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Module 3 Exam 1.ID: 0 The mother of a 3-year-old child tells the nurse that her child hit her doll after the mother scolded her for picking the neighbors’ flowers. Which defense mechanism used by the child does the nurse identify in the mother’s report? · Displacement Correct · Sublimation · Identification · Projection Rationale: The defense mechanism of displacement involves the discharge of intense feelings for one person onto a substitute person or object that is less threat...

A drunken client is awaiting treatment in the emergency department. The client becomes loud and aggressive when told that there will be a short delay before treatment. Which response by the nurse is therapeutic? A. Waiting until the behavior escalates before intervening B. Attempting to talk with the client to deescalate the behavior C. Informing the client, “You will be asked to leave if this behavior continues.” D. Offering to take the client to an examination room until treatment ...

Peripheral Vascular System(PV)  Branching network of vessels that transports oxygenated blood to all body organs, tissues & then returns it to the heart for reoxygenation in the lungs Arterie s  Carry oxygenated blood, nutrient rich blood from the heart to the capillaries  High-pressure system  Thick, layered walls  Pulse = force of blood against arterial walls felt with heart beat Major Arteries of the Arm  Brachial  Major artery supplying arm  Palpated medial to the bic...

) Calcium Channel Blockers Action: "a very nice drug" blocks calcium access to the cells, causing: amlodipine (Norvasc) dec heart contractility verapamil (Calan Isoptin) dec conductivity of the heart nifedipine (Procardia) dec demand for oxygen diltiazem (Cardizem) 4) Alpha Blockers Action: end in -azosin stimulate central alpha-receptors, which dec sympathetic outflow from the CNS doxazosin (Cardura) causing a dec in peripheral vascular resistance + a slight dec in cardiac output ...

The Ionian philosophers believed that a. nature was manipulated by arbitrary and willful gods. b. nature was governed by blind chance and therefore unknowable. c. nature could be thoroughly and persuasively explained by earlier creation legends. d. nature contains a hidden structure that is ascertainable by the human mind. Hide Feedback Parmenides' fundamental belief was a. that the matter in the world could be destroyed and reformed an infinite number of times. b. that the sense...

The father of an 8 month-old infant asks the nurse if his infant's vocalizations are normal for his age. Which of the following would the nurse expect at this age? A) Cooing B) Imitation of sounds C) Throaty sounds D) Laughter The correct answer is B: Imitation of Sounds 33. The nurse should recognize that physical dependence is accompanied by what findings when alcohol consumption is first reduced or ended? A) Seizures B) Withdrawal C) Craving D) Marked tolerance The correct a...

. A client with diabetes has a blood sugar is 306 this morning. After the nurse reports this lab result and the client's symptoms of excessive hunger and thirst, what would the nurse expect the health care provider to order? A) Orange juice B) Regular insulin C) NPH Insulin D) Repeat blood sugar level The correct answer is B: Regular insulin 32. The nurse is planning to administer otic drops to a 6 year-old child. Which of the following is the correct procedure? A) Hold the pinna ...

Tina Jones Objective HEENT | Completed | Shadow Health 3 | NSG 516

A nurse provides home care instructions to a client with coronary artery disease (CAD) who is being discharged from the hospital. Which statement by the client indicates a need for further instruction? A. "I need to carry my nitroglycerin with me at all times." B. "I need to check my pulse before, during, and after exercise." C. "I need to avoid foods with saturated fats and foods high in cholesterol." D. "I need to participate in aerobic and weightlifting exercise three times a week...

The nurse is aware that nutrition is an important aspect of care for a client with hepatitis. Which of the following diets would be most therapeutic? A. High protein and low carbohydrate B. Low calorie and low protein C. High carbohydrate and high calorie D. Low carbohydrate and high calorie Correct Answer: C Section: (none) Explanation Explanation/Reference: Explanation: (A) Protein increases the workload of the liver. Increased carbohydrates provide needed calories and promote palata...

