2.5 mL of IM med to adult where can the nurse safely inject?
Correct Answer Ventrogluteal
7 month old infant with severe dehydration, treatment is
effective if Correct Answer Client has a flat anterior fontanel
A client 8 hours post partum should receive their Rh immune
globulin when? Correct Answer 48-72 hours after delivery
A client had a new diagnosis of dysphagia what food should be
included when initiating feeding? Correct Answer Oatmeal
A client is receiving TPN what assessment finding requires
immediate intervention? Correct Answer Weight increase of
two kg/day
A client is taking propranolol, what would indicate a need to
withhold the medication? Correct Answer A pulse of 54 ( HR
<60 hold beta blockers)
A client receiving magnesium sulfate by continuous IV would
show what as a sign of toxicity? Correct Answer Urine output
of 20ml/hr (decreased urine output)
A client taking haloperidol for several years can recognize what
as signs of long term side effects? Correct Answer Lip
smacking
, A client that is lactose intolerant who eliminated dairy from their
diet should be instructed to consume more? Correct Answer
Spinach
A client with BPD knocks a game off of the table and
appropriate response by the nurse would be Correct Answer
Come outside with me for a walk
A client with DI taking desmopressin should be monitored for
what? Correct Answer Weight gain
A client with Type 1 diabetes would experience what sign or
symptom with hypoglycemia? Correct Answer Diaphoresis
A nurse assessing a chest tube following a thoracotomy should
intervene if Correct Answer Only 1 cm of water is in the water
seal chamber
A nurse is assessing a clients blood glucose level of 250mg/dl
what is associated with this clinical manifestation? Correct
Answer Thirst
A nurse is caring for a client with HIV c neutropenia, what
precautions should the nurse take? Correct Answer Use a
dedicated stethoscope for the client
A nurse is monitoring a client during IV urography procedure
what is a priority finding? Correct Answer Swollen lips