A nurse is assisting in the care of a newborn who has a high-pitched cry and does not respond to consoling efforts. Which of the following neonatal data
... [Show More] collection tools should the nurse expect to complete? - ....ANSWER....Neonatal Abstinence Scoring System
A nurse is reinforcing teaching about newborn umbilical cord care with a client who is postpartum. Which of the following statements should the nurse identify as an indication that the client understands the instructions? - ....ANSWER...."I will report any drainage from my baby's umbilical cord."
A nurse on a postpartum unit is assisting in the care of a client who is experiencing hypovolemic shock. Which of the following actions should the nurse take? - ....ANSWER....Insert an indwelling urinary catheter
A nurse in an antepartum clinic is reinforcing teaching about how to prevent supine hypotension with a client who is at 16 weeks of gestation. Which of the following responses by the client indicates an understanding of
the teaching? - ....ANSWER...."I will lie on my left side with my head elevated on a pillow."
A nurse is assisting in the care of a newborn who is large for gestational age and is jittery. Which of the following actions should the nurse take first? - ....ANSWER....Check the newborn's blood glucose level
A nurse is assisting with the care of a client who is at 39 weeks of gestation. Which of the following statements should alert the nurse as a sign of a potential complication? - ....ANSWER...."I have pain in my upper right abdomen."
A nurse is planning to perform a blood collection via heel stick on a newborn. After performing hand hygiene and donning gloves, which of the following actions should the nurse plan to take next? - ....ANSWER....Wrap the newborn's heel with a cloth moistened with warm water
A nurse is reinforcing teaching about newborn home safety precautions with a group of parents. Which of the following instructions should the nurse include? - ....ANSWER...."You should ensure that crib slats are no more than 2.25 inches apart."A
The nurse is continuing to care for the adolescent. Which of the following should the nurse take? -
....ANSWER....Administer ceftriaxone into the ventrogluteal muscle Reinforce education to the adolescent about safe sex practice
The nurse should anticipate a provider's prescription for - ....ANSWER....Ceftriaxone Doxycycline
The nurse is reviewing the provider's prescription in the adolescent's medical chart. The nurse should first implement... - ....ANSWER....Reinforcing education on medication Administering ceftriaxone
A nurse is reinforcing teaching about breastfeeding with a client who has a 12-hr-old newborn. Which of the following statements should the nurse identify as an indication that the client understands the instructions? - ....ANSWER...."I should wake up my baby to feed during the night"
A nurse in a prenatal clinic is assisting in the care of a client who is at 16 weeks of gestation and has a positive hepatitis B test result. Which of the following actions should the nurse take? - ....ANSWER....Explain to the client that they will receive the hepatitis B immune globulin immediately
A nurse is assisting with the care of a client who is postpartum and is receiving lactated Ringer's 1,500 ml
IV to infuse over 10 hr. The nurse should verify that the IV pump's setting will deliver how many mL/hr? - ....ANSWER....150 mL/hr
A nurse is contributing to the plan of care for a client who is pregnant and has intermittent constipation. Which of the following interventions should the nurse recommend in the plan? - ....ANSWER....Drink 2 L of water per day
A nurse is reinforcing teaching about food source high in folate with a group of clients who are pregnant. Which of the following foods should the nurse recommend to this group as the best source of folate? - ....ANSWER....1/2 cup dried peas
A nurse is collecting data from a client who is receiving magnesium sulfate IV for preeclampsia. The nurse should identify which of the following findings as an indication of toxicity to report to the provider? - ....ANSWER....Respiratory rate 10/min
A nurse on a postpartum unit is organizing care for a group of clients after receiving change-of-shift report. Which of the following clients should the nurse plan to see first? - ....ANSWER....A client who is receiving methylergonovine and has a blood pressure of 148/96 mm Hg
A nurse is preparing to administer phytonadione to a newborn. The nurse should plan to administer the
medication by which of the following routes? - ....ANSWER....Intramuscular
A nurse is collecting data from a client who is primigravida and has hyperthyroidism. Which of the following findings should the nurse expect? - ....ANSWER....Diaphoresis
A nurse is reinforcing family planning options with a client who is requesting information about contraceptives. Which of the following client statements indicates an understanding of the teaching? - ....ANSWER...."I can use water-soluble lubricant when my partner wears a latex condom"
A nurse is planning to administer terbutaline to a client who is experiencing preterm labor. Which of the following routes of administration should the nurse plan to use? - ....ANSWER....Subcutaneous
A nurse is collecting data from a newborn whose mother had gestational diabetes mellitus. Which of the following findings should the nurse report to the provider? - ....ANSWER....Hypoglycemia
A nurse in a prenatal clinic is assisting in the care of a group of clients. Which of the following clients should the nurse recommend the provider see first? - ....ANSWER....A client who is at 37 weeks of gestation and reports a persistent headache
A nurse is assisting in the care of a client following a cesarean birth. Which of the following actions should the nurse take to decrease the client's risk of [Show Less]