate, the nurse expects to find: A nurse is administering a newly prescribed IV antibiotic to a client who suddenly develops wheezing and dyspnea. Which of the following is the nurse’s priority action? A client with marked oliguria is ordered a test dose of 0.2 g/kg of 15% mannitol solution intravenously over 5 minutes. The client weighs 132 lb. How many grams would the nurse administer? Record your answer as a whole number. Your Response: A nurse is assessing a 15-year-old girl who has lost 30 lb (13.6 kg) over 3 months. What other finding is the nurse likely to assess? A client is admitted with glomerulonephritis. In addition to physical problems, which other psychosocial problems could likely affect this client? A client is two days postoperative of a hip replacement. The prescriber removed the gauze dressing and gave the patient and nurse instructions to keep the site open to air. In the afternoon, the nurse observed the client rubbing an oil on the surgical site. What is likely the client’s rationale regarding the application of the complementary oil? A nurse suspects that a client has digoxin toxicity. The nurse should assess for: You Selected: • vision changes. Correct response: • vision changes. Explanation: Remediation: Add a Note Question 15 See full question 1m 33s The nurse has provided an in-service presentation to ancillary staff about standard precautions on the birthing unit. The nurse determines that one of the staff members needs further instructions when the nurse makes which observation? You Selected: • wearing of sterile gloves to bathe a neonate at 2 hours of age Correct response: • wearing of sterile gloves to bathe a neonate at 2 hours of age Explanation: Remediation: Add a Note Question 16 See full question 1m 8s The parent asks the nurse about the 9-year-old child's apparent need for between-meal snacks, especially after school. When developing a sound nutritional plan for the child with the parent, the nurse should advise the parent: You Selected: