1. The nurse completing the admission assessment of a 3-year-old who is admitted with bacterial meningitis and hydrocephalus. Which assessment evidence
... [Show More] that the child is experiencing increased intracranial pressure (ICP) - Sluggish and unequal pupillary responses
2. A client with acute pancreatitis is admitted with severe, piercing abdominal pain and an elevated serum amylase. Which additional information is the client most likely to report to the nurse?
- Abdominal pain decreases when lying supine
3. A child newly diagnosed with sickle cell anemia (SCA) is being discharged from the hospital. Which information is most important for the nurse to provide the parents prior to discharge?
- Instructions about how much fluid the child should drink daily.
4. To auscultate for a carotid bruit the nurse places the stethoscope at what location (Select the correct location on the image. To change, click on a new location) -
5. After receiving report on an inpatient acute care unit, which client should the nurse assess first?
- The client with a bowel obstruction due to a volvulus who is experiencing abdominal rigidity
6. A teenager presents to the emergency department with palpitations after vaping at a partyThe client is anxious, fearful, and hyperventilatingThe anticipates the developing which acid base imbalance?
- Respiratory alkalosis
7. A with dyspnea is being admitted to the medical unitTo best prepare for the client's arrival, the nurse should ensure that the client's bed is in which?
Picture with the bed sitting up
8. The nurse is taking the blood pressure measurement of a client with Parkinson's disease. Which information in the admission assessment is relevan to the nurse's plan for taking the blood pressure reading? (Select all that apply) - Blurred vision
Flat affect
Frequent syncope
9. While caring for a client's postoperative dressing, the nurse observes purulent drainage at the wound. Before reporting this finding to the healthcare provider, the nurse should review which of the client's laboratory values?
- Culture for sensitive organisms.
10. A preschool aged boy is admitted to the pediatric unit following successful resuscitation from a near -drowning incident While providing to the child , the nurse begins with brother who rescued the child from the swimming pool and initiated resuscitation The nurse notices the older boy becomes withdrawn when asked about what happened Which action should the nurse take ?
- Ask the older brother how he felt during the incident [Show Less]