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2 days after an abdominal hysterectomy, an elderly client with
diabetes Mellitus Type II has a syncopal episode. Her vital signs
are within normal limits and her sugar is 325 mg/dL. what
intervention should the nurse implement first? -
ANSWER>>>administer regular insulin per sliding scale
A 3-week-old infant is admitted for surgical repair of Pyloric
Stenosis. What interventions should the nurse expect to
implement to establish hydration in the immediate postoperative
period? - ANSWER>>>nipple feedings with glucose water
a 3 year-old admitted with fever of unknown (FUO) has 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? - ANSWER>>>make the child
NPO and hold all mediations until the vomiting has stopped.
4 hours after administration of 20U of regular insulin, the client
becomes shaky and diaphoretic. what action should the nurse
take? - ANSWER>>>give the client crackers and milk
a 6-month child with bronchiolitis is admitted to the hospital. In
monitoring the respiratory status of this child, which symptom
indicates the nurse that he is experiencing respiratory distress? -
ANSWER>>>A high pitched cry.
,An 8-year-old recovering from a Celiac Crisis requests a bowl of
cereal for breakfast. Which cereal should the nurse provide? -
ANSWER>>>rice
total number of confirmed pregnancies regardless of the outcome
- ANSWER>>>Gravida
number of births after 20 weeks - ANSWER>>>Para
pregnant for the first time - ANSWER>>>primigravida
a 26 year old gravida-4, para-0 had a spontaneous 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? -
ANSWER>>>express sorrow for the clients grief and offer to sit
with her.
A 26 year-old primigravida who delivered a 7-pound male infant
26 hours ago tells the nurse that she is confused about when she
and her husband can return to having sexual intercourse. What
info should the nurse reinforce with this client? -
ANSWER>>>they can have intercourse when the episiotomy is
healed and the lochial flow has stopped
36 hours after delivery, the nurse determines a clients fundus is
just above the umbilicus and displaced to the right of midline.
what action should the nurse take first? - ANSWER>>>palpate
the bladder for distention
a 60 year old client with cancer of the liver is in hepatic coma and
unresponsive. what should the nurse say to family members were
inquiring about the condition of their loved one? -
ANSWER>>>"Your loved ones condition is very critical, and there
has been no response in the last 24 hours"
, a 67 year old woman who lives alone tripped on a rug 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. - ANSWER>>>osteoporosis resulting from
hormonal changes.
a 75 year old male client with Alzheimer disease is admitted to an
extended care facility. what intervention should the nurse include
into the his clients Nursing care plan? - ANSWER>>>plan to have
the same nursing staff provide care for the client whenever
possible.
an 82-year old client is admitted to the hospital with a 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? - ANSWER>>>footboard is used to prevent foot drop.
An adult female client is admitted to the psychiatric unit 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? - ANSWER>>>ask the client if she has had any
recent thoughts of harming herself.
an adult male client tells the nurse that he believes 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? -
ANSWER>>>delusions of persecution
After a change of shift report, the nurse makes rounds on a
postoperative unit. Which client finding necessitates the