A mother runs into the emergency department with a toddler in her arms and
tells the nurse that her child got into some cleaning products. the child smells of
chemicals on the hands, face, and on the front of the child's clothes. after
ensuring the airway is patent, what action should the nurse implement first?
a. Assess the child for altered sensorium
b. Determine type of chemical exposure
c. Obtain equipment for gastric lavage
d. Call poison control emergency number - ✅✅✅b. Determine type of chemical
exposure
Which conditions are most likely to respond to treatment with antihistamines?
Select all that apply.
a. Bronchitis
b. Allergic rhinitis
c. Otitis media
d. Contact dermatitis
e. Myocarditis - ✅✅✅b. Allergic rhinitis
d. Contact dermatitis
,An older client's daughter calls the home health nurse and reports that her
mother has become forgetful and is very confused at night. The daughter states
that her mother's behavior changed suddenly a few days ago and is now getting
worse. Which action should the nurse take? Select all that apply.
a. Ask if the mother is experiencing any pain with urination
b. Encourage increased intake of high protein foods
c. Instruct the daughter to check her mother's temperature
d. Review the client's current food and medication allergies
e. Determine if the mother has recently experienced a fall - ✅✅✅a. Ask if the
mother is experiencing any pain with urination
c. Instruct the daughter to check her mother's temperature
e. Determine if the mother has recently experienced a fall
The nurse is assessing a male with a history of Addison's disease. The client has
flu-like symptoms and nausea with vomiting over the past week. The client's
spouse reports that he acted confused and was extremely weak when he awoke
this morning. The client is febrile and has tachycardia. The health care provider
diagnoses acute adrenal insufficiency. Which medication will most likely be
prescribed?
a. Hypertonic saline solution at 100 ml/hr until all edema disappears
b. Hydrocortisone 100 mg IV every six hours until systolic BP reaches 110 mmHg
c. Potassium chloride 20 mEq IV to infuse over 2 hours until confusion resolves
d. Regular insulin drip to keep blood glucose around 100 mg/dl (5.55 mmol/L) -
✅✅✅b. Hydrocortisone 100 mg IV every six hours until systolic BP reaches 110
mmHg
A client with a history of mitral valve prolapse is admitted because of fever and
dyspnea on exertion, and is diagnosed with acute infective endocarditis. During
,the admission assessment, the nurse observes multiple areas of petechiae on the
client's skin. Which intervention should the nurse include in the client's plan of
care? Select all that apply.
a. Monitor cardiac rhythm via telemetry
b. Report changes in pre-existing murmurs
c. Schedule rest periods between activities
d. Maintain record of fluid intake and output
e. Initiate contact transmission precautions - ✅✅✅a. Monitor cardiac rhythm via
telemetry
b. Report changes in pre-existing murmurs
e. Initiate contact transmission precautions
The nurse is planning an educational session for new parents on ways to prevent
sudden infant death syndrome (SIDS). Which information is most important to
provide parents of newborns and infants?
a. Remove pillows and soft toys from the crib at bedtime
b. Keep a bulb syringe accessible for use for an infant
c. Position the infant in a supine position while sleeping
d. Do not prop bottles for an infant during naps and bedtime - ✅✅✅c. Position
the infant in a supine position while sleeping
The healthcare provider prescribes methylergonovine maleate for a postpartum
client with uterine atony. What findings should indicate to the nurse to withhold
the next dose of medication?
a. Hypertension
b. Difficulty locating the uterine fundus
c. Saturation of more than one pad per hour
, d. Excessive lochia - ✅✅✅a. Hypertension
The nurse notes that an older adult client has a moist cough that increases in
severity during and after meals. Based on this finding, which action should the
nurse take?
a. Collect a sputum specimen immediately
b. Request a consultation to confirm dysphasia
c. Offer the client additional clear liquids frequently
d. Encourage the client to do deep breathing exercises daily - ✅✅✅b. Request a
consultation to confirm dysphasia
A multiparous client who delivered her infant 3 hours ago asks the nurse if she
can take a warm sitz bath because it helped reduce perennial pain after her last
delivery. What action should the nurse implement?
a. Using analgesic spray to the perennial area to reduce pain
b. Apply an ice pack to the perineum for the first 24 hours
c. Teach the client how to practice kegel exercises
d. Review the use of sitz bath equipment with the client - ✅✅✅d. Review the
use of sitz bath equipment with the client
When the parents of a 6-year-old boy with a brain tumor are told that his
condition is terminal, the mother shouts at the father, "This is your fault! It never
would have happened if we sought treatment sooner!" Which intervention is best
for the nurse to implement?
a. Refer the parents to the chaplain to provide grief counseling
b. Assure the parents that a terminal diagnosis was inevitable
c. Tell the parents that blame each other will not change the situation
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Hosmerit. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $14.99. You're not tied to anything after your purchase.
