Kateaccademia

1)Which of the following assessment findings in an infantshould indicate to a nurse that suctioning of the nasopharynxis needed? A) The infant is beginning to cough B) The newborns pulse oximetry is 91 C) The infant'srespiratory rate is 32/min. D) The infant'srespiratory rate isirregular 2)A nurse is providing teaching to a postpartum client who has type 1 diabetes and is breastfeeding her newborn. Whichof the following instructions should the nurse give to the client? A) Take more in...

1. A nurse is assessing a client who is 12hr postoperative following a colon resection. Which of the following findings should the nurse report to the surgeon? a. Heart rate 90/min b. Absent bowel sounds c. Hgb 8.2 g/dl d. Gastric pH of 3.0 Rationale: Normal Hgb is 13-18M g/dl, 12-16 g/dl. This may indicate a possible hemorrhaging. 2. A nurse is caring for a client who has diabetes insipidus. Which of the following medications should the nurse plan to administer? a. Desmopressin b. Reg...

1. A nurse is caring for a client who is receiving chemotherapy and requests information about acupuncture to relieve some of the side effects. Which of the following findings should the nurse identify as a contraindication to receiving this alternative therapy? Lymphedema 2. A nurse is preparing to administer lactated Ringer's via continuous IV infusion at 200 ml/hr. The IV tubing has a drop factor of 10 drops/mL. How many gtt/min should the nurse set the IV ump to administer? 33 3. A ...

1. A nurse is assessing a client who recently used cocaine. Which of the following findings should the nurse expect? Hypertension 2. A nurse is caring for a group of clients. Which of the following findings should the nurse report? A client who istaking lamotrigine and has developed a rash 3. A nurse on a mental health unit is admitting a client who is anxious and tells the nurse, "I hear voices telling me what to do." Which of the following actions should the nurse take? Ask the client...

a nurse is planning to care for a child who has severe diarrhea. Which of the following actions is the nurse's priority? A. Introduce a regular diet B. Rehydrate C. Maintain fluid therapy D. Assess fluid balance (Assess first the other three are interventions, before you intervene you have to assess how much fluid imbalance. Check for lab results because it will tell you what kind of fluid is to be given and how much fluid to be replaced. Priority is assessment first) A nurse is caring ...

1. A nurse is teaching a client who has schizophrenia about her new prescription for risperidone. Which of the following statements should the nurse include in the teaching? a. "You should continue this medication if you develop muscle rigidity". b. "You will experience weight loss while taking this medication." c. "You will notice your symptoms improve within 24 hours of taking this medication." d. "You should increase your consumption of complex carbohydrates." 2) A nurse is ...

A nurse is reinforcing teaching with the parent of a school-age child who haslactose intolerance. Which of the following supplements should the nurse instruct the parent to include in the child's diet? Vitamin D Lactose intolerance is managed by eliminating dairy products from the diet. However, this can result in a decrease in bone density because of the lack of calcium and vitamin D in the diet. The nurse should instruct the parent to administer a vitamin D supplement to the child to ...

1. After instilling an eye drop that has a systematic effect, the nurse should press on which of the following to prevent absorption into the circulation? a. The bony orbit b. The nasolacrimal duct c. The conjunctival sac d. The outer cantus of the eye 2. A nurse is caring for a client who has just been diagnosed with primary open-angle glaucoma (POAG) during a screening examination. Which of the following data collection finding should the nurse expect? a. Sudden loss of central vision...

A nurse is caring for a client who has bipolar disorder and is experiencing acute mania. The nurse obtained a verbal prescription for restraints. Which of the following should the actions the nurse take? A. Request a renewal of the prescription every 8 hr. B. Check the client’s peripheral pulse rate every 30 min C. Obtain a prescription for restraint within 4 hr. D. Document the client’s condition every 15 minutes 1. A nursing planning care for a school-age child who is 4 hr postoper...

1)Which of the following assessment findings in an infantshould indicate to a nurse that suctioning of the nasopharynxis needed? A) The infant is beginning to cough B) The newborns pulse oximetry is 91 C) The infant'srespiratory rate is 32/min. D) The infant'srespiratory rate isirregular 2)A nurse is providing teaching to a postpartum client who has type 1 diabetes and is breastfeeding her newborn. Whichof the following instructions should the nurse give to the client? A) Take more in...