A
The nurse is continuing to care for the adolescent. Which of the following prescriptions should the nurse
anticipate from the provider? For each potential provider's prescription, click to specify if the potential
prescription is anticipated or contraindicated for the adolescent. - ANS Anticipated-prepare the
adolescent for surgery, remove the splint
Contraindicated- elevating the right leg above the heart level, applying ice to the affected extremity
A nurse is caring for a client who has type 1 diabetes mellitus and reports severe ankle pain after falling
off a set-stool at home. Which of the following prescriptions should the nurse clarify with the provider? -
ANS apply a cold pack to the client's Anke for 30 min every hour
A nurse is assessing a newborn who is 2 hrs old. Which of the following findings should the nurse report
to the provider? - ANS Axillary temp 36.2
A nurse is caring for a client who is 3 days post following a t4 spinal cord injury. Drag and drop.
The client is at risk for developing...due to ... - ANS hemorrhagic stroke due to autonomic dysreflexia
A nurse is caring for a school-age child. For each assessment finding, click to specify if the finding is
consistent with ADHD or ID each finding may support more than 1 disease process
CHECK BOXES - ANS When analyzing cues, the nurse should identify that manifestations of ADHD include
losing necessary things, interrupting others, intellectual impairment, and hyper reactivity to sensory
input. In ADHD, the client often loses necessary things in daily life, such as pencils, erasers, and books.
The client often interrupts others and has difficulty waiting for their turn in conversation. The client
might have an intellectual impairment, which can lead to poor academic performance and difficulties
with socialization. The client might exhibit hyperreactivity or hyporeactivity to stimuli.
a nurse is caring for a newly admitted client. Select 2 findings that require immediate follow up
CHECK BOXES - ANS Decreased platelet and decreased hemoglobin
,A nurse is caring for a newborn. Complete the following sentence by using the lists of options.
DROP DOWN - ANS respiratory rate followed by the newborns HR
A nurse is caring for a client who is 24hr post following a c section. Drag 1 condition and 1 client findings.
The client is at risk for developing...as evidence by ... - ANS seizures ...BP
A nurse on a med surge unit is caring for a client who is post following an emergency appendectomy.
BOWTIE - ANS Upon recognizing and analyzing the client assessment findings of edema and pruritis of
the right lower extremity, the nurse should identify that this client has manifestations of varicose veins
and that it is important to generate solutions and take actions that will increase venous circulation from
the legs to the heart. Therefore, the nurse should elevate the extremity to promote increased venous
return by gravity and apply graduated compression stockings to promote venous return by placing
external pressure on the muscles of the lower legs Monitor- Edema of right Lower extremity, pruritic of
right lower extremity
A nurse on a mental health unit is caring for a client. For each potential provider's prescription, click to
specify if the potential prescription is anticipated or contraindicated for the client. - ANS Low sodium-
contraindicated
suidicie precations- anticipated
K+ order- anticipated
Fluoxetine order-cotradincated
A nurse is caring for a client in the ED. The nurse is planning care for the client. Select 5 actions the nurse
should plan to take - ANS -CIWA
-Seizure precautions
-adminsiter chlordiazepoxide
-low stimulation environment
-adminsiter thiamine
, A nurse is caring for a client in the inpatient psychiatric unit. Based on the assessment findings, which of
the following actions should the nurse take? SATA - ANS -observe the client swallow all meds
-provide 1:1
-asses the clients method of lethality
-ensure the client doesn't have access to sharp objects
A nurse is caring for a client during a follow up visit at a gastrointestinal clinic. For each assessment
finding, click to specify if the assessment findings are consistent with Crohn's disease, ulcerative colitis,
or peritonitis. Each finding may support more than one disease process. - ANS Temp- Crohn's, ulcerative
colitis, peritonitis
Weight- Crohn's disease, ulcerative colitis
Bowel Pattern-crohn's disease
WBC- Crohn's disease, ulcerative colitis, and peritonitis
HR- peritonitis
Albumin level- Crohn's disease and ulcerative colitis
Abdominal pain location-crown's disease
A nurse is caring for a client who has schizophrenia in an inpatient facility. click to highlight - ANS -
involuntary tongue movement and foot tremors
-frequent urination and incontience
-increase in agitation
A nurse is planning care for a client who has a deficit with CN II. Which of the following actions should
the nurse plan to take? - ANS Clear objects from the client's walking area
A nurse is caring for a client who has bulimia nervosa. Drag and drop
The client is at risk for developing ...and ... - ANS hyponatremia and cardiovascular abnormalities