LATEST VERSION
aHnurseHisHplanningHcareHforHaHchildHwhoHhasHsevereHdiarrhea.HwhichHofHtheHfollowingHactionsHisHtheH
nurseHpriority?H-HAssessHfluidHbalance
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andHhisHurineHisHaHpinkHcolor.HWhichHofHtheHfollowingHactionsHisHtheHnurse'sHpriority?H-
HInstructHtheHparentHtoHavoidHpressingHonHtheHabdominalHarea
AHnurseHisHcaringHforHaHchildHwhoHhasHacuteHglomerulonephritis.HWhichHofHtheHfollowingHactionsHisH
theHnurse'sHpriority?H-HCheckHtheHChildsHweightHdaily
AHnurseHisHcaringHforHaHchildHwhoHhasHaHsuspectedHdiagnosisHofHbacterialHmeningitis.HWhichHofHtheHf
ollowingHisHtheHnurse'sHpriority?H-HAdministerHantibioticsHwhenHavailable
AHnurseHisHcollectingHdataHfromHanHadolescent.HWhichHofHtheHfollowingHrepresentsHtheHgreatestHriskHf
orHsuicide?H-HActiveHpsychiatricHdisorderH(Mark,HmentalHproblems,HpatientsHmindHisHunstable)
AHnurseHisHcollectingHdataHfromHanHinfantHwhoHhasHotitisHmediaH(middleHearHinfection).HTheHnurseHsh
ouldHexpectHwhichHofHtheHfollowingHfindings?H-HTuggingHonHtheHaffectedHearHlobe
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toHtheHnervesHorHnotHfunctioning,HsoHthereHwillHbeHanHincreaseHsizeHofHtheHcolonHandHstoolHgetsHstuckH
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on,HandHthenHapplyHtemporaryHcolostomy,HafterHaHcoupleHofHmonthsHtheyHwillHsutureHitHtogether)
AHnurseHisHcaringHforHanHinfantHwhoHisH1HdayHpostoperativeHfollowingHsurgicalHrepairHofHaHcleftHlip.H
WhichHofHtheHfollowingHactionsHshouldHtheHnurseHtake?H-
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chHofHtheHfollowingHstatementsHbyHtheHparentHindicatesHanHunderstandingHofHtheHteaching?H-
H"IHwillHmakeHsureHmyHchildHwashesHherHhandsHbeforeHeating"
AHnurseHworkingHatHaHclinicHspeaksHonHtheHtelephoneHwithHaHparentHofHaH2-
montholdHinfant.HTheHparentHtellsHtheHnurseHthatHtheHinfantHhasHprojectileHvomitingHfollowedHbyHhun
gerHafterHmeals.
WhichHofHtheHfollowingHresponseHbyHtheHnurseHisHappropriate?H-
H"BringH yourHinfantHintoHtheHclinicHtodayHtoHbeHseen"
AHnurseHisHcaringHforHaH4HyearHoldHchildHwhoHisH2HdaysHpostoperativeHfollowingHtheHinsertionHofHaHve
ntriculoperitonealHshunt.HWhichHofHtheHfollowingHfindingsHshouldHtheHnurseHidentifyHasHthe
, priorityH.H(causesHicpHhydrocephalus)H-
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aHnurseHisHcaringHforHaHchildHfollowingHanHopenHreductionHandHinternalHfixationHofHaHfracturedH femu
rHandHapplicationHofHaHcast.HTheHcastHhasHaHwindowHcutHinHitHforHviewingHofHtheHincision.HWhichHofHt
heHfollowingHactionsHshouldHtheHnurseHtakeHfirst?H-
HPerformHneurovascularHchecksHofHtheHaffectedHextremityH(checkHforHinfection,Hcolor,HcapillaryHrefil
l,Hredness)
AHnurseHisHanHurgentHcareHclinicHisHassistingHwithHtheHcareHofHaHtoddlerHwhoHingestedH30HtabletsHofHas
pirin.HWhichHofHtheHfollowingHsubstancesHshouldHtheHnurseHadministerHtoHtheHtoddler?H-
HActivatedHcharcoalH(canHworkHwithHtoxin,Hpoison.HGivenHthroughHngHtubeHabsorbsHtoxins)
AHnurseHisHcaringHforHaH3HyearHoldHclientHwhoHhasHpersistentHotitisHmedia.HToHhelpHidentifyHcontribut
ingHfactors,HtheHnurseHshouldHaskHtheHparentsHwhichHofHtheHfollowingHquestions?H-
HDoesHanyoneHsmokeHinHtheHsameHhouseHasH yourHdaughter? H(smokingHcanHcauseHirritation,HcauseHmu
cusHinHrespiratoryHandHcausesHotitisHmedia?)H(otitisHmediaHisHpurulentHcolor)
AHnurseHisHcollectingHdataHfromHaH2HyearHoldHtoddlerHwhoHhasHAIDS.HTheHnurseHshouldHinspectHinsid
eHtheHtoddlerHmouthHforHwhichHofHtheHfollowingHopportunisticHinfectionsH(fungusHinfectionsHisHusuall
yHopportunisticHinfections)?H-HCandidiasisH(alsoHcalledHoralHthrush)
AHnurseHisHcaringHforHaH4HyearHoldHchildHwhoHhasHdehydration.HWhichHofHtheHfollowingHfindingsHsho
uldHtheHnurseHidentifyHasHtheHpriority?H-HPotassiumH2.5HmEq/L
AHnurseHisHcaringHforHaHchildHwhoHIsHpostoperativeHfollowingHtheHinsertionHofHaHventriculorperitone
alHshunt.HTheHnurseHshouldHplaceHtheHchildHinHwhichHofHtheHfollowingHpositions?
-HOnHtheHnonoperativeHside
AHnurseHisHcaringHforHanHinfantHwhoHisHdehydratedHandHrequiresHIVHtherapy.HTheHnurseHshouldHmoni
torHtheHinfantHresponseHtoHtherapyHbyHperformingHwhichHofHtheHfollowingHactions?H-
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dHtheHnurseHreportHtoHtheHprovider?H-
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AHnurseHisHcollectingHdataHfromHanHinfantHwhoHhasHhypertrophicHpyloricHstenosis.HWhichHofHtheHfollo
wingHfindingsHshouldHtheHnurseHexpect?H-HProjectileHvomiting
AHschoolHnurseHisHscreeningHanH11-year-
oldHchildHforHidiopathicHscoliosis.HWhichHofHtheHfollowingHinstructionsHshouldHtheHnurseHgiveHtheHc
hildHforHthisHexamination?H-HBendHforwardHfromHtheHwaistHwithHyourHheadHandHarmsHdownward
AHnurseHisHcollectingHdataHfromHanHinfact.HWhichHofHtheHfollowingHsitesHisHtheHmostHreliableHlocatio
nHtoHcheckHtheHinfatsHpulseH?H-HApical