NURS MISC (NURS MISC)

Question 1 See full question A neonate weighing 3 lb, 5 oz (1,503 g) is born at 32 weeks' gestation. During an assessment 12 hours after birth, a nurse notices these signs and symptoms: hyperactivity, a persistent shrill cry, frequent yawning and sneezing, and jitteriness. These symptoms indicate: You Selected:  hypoglycemia. Correct response:  drug dependence. Explanation: Remediation: Question 2 See full question Just after delivery, a nurse measures a neonate's axillary te...

Question 1 See full question A client is scheduled for a creatinine clearance test. What should the nurse do? You Selected:  Instruct the client about the need to collect urine for 24 hours. Correct response:  Instruct the client about the need to collect urine for 24 hours. Explanation: Remediation: Question 2 See full question The nurse is teaching a 17-year-old girl who has a severe gonorrheal infection. The nurse realizes that the girl understands the implications of her dise...

Question 1 See full question A depressed client tells a nurse, "I want to die. Life just isn't worth living." Which response by the nurse is most appropriate? You Selected: • "Of course life is worth living. You'll feel better soon." Correct response: • "This must be a very difficult time for you." Explanation: Remediation: Question 2 See full question A professional artist is admitted to the psychiatric unit for treatment of bipolar disorder. During the previous 2 weeks...

Question 1 See full question When assessing a client who is incontinent for risk for developing a pressure ulcer, the nurse should note which factor that can most alter tissue tolerance and lead to the development of a pressure ulcer? You Selected:  exposure to moisture Correct response:  exposure to moisture Explanation: Remediation: Question 2 See full question The nurse is assessing a hospitalized older client for the presence of pressure ulcers. The nurse notes that the clie...

A well-known client suffers a psychotic break and is admitted to the psychiatric unit. A large group of reporters with cameras is camped out in the hospital parking lot. As a nurse walks to the employee parking after her shift, a reporter asks if she knows anything about the client's conditio Question 1 See full question A client with schizophrenia repeatedly uses profanity during an activity therapy session. Which response by the nurse is appropriate? You Selected:  "Your behavior...

A well-known client suffers a psychotic break and is admitted to the psychiatric unit. A large group of reporters with cameras is camped out in the hospital parking lot. As a nurse walks to the employee parking after her shift, a reporter asks if she knows anything about the client's conditio Question 1 See full question A client with schizophrenia repeatedly uses profanity during an activity therapy session. Which response by the nurse is appropriate? You Selected:  "Your behavior...

Question 1 See full question A nurse is caring for a client with mild active bleeding from placenta previa. Which assessment factor indicates that an emergency cesarean birth may be necessary? You Selected:  Maternal heart rate of 65 beats/minute Correct response:  Fetal heart rate of 80 beats/minute Explanation: Remediation: Question 2 See full question A client with hemolysis, elevated liver enzymes, and low platelet count (HELLP) syndrome is admitted to the labor and delivery...

Question 1 See full question A client gives birth to a stillborn neonate at 36 weeks' gestation. When caring for this client, which strategy by the nurse would be most helpful? You Selected: • Provide information about possible causes of the stillbirth only if the client requests it. Correct response: • Encourage the client to see, touch, and hold the dead neonate. Explanation: Remediation: Question 2 See full question During the postpartum period, a nurse should assess for si...

Question 1 See full question A client in sickle cell crisis has been hospitalized during her pregnancy. After giving discharge instructions, the nurse determines the client needs further teaching when she makes which statement? You Selected:  "I will need more frequent appointments during the remainder of the pregnancy." Correct response:  “I will need to take an iron supplement even if my laboratory values are normal.” Explanation: Remediation: Question 2 See full question ...

A client with stage II ovarian cancer undergoes a total abdominal hysterectomy and bilateral salpingooophorectomy with tumor resection, omentectomy, appendectomy, and lymphadenectomy. During the second postoperative day, which assessment finding requires immediate intervention? You Selected:  Shallow breathing and increasing lethargy Correct response:  Shallow breathing and increasing lethargy