A client receiving chemotherapy for breast cancer has an order for Zofran (ondansetron) 8 mg PO to be given 30 minutes before induction of the chemotherapy. The purpose of the medication is to: A. Prevent anemia B. Promote relaxation C. Prevent nausea D. Increase neutrophil counts Correct… Read More »
A 3-year-old is admitted due to suspected intussusception. Which finding is associated with intussusception? A. Projectile vomiting B. Loose-foul smelling stools C. ” Red currant jelly” stools D. “Ribbon-like” stools Correct Answer: C. “Red currant jelly” stools Option C: An intussusception is a form of bowel obstruction… Read More »
The nurse has taken the blood pressure of a client hospitalized with methicillin-resistant staphylococcus aureus (MRSA). Which action by the nurse indicates an understanding regarding the care of clients with MRSA? A. The nurse cleans the stethoscope with alcohol and returns it to the exam room. B. The nurse leaves the stethoscope in… Read More »
Which development milestone puts the 4-month-old infant at greatest risk for injury? A. Switching objects from one hand to another B. Crawling C. Standing D. Rolling over Correct Answer: D. Rolling over Option D: At 4 months of age, the infant can roll over, which makes it vulnerable to… Read More »
The nurse is teaching a group of parents about gross motor development of the toddler. Which behavior is an example of the normal gross motor skill of a toddler? A. She can pull a toy behind her B. She can copy a horizontal line C. She can build a tower of eight… Read More »
The nurse is developing a bowel-retraining plan for a client with multiple sclerosis. Which measure is likely to be least helpful to the client: A. Elevating the toilet seat for easy access B. Limiting fluid intake to 1000 mL per day C. Establishing a regular schedule for toileting D. Providing a high-roughage diet… Read More »
A client with hypothyroidism frequently complains of feeling cold. The nurse should tell the client that she will be more comfortable if she: A. Uses an electric blanket at night B. Dresses in extra layers of clothing C. Applies a heating pad to her feet D. Takes a hot bath morning… Read More »
The 5-minute Apgar of a baby delivered by C-section is recorded as 9. The most likely reason for this score is: A. The mottled appearance of the trunk B. The presence of conjunctival hemorrhages C. Cyanosis of the hands and feet D. Respiratory rate of 20–28 per minute Correct… Read More »
The physician has ordered chloramphenicol ear drops for a 2-year-old with otitis media. To administer the ear drops, the nurse should: A. Pull the ear down and back B. Pull the ear straight out C. Pull the ear up and back D. Leave the ear undisturbed Correct… Read More »
A client is being treated for cancer with linear acceleration radiation. The physician has marked the radiation site with a blue marking pen. The nurse should: A. Remove the unsightly markings with acetone or alcohol B. Put a little baby powder over the irradiated area C. Cover the radiation site with a… Read More »