A home health nurse is evaluating a school-age child who has cystic fibrosis. The
nurse should initiate a request for high-frequency chest compression
... [Show More] vest in
response to which of the following parent statements?
"My child doesn't like to sit still for nebulizer treatments."
"I think that my child has been running a fever over the last couple of days."
"My child has only a small amount of mucus after percussion therapy."
"I am concerned about my child's future participation in team sports."
- "My child has only a small amount of mucus after percussion therapy."
A nurse is caring for a client who has type 1 diabetes mellitus and reports severe
ankle pain after falling off a stepstool at home. Which of the following
prescriptions should the nurse clarify with the provider?
Obtain capillary blood glucose level every 2 hr.
Check the neurovascular status of the client's lower extremities every hour.
Apply a cold pack to the client's ankle for 30 min every hour.
Maintain the affected ankle elevated and immobilized.
- Apply a cold pack to the client's ankle for 30 min every hour.
A nurse is assessing a newborn who is 2 hr old. Which of the following findings
should the nurse report to the provider?
Slightly blue hands and feet
Respiratory rate 40/min
Axillary temperature 36.2C (97.2F)
Apical pulse 136/min - Axillary temperature 36.2C (97.2F)
A nurse is caring for a client who is 3 days postoperative following a T4 spinal
cord injury.
Drag 1 condition and 1 client finding to fill in the blank in the following sentence.
The client is at risk for developing ____ due to ____. - The client is at risk for
developing HEMORRHAGIC STROKE due to AUTONOMIC DYSREFLEXIA.
A nurse is caring for a school-age child.For each assessment finding, click to specify if the finding is consistent with
attention deficit hyperactivity disorder (ADHD) or intellectual disability (ID). Each
finding may support more than 1 disease process. - ADHD- Hyperreactivity to
sensory input, Interrupting others, Losing necessary things, Intellectual impairment
ID- Impaired language skills, Intellectual impairment
A nurse is caring for a newly admitted client.
Select 2 findings that require immediate follow-up.
- Haemoglobin
Platelet count
A nurse is caring for a newborn.
Complete the following sentence by using the list of options.
The nurse should plan to first assess the newborn's ______followed by the
newborn's_______. - The nurse should plan to first assess the newborn's
RESPIRATORY RATE followed by the newborn's HEART RATE.
A nurse is caring for a client who is 24 hr postoperative following a caesarean
birth.
Drag 1 condition and 1 client finding to fill in the blank in the following sentence.
The client is at risk for developing ____ as evidenced by _____. - The client is at
risk for developing SEIZURES as evidenced by BLOOD PRESSURE.
A nurse on a medical-surgical unit is caring for a client who is postoperative
following an emergency appendectomy.
Complete the diagram.
- Potential condition:
Varicose veins
Actions to take:
Elevate the extremity
Apply graduated compression stockingsParameters to monitor:
Oedema of right lower extremity
Pruritis of right lower extremity
A nurse on a mental health unit is caring for a client.
For each potential provider's prescription, click to specify if the potential
prescription is anticipated or contraindicated.
- Anticipated:
Initiate suicide precautions
Potassium 40 mEq PO daily
Contraindicated:
Low-sodium diet
Fluoxetine 20 mg PO daily
A nurse is caring for a client in the emergency department (ED).
The nurse is planning care for the client. Select the 5 actions the nurse should plan
to take. –
-Perform a Clinical Institute Withdrawal Assessment for Alcohol (CIWA-Ar)
-Initiate seizure precautions
-Administer chlordiazepoxide
-Administer thiamine
-Maintain a low-stimulation environment
A nurse is caring for a client in the inpatient psychiatric unit.
Based on the assessment findings, which of the following actions should the nurse
take? Select all that apply. –
-Ensure the client does not have access to sharp objects
-Observe the client swallow all prescribed medications
-Assess the client's method of lethality
-Provide one-on-one observation
For each assessment finding, click to specify if the finding is consistent with
attention deficit hyperactivity disorder (ADHD) or intellectual disability (ID). Each
finding may support more than 1 disease process. - ADHD- Hyperreactivity to
sensory input, Interrupting others, Losing necessary things, Intellectual impairment
ID- Impaired language skills, Intellectual impairment
A nurse is caring for a newly admitted client.
Select 2 findings that require immediate follow-up.
- Haemoglobin
Platelet count
A nurse is caring for a newborn.
Complete the following sentence by using the list of options.
The nurse should plan to first assess the newborn's ______followed by the
newborn's_______. - The nurse should plan to first assess the newborn's
RESPIRATORY RATE followed by the newborn's HEART RATE.
A nurse is caring for a client who is 24 hr postoperative following a caesarean
birth.
Drag 1 condition and 1 client finding to fill in the blank in the following sentence.
The client is at risk for developing ____ as evidenced by _____. - The client is at
risk for developing SEIZURES as evidenced by BLOOD PRESSURE.
A nurse on a medical-surgical unit is caring for a client who is postoperative
following an emergency appendectomy.
Complete the diagram.
- Potential condition:
Varicose veins
Actions to take:
Elevate the extremity
Apply graduated compression stockingsParameters to monitor:
Oedema of right lower extremity
Pruritis of right lower extremity
A nurse on a mental health unit is caring for a client.
For each potential provider's prescription, click to specify if the potential
prescription is anticipated or contraindicated.
- Anticipated:
Initiate suicide precautions
Potassium 40 mEq PO daily
Contraindicated:
Low-sodium diet
Fluoxetine 20 mg PO daily
A nurse is caring for a client in the emergency department (ED).
The nurse is planning care for the client. Select the 5 actions the nurse should plan
to take. –
-Perform a Clinical Institute Withdrawal Assessment for Alcohol (CIWA-Ar)
-Initiate seizure precautions
-Administer chlordiazepoxide
-Administer thiamine
-Maintain a low-stimulation environment
A nurse is caring for a client in the inpatient psychiatric unit.
Based on the assessment findings, which of the following actions should the nurse
take? Select all that apply. –
-Ensure the client does not have access to sharp objects
-Observe the client swallow all prescribed medications
-Assess the client's method of lethality
-Provide one-on-one observation [Show Less]