The nurse is attending a workshop about caring for persons infected with Hepatitis. Which statement is correct when referring to the incidence rate for Hepatitis? A) The number of persons in a population who develop Hepatitis B during a specific period of time B) The total number of persons in a population who have Hepatitis B at a particular time C) The percentage of deaths resulting from Hepatitis B during a specific time D) The occurrence of Hepatitis B in the population at a particular...

A child is receiving total parenteral nutrition (TPN). During TPN therapy, the most important nursing action is: You Selected: • monitoring the blood glucose level closely. Correct response: • monitoring the blood glucose level closely. Question 31 A 9-year-old client is brought to the emergency department with a sutured wound with purulent drainage. The area around the wound is red and warm to the touch, and the child is febrile. The parents want to know the significance of the...

A client is admitted with an epidural hematoma that resulted from a skateboarding accident. To differentiate the vascular source of the intracranial bleeding, which finding should the nurse monitor?  Rapid onset of decreased level of consciousness. 92. The nurse finds a client at 33 weeks gestation in cardiac arrest. What adaptation to cardiopulmonary resuscitation (CPR) should the nurse implement?  Position a firm wedge to support pelvis and thorax at 30 degree tilt. 93. When prepa...

While caring for a client who was admitted with myocardial infarction (MI) 2 days ago, the nurse notes today's temperature is 101.1 degrees Fahrenheit (38.5 degrees Celsius). The appropriate nursing intervention is to A) Call the health care provider immediately B) Administer acetaminophen as ordered as this is normal at this time C) Send blood, urine and sputum for culture D) Increase the client's fluid intake The correct answer is B: Administer acetaminophen as ordered as this ...

A nurse is monitoring a client after vaginal delivery notes a constant trickle of bright-red blood from the client’s vagina. In which order would the nurse perform the following actions? Assign the number 1 to the first action and the number 5 to the last.Correct A Assessing the client’s fundus B Checking the client’s vital signs C Contacting the health care provider D Changing the client’s peripads E Documenting the findings
Rationale: A constant trickle of bright-red blood...

A nurse assists the health care provider in performing an amniotomy on a client in labor. In which order should the nurse perform the following actions after the amniotomy? Assign the number 1 to the first action and the number 5 to the last action.
Correct A. Determining the fetal heart rate B. Noting the quantity, color, and odor of the amniotic fluid C. Taking the client’s temperature, pulse, and blood pressure D. Replacing soiled underpads from beneath the client’s buttocks E....

The nurse is teaching a client with newly diagnosed diabetes mellitus who has been prescribed NPH insulin how to recognize the signs of hypoglycemia. The client states that he must look for certain signs and symptoms in the late afternoon, indicating to the nurse that he has understood the instructions. What are these signs and symptoms? Select all that apply. A. Shakiness Correct B. Drowsiness C. Blurred vision Correct D. Increased thirst E. Feelings of hunger Correct F. Nausea and v...

A nurse is assigned to care for four clients on the medical-surgical unit. Which client should the nurse see first on the shift assessment? A. A client admitted with pneumonia with a fever of 100° F (37.8°C) and some diaphoresis B. C. A client with congestive heart failure with clear lung sounds on the previous shift D. A client with new-onset of shortness of breath (SOB) and a history of pulmonary edema Correct E. A client undergoing long-term corticosteroid therapy with mild bruisi...

A client is being assessed for post-partum depression. Which actions by the client would indicate a need for follow-up by the nurse? Select all that apply. A. Not responding to the infant’s cries. Correct B. Crying after talking with spouse on the phone. Correct C. Stating that family was not supportive of the pregnancy. Correct D. Making statements about being fat and unattractive now. Correct E. Stating that that the infant latched on properly during a feeding.
Rationale: The weeks ...

The charge nurse is making a client assignment for the upcoming shift. In order to create a safe assignment, the charge nurse plans to assign those clients requiring airborne precautions amongst different nurses. Which clients should be assigned to different nurses? Select all that apply. A. A client with measles. Correct B. A client with C. difficle. C. A client with influenza. Incorrect D. A client with pneumonia. E. A client with tuberculosis. Correct
Rationale: Airborne precaution...