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A nurse is caring for a child who has disseminated intravascular
coagulation. Which of the following laboratory findings should the nurse
expect?
A Decreased prothrombin time
B Increased Hgb level
C Increased RBC
D Decreased platelet count - <<answer>>..D Decreased platelet count
A nurse is caring for a group of clients. Which of the following findings
should the nurse report to the provider?
A An 18-month-old toddler who has a heart rate of 68/min
B A school-age child who has a rectal body temperature of 37.3° C
(99.1° F)
C An adolescent who has a BP of 132/82 mm Hg
D A 3-month-old infant who has a respiratory rate of 30/min -
<<answer>>..A An 18-month-old toddler who has a heart rate of
68/min
,A nurse is providing teaching about injury prevention to the parents of a
toddler. Which of the following safety measures should the nurse
include in the teaching?
A Check clothing for loose buttons.
B Adjust the water heater temperature to 54° C (129.2° F).
C Place screens on all windows.
D Provide balloons for play. - <<answer>>..C Place screens on all
windows.
A nurse is providing discharge teaching to the guardian of a
preschooler who had a tonsillectomy. Which of the following statements
should the nurse include?
A "Notify the provider if your child has dark brown blood between their
teeth."
B "Encourage your child to drink liquids through a straw."
C "Notify the provider if your child is swallowing frequently."
D "Encourage your child to clear their throat as needed." -
<<answer>>..C "Notify the provider if your child is swallowing
frequently."
A nurse is providing teaching to the parent of a toddler who is
scheduled for an electrocardiogram. Which of the following statements
should the nurse make?
A "Your child can rest on your lap during the procedure."
B "An alarm will sound if your child has an abnormal heart rhythm."
C "Leads will be placed on your child's back prior to the procedure."
D "This procedure will take at least 30 minutes to complete." -
<<answer>>..A "Your child can rest on your lap during the procedure."
,A nurse is preparing to administer an enteral feeding to an adolescent
who has an NG tube. Which of the following actions should the nurse
take first?
A Check the pH of the gastric secretions.
B Set the administration rate on the feeding pump.
C Flush the tube with water.
D Attach the feeding bag tubing to the end of the NG tube. -
<<answer>>..A Check the pH of the gastric secretions.
A nurse is teaching a newly licensed nurse about infant safety. Which
of the following information should the nurse include in the teaching?
A Place an infant who is 5 months old in a high chair to feed.
B Position a 1-month-old infant supine on a soft mattress.
C Provide an infant with a one-piece pacifier for non-nutritive sucking.
D Secure the infant's car seat behind an airbag - <<answer>>..C
Provide an infant with a one-piece pacifier for non-nutritive sucking.
A nurse in an emergency department is caring for a toddler who has
manifestations of epiglottitis. Which of the following actions should the
nurse take first?
A Obtain an x-ray of the child's neck
B Administer intravenous antibiotics
C Initiate droplet precautions
D Place intubation equipment at the bedside. - <<answer>>..D Place
intubation equipment at the bedside.
A nurse is caring for a school-age child who has acute renal failure.
Which of the following manifestations should the nurse expect?
, a. Metabolic alkalosis
b. Hypokalemia
c. Hypercalcemia
d. Oliguria - <<answer>>..Oliguria
The nurse is planning care for the adolescent. Select the 5
interventions the nurse should include.
A Instruct the parent to ensure the pneumococcal vaccine is current.
B Administer folic acid as prescribed.
C Monitor oxygen saturation continuously.
D Place the client on strict bed rest.
E Apply cold compresses to the affected joints.
F Administer meperidine IV for pain.
G Restrict oral intake.
H Give oral hydroxyurea. - <<answer>>..B Administer folic acid as
prescribed.
C Monitor oxygen saturation continuously.
E Apply cold compresses to the affected joints.
F Administer meperidine IV for pain.
H Give oral hydroxyurea.
A nurse is preparing to initiate intravenous (IV) antibiotic therapy for a
newly admitted 12-month-old infant. Which of the following actions
should the nurse plan to take?
A Use a 24-gauge catheter to start the IV.
B Start the IV in the infant's foot.
C Cover the insertion site with an opaque dressing.