A 3-week-old infant is admitted for surgical repair of nipple feedings with glucose water
Pyloric Stenosis. What interventions should the nurse
expect to implement to establish hydration in the
immediate postoperative period?
a 3 year-old admitted with fever of unknown (FUO) has make the child NPO and hold all mediations until the vomiting has stopped.
begun vomiting in the past half hour. The child's temp. is
101.8F, and the last does of antipyretic medication was
given 5 hours ago. the child has prescriptions of
acetaminophen (Tylenol) 160 mg per 5 mL elixir or 16o
mg suppositories PRN fever or pain. what action should
the nurse take at this time?
4 hours after administration of 20U of regular insulin, give the client crackers and milk
the client becomes shaky and diaphoretic. what action
should the nurse take?
a 6-month child with bronchiolitis is admitted to the A high pitched cry.
hospital. In monitoring the respiratory status of this
child, which symptom indicates the nurse that he is
experiencing respiratory distress?
An 8-year-old recovering from a Celiac Crisis requests rice
a bowl of cereal for breakfast. Which cereal should the
nurse provide?
total number of confirmed pregnancies regardless of Gravida
the outcome
number of births after 20 weeks Para
pregnant for the first time primigravida
a 26 year old gravida-4, para-0 had a spontaneous express sorrow for the clients grief and offer to sit with her.
abortion at 9 weeks gestation. at one house post
dilation and curettage (D&C) the nurse assess the vital
signs and vaginal bleeding. the client begins to cry
softly. how should the nurse intervene?
A 26 year-old primigravida who delivered a 7-pound they can have intercourse when the episiotomy is healed and the lochial flow
male infant 26 hours ago tells the nurse that she is has stopped
confused about when she and her husband can return
to having sexual intercourse. What info should the nurse
reinforce with this client?
, HESI LPN-ADN Entrance Mobility Exam 2026/2027 | Verified Questions & Answers | Nursing Study Guide
36 hours after delivery, the nurse determines a clients palpate the bladder for distention
fundus is just above the umbilicus and displaced to the
right of midline. what action should the nurse take first?
a 60 year old client with cancer of the liver is in hepatic "Your loved ones condition is very critical, and there has been no response in
coma and unresponsive. what should the nurse say to the last 24 hours"
family members were inquiring about the condition of
their loved one?
a 67 year old woman who lives alone tripped on a rug osteoporosis resulting from hormonal changes.
in her home and fractured her right hip. the nurse
knows that which predisposing factor contributes to the
occurrence of hip fractures among elderly women.
a 75 year old male client with Alzheimer disease is plan to have the same nursing staff provide care for the client whenever
admitted to an extended care facility. what intervention possible.
should the nurse include into the his clients Nursing
care plan?
an 82-year old client is admitted to the hospital with a footboard is used to prevent foot drop.
fractured right hip. following surgical repair, a
footboard is placed at the clients feet. what is the
reason the nurse will offer concerning the footboard?
An adult female client is admitted to the psychiatric unit ask the client if she has had any recent thoughts of harming herself.
with diagnosis of major depression. After 2 weeks of
antidepressant medication therapy, the nurse notices
the client has more energy, is giving her belongings
away to her visitors, and is in an overall better mood.
Which intervention is best for the nurse to implement?
an adult male client tells the nurse that he believes delusions of persecution
someone is trying to obtain his cpu records, which his
wife reports are recreational in nature. the client insist
that an elaborate alarm system needs to be installed in
his home. the nurse knows that this client is exhibiting
which signs or symptoms?
After a change of shift report, the nurse makes rounds A. A client who is having bright red drainage from the rectum following a
on a postoperative unit. Which client finding colonoscopy with a polyp removal
necessitates the immediate attention of the nurse?
After a client returns from Hemodialysis, the nurse A. Measure the client's blood pressure
measures the client's weight and notes a 3-
poundweight loss from the pre-dialysis weight. The
client reports feeling weak and fatigued. What action
should the nurse take next?