A nurse from the maternity unit is pulled to the medical-surgical unit for the first four hours of the shift. Which clients would be appropriate for the charge nurse to assign to the nurse from the maternity unit?
Select all that apply
1. Client with rheumatic fever
2. Client scheduled for an ap...
Hurst Review Questions (3)
A nurse from the maternity unit is pulled to the medical-surgical unit for the first four hours of the shift. Which clients would be appropriate for the charge nurse to assign to the nurse from the maternity unit?
Select all that apply
1. Client with rheumatic fever
2. Client scheduled for an appendectomy
3. Client one day post cardiac catheterization
4. Client diagnosed with Methicillin-Resistant Staphylococcus Aureus
5. Client newly admitted with Guillian-Barre Syndrome - correct answer 1. Client with rheumatic fever
2. Client scheduled for an appendectomy
3. Client one day post cardiac catheterization
A military veteran with a history of post-traumatic stress disorder (PTSD) has arrived at the Crisis Center reporting an increase in nightmares, depression and anxiety. The nurse is aware the client would obtain the most immediate relief with what intervention?
1. Increase dose of antianxiety medications.
2. Greater family support interaction.
3. Referral to community support group.
4. Opportunity to verbalize memories. - correct answer 4. Opportunity to verbalize memories.
The nurse assessing clients in a pediatric clinic would refer which child for further assessment?
1. A 20 month old who only says "no."
2. A 1 year old who says three words
3. A 9 month old who says "dada" and "mama"
4. A 4 month old who laughs out loud - correct answer 1. A 20 month old who only says "no."
Which finding in fetal heart rate during a non-stress test would indicate to the nurse that a potential problem for the fetus may exist? 1. Increases 30 beats per minute for 20 seconds with fetal movement.
2. Increases 8 beats per minute for 10 seconds with fetal movement.
3. Remains unchanged with maternal movement.
4. Increases 5 beats per minute for 30 seconds with maternal movement. - correct answer 2. Increases 8 beats per minute for 10 seconds with fetal movement.
The nurse is caring for a client prescribed ondansetron due to postoperative nausea. Which side effect is
the nurse most worried about the client experiencing with administration of this medication?
1. Respiratory depression
2. Hyperglycemia
3. Malignant hypertension
4. Torsades de pointes - correct answer 4. Torsades de pointes
A client is curious about visible appearance changes related to menopause. What menopausal changes, in general, would the nurse explain to the client?
1. Bone loss and fractures.
2. Loss of muscle mass.
3. Improved skin turgor and elasticity.
4. A reduction in waist size. - correct answer 2. Loss of muscle mass.
The nurse is teaching comfort measures to a postpartum client with an episiotomy and external hemorrhoids. Which teaching points should the nurse include?
Select all that apply 1. Apply ice to perineum for first 12 hours. 2. Take sitz baths at temperature of 107.6°-111.2°F (42-44°C). 3. Use witch hazel compresses on rectal areas for hemorrhoids. 4. Take ibuprofen for pain. 5. Apply topical anesthetics to perineal area. 6. Avoid sexual intercourse until episiotomy has healed. - correct answer 1. Apply ice to perineum for first 12 hours. 3. Use witch hazel compresses on rectal areas for hemorrhoids. 4. Take ibuprofen for pain. 5. Apply topical anesthetics to perineal area. 6. Avoid sexual intercourse until episiotomy has healed.
The nurse is conducting a developmental screening by first gathering history information from the parent of a toddler. What information obtained by the parent would the nurse consider a risk factor for developmental problems?
Select all that apply
1. Birthweight less than 3 pounds, 4 ounces (1.5 kg).
2. Gestational age 38 weeks.
3. Chronic otitis media with effusion for more than 3 months.
4. Lead level of 5.5 mg/dL 2 months ago.
5. Parents with 8th grade education. - correct answer 1. Birthweight less than 3 pounds, 4 ounces (1.5 kg).
3. Chronic otitis media with effusion for more than 3 months.
4. Lead level of 5.5 mg/dL 2 months ago.
5. Parents with 8th grade education.
A client 34 weeks pregnant is scheduled for a visit at the prenatal clinic one week after receiving an injection of prenatal betamethasone due to the potential for premature labor. The client had been resting at home all week, as ordered. What assessment finding by the nurse should be reported to the primary healthcare provider immediately?
1. Blood pressure of 92/50
2. Fasting blood sugar of 75
3. Tympanic temperature of 100º F
4. Muscle weakness with cramping - correct answer 4. Muscle weakness with cramping
The nurse is discussing television, video games, and internet usage with a group of parents who have 8 to 10 year old children. What should the nurse include?
Select all that apply
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