Questions and Answers (Complete
Solution) Graded A+
A nurse is completing an admission assessment on an adolescent child who is a
vegetarian. He eats milk products but does not like beans. Which of the following items
should the nurse suggest the client order for lunch to provide nutrients most likely to be
lacking in his diet? 100%BEST ANSWER Peanut Butter and Jelly Sandwich
A nurse is caring for a 1-month old infant who weighs 3540 g and is prescribed a dose
of cefazolin 50mg/kg IV bolus TID. How many mg should the nurse administer per
dose? 100%BEST ANSWER
A nurse is preforming a pre-college assessment on an adolescent. Which of the
following immunizations should the nurse anticipate administering? 100%BEST ANSWER
Meningococcal polysaccharide vaccine
A nurse is assessing a client who has left-sided heart failure. Which of the following
findings should the nurse expect? 100%BEST ANSWER Nocturia at night
A nurse is caring for a client who has active TB and is to be started on IV rifampin
therapy. The nurse should instruct the client that this medication can cause which of the
following adverse effects? 100%BEST ANSWER Body sections turning a red orange
color
, A nurse is caring for a 6-week-old infant who as a pyloric stenosis. Which of the
following manifestations should the nurse expect? 100%BEST ANSWER Projectile
vomiting
A nurse receives a call from a parent of a child who has von Willebrand disease and
has having a nosebleed. Which of the following instructions should the nurse give to the
parents? 100%BEST ANSWER "Have your child sit with her head tilted forward and hold
pressure on her nose for 10 minutes."
A nurse is assessing a child who is in sickle cell crisis. Which of the following findings
should the nurse expect? 100%BEST ANSWER Pain
A nurse is providing preoperative teaching by demonstrating diaphragmatic breathing to
a client who is scheduled for surgery in the morning. Which of the following actions
should the nurse include in the demonstration? 100%BEST ANSWER Place her hands on
the sides of her rib cage
A nurse is planning care for a client who has idiopathic thrombocytopenic purpur (ITP)
Which of the following manifestations is the most appropriate for the nurse to monitor?
100%BEST
ANSWER
Bleeding
A nurse is assessing a 3-year-old child who has aortic stenosis. Which of the following
findings should the nurse expect? (select all that apply). 100%BEST
ANSWER -Hypotension
-Weak pulses
-Murmur
.
A nurse is providing teaching to a parent of a child who has Hirschsprung disease is
scheduled for initial surgery. Which of the following statements indicates an
understanding of the teaching? 100%BEST ANSWER I'm glad that my child's ostomy
is only temporary