The nurse is caring for a pre-adolescent client in skeletal Dunlop traction. Which nursing intervention is appropriate for this child?The nurse is
... [Show More] assessing a healthy child at the 2 year check up. Which of the following should the nurse report immediately to the health care provider?The parents of a 2 year-old child report that he has been holding his breath whenever he has temper tantrums. What is the best action by the nurse?The nurse is assessing a client in the emergency room. Which statement suggests that the problem is acute angina?The nurse is assessing the mental status of a client admitted with possible organic brain disorder. Which of these questions will best assess the function of the client's recent HESI A2 memory?In planning care for a 6 month-old infant, what must the nurse provide to assist in the development of trust?A nurse has just received a medication order which is not legible. Which statement best reflects assertive communication?What is the most important consideration when teaching parents how to reduce risks in the home?A 35 year-old client with sickle cell crisis is talking on the telephone but stops as the nurse enters the room to request something for pain. The nurse shouldWhile caring for a toddler with croup, which initial sign of croup requires the nurse's immediate attention?A client is admitted with low T3 and T4 levels and an elevated TSH level. On initial assessment, the nurse would anticipate which of the following assessment findings?The emergency room nurse admits a child who experienced a seizure at school. The father comments that this is the first occurrence, and denies any family history of epilepsy. What is the best response by the nurse?Alcohol and drug abuse impairs judgment and increases risk taking behavior. What nursing diagnosis best applies?The nurse is caring for a 10 month-old infant who is has oxygen via mask. It is important for the nurse to maintain patency of which of these areas?The nurse is providing instructions for a client with pneumonia. What is the most important information to convey to the client?When counseling a 6 year old who is experiencing enuresis, what must the nurse understand about the pathophysiological basis of this disorder?The nurse is discussing negativism with the parents of a 30 month-old child. How should the nurse tell the parents to best respond to this behavior?The nurse is talking by telephone with a parent of a 4 year-old child who has chickenpox. Which of the following demonstrates appropriate teaching by the nurse?The nurse is assigned to a client who has heart failure. During the morning rounds the nurse sees the client develop sudden anxiety, diaphoresis and dyspnea. The nurse auscultates, crackles bilaterally. Which nursing intervention should be performed first?The nurse is caring for a toddler with atopic dermatitis. The nurse should instruct the parents toA recovering alcoholic asked the nurse, "Will it be ok for me to just drink at special family gatherings?" Which initial response by the nurse would be best?. In taking the history of a pregnant woman, which of the following would the nurse recognize as the primary contraindication for breast feeding?A client is receiving nitroprusside IV for the treatment of acute heart failure with pulmonary edema. What diagnostic lab value should the nurse monitor in relation to this medication?A victim of domestic violence tells the batterer she needs a little time away. How would the nurse expect that the batterer might respond?A postpartum mother is unwilling to allow the father to participate in the newborn's care, although he is interested in doing so. She states, "I am afraid the baby will be confused about who the mother is. Baby raising is for mothers, not fathers." The nurse's initial intervention should be what focus?A client with emphysema visits the clinic. While teaching about proper nutrition, the nurse should emphasize that the clientWhich of these parents’ comment for a newborn would most likely reveal an initial finding of a suspected pyloric stenosis?The nurse is assessing a child for clinical manifestations of iron deficiency anemia. Which factor would the nurse recognize as cause for the findings? [Show Less]