Before administering a nasogastric feeding to a client hospitalized following a CVA, the nurse aspirates 40mL of residual. The nurse should: A. Replace the aspirate and administer the feeding B. Discard the aspirate and withhold the feeding C. Discard the aspirate and begin the feeding D. Replace the aspirate and withhold… Read More »
A 5-year-old is admitted with acute leukemia. It will be most important to monitor the child for: A. Petechiae and mucosal ulcers B. Bruising and fatigue C. Anorexia and abdominal pain D. Pallor and bleeding Correct Answer: D. Pallor and bleeding Option D: The child with leukemia has low… Read More »
The nurse calculates the amount of an antibiotic for injection to be given to an infant. The amount of medication to be administered is 1.25mL. The nurse should: A. Give the medication in one injection in the ventrogluteal muscle B. Give the medication in one injection in the dorsogluteal muscle C. Divide… Read More »
A client with hypertension has begun an aerobic exercise program. The nurse should tell the client that the recommended exercise regimen should begin slowly and build up to: A. 20–30 minutes three times a week B. 45 minutes two times a week C. 1 hour four times a week D. 1… Read More »
The client scheduled for electroconvulsive therapy tells the nurse, “I’m so afraid. What will happen to me during the treatment?” Which of the following statements is most therapeutic for the nurse to make? A. “You will be given medicine to relax you during the treatment.” B. “The treatment will produce a controlled grand mal seizure.”… Read More »
The physician has ordered an external monitor for a laboring client. If the fetus is in the left occipital posterior (LOP) position, the nurse knows that the ultrasound transducer will be located: A. Over the fetal back B. Over the fetal abdomen C. Near the symphysis pubis D. Near the umbilicus… Read More »
A 9-year-old is admitted with suspected rheumatic fever. Which finding is suggestive of polymigratory arthritis? A. Swelling, inflammation, and effusion of the joints B. Faint areas of red demarcation over the back and abdomen C. Irregular movements of the extremities and facial grimacing D. Painless swelling over the extensor surfaces of… Read More »
The licensed practical nurse is assisting the charge nurse in planning care for a client with a detached retina. Which of the following nursing diagnoses should receive priority? A. Alteration in skin integrity B. Alteration in comfort C. Alteration in mobility D. Alteration in O2 perfusion Correct Answer:… Read More »
A mother brought her 5 year old child to a clinic. The nurse notes that the child’s appearance looks older than she is. After a genetic test, the doctor diagnosed the child with Hutchinson-Gilford syndrome. What is the average life expectancy of the child with this kind of disorder? A. 7 years B.… Read More »
A 4-month-old is diagnosed with atopic dermatitis. Nursing interventions will focus on: A. Preventing infection B. Administering antinausea C. Keeping the skin free of moisture D. Limiting oral fluid intake Correct Answer: A. Preventing infection Option A: The nurse should prevent the infant with atopic dermatitis (eczema)… Read More »