RN COMPREHENSIVE ONLINE
PRACTICE 2023 B EXAM WITH
QUESTIONS AND WELL VERIFIED
ANSWERS[GRADED A+] REAL EXAM
]ACTUAL 100%
A nurse is caring for a
... [Show More] 5-year-old child
Physical Examination:
1510:
Upon visual inspection, throat is inflamed, tonsils appear pink, reddened
and epiglottis is edematous and cherry red in appearance. Skin appears
pale. Stridor noted upon inspiration with diminished bilateral lung sounds.
Nurse's Notes:
1500
Child accompanied to emergency department by caregiver. Caregiver
states child has a sore throat and reports the child has "pain on swallowing"
and denies cough. Child is agitated and lean - ANS✔✔---Condition:
Epiglottis
Actions: Initiate droplet precautions and request a prescription for IV
antibiotics
Monitors: Breath sounds and temperature
The nurse should anticipate initiating droplet precautions and requesting a
prescription for IV antibiotics. The child is most likely experiencing epiglottis
because of the clinical manifestations of a high fever, inflammation and
redness of the throat, pale skin, stridor with inspiration, painful swallowing,
no cough, is sitting in tripod position, and drooling. The nurse should
monitor the child's temperature and breath sounds.
A nurse is caring for a client who is on the spinal cord injury (SCI) unit
Nurses' Notes
Day 3, 1700
Client admitted to SCI unit 3 days ago following C7 injury. Skin is cool,
pale, and dry to touch. Respirations easy and unlabored. Lung sounds
diminished in lower lobes. Abdomen soft and nondistended with active
bowel sounds. Client passed a small amount of hard formed stool this AM.
Indwelling urinary catheter draining clear yellow urine. Deep tendon
reflexes (DTR) are biceps 1+, triceps 1+, pa - ANS✔✔---The client is
most likely experiencing manifestations of pneumonia and autonomic
dysreflexia.
The nurse should analyze cues from the client's manifestations and
determine that the client is most likely experiencing manifestations of
pneumonia and autonomic dysreflexia. A client who has a cervical SCI is at
risk for respiratory complications because spinal innervation to the
respiratory muscles is disrupted. Adventitious breath sounds in the lower
lobes bilaterally and a decrease in oxygen saturation to less than 92% can
indicate pneumonia. The client's sudden increase in blood pressure,
bradycardia, flushing of the skin above the area of the injury, headache,
and blurred vision are manifestations of autonomic dysreflexia, which can
be a life-threatening condition.
A nurse is caring for a client who has abdominal pain
Nurses' Notes
0900
Client reports loss of appetite, weight loss, and fatigue for 1 week. Reports
abdominal pain, 6 on a scale from 0 to 10, for 2 days. Client is a
perioperative nurse, returned 1 week ago from a 2-week mission trip to an
underdeveloped country
1200
Results of antibody studies obtained. Provider prescription for antiviral
medication pending [Show Less]