An 8-year-old admitted with an upper-respiratory infection has an order for O2 saturation via pulse oximeter. To ensure an accurate reading, the nurse should: A. Place the probe on the child’s abdomen B. Calibrate the oximeter at the beginning of each shift C. Apply the probe and wait 15 minutes before obtaining… Read More »
The nurse is teaching a client with a history of obesity and hypertension regarding dietary requirements during pregnancy. Which statement indicates that the client needs further teaching? A. “I need to drink at least a quart of milk a day.” B. “I need to reduce my daily intake to 1,200 calories a day.” C.… Read More »
A client is admitted with acute adrenal crisis. During the intake assessment, the nurse can expect to find that the client has: A. Low blood pressure B. Slow, regular pulse C. Warm, flushed skin D. Increased urination Correct Answer: A. Low blood pressure Option A: Acute adrenal… Read More »
The nurse is caring for a client with detoxification from alcohol. Which medication is used in the treatment of alcohol withdrawal? A. Antabuse (disulfiram) B. Romazicon (flumazenil) C. Dolophine (methadone) D. Librium (chlordiazepoxide) Correct Answer: D. Librium (chlordiazepoxide) Option D: Benzodiazepines such as chlordiazepoxide are a classification… Read More »
A child is hospitalized with a fractured femur involving the epiphysis. Epiphyseal fractures are serious because: A. Normal bone growth is affected B. Callus formation prevents bone healing C. Bone marrow is lost through the fracture site D. Blood supply to the bone is obliterated Correct Answer:… Read More »
A client with human immunodeficiency syndrome has gastrointestinal symptoms, including diarrhea. The nurse should teach the client to avoid: A. Processed meat B. Pasteurized milk C. Raw fruits and vegetables D. Calcium-rich foods Correct Answer: C. Raw fruits and vegetables Option C: The client with HIV should adhere… Read More »
The nurse is teaching the mother of a child with cystic fibrosis how to do postural drainage. The nurse should tell the mother to: A. Use the heel of her hand during percussion B. Change the child’s position every 20 minutes C. Do percussion after the child eats and at bedtime … Read More »
The doctor has prescribed a diet high in vitamin B12 for a client with pernicious anemia. Which foods are highest in B12? A. Meat, eggs, dairy products B. Oysters, raisins, veal C. Broccoli, cauliflower, cabbage D. Shrimp, legumes, bran cereals Correct Answer: A. Meat, eggs, dairy products Option A:… Read More »
A client receiving hydrochlorothiazide is instructed to increase her dietary intake of potassium. The best snack for the client requiring increased potassium is: A. Pear B. Apple C. Orange D. Avocado Correct Answer: D. Avocado Option D: The fruit which packs the most potassium among the choices is the… Read More »
The nurse is formulating a plan of care for a client with a cognitive disorder. Which activity is most appropriate for the client with confusion and a short attention span? A. Meeting with an assertiveness training group B. Participating in unit community goal setting C. Going on a field trip with a group of… Read More »