Wunderkind

1. A nurse is caring for a client with histoplasmosis who is receiving intravenous amphotericin B (Fungizone). What should the nurse do while the medication is being administered? A Monitor the client’s urine output Correct B Monitor the client for hypothermia C Check the client’s neurological status Incorrect D Check the client’s blood glucose level Rationale: Amphotericin B can produce medication toxicity during administration and exhibit symptoms such as chills, fever, headache, vo...

Newborn safety - Water heart no more than 120degrees test w/ elbow b4 bathing - Avoid blankets, pillows or stuffed animals in crib - Crib slats no more than 5.7cm (2.25in) apart - Car seat remain rear facing until 2 or exceeds high & weight limit Car seat safety - Retainer clip @ level of axillae - Seat @ 45-degree angle - Can place blanket over baby but do NOT wrap Trach care sequence - Remove inner cannula - Remove soiled dressing - Clean stoma w/ sterile saline (0.9% N...

1)A charge nurse is developing an educational program about schizophrenia. Which of the following manifestations should the nurse include as a negative symptom of schizophrenia? -Concrete thinking Concrete thinking is a positive symptom of schizophrenia. It describes an inability of the client to think in abstract terms. -Thought blocking Thought blocking is a negative symptom of schizophrenia. This manifestation is a sudden interruption in a client's thought processes, usually due to an i...

1. A nurse is collecting data from a client who has illness anxiety disorder. Which of the following findings should the nurse expect? (Select all that apply.) Answer: Obsessive thoughts about disease, History of childhood abuse, Avoidance of health care providers and Depressive disorder 2. A nurse is contributing to the plan of care for a client who has conversion disorder. Which of the following actions should the nurse include? Answer: Discuss alternative coping strategies with the client....

Dementia: Slow, progressive decline Aphasia: loss of ability to or express speech Confabulation: type of memory error in which gaps in a person’s memory are unconsciously filled with fabricated, misinterpreted or distorted information Impaired judgment occurs in clients who have dementia because they lose their ability to reason, think abstractly, and have rational thoughts Nurse should instruct the client’s cargiver to keep the bedroom well-lit during sleep periods to minimize illusi...

56.List five nursing interventions to implement after chest tube insertion?: Maintain dry occlusive dressings to chest tube site at all times, keeping all tubing connections tight and taped, monitor clients clinical status, encourage the client to breathe deeply periodically, monitor the fluid drainage and mark the time of measurement and of fluid level 57.List five symptoms of hyperglycemia: Polydipsia, polyuria, polyphagia, weakness, weight loss 58.List five symptoms of hypogly...

A nurse is providing d ischarge instructions about newborn care to a client who is postpartum. Which of the following s tatements indicates to the nurse that the client understands the teaching? “I will cover my baby’s body when I wash her” “I will use the bulb syringe first in her mouth and then in her nose” Newborns are highly susceptible to heat loss. The client should wrap the newborn in a towel when washing the hair to minimize heat loss. The client should suction the newb...

ADHD: Greatest risk to a child who has ADHD is injury from impulsive behavior and the decreased ability to perceive self-harm. Important to remove unnecessary equipment. Parents should ignore attention-seeking behaviors that are not dangerous to the child or others Antisocial personality disorder: Clients can seem to be in control of their behavior, but are manipulative and impulsive and can suddenly become aggressive and assaultive. The nurse should establish clear limits on specific aggre...

MN 568 Unit 10 Exam – Question and Answers Which statement about confusion is true? Sondra’s peripheral vestibular disease causes dizziness and vertigo. Which of the following medications will help to decrease edema in the labyrinth of the ear? The hallmark of an absence seizure is: How often should drug levels be monitored when a seizure medication has controlled the seizures, and the drug level is adequate? Which of the following persons fits the classic description of a patient wit...

1. The nurse is working in the emergency department (ED) of a children's medical center. Which client should the nurse assess first? 1. The 1-month-old infant who has developed colic and is crying. 2. The 2-year-old toddler who was bitten by another child at the day-care center. 3. The 6-year-old school-age child who was hit by a car while riding a bicycle. 4. The 14-year-old adolescent whose mother suspects her child is sexually active. Rationale Correct - 3-The child hit by a car shou...