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1) A nurse is performing a Romberg's test during the physical assessment of a client. Whichof the following techniques should the nurse use? ANS: Have the client stand with her arms at her side and her feet together. 2) A nurse is planning an deduction session for an older adult client who has just learned that she has type 2 diabetes mellitus. Which of the following strategies should the nurseplan to use with this client? ANS: Allow extra time for the client to respond to questions 3) ...

1) A nurse is performing a Romberg's test during the physical assessment of a client. Whichof the following techniques should the nurse use? ANS: Have the client stand with her arms at her side and her feet together. 2) A nurse is planning an deduction session for an older adult client who has just learned that she has type 2 diabetes mellitus. Which of the following strategies should the nurseplan to use with this client? ANS: Allow extra time for the client to respond to questions 3) A...

1. A nurse working in a long-term care facility is caring for an older adult client has dementia. The clients often agitated and frequently wanders the halls. Which of the following intervention should the nurse include in the plan of care? a) Give the client several choices when scheduling activities. b) Confront the client regarding unacceptable behavior c) Maintain Nutritional requirements by offering finger foods d) Stimulate the client by leaving the television on throughout the day ...

1. A nurse is caring for a client who is at 33 weeks gestation following an amniocentesis. The nurse should monitor the client for which of the following complications? a. contractions b. Hypertention c. Epigastric pain d. vomiting Answer: a. Contraction Rational: Amniocentesis -Can't be done before 16 weeks, not enough amniotic fluid. -maternal risks: hemorrhage, feto maternal hemorrhage, infection, contractions/labor, abruptio placentae, damage to intestines or bladder, amniotic flu...

1 .A nurse is assessing a client who received 2 units of packed RBCs 48 hours ago. Which of the following findings should indicate to the nurse that the therapy has been effective? Hemoglobin 14.9 g/dl The nurse should identify that packed RBCs are administered to clients who have a decreased level of hemoglobin or hematocrit. This hemoglobin level is within the expected reference range of 14 to 18 g/dl for males and 12 to 16 g/dl for females, 2 .A nurse working in a n emergency departmen...

A nurse is providing care to a client with staphylococcus epidermis, who is prescribed vancomycin. Identifythe adverse effect associated with this antibiotic therapy. f) Hepatotoxicity g) Constipation h) Infusion reaction i) Immunosuppression Rationale: Red Man Syndrome or an infusion reaction that results in rashes, flushing, tachycardia and hypotension can occur as an adverse reaction. For this reason, vancomycin should be administered over a 60 minute period. Ototoxicity and renal tox...

1)Which of the following assessment findings in an infantshould indicate to a nurse that suctioning of the nasopharynxis needed? A) The infant is beginning to cough B) The newborns pulse oximetry is 91 C) The infant'srespiratory rate is 32/min. D) The infant'srespiratory rate isirregular 2)A nurse is providing teaching to a postpartum client who has type 1 diabetes and is breastfeeding her newborn. Whichof the following instructions should the nurse give to the client? A) Take more in...

1. A nurse is planning care for a preschool-age child who is in the acute phase of Kawasaki disease. Which of the following interventions should the nurse include in the plan of care? a. Give acetaminophen to control the child’s fever b. Monitor the client’s cardiac status (PEDS p120) c. Administer antibiotics via intermittent IV bolus for 24 hrs. d. Provide stimulation with children of the same age in the play room 2. A nurse observes a client on the psychiatric unit muttering and sta...

1. A nurse is assessing a client who is 12hr postoperative following a colon resection. Which of the following findings should the nurse report to the surgeon? a. Heart rate 90/min b. Absent bowel sounds c. Hgb 8.2 g/dl d. Gastric pH of 3.0 Rationale: Normal Hgb is 13-18M g/dl, 12-16 g/dl. This may indicate a possible hemorrhaging. 2. A nurse is caring for a client who has diabetes insipidus. Which of the following medications should the nurse plan to administer? a. Desmopressin b. Reg...