The nurse is providing dietary teaching for a client with gout. Which dietary selection is suitable for the client with gout? A. Broiled liver, macaroni, and cheese, spinach B. Stuffed crab, steamed rice, peas C. Lamb, pasta salad, asparagus casserole D. Roast chicken breast, baked potato, tossed salad … Read More »
Before administering a client’s morning dose of Lanoxin (digoxin), the nurse checks the apical pulse rate and finds a rate of 52. The appropriate nursing intervention is to: A. Record the pulse rate and administer the medication B. Administer the medication and monitor the heart rate C. Withhold the medication and notify… Read More »
The nurse is caring for a 4-year-old with cerebral palsy. Which nursing intervention will help ready the child for rehabilitative services? A. Providing suckers and pinwheels to help strengthen tongue movement B. Patching one of the eyes to strengthen the muscles C. Encouraging play with a video game to improve muscle coordination… Read More »
The nurse is preparing to discharge a client following a laparoscopic cholecystectomy. The nurse should: A. Instruct the client to avoid a tub bath for 48 hours B. Instruct the client to expect clay-colored stools C. Instruct the client that she can expect lower abdominal pain for the next week D.… Read More »
Angela has been experiencing tinnitus, vertigo and ear stuffiness caused by Meniere’s disease. The following food items she is discouraged to eat, except: A. Green tea B. Unsalted pretzels C. Grapefruit D. Smoked fish Correct Answer: B. Unsalted pretzels Option B: Meniere’s disease causes fluid build up in… Read More »
The nurse is assessing an infant with Hirschsprung’s disease. The nurse can expect the infant to: A. Fixed plantar flexion (equinus) of the ankle B. Sonorous seal-bark cough C. Strawberry tongue D. Abdominal distention Correct Answer: D. Abdominal distention Option D: Hirschsprung’s disease (aganglionic megacolon) is a… Read More »
The physician has ordered Basaljel (aluminum carbonate gel) for a client with recurrent indigestion. The nurse should teach the client common side effects of the medication, which include: A. Constipation B. Diarrhea C. Urinary retention D. Confusion Correct Answer: A. Constipation Option A: Antacids containing aluminum and… Read More »
The LPN is preparing to administer an injection of vitamin K to the newborn. The nurse should administer the injection in the: A. Rectus femoris muscle B. Vastus lateralis muscle C. Deltoid muscle D. Dorsogluteal muscle Correct Answer: B. Vastus lateralis muscle Option B: The recommended injection… Read More »
A newborn has been diagnosed with exstrophy of the bladder. The nurse should position the newborn: A. Prone B. Supine C. On either side D. With the head elevated Correct Answer: C. On either side Option C: Placing the newborn in a side-lying position helps the urine… Read More »
What information should the nurse give a new mother regarding the introduction of solid foods for her infant? A. Solid foods should not be given until the extrusion reflex disappears, at 7–9 months of age. B. Solid foods should be introduced one at a time, with 4 to 7-day intervals. C. Solid… Read More »