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1)	The student nurse is preparing education for the parents of a 6yo that will begin Fe supps following a dx of Fe deficient anemia. What should be included in the ed. Select all that apply. o	Fe should be given with a glass of OJ o	Given with Food o	Blac
1)	The student nurse is preparing education for the parents of a 6yo that will begin Fe supps following a dx of Fe deficient anemia. What should be included in the ed. Select all that apply. 
o	Fe should be given with a glass of OJ 
o	Given with Food 
o	Black tarry stools 
o	Cause constipation 
o	Cause increase in appetite 
2)	Pedi nurse assesses 7mo infant brought to the clinic with S/S of irritability N?V and taut anterior fontanel. Based on the standard growth chart, the nurse notes that the ...
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- Exam (elaborations)
- • 31 pages •
1)	The student nurse is preparing education for the parents of a 6yo that will begin Fe supps following a dx of Fe deficient anemia. What should be included in the ed. Select all that apply. 
o	Fe should be given with a glass of OJ 
o	Given with Food 
o	Black tarry stools 
o	Cause constipation 
o	Cause increase in appetite 
2)	Pedi nurse assesses 7mo infant brought to the clinic with S/S of irritability N?V and taut anterior fontanel. Based on the standard growth chart, the nurse notes that the ...
•	Toxoplasmosis: o	Associated with the consumption of infested undercooked meat and poor hand washing after handling cat litter ▪	Educate on having someone else change the cat’s litter pan and to avoid consuming uncooked meat •	Blood Volume: o	Because of
•	Toxoplasmosis: 
o	Associated with the consumption of infested undercooked meat and poor hand washing after handling cat litter 
▪	Educate on having someone else change the cat’s litter pan and to avoid consuming uncooked meat 
 
•	Blood Volume: 
o	Because of the increase in plasma the hematocrit will appear low, especially at 32-34 weeks gestation. A hemoglobin of 11.2 and hematocrit of 38% would be considered normal 
 
•	Natural Family Planning: 
o	Identifying the fertile time durin...
- Exam (elaborations)
- • 31 pages •
•	Toxoplasmosis: 
o	Associated with the consumption of infested undercooked meat and poor hand washing after handling cat litter 
▪	Educate on having someone else change the cat’s litter pan and to avoid consuming uncooked meat 
 
•	Blood Volume: 
o	Because of the increase in plasma the hematocrit will appear low, especially at 32-34 weeks gestation. A hemoglobin of 11.2 and hematocrit of 38% would be considered normal 
 
•	Natural Family Planning: 
o	Identifying the fertile time durin...
1)	What reflects safe practice in administration of blood products a.	Remain with the patient for the first 15 minutes of the infusion (2 nurse sign off) 2)	Kawasaki Disease a.	S/S: strawberry tongue, edema of hands and feet, conjunctivitis without exudat
1)	What reflects safe practice in administration of blood products 
a.	Remain with the patient for the first 15 minutes of the infusion (2 nurse sign off) 
2)	Kawasaki Disease 
a.	S/S: strawberry tongue, edema of hands and feet, conjunctivitis without exudate 
3)	Bronchiolitis home treatment 
a.	Humidifier 
4)	Pharyngitis causes increased risk for developing 
a.	Rheumatic fever 
5)	Post tonsillectomy, clear fluids are best 
a.	Avoid carbonated beverages, acidic or red dyes 
6)	Signs and Symptoms...
- Exam (elaborations)
- • 13 pages •
1)	What reflects safe practice in administration of blood products 
a.	Remain with the patient for the first 15 minutes of the infusion (2 nurse sign off) 
2)	Kawasaki Disease 
a.	S/S: strawberry tongue, edema of hands and feet, conjunctivitis without exudate 
3)	Bronchiolitis home treatment 
a.	Humidifier 
4)	Pharyngitis causes increased risk for developing 
a.	Rheumatic fever 
5)	Post tonsillectomy, clear fluids are best 
a.	Avoid carbonated beverages, acidic or red dyes 
6)	Signs and Symptoms...
1.	Obstetrical issues – pregnancy risks - Know Naegle’s Rule – to establish gestational age •	Naegle’s Rule is first day of last missed period subtract 3 months add 7 days and add one year •	Fundal height(14 weeks just above the symphysis), 12 weeks embry
1.	Obstetrical issues – pregnancy risks - Know Naegle’s Rule – to establish gestational age 
•	Naegle’s Rule is first day of last missed period subtract 3 months add 7 days and add one year 
•	Fundal height(14 weeks just above the symphysis), 12 weeks embryonic stage organ development, 10-12 weeks heart tones, movement starts at 16 weeks multigravida, 18 weeks primigravida 
2.	Poor nutrition, drugs, HTN, DM are all issues of perfusion – what will the fetal result be. 
•	IUGR are ...
- Exam (elaborations)
- • 24 pages •
1.	Obstetrical issues – pregnancy risks - Know Naegle’s Rule – to establish gestational age 
•	Naegle’s Rule is first day of last missed period subtract 3 months add 7 days and add one year 
•	Fundal height(14 weeks just above the symphysis), 12 weeks embryonic stage organ development, 10-12 weeks heart tones, movement starts at 16 weeks multigravida, 18 weeks primigravida 
2.	Poor nutrition, drugs, HTN, DM are all issues of perfusion – what will the fetal result be. 
•	IUGR are ...
1.	A patient with kidney failure reports dyspnea. The patient’s pulse oximeter reading is 95% on room air, but is visibly distressed with a respiratory rate of 32 breaths/min. What is the priority intervention? A.	Notify the respiratory therapist B.	Adm
1.	A patient with kidney failure reports dyspnea. The patient’s pulse oximeter reading is 95% on room air, but is visibly distressed with a respiratory rate of 32 breaths/min. What is the priority intervention? 
 
