QUESTIONS AND ANSWERS 100% GRADE
A+ SOLUTIONS
A nurse is caring for a toiler who is 24hr postoperative following a
cleft palate repair. WHich of the following actions should the nurse
take?
Administer opioids for pain
A nurse is assessing a 10-day-old client. Which of the following
should the nurse understand is a clinical manifestation of pyloric
stenosis?
Projectile vomiting after feedings
Pyloric stenosis is a narrowing and thickening of the pyloric canal
between the stomach and the duodenum, resulting in projectile
vomiting.
A nurse is planning care for an adolescent who is postoperative
following scoliosis repair with Harrington rod instrumentation. Which
of the following interventions should the nurse include in the plan
of care?
Initiate the use of a PCA pump for pain control
A nurse is assessing an adolescent who has attention deficit
hyperactivity disorder (ADHD). Which of the following findings should
the nurse expect?
Impulsivity
A nurse is reviewing the laboratory results of a client who has acute
leukemia and received an aggressive chemotherapy treatment 10 days
ago. Which of the following hematologic laboratory values should the
nurse expect? (Select all that apply.)
Decreased platelet count
Decreased leukocyte count
Decreased erythrocyte count
A nurse is preparing to administer the first measles, mumps, and
rubella (MMR) immunization to 15-month-old toddler. Which of the
following findings is a contraindication for this immunization?
The child has a congenital immunodeficiency
A nurse is providing health promotion teaching to the parents of an
infant. Which of the following conditions should the nurse identify
as the leading cause of death among this age group?
, Congenital amnomalies
A nurse is caring for an infant who has a congenital heart defect.
Which of the following defects is associated with increased pulmonary
blood flow?
Patent ductus arteriosus
the area between the pulmonary artery and aorta remains open,
allowing the blood to flow through the patent ductus arteriosus and
back to the pulmonary artery and lungs.
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A nurse is assessing a 3-month-old infant. Which of the following
findings should the nurse report to the provider?
Inability to raise head when in prone position.
A 3 month-old infant should be able to raise her head and shoulders
from prone position; therefore, the nurse should report this finding
to the provider.
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A school nurse is performing a routine health assessment for a
school-age child. Which of the following findings indicates the nurse
should investigate further for pediculosis capitis?
Pruritus of the scalp
Pediculosis capitis is an infestation of head lice. Generally, the.
only manifestation is scalp itchiness.
A nurse is caring for a client who has acute osteomyelitis. Which of
the following interventions is the nurse's priority?
Administer antibiotics to the client
The greatest risk to this client is bacteremia caused by the
infection which can lead to septic shock; therefore, the priority
intervention is antibiotic therapy. The client might require multiple
antibiotics for an extended time.
A nurse is preparing to assist with applying a cast to a
preschooler's arm. Which of the following actions should the nurse
take?
Wrap the arm of the child's doll or toy prior to the procedure.
A nurse is caring for a child who is postoperative following
ventriculoperitoneal (VP) shunt placement. In which of the following
positions should the nurse place the client?
On the unoperative side