a nurse is planning care for a newborn who is receiving
phototherapy. which of the following actions should the nurse
include the plan of care? - Answer-assess the infants eyes for
corneal irritation every 4 hrs
a nurse is caring for a client who is receiving a blood transfusion
at 125 ml/hr and develops a hemolytic reaction. which of the
following actions should the nurse perform? - Answer-infuse
0.9% sodium chloride IV
a nurse is planning care for a client who has schizophrenia and
is having difficulty expressing their feelings. which of the
following referrals should the nurse make? - Answer-social
worker
a nurse from the state health department is instructing a group
of nurses regarding infections. which of the following infections
should the nurse report to the centers for disease control and
prevention? - Answer-Lyme disease
,a nurse is preparing to provide education about
electroconvulsive for a client who has major depressive
disorder. which of the following should the nurse include in the
teaching? - Answer-a general anesthetic is administered prior
to ECT treatment
a nurse is teaching a client and their family about home hospice
care. which of the following information should the nurse
include in the teaching? - Answer-hospice care improves quality
of life through palliative care
a nurse is preparing to administer an enteral feeding via NG
tube for a client the day after verifying placement of the tube
using a chest x-ray. which of the following methods should the
nurse use to confirm placement prior to initiating the feeding? -
Answer-test the pH level of the clients gastric aspirate
a nurse is assessing a client who has non-hodgkins lymphoma.
which of the following findings should indicate to the nurse that
the clients might be experiencing syndrome of inappropriate
antidiuretic hormone? - Answer-diminished deep tendon
reflexes
,a nurse received change of shift report on four clients. based on
the shift report information. which of the following clients
would the nurse plan to assess first? - Answer-a client who had
a hip arthroplasty reports pain and erythema in their calf
a nurse is caring for a client who is postpartum and has a new
prescription for methylergonovine for vaginal bleeding
refractory to fundal massage and oxytocin. when reviewing the
clients medical history, the nurse should recognize which of the
following diagnosis as a contraindication to the administration
of methylergonovine? - Answer-hypertension
a nurse is caring for a client who is undergoing peritoneal
dialysis and notes that the dialysate outflow has become
cloudy. which of the following complications of this procedure
should the nurse suspect? - Answer-peritonitis
a home health nurse is teaching a guardian about administering
tube feedings to their 3-month-old infant. which of the
following information should the nurse include in the teaching?
- Answer-allow the infant to suck on the pacifier during
feedings?
, a nurse in an inpatient psychiatric unit is setting short-term
goals for an adolescent client who was admitted for treatment
of anorexia nerves. which of the following is an appropriate
short-term goal the nurse should set? - Answer-the client will
develop a personalized meal plan
a nurse is preparing to witness a clients signature on an
informed consent for a total knee arthroplasty. which of the
following client statements indicates the nurse should contact
the surgeon? - Answer-"I am thankful there are no serious
complications from this type of surgery"
a nurse is caring for a client who reports chest pain. which of
the following laboratory findings indicates myocardial damage?
- Answer-troponin 1.8ng/ml
a nurse is caring for a school-age child who has a blood
pressure of 88/50 mmhm and develops septic shock. which fo
the following medications should the nurse expect the provider
to prescribe? - Answer-dopamine
a nurse is caring for a client who is receiving a controlled
epidural analgesia infusion. which of the following nursing
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