A.	Notify the respiratory therapist 
B.	Administer oxygen by nasal cannula 
C.	Elevate the head of the bed to 90 degrees 
D.	Administer a respiratory nebulizing treatment 
 
2.	A patient with a history of kidney disease is admitted with acute shoulder pain. Which order should the nu...
- Exam (elaborations)
- • 40 pages •
1.	A patient with kidney failure reports dyspnea. The patient’s pulse oximeter reading is 95% on room air, but is visibly distressed with a respiratory rate of 32 breaths/min. What is the priority intervention? 
 
A.	Notify the respiratory therapist 
B.	Administer oxygen by nasal cannula 
C.	Elevate the head of the bed to 90 degrees 
D.	Administer a respiratory nebulizing treatment 
 
2.	A patient with a history of kidney disease is admitted with acute shoulder pain. Which order should the nu...
1.	The client has sustained a severe closed head injury and the neurosurgeon is determining if the client is “brain dead.” Which data support that the client is brain dead? 1.	When the client’s head is turned to the right, the eyes turn to the right. 2.	T
1.	The client has sustained a severe closed head injury and the neurosurgeon is determining if the client is “brain dead.” Which data support that the client is brain dead? 
1.	When the client’s head is turned to the right, the eyes turn to the right. 
2.	The electroencephalogram (EEG) has identifiable waveforms. 3. There is no eye activity when the cold caloric test is performed. 
4. The client assumes decorticate posturing when painful stimuli are applied. 
 
2.	 The client is admitted t...
- Exam (elaborations)
- • 27 pages •
1.	The client has sustained a severe closed head injury and the neurosurgeon is determining if the client is “brain dead.” Which data support that the client is brain dead? 
1.	When the client’s head is turned to the right, the eyes turn to the right. 
2.	The electroencephalogram (EEG) has identifiable waveforms. 3. There is no eye activity when the cold caloric test is performed. 
4. The client assumes decorticate posturing when painful stimuli are applied. 
 
2.	 The client is admitted t...
1)	A 38-week primigravida who works as a secretary and sits at a computer for 8 hours each day tells the nurse that her feet have begun to swell. Which instruction would be most effective in preventing pooling of blood in the lower extremities? Move abou
1)	A 38-week primigravida who works as a secretary and sits at a computer for 8 hours each day tells the nurse that her feet have begun to swell. Which instruction would be most effective in preventing pooling of blood in the lower extremities? 
 
Move about every hour 
 
Pooling of blood in the lower extremities results from the enlarged uterus exerting pressure on the pelvic veins. Moving about every hour will straighten out the pelvic veins and increase venous return. 
 
