Verified Answers
A nurse is caring for a toiler who is 24hr postoperative following a cleft palate repair. WHich
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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
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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.
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.
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.