B) Administer acetaminophen as ordered as this is normal at this time
Give this one a try later!
While caring for a client who was admitted with myocardial infarction (MI) 2 days ago,
the nurse notes today's temperature is 101.1 degrees Fahrenheit (38.5 degreesCelsius).
The appropriate nursing intervention is to
A) Call the health care provider immediately
B) Administer acetaminophen as ordered as this is normal at this time
C) Send blood, urine and sputum for culture
D) Increase the client's fluid intake
, The nurse is performing a developmental assessment on an 8 month-old. Which finding
should be reported to the health care provider?
A) Lifts head from the prone position
2
B) Rolls from abdomen to back
C) Responds to parents' voices
D) Falls forward when sitting
The nurse is teaching a client with dysrhythmia about the electrical pathway of an
impulse as it travels through the heart. Which of these demonstrates the normal
pathway?
3 A) AV node, SA node, Bundle of His, Purkinje fibers
B) Purkinje fibers, SA node, AV node, Bundle of His
C) Bundle of His, Purkinje fibers, SA node , AV node
D) SA node, AV node, Bundle of His, Purkinje fibers
A client has received her first dose of fluphenazine (Prolixin) 2 hours ago. She suddenly
experiences torticollis and involuntary spastic muscle movement. In addition to
administering the ordered anticholinergic drug, what other measure should the nurse
implement?
4
A) Have respiratory support equipment available
B) Immediately place her in the seclusion room
C) Assess the client for anxiety and agitation
D) Administer PRN dose of IM antipsychotic medication
Don't know?
Terms in this set (150)
,In planning care for a 6 C) Security
month-old infant, what must
the nurse provide to assist
in the development of
trust?
A) Food
B) Warmth
C) Security
D) Comfort
A nurse has just received a B) "Would you please clarify what you have written so I
medication order which is am sure I am reading it
not legible. Which correctly?"
statement best reflects
assertive communication?
A) "I cannot give this
medication as it is written. I
have no idea of what you
mean."
B) "Would you please clarify
what you have written so I
am sure I am reading it
correctly?"
C) "I am having difficulty
reading your handwriting. It
would save me time if you
would be more careful."
D) "Please print in the future
so I do not have to spend
extra time attempting to
read your writing."
, What is the most important D) Age of children in the home
consideration when
teaching parents how to
reduce risks in the home?
A) Age and knowledge
level of the parents
B) Proximity to emergency
services
C) Number of children in
the home
D) Age of children in the
home
A 35 year-old client with C) Administer the prescribed analgesia
sickle cell crisis is talking on
the telephone but stops as
the nurse enters the room
to request something for
pain. The nurse should
A) Administer a placebo
B) Encourage increased
fluid intake
C) Administer the
prescribed analgesia
D) Recommend relaxation
exercises for pain control
While caring for a toddler A) Respiratory rate of 42
with croup, which initial sign
of croup requires the
nurse's immediate
attention?
A) Respiratory rate of 42
B) Lethargy for the past
hour
C) Apical pulse of 54
D) Coughing up copious
secretions
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