A nurse is completing an admission assessment on an adolescent child who is a
vegetarian. He eats milk products but does not like beans. Which of the
... [Show More] following
items should the nurse suggest the client order for lunch to provide nutrients most
likely to be lacking in his diet? - Peanut Butter and jelly sandwhich
A nurse is caring for a 1-month old infant who weighs 3540 g and is prescribed a
dose of cephazolin 50mg/kg IV bolus TID. How many mg should the nurse
administer per dose? -
A nurse is preforming a pre-college assessment on an adolescent. Which of the
following immunizations should the nurse anticipate administering? - Meningococcal
polysaccharide vaccine
A nurse is assessing a client who has left-sided heart failure. Which of the following
findings should the nurse expect? - Dependent edema (lower extremities)
A nurse is caring for a client who has active TB and is to be started on IV rifampin
therapy. The nurse should instruct the client that this medication can cause which of
the following adverse effects? - Body secretions turning a red-orange color
A nurse is caring for a 6-week-old infant who as a pyloric stenosis. Which of the
following manifestations should the nurse expect? - Projectile vomiting
A nurse receives a call from a parent of a child who has von Willebrand disease and
has having a nosebleed. Which of the following instructions should the nurse give to
the parents? - "have you child sit with their head tilted forward and hold pressure on
her nose for 10 minutes."
A nurse is assessing a child who is in sickle cell crisis. Which of the following
findings should the nurse expect? - Pain
A nurse is providing preoperative teaching by demonstrating diaphragmatic
breathing to a client who is scheduled for surgery in the morning. Which of the
following actions should the nurse include in the demonstration? - Place both hands
on the sides of her rib cage
A nurse is assessing a 3-year-old child who has aortic stenosis. Which of the
following findings should the nurse expect? (select all that apply). - a. Most common:
Murmur
b. weak pulses, HTN, dizziness, chest pain
A nurse is planning care for a client who has idiopathic thrombocytopenic purpur
(ITP). Which of the following manifestations is the most appropriate for the nurse to
monitor? - Fever?
A nurse is providing teaching to a parent of a child who has Hirschsprung disease is
scheduled for initial surgery. Which of the following statements indicates an
understanding of the teaching? - "I'm glad that my child's ostomy is only temporary."
A school nurse identifies that a child has pediculosis capitis and educates the child's
parents about the condition. Which of the following statements by the parents
indicated an understanding of the teaching? - "all recently used clothes, bedding,
and towels must be washed in hot water."
A nurse is providing dietary teaching to the parents of a newborn who is being
breastfed. The nurse should instruct that the transition to whole milk can occur at
which of the following ages? - 12 months
A nurse is assessing a 6-month old patient at a well-child visit. Which of the following
findings should the nurse expect? - Closed posterior fontanel (8 weeks).
A nurse is caring for a 2-year old child who has seizures and is receiving phenytoin
in suspension form. Which of the following actions should the nurse take before
administering each dose? - Shake the container vigorously.
A nurse is planning care for a female client who has a T4 spinal cord injury and is at
risk for acquiring urinary tract infections. Which of the following actions should the
nurse include in the
client's plan of care? - Encourage fluid intake at and between meals
A nurse is planning care for a child who has suspected epiglottis. Which of the
following actions should the nurse take? - place the child in an upright position
A nurse is instructing a group of clients regarding calcium rich food. Which of the
following should the nurse include in the teaching as the best source of calcium? - 1
cup milk
A nurse is caring for an 8-month-old infant who screams when the parent leaves the
room. The parent begins to cry and says " I don't understand why my child is so
upset. I've never seen my child act this way around others before." Which of the
following statements should the nurse make? - "This is a normal, expected reaction
for a child of this age."
A nurse is caring for a 4-year-old child who is resistant to taking medication. Which
of the following strategies should the nurse use to elicit the child's cooperation? -
Offer the child a choice of taking it with juice or water.
A nurse is caring for a client who requires droplet precautions. Which of the following
personal protective equipment should the nurse wear when setting up the meal tray?
- Mask
A nurse is teaching a client who has asthma about how to use an albuterol inhaler.
Which of the following actions by the client indicates an understanding of the
teaching? - The client holds his breath 10 seconds after inhaling the medication
A nurse is caring for a 2-month-old infant who is post-operative following surgical
repair of a cleft lip. Which of the following actions should the nurse take? -
Administer ibuprofen as needed for pain. [Show Less]