Questions and Correct Answers|100% Verified| Already A+ Graded.
A client who has a diagnosis of complete placenta previa is admitted to the labor
and delivery suite
at 36 weeks gestation with contractions 5 min in frequency and 1 min in duration.
Which of the
following actions should the nurse take?
A. Rupture the amniotic sac
B. Medicate the client for pain
C. Prepare the client for a cesarean section
D. Perform a vaginal exam - CORRECT ANSWER-Prepare the client for a
cesarean section
E.
Anurseenters aclient's roomand finds theclient lying on thefloorinapuddle of water.
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Which of
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thefollowingstatementsshouldthenursedocumentinanincidentreport?
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A. Client felloutofbed becausean assistivepersonnelleft therailsofthe bed down
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B. Client's roommatethinkstheclientisconfusedand fellwhengetting outofbed
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C. Clientappearstohaveslippedin waterbutreportsno injuries ji ji ji ji ji ji ji ji ji ji
D. Client found lyingonthefloornear thebedsidetable -CORRECTANSWER- Client
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found lying on the floor near the bedside table
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Achargenurse on apediatricunit is making assignments fora floatnurse fromthe medical
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unit.
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Whichofthefollowing clients isappropriate toassigntothefloatnurse?
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A. A10-year-oldclientwhohaspneumoniaandisreceiving respiratorytreatments
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B. A4-year-old client whohasaWilms tumorand is receivingchemotherapy
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C. An8-month-oldclientwhoisscheduledforasurgicalrepairofaventricular septal
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defect tomorrow
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,D. A14-year-oldclientwhoisscheduled fordischargetodayfollowing placement of a
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Herrington rod - CORRECT ANSWER-A 10-year-old client who has pneumonia and
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is receiving respiratory treatments
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Anurseispreparingtoadministervancomycin toaclientwhohasaninfected wound. The
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nurse
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shouldplantomonitorforwhichofthefollowingadversereactions?
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A. Hepatotoxicity
B. Ototoxicity
C. Hypercalcemia
D. Hypertension-CORRECTANSWER-Ototoxicity ji ji ji
Anurseisassessingan infantwhohaswaterintoxication.Whichofthefollowing findings
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should the
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nurseexpect? ji
A. Generalizededema ji
B. Elevatedurinespecificgravity ji ji ji
C. Threadypulse ji
D. Increasedhematocrit -CORRECTANSWER-Generalizededema ji ji ji ji ji
Ahomehealthnurseis conducting aninitialhomevisit foraclientwhohas terminal breast
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cancer.
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Theclienthas twoschool-agechildren andalimitedsupportsystem. Which of the
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following is the
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prioritynursing action? ji ji
A. Informtheclientofavailablecommunityresources ji ji ji ji ji ji
B. Assisttheclientinfinding childcareoptions ji ji ji ji ji ji
C. Agreeuponshort-termgoals fortheclient ji ji ji ji ji ji
D. Asktheclient abouttheirunderstanding ofthediagnosis-CORRECT
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ANSWER-Inform the client of available community resources
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,Anursein an emergencydepartment is assessing aclientwhohasanasal fracture.
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Whichofthe ji ji
following findingsshould causethenursetosuspectaskullfracture? ji ji ji ji ji ji ji ji ji ji
A. Clearfluiddrainage fromthe nares ji ji ji ji ji
B. Reportofpain around theeyes ji ji ji ji ji
C. Driedbloodinthe mouth ji ji ji ji
D. Mandibularasymmetry-CORRECTANSWER-Clearfluiddrainagefromthe ji ji ji ji ji ji ji ji
nares
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Anurse in an urgentcare cliniciscollecting admissionhistoryfromaclient who is at 16
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weeks of
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gestation andhasbacterialvaginosis.Thenurseshould recognizethat which ofthe
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following clinical
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findingsareassociatedwiththisinfection? ji ji ji ji ji
A. Profusemilkywhitedischarge ji ji ji
B. Frequencyand dysuria ji ji
C. Low-gradefever ji
D. Hematuria-CORRECTANSWER-Profusemilkywhitedischarge ji ji ji ji ji ji
Anurseisdiscussing thez-trackadministrationofhydroxyzinewithanewly licensed
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nurse. Which
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ofthefollowingstatementsindicatesthenewlylicensed nurseunderstands the purpose of
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the
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technique?
A. Thistechniqueprevents injurytothesciatic nerve
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B. Thistechniquedecreasestheriskofsubcutaneousinfiltration
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C. Thistechniqueallowsalargeramountofmedication tobeinjected
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D. This technique increases the absorption rateof the drug - CORRECT
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ANSWER-Thistechniquedecreasestheriskofsubcutaneousinfiltration
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, 10. Anurseiscaringforafull-termnewbornimmediatelyfollowingbirth.Which of the
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following
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actionsshouldthenursetake first? ji ji ji ji ji
A. Instillerythromycinophthalmicointmentinthenewborn'seyes ji ji ji ji ji ji ji
B. Weigh thenewborn ji ji
C. Placeidentificationbraceletsonthenewborn ji ji ji ji ji
D. Drythenewborn -CORRECTANSWER-Drythenewborn
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Anurseisplanningtoprovide communityeducation aboutviralhepatitis.Which of the
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following
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shouldthenurseplanto includein the teaching?
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A. Aseriesoffourhepatitis vaccinesisrecommended to preventviralhepatitis
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B. HepatitisBistransmittedbycontaminated food ji ji ji ji ji ji
C. Chronichepatitiscan leadtorenalcell cancer ji ji ji ji ji ji ji
D. Clients who have a history of viral hepatitis are unable to donate blood - CORRECT ji ji ji ji ji ji ji ji ji ji ji ji ji ji
ANSWER-Clientswho haveahistoryofviralhepatitisareunableto donate blood
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Anursein aresidential mentalhealth facilityisplanning careforanewclientwho has
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obsessive
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compulsivedisorder.Whichofthefollowingisappropriate forthenursetoinclude in the ji ji ji ji ji ji ji ji ji ji ji ji ji ji
plan of care?
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A. Workwiththeclienttocreateaflexibledailyschedule ji ji ji ji ji ji ji ji ji
B. Graduallydecreasethe timeallowed forritualisticbehavior ji ji ji ji ji ji ji
C. Offersolutions toassistinproblemsolving ji ji ji ji ji ji
D. Teachtheclienttomeditateaboutobsessivethoughts -CORRECTANSWER- ji ji ji ji ji ji ji ji ji ji
Gradually decrease the time allowed for ritualistic behavior
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Anurse is assessing an adult male whohasa BMIof20.The nurse shouldidentify that the
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client's
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