x EXAM VERSION 1/ACTUAL EXAM WITH x x x x
xCORRECT DETAILED ANSWERS WITH x x x
RATIONALES/A+ GRADE x x
A nurse is caring for an adolescent following a lumbar puncture. which of
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the followingactions should the nurse take?
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- initiate xNPO xstatus xfor xthe xadolescent
- place xthe xadolescent xin xa xsupine xposition
- place xa xmoist, xwarm xpack xon xthe xadolescents xlower xback
- apply xa xeutectic xmixture xof xlocal xanesthetics xto xthe xadolescent's
x puncture site -ANSWER>>Place the adolescent in supine position
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RATIONALE:(The nurse should place the adolescent in a supine position x x x x x x x x x
x for 30 minutes to an 1 hourfollowing a lumbar puncture to decrease the
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risk of a post Dural puncture headache)
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A nurse is assessing a child who is receiving IV chemotherapy.
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x assessment findingsinclude extravasation of the tissues surrounding
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x the IV insertion site. In which order should the nurse take the
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x following actions? x
-Remove IV line x x
-Elevate the extremity x x
-Stop the infusion x x
-Notify the provider - ANSWER>>Stop
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x the infusionElevate the extremity
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, Notify the x
x provider
x Remove the IV x x
line
x
A nurse is discussing the causes of chronic diarrhea with a client. which
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x of the followingconditions is caused by malabsorption
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-Celiac disease x
-Ulcerative colitis x
-Hirschsprung's disease x
-Crohn's disease - ANSWER>>Celiac Disease
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RATIONALE:( (the nurse should recognize that celiac disease causes
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x chronic diarrhea due to malabsorption. other malabsorption conditions
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include short bowel syndrome, lactoseintolerance, and congenital enzyme
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x deficiency)
A nurse is caring for an 8 year old child who has sickle cell anemia.
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which of thefollowing actions should the nurse take?
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-Apply cool compresses to the painful area
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-Initiate contact isolation precautions
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-Give the child flavored popsicles
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-Administer phytonadione - ANSWER>>Give the child flavored popsicles
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RATIONALE:( (Maintaining hydration with a child who has sickle cell
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anemia is important to preventsickling. children often accept flavored
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