2)	A 26-year-old, gra...
- Exam (elaborations)
- • 65 pages •
1)	A 38-week primigravida who works as a secretary and sits at a computer for 8 hours each day tells the nurse that her feet have begun to swell. Which instruction would be most effective in preventing pooling of blood in the lower extremities? 
 
Move about every hour 
 
Pooling of blood in the lower extremities results from the enlarged uterus exerting pressure on the pelvic veins. Moving about every hour will straighten out the pelvic veins and increase venous return. 
 
2)	A 26-year-old, gra...
•	Mother of a preschool-aged child calls school RN to report her child was bitten by a tick while on a school outing last wk. Mother tells RN she removed tick & flushed it down toilet. What action should school RN take? Schedule test for Lyme disease if r
•	Mother of a preschool-aged child calls school RN to report her child was bitten by a tick while on a school outing last wk. Mother tells RN she removed tick & flushed it down toilet. What action should school RN take? Schedule test for Lyme disease if rash appears. 
•	Dr. prescribes phenytoin (Dilantin) for school-aged child diagnosed with tonic-clonic epilepsy. Which info should RN provide parents when teaching about seizure management with phenytoin? Monitor child’s serum phenytoin lev...
- Exam (elaborations)
- • 26 pages •
•	Mother of a preschool-aged child calls school RN to report her child was bitten by a tick while on a school outing last wk. Mother tells RN she removed tick & flushed it down toilet. What action should school RN take? Schedule test for Lyme disease if rash appears. 
•	Dr. prescribes phenytoin (Dilantin) for school-aged child diagnosed with tonic-clonic epilepsy. Which info should RN provide parents when teaching about seizure management with phenytoin? Monitor child’s serum phenytoin lev...
MP Hesi.1 •	Mastitis: antibiotic therapy, wear a supportive bra, warm compress •	Pyloric stenosis: olive size obstruction on abdomen •	Anchor the lower part of the uterus - then massaging the fundus •	High bp maybe with preeclampsia: check for protein in
MP Hesi.1 
•	Mastitis: antibiotic therapy, wear a supportive bra, warm compress 
•	Pyloric stenosis: olive size obstruction on abdomen 
•	Anchor the lower part of the uterus - then massaging the fundus 
•	High bp maybe with preeclampsia: check for protein in the urine (proteinuria) 
•	Boy child frequent visits to the school nurse headache, irritable for few weeks: ask how daily school day is 
•	BMI 6 -year old: physical activity at the school, girls physical activity at home, and die...
- Exam (elaborations)
- • 95 pages •
MP Hesi.1 
•	Mastitis: antibiotic therapy, wear a supportive bra, warm compress 
•	Pyloric stenosis: olive size obstruction on abdomen 
•	Anchor the lower part of the uterus - then massaging the fundus 
•	High bp maybe with preeclampsia: check for protein in the urine (proteinuria) 
•	Boy child frequent visits to the school nurse headache, irritable for few weeks: ask how daily school day is 
•	BMI 6 -year old: physical activity at the school, girls physical activity at home, and die...
1.	A client who is 16 weeks of gestation asks the nurse how to prepare her father to a younger sibling. Statements should the nurse make? a.	You should hold your newborn in your arms when you introduce him to your toddler b.	you should move your toddler
1.	A client who is 16 weeks of gestation asks the nurse how to prepare her father to a younger sibling. Statements should the nurse make? 
a.	You should hold your newborn in your arms when you introduce him to your toddler 
b.	you should move your toddler out of her crib 2 weeks prior to your due date c. you should give your toddler a gift from the baby when she visit you in the facility 
d. You should place your toddler in timeout if she exhibits regressive Behavior after the baby is born 
 
 
...
- Exam (elaborations)
- • 29 pages •
1.	A client who is 16 weeks of gestation asks the nurse how to prepare her father to a younger sibling. Statements should the nurse make? 
a.	You should hold your newborn in your arms when you introduce him to your toddler 
b.	you should move your toddler out of her crib 2 weeks prior to your due date c. you should give your toddler a gift from the baby when she visit you in the facility 
d. You should place your toddler in timeout if she exhibits regressive Behavior after the baby is born 
 
 
...