Shadow251

1. A nurse is caring for a school-aged child who has conduct disorder and is being physically aggressive toward other children in the unit. Which of the following actions should the nurse take first? a. Place the child in seclusion b. Use therapeutic hold technique c. Apply wrist restraints d. Administer risperidone - A. Place the child in seclusion 3. A nurse is caring for a client who exhibits excessive compliance, passivity, and self-denial. The nurse should recognize that these findi...

A nurse is caring for a client who had abdominal surgery 24 hr ago. Which of the following actions is the nurse's priority? - Assist with deep breathing and coughing A nurse is talking with a client who has stage IV breast cancer. The nurse should recognize which of the following statements by the client as a constructive use of a defense mechanism? - "I told my doctor that I would like to start a support group for other women who are sick in my community" A nurse is caring for a ...

A nurse is assessing a client who received 2 units of packed RBCs 48 hr ago. Which of the following findings should indicate to the nurse that the therapy has been effective? - Hemoglobin 14.9 g/dL A nurse working in an emergency department is triaging four clients. Which of the following clients should the nurse recommend for treatment first? - A middle adult client who has unstable vital signs A nurse is caring for a client who has fluid volume overload. Which of the following tasks sho...

A nurse is planning care for a newly admitted schole-age child who has generalized seizure disorder. Which of the following interventions should the nurse plan to include? - Ensure the oxygen source is functioning in the childs room the nurse should recognize that maintaining the childs airway is important during a seizure. the nurse should ensure the oxygen source is functioning bc the child might require supplemental oxygen following a seizure A nurse is providing dietary teaching to the...

A nurse is planning care for a newly admitted schole-age child who has generalized seizure disorder. Which of the following interventions should the nurse plan to include? - Ensure the oxygen source is functioning in the childs room: The nurse should recognize that maintaining the child's airway is important during a seizure. The nurse should ensure that the oxygen source is functioning because the child might require supplemental oxygen following a seizure. A nurse is providing dietary...

A nurse is teaching a client who has a new prescription for combined oral contraceptives about potential adverse effects of the medication. For which of the following findings should the nurse instruct the client to notify the provider? - A. Shortness of breath B. Breakthrough bleeding C. Vomiting D. Breast tenderness Answer: Shortness of breath A. Shortness of breath The nurse should instruct the client to notify the provider immediately of any shortness of breath. Shortness of breath...

A nurse is teaching a client who is starting to take diltiazem. Which of the following statements should the nurse identify as an indication that the client understand the teaching? - I will check my heart rate before I take the medication A nurse is caring for a client who is taking atrocastatin for hyperlipidemia. Which of the following client laboratory values should the nurse monitor? - creatinine kinase A nurse is reviewing the medical record of a client who has schizophrenia and a p...

a nurse is caring for a client who has hepatic encephalopathy that is being treated with lactulose. the client is experiencing excessive stools. which of the following findings is an adverse effect of the medication? - hypokalemia Lactulose works by stimulating the production of excess stools to rid the body of excess ammonia. These excessive stools can result in hypokalemia and dehydration. a nurse is caring for a client who has emphysema and is receiving mechanical ventilation. the clie...

A nurse is preparing to administer ciprofloxacin 15 mg/kg PO every 12 hr to a child who weighs 44 Ib. How many mg should the nurse administer per dose? - 300 mg A nurse is developing a teaching plan for a client who has a new prescription for simvastatin. Which of the following instructions should the nurse include in the teaching plan? - 1. Report muscle pain to the provider. 2. Avoid taking the medication with grapefruit juice. 3. Expect therapy with this medication to be lifelong. A n...

A nurse is caring for a school-age child who is receiving cefazolin via intermittent IV bolus. The child suddenly develops diffuse flushing of the skin and angioedema. After discontinuing the medication infusion, which of the following medications should the nurse administer first? prednisone epinephrine diphenhydramine albuterol - epinephrine A nurse is teaching the parent of an infant about ways to prevent sudden infant death syndrome (SIDS). Which of the following instructions should...