The nurse is about to assess a 6 month-old child with nonorganic failure-to thrive
(NOFTT). Upon entering the room, the nurse would expect the baby to be -
answers-Pale, thin arms and legs, uninterested in surroundings
As the nurse is speaking with a group of teens which of these side effects of
chemotherapy for cancer would the nurse expect this group to be more
interested in during the discussion? - answers-Hair loss
While caring for a client who was admitted with myocardial infarction (MI) 2 days
ago, the nurse notes today's temperature is 101.1 degrees Fahrenheit (38.5
degrees Celsius). The appropriate nursing intervention is to - answers-Administer
acetaminophen as ordered as this is normal at this time
. A client is admitted for first and second degree burns on the face, neck, anterior
chest and hands. The nurse's priority should be - answers-Assess for dyspnea or
stridor
Which of these clients who call the community health clinic would the nurse ask to
come in that day to be seen by the health care provider? - answers-I went to the
bathroom and my urine looked very red and it didn't hurt when I went.
,A middle aged woman talks to the nurse in the health care provider's office about
uterine fibroids also called leiomyomas or myomas. What statement by the woman
indicates more education is needed? - answers-Fibroids that cause no problems
still need to be taken out.
An elderly client admitted after a fall begins to seize and loses consciousness.
What action by the nurse is appropriate to do next? - answers-Stay with client and
observe for airway obstruction
Which information is a priority for the RN to reinforce to an older client after
intravenous pylegraphy? - answers-Measure the urine output for the next day and
immediately notify the health care provider if it should decrease.
A client has altered renal function and is being treated at home. The nurse
recognizes that the most accurate indicator of fluid balance during the weekly
visits is - answers-weekly weight
A client has been diagnosed with Zollinger-Ellison syndrome.Which information is
most important for the nurse to reinforce with the client? - answers-It is critical
to report promptly to your health care provider any findings of peptic ulcers
,A primigravida in the third trimester is hospitalized for preeclampsia. The nurse
determines that the client's blood pressure is increasing. Which action should the
nurse take first? - answers-Have the client turn to the left side
The nurse is caring for a client in atrial fibrillation. The atrial heart rate is 250
and the ventricular rate is controlled at 75. Which of the following findings is
cause for the most concern? - answers-A cold, pale lower leg
The client with infective endocarditis must be assessed frequently by the home
health nurse. Which finding suggests that antibiotic therapy is not effective, and
must be reported by the nurse immediately to the healthcare provider? -
answers-Fever of 103 degrees Fahrenheit (39.5 degrees Celsius)
A client who had a vasectomy is in the post recovery unit at an outpatient clinic.
Which of these points is most important to be reinforced by the nurse? -
answers-Until the health care provider has determined that your ejaculate doesn't
contain
A client who is to have antineoplastic chemotherapy tells the nurses of a fear of
being sick all the time and wishes to try acupuncture. Which of these beliefs
stated by the client would be incorrect about acupuncture? - answers-The flow of
life is believed to flow through major pathways or nerve clusters in your body.
, The nurse is discussing with a group of students the disease Kawasaki. What
statement made by a student about Kawasaki disease is incorrect? - answers-
Kawasaki disease occurs most often in boys, children younger than age 5 and
children of Hispanic descent
A client has viral pneumonia affecting 2/3 of the right lung. What would be the
best position to teach the client to lie in every other hour during first 12 hours
after admission? - answers-Side-lying on the left with the head elevated 10
degrees
A client has an indwelling catheter with continuous bladder irrigation after
undergoing a transurethral resection of the prostate (TURP) 12 hours ago. Which
finding at this time should be reported to the health care provider? - answers-
minimal drainage into the urinary collection bag
A nurse is performing CPR on an adult who went into cardiopulmonary arrest.
Another nurse enters the room in response to the call. After checking the client's
pulse and respirations, what should be the function of the second nurse? -
answers-Participate with the compressions or breathing