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A 4-year old child is brought by her grandmother in the emergency room due to fever, chills, and difficulty walking. The nurse tries to remove the excessive clothing of the child but is reluctant. After a thorough assessment, the nurse also noted bruises around the genital area. Which of the following interventions should the nurse do first?
A client receiving hydrochlorothiazide is instructed to increase her dietary intake of potassium. The best snack for the client requiring increased potassium is:
The nurse is caring for a client following the removal of the thyroid. Immediately post-op, the nurse should:
A client hospitalized with chronic dyspepsia is diagnosed with gastric cancer. Which of the following is associated with an increased incidence of gastric cancer?
A client is sent to the psychiatric unit for forensic evaluation after he is accused of arson. His tentative diagnosis is antisocial personality disorder. In reviewing the client’s record, the nurse would expect to find:
The licensed vocational nurse may not assume the primary care for a client:
The physician has ordered dressings with Sulfamylon cream for a client with full-thickness burns of the hands and arms. Before dressing changes, the nurse should give priority to:
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 client hospitalized with a fractured mandible is to be discharged. Which piece of equipment should be kept on the client with a fractured mandible?
The nurse is to administer digoxin elixir to a 6-month-old with a congenital heart defect. The nurse auscultates an apical pulse rate of 100 beats per minute. The nurse should:
Assessment of a client with a cast should include:
When the nurse is determining the appropriate size of an oropharyngeal airway to insert, what part of a client’s body should she measure?
All of the following factors, when identified in the history of a family, are correlated with poverty except:
Teaching about the need to avoid foods high in potassium is most important for which client?
Which of the following nursing diagnoses might be appropriate as Parkinson’s disease progresses and complications develop?
A client turns her ankle. She is diagnosed as having a Pulled Ligament. This should be documented as a:
Acyclovir is the drug of choice for:
The kind of man who beats a woman is:
The major electrolytes in the extracellular fluid are:
When administering intravenous electrolyte solution, the nurse should take which of the following precautions?
For a client with suspected appendicitis, the nurse should expect to find abdominal tenderness in which quadrant?
Which of the following statements, if made by the parents of a newborn, does not indicate a need for further teaching about cord care?
Which of the following diseases or conditions is least likely to be associated with increased potential for bleeding?
Teaching the client with gonorrhea how to prevent reinfection and further spread is an example of:
Which of the following methods of contraception is able to reduce the transmission of HIV and other STDs?
Following a classic cholecystectomy resection for multiple stones, the PACU nurse observes a serosanguinous drainage on the dressing. The most appropriate intervention is to:
Which sign might the nurse see in a client with a high ammonia level?
A 10-month-old child is brought to the Emergency Department because he is difficult to awaken. The nurse notes bruises on both upper arms. These findings are most consistent with:
For which of the following conditions might blood be drawn for uric acid level?
Which of the following might be an appropriate nursing diagnosis for an epileptic client?
A client is complaining of difficulty walking secondary to a mass in the foot. The nurse should document this finding as:
Which of the following injuries, if demonstrated by a client entering the Emergency Department, is the highest priority?
When a client needs oxygen therapy, what is the highest flow rate that oxygen can be delivered via nasal cannula?
A woman asks, How much alcohol can I safely drink while pregnant? The nurse’s best response is:
The nurse is assessing the dental status of an 18-month-old child. How many teeth should the nurse expect to examine?
A diet high in fiber content can help an individual to:
What do the following ABG values indicate: pH 7.38, PO2 78 mmHg, PCO2 36 mmHg, and HCO3 24 mEq/L?
Ashley and her boyfriend Chris, both 19 years old, are transported to the Emergency Department after being involved in a motorcycle accident. Chris is badly hurt, but Ashley has no apparent injuries, though she appears confused and has trouble focusing on what is going on around her. She complains of dizziness and nausea. Her pulse is rapid, and she is hyperventilating. The nurse should assess Ashleys level of anxiety as:
What interpersonal relief behavior is Ashley using?
Which of the following medications is a serotonin antagonist that might be used to relieve nausea and vomiting?
Which of the following foods is a complete protein?
Which of the following is an appropriate nursing goal for a client at risk for nutritional problems?
An appropriate intervention for the client with suspected genitourinary trauma and visible blood at the urethral meatus is:
Which of the following is the primary force in sex education in a child’s life?
Which of the following conditions is mammography used to detect?
All of the following should be performed when fetal heart monitoring indicates fetal distress except:
How often should the nurse change the intravenous tubing on total parenteral nutrition solutions?
A client with Kawasaki disease has bilateral congestion of the conjunctivae, dry cracked lips, a strawberry tongue, and edema of the hands and feet followed by desquamation of fingers and toes. Which of the following nursing measures is most appropriate to meet the expected outcome of positive body image?
The nurse teaching about preventable diseases should emphasize the importance of getting the following vaccines:
A teenage client is admitted to the hospital because of acetaminophen (Tylenol) overdose. Overdoses of acetaminophen can precipitate life-threatening abnormalities in which of the following organs?
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