A client has returned to his room following an esophagoscopy. Before offering fluids, the nurse should give priority to assessing the client’s:
Level of consciousness
Movement of extremities
Which instruction should be included in the discharge teaching for the client with cataract surgery?
Over-the-counter eyedrops can be used to treat redness and irritation.
The eye shield should be worn at night.
It will be necessary to wear special cataract glasses.
A prescription for medication to control post-operative pain will be needed.
An 8-year-old is admitted with drooling, muffled phonation, and a temperature of 102°F. The nurse should immediately notify the doctor because the child’s symptoms are suggestive of:
Phototherapy is ordered for a newborn with physiologic jaundice. The nurse caring for the infant should:
Offer the baby sterile water between feedings of formula
Apply an emollient to the baby’s skin to prevent drying
Wear a gown, gloves, and a mask while caring for the infant
Place the baby on enteric isolation
A teen hospitalized with anorexia nervosa is now permitted to leave her room and eat in the dining room. Which of the following nursing interventions should be included in the client’s plan of care?
Weighing the client after she eats
Having a staff member remain with her for 1 hour after she eats
Placing high-protein foods in the center of the client’s plate
Providing the client with child-size utensils
According to Erickson’s stage of growth and development, the developmental task associated with middle childhood is:
The nurse should observe for side effects associated with the use of bronchodilators. A common side effect of bronchodilators is:
The 5-minute Apgar of a baby delivered by C-section is recorded as 9. The most likely reason for this score is:
The mottled appearance of the trunk
The presence of conjunctival hemorrhages
Cyanosis of the hands and feet
Respiratory rate of 20–28 per minute
A 5-month-old infant is admitted to the ER with a temperature of 6°F and irritability. The mother states that the child has been listless for the past several hours and that he had a seizure on the way to the hospital. A lumbar puncture confirms a diagnosis of bacterial meningitis. The nurse should assess the infant for:
Tenseness of the anterior fontanel
Positive Babinski reflex
Negative scarf sign
A client with a bowel resection and anastamosis returns to his room with an NG tube attached to intermittent suction. Which of the following observations indicates that the nasogastric suction is working properly?
The client’s abdomen is soft.
The client is able to swallow.
The client has active bowel sounds.
The client’s abdominal dressing is dry and intact.
The nurse is teaching the client with insulin-dependent diabetes the signs of hypoglycemia. Which of the following signs is associated with hypoglycemia?
Which of the following symptoms is associated with exacerbation of multiple sclerosis?
Which of the following conditions is most likely related to the development of renal calculi?
A client with AIDS is admitted for treatment of wasting syndrome. Which of the following dietary modifications can be used to compensate for the limited absorptive capability of the intestinal tract?
Thoroughly cooking all foods
Offering yogurt and buttermilk between meals
Providing small, frequent meals
The treatment protocol for a client with acute lymphatic leukemia includes prednisone, methotrexate, and cimetadine. The purpose of the cimetadine is to:
Decrease the secretion of pancreatic enzymes
Enhance the effectiveness of methotrexate
Prevent a common side effect of prednisone
Which of the following meal choices is suitable for a 6-month-old infant?
Egg white, formula, and orange juice
Apple juice, carrots, whole milk
Rice cereal, apple juice, formula
Melba toast, egg yolk, whole milk
The LPN is preparing to administer an injection of vitamin K to the newborn. The nurse should administer the injection in the:
Rectus femoris muscle
Vastus lateralis muscle
The physician has prescribed Cytoxan (cyclophosphamide) for a client with nephotic syndrome. The nurse should:
Encourage the client to drink extra fluids
Request a low-protein diet for the client
Bathe the client using only mild soap and water
Provide additional warmth for swollen, inflamed joints
The nurse is caring for a client with detoxification from alcohol. Which medication is used in the treatment of alcohol withdrawal?
A client with insulin-dependent diabetes takes 20 units of NPH insulin at 7 a.m. The nurse should observe the client for signs of hypoglycemia at:
The licensed practical nurse is assisting the charge nurse in planning care for a client with a detached retina. Which of the following nursing diagnoses should receive priority?
Alteration in comfort
Alteration in mobility
Alteration in skin integrity
Alteration in O2 perfusion
The primary purpose for using a CPM machine for the client with a total knee repair is to help:
Promote flexion of the artificial joint
Decrease the pain associated with early ambulation
Alleviate lactic acid production in the leg muscles
Which of the following statements reflects Kohlberg’s theory of the moral development of the preschool-age child?
Obeying adults is seen as correct behavior.
Showing respect for parents is seen as important.
Pleasing others is viewed as good behavior.
Behavior is determined by consequences.
A toddler with otitis media has just completed antibiotic therapy. A recheck appointment should be made to:
Determine whether the ear infection has affected her hearing
Make sure that she has taken all the antibiotic
Document that the infection has completely cleared
Obtain a new prescription in case the infection recurs
A factory worker is brought to the nurse’s office after a metal fragment enters his right eye. The nurse should:
Cover the right eye with a sterile 4×4
Attempt to remove the metal with a cotton-tipped applicator
Flush the eye for 10 minutes with running water
Cover both eyes and transport the client to the ER