A 2-year-old is to be admitted in the pediatric unit. He is diagnosed with febrile seizures. In preparing for his admission, which of the following is the most important nursing action? A. Place a urine collection bag and specimen cup at the bedside B. Order a stat admission CBC C. Pad the side rails… Read More »
You are caring for a newly admitted client with increasing dyspnea and dehydration who has possible avian influenza (bird flu). Which of these prescribed actions will you implement first? A. Provide oxygen using a non-rebreather mask B. Infuse 5% dextrose in water at 75ml/hr C. Administer the first dose of oseltamivir (Tamiflu) … Read More »
David, age 15 months, is recovering from surgery to remove Wilms’ tumor. Which findings best indicate that the child is free from pain? A. Increased heart rate B. Decreased urine output C. Increased interest in play D. Decreased appetite Correct Answer: C. Increased interest in play One of the… Read More »
A young adult is being treated for second and third-degree burns over 25% of his body and is now ready for discharge. The nurse evaluates his understanding of discharge instructions relating to wound care and is satisfied that he is prepared for home care when he makes which statement? A. “I will need to… Read More »
A hospitalized 88-year-old client who has been receiving antibiotics for 10 days tells you that he is having frequent watery stools. Which action will you take first? A. Obtain stool specimens for culture B. Place the client on contact precaution C. Notify the physician about the loose stools D. Instruct the client… Read More »
When planning care for a 8-year-old boy with Down syndrome, the nurse should: A. Plan interventions according to the developmental level of a 7-year-old child because that’s the child’s age B. Plan interventions according to the developmental levels of a 5-year-old because the child will have developmental delays C. Assess the child’s… Read More »
An eighty-five-year-old man was admitted for surgery for benign prostatic hypertrophy. Preoperatively he was alert, oriented, cooperative, and knowledgeable about his surgery. Several hours after surgery, the evening nurse found him acutely confused, agitated, and trying to climb over the protective side rails on his bed. The most appropriate nursing intervention that will calm an agitated client… Read More »
Which of the following information about a client who has meningococcal meningitis has the best indicator that you can discontinue droplet precautions? A. Pupils are equal and reactive to light B. Temperature is lower than 100°F (37.8°C) C. Appropriate antibiotics have been given for 24 hours D. Cough is productive of clear, nonpurulent… Read More »
Nurse Vincent is teaching the parents of a school-age child. Which teaching topic should take priority? A. Explaining normalcy of fears about body integrity B. Keeping a night light on to allay fears C. Prevent accidents D. Encouraging the child to dress without help Correct Answer: C. Prevent… Read More »
Ms. Smith is admitted for internal radiation for cancer of the cervix. The nurse knows the client understands the procedure when she makes which of the following remarks the night before the procedure? A. She says to her husband, “Please bring me a hamburger and french fries tomorrow when you come. I hate hospital… Read More »