Nightingale College

Summary During the toddler years, children change rapidly. Changes occur in physical growth, motor-skill development, and cognitive/social development. The rapid changes in motor skills and the toddler's inability to make judgements about the safety of actions place the toddler at risk for unintentional injury. The importance of safety regarding the most common injuries of the toddler period, including aspiration, burns, drowning, and falls, should be communicated to parents of toddlers. The...

1. Which nursing instruction is appropriate to give a pregnant woman who will be travelling in a car for 8 hours? Decrease fluid intake. Drive with minimal stops. Avoid travel by automobile. Stop frequently to walk. - Answer Stop frequently to walk. 2. For which reasons would patient education focus on smoking cessation during pregnancy? Select all that apply. Risk for low blood sugar Risk for premature birth Risk for congenital anomalies Risk for increased fetal circulation Ri...

1. Place the steps in the order in which they would be applied to perform Leopold maneuvers. Palpate for the fetal back. Palpate the suprapubic area to confirm presentation. Determine if head is flexed (vertex) or extended (face). Palpate the uterine fundus. - Answer Palpate the uterine fundus. Palpate for the fetal back. Palpate the suprapubic area to confirm presentation. Determine if head is flexed (vertex) or extended (face). 2. Which clinical conditions must be met before pla...

Question 1 of 6 Which maternal response to pregnancy is consistent with the mother washing and folding baby clothes and cleaning the home? Anxiety Nesting Narcissism Emotional lability - Answer Nesting Nesting is the sudden surge of energy typically seen in the third trimester (last month) of pregnancy. Nesting is a maternal response to prepare for the impending birth. Question 2 of 6 Which maternal adaptation is appropriate when understanding and guiding a patient through her accep...

1. The caregiver of a patient with suspected pancreatitis asks the nurse why both serum amylase and serum lipase tests are being done if they are both enzymes related to the pancreas. Which explanation by the nurse accurately explains why both are being done? "The serum amylase and lipase are decreased in acute pancreatitis." "These tests are always done at the same time to determine severity." "Serum amylase diagnoses pancreatitis; lipase determines if it is acute or chronic...

A 4-year old child was recently admitted to the hospital and has orders for an intravenous (IV) line to be started. Which of the following is an acceptable IV insertion site for a child? -The scalp -The antecubital space -Ventral surface of the wrist -The forearm - Answer -The forearm The nurse is informing the patient of actions that may be taken to promote venous distention. Which statement, if made by the patient, indicates further instruction is needed? (SATA) -"I nee...

A patient is diagnosed with type 1 diabetes. Which statement correctly describes the pathophysiology of this condition? Cells cannot process insulin already present in the body. Antibodies to potassium receptors cause gradual hyperglycemia. Recurrent inflammation of the pancreas causes insulin resistance. The body develops an immune reaction against cells in the pancreas. - Answer The body develops an immune reaction against cells in the pancreas. Type 1 diabetes often results from an au...

Which client situation is most appropriate for the nurse to consult with the Rapid Response Team (RRT)? A.A 56-year-old client, fourth hospital day after coronary artery bypass procedure, sore chest, pain with walking, temperature 97° F (36.1° C), heart rate 84 beats/min, respirations 22 breaths/min, blood pressure 122/78 mm Hg, bored with hospitalization. B.A 45-year-old client, 2 years after kidney transplant, second hospital day for treatment of pneumonia, no urine output for 6 hours, t...

A patient has a nasogastric feeding tube. The nurse is aware of the need to monitor the patient for potential complications. Which of the following symptoms, if demonstrated by the patient, would potentially indicate the greatest risk related to tube feedings? - Answer B. Dyspnea Rationale Aspiration, generally from tube displacement, is the greatest risk related to tube feedings. Diarrhea may be an unexpected outcome, and abdominal distention may be an indication of intolerance of the ...

The nurse reviews the health record of a client with melasma. The nurse would anticipate that this client will exhibit: - Answer Blotchy brown macules across the cheeks and forehead The client with cellulitis of the lower leg has had cultures done on the affected area. The nurse reviewing the results of the culture report interprets that which of the following organisms is not part of the normal flora of the skin? - Answer Escherichia coli The client complains of chronic pruritus. Wh...