Jhaque

18. When taking a adults patient's temperature rectally, it is important to A. rotate the probe gently if you encounter any resistance. B. insert the probe so that you are aiming at patient's pelvic area. C. dip the probe 1-1.5 inch into a tube of lubricant. D. insert the probe about an inch and a half into the patient's anus 19. When assessing a patient's respiration, it is recommended that the patient A. Lie flat in bed. B. Continue to go about his/her usual activities. C. Have t...

35. A nurse is caring for a 6-month-old infant who has colic and vomiting who will be undergoing testing to rule out intussusception. Which of the following would be the appropriate treatment for intussusception? 36. A nurse is caring for a child who has a vesicular rash. The parent asks the nurse what illness can cause the rash. Which of the following is the most appropriate response for the nurse to give? 37. A nurse is admitting a child who has an exacerbation of cystic fibrosis. The ...

45. A nurse is assisting with the care of an infant who requires emergency surgery and whose parent is an emancipated adolescent. Which of the following people can sign the informed consent form for the procedure? A. The parent of the adolescent parent B. The adolescent parent C. The infant's provider D. The adult sibling of the adolescent parent 46. A nurse is reinforcing teaching with the guardian of a 1-month-old infant who has colic. Which of the following instructions should the nur...

45. A nurse is reinforcing teaching with the guardian of a child who has a new diagnosis of rheumatic fever. Which of the following statements by the guardian indicates an understanding of the teaching? 46. A nurse is preparing to assist a provider with a lumbar puncture for a school-age child. Which of the following actions is the nurse's priority? 47. A nurse is reinforcing teaching with the guardian of a child who has a new prescription for levalbuterol solution for use in a nebulize...

50. A nurse is providing teaching to the parent of an infant who has diaper dermatitis. The nurse should instruct the parent to apply which of the following to the affected area? 51. A nurse is caring for a school-age child who is receiving chemotherapy and is severely immune-compromised. Which of the following actions should the nurse take? 52. A nurse is assessing a toddler who has gastroenteritis and is exhibiting manifestations of dehydration. Which of the following findings is the...

35. A nurse is caring for a 4-year-old child who has pneumonia. The child's mother left 2 hours ago, and he is currently experiencing the separation anxiety stage of despair. Which of the following findings should the nurse expect? 36. A nurse is caring for an 8-year-old child who has sickle cell anemia. Which of the following actions should the nurse take first? 37. A nurse is teaching the parents of a child who has cerebral palsy. Which of the following statements should the nurse m...

25. A nurse is reinforcing teaching with the parents of a 4 month old infant who has gastro esophageal reflux. Which of the following statements by the parent indicates an understanding of the teaching? 26. A nurse is caring for a 2 day old infant who has a myelomeningocele. Which of the following actions should the nurse take? 27. A nurse is assessing the pain level of a 3 year old child who is postoperative following abdominal surgery. Which of the following pain scales should the nu...

55. A nurse is admitting a child who has pertussis. Which of the following transmission-based precautions should the nurse initiate? A. Airborne - is any bacteria small enough to warrant airborne percautions? B. Contact C. Protective D. Droplet 56. A nurse is assessing a toddler who has a history of lead poisoning. Which of the following actions should the nurse take? A. Initiate a low-iron diet for lead absorption. B. Inspect the skin for discoloration. C. Obtain a stool specimen for ...

36. A nurse is planning care for a preschool-age child who has autism and is being admitted to the facility. Which of the following actions should the nurse plan to take? Encourage the parents to bring in the child's stuffed animal. Give the child choices when planning daily activities. Administer phenytoin three times per day. Provide a shared room with another child his age. 37. A nurse is admitting a child who has acute lymphocytic leukemia. Which of the following laboratory values sh...

85. A nurse is preparing to administer iron dextran (Proferdex) IM to a school-age child who has iron deficiency anemia. Which of the following actions by the nurse is appropriate? A. Administer the dose in the deltoid muscle. B. Use the Z-track method when administering the dose. C. Avoid injecting more than 2 mL with each dose. D. Massage the injection site for 1 min after administering the dose. 86. A nurse is caring for an infant whose screening test reveals that he may have sickle ...