Exam (elaborations)

Elsevier adaptive quizzing 13TH edition with 100% complete answers 2024 (Deitra Leonard Lowdermilk; Kitty Cashion; Kathryn Rhodes Alden)

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Course
Maternal Newborn

Institution
California State University - Channel Islands

The nurse emphasizes to the parent of a preschool child with atopic dermatitis that the child should be discouraged from scratching. The child's parent asks why scratching should be avoided. Which response would the nurse provide? 1. Scratching causes lesions to become more contagious 2. Scratc...

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Elsevier adaptive quizzing 13TH edition with 100% complete answers
2024 (Deitra Leonard Lowdermilk; Kitty Cashion; Kathryn Rhodes
Alden)

Which side effect would the nurse review with an adolescent client who is prescribed estrogen therapy?
(SATA)

1. Nausea

2. Insomnia

3. Headache

4. Weight gain

5. Nervousness

6. Breast tenderness - ANS- 1. Nausea

2. Insomnia

3. Headache

4. Weight gain

5. Nervousness

6. Breast tenderness

The nurse emphasizes to the parent of a preschool child with atopic dermatitis that the child should be
discouraged from scratching. The child's parent asks why scratching should be avoided. Which response
would the nurse provide?

1. Scratching causes lesions to become more contagious

2. Scratching spreads dermatitis to other areas of the body.

3. Scratching results in skin breaks that can lead to infection

4. Scratching produces changes that are precursors to skin cancer. - ANS- 3. Scratching results in skin
breaks that can lead to infection.

,A 15 month old child is hospitalized after ingesting toilet bowl cleaner. The parent confides that she feels
guilty about leaving the cleaner where her child could get it. Which is the best response by the nurse?

1. Anyone could make a mistake don't dwell on it.

2. Lets not worry about the past. Your child is going to get better.

3. It was an accident, but you should consider special locks on your closets.

4. That was careless but you should now make sure that you poison-proof your house. - ANS- 3. It was an
accident, but you should consider special locks on your closets.

The nurse observes several dark round areas on a newborns buttocks on a dark skinned neonate. How
would this observation be documented?

1. Stork bites.

2. Forceps marks

3. Dermal Melanocytosis

4. Ecchymotic areas - ANS- 3. Dermal Malanocytosis

Which is a complication if monocular strabismus is not correct?

1. Dyslexia will develop

2. Preiphreal vision will disappear

3. Vision is both eyes will be diminished

4. Amblyopia will progress in the weak eye - ANS- 4. Amblyopia

A 6 year old child is about to have and IV catheter inserted. Which is the nurses BEST response when the
child starts to cry?

1. Do you want the IV in your right or left arm

2. Do you want me to come back in a little while

3. The needle will hurt for a second don't be afraid

4. The medication in the IV will make you feel better - ANS- 1. Do you want the IV in your right or left

,arm

A client asks the nurse how long it will take for chest pain to subside after sublingual nitroglycerin is
taken. Which time period will the nurse tell the client?

1. 1 to 3 minutes

2. 4 to 5 minutes

3. 30 to 45 seconds

4. 20 to 25 minutes - ANS- 1. 1 to 3 minutes

Which medication would require the nurse to document and report changes in urine output to the
health care provider?

1. Captopril

2. Losartan

3. Verapamil

4. Propranolol - ANS- 1. Captopril

Which information would the nurse include when teaching a client how to lessen the pain of angina
(SATA)

1. Avoid eating heavy meals.

2. Use air conditioning in the summer

3. Wait at least 1 hour after eating before going for a brisk walk.

4. Weat a scarf when it is cold outside and avoid walking into a cold wind

5. Call your healthcare provider immediately if you develop a headache after taking a nitrate. - ANS- 1

2

3

4

5

,after surgery total parenteral nutrition is instituted via a central venous infusion. After 4 hours of the
infusion the client complains of nausea fatigue and headache. The hourly urine output is twice the
amount of the previous hour. After contacting the primary health provider which action would the nurse
take next?

1. Check the serum glucose levels

2. Obtain an Oxygen saturation level

3. Administer a prescribed analgesic

4. Prepare the client for immediate surgery for possible bowel obstruction. - ANS- 1. Check the serum
glucose level.

Which practice by an infant's caregiver would cause the nurse to intervene immediately?

1. Cleaning the top of a food can with detergent

2. Using a can opener to open cans of baby food.

3. Heating a bottle of formula in the microwave oven.

4. Having premade bottles of formula in the refridgerator. - ANS- 3. Heating a bottle of formula in the
microwave oven

Which is the best response to the parent of an infant who asks, My aunt said to wipe my baby's gums
with wine to ease the pain of teething what do you suggest?

1. Make sure the wine is diluted before applying to the gums

2. Your aunt means well but that is not a good idea.

3. You can use a teething gel that contains benzocaine to control the pain

4. Offer something to chew on such as a rubber teether. - ANS- 4. Offer something to chew on, such as a
rubber teether.

Which therapeutic intervention would most likely be required for a newborn with developmental
dysplasia of the hip (DDH)

1. A Pavlik harness

,2. Tightly swaddled blankets

3. Periodic use of a cradleboard.

4. Placement in an infant seat on a set schedule - ANS- 1. A Pavlik harness

Which sign or symptom will the LPN report to the RN after gathering data from a client at 28 weeks
gestation (SATA)

1. Diarrhea

2. Pelvic pressure

3. Menstrual cramps

4 Constant backache

5. Increased vaginal discharge - ANS- 1

2

3

4

5

Shortly after birth the nurse instills erythromycin ophthalmic ointment in the newborns eyes. The father
asks why an antibiotic ointment is needed because the mother doesn't have an infection. The nurse
explains that in protects the newborn from which infections?

1. Chlamydia and gonorrhea

2. Syphilis and toxoplasmosis

3. Rubella and retrolental fibroplasia

4. Cytomegalovirus and varicella zoster - ANS- 1. Chlamydia and gonorrhea

Which age is typical for a child to begin sharing and developing an imagination and ritualistic behavior?

1. Two years old

2. Three years old

,3. Four years old

4. Five years old - ANS- 2. Three years old

Which is the best way for the nurse to greet a three-year-old sitting in the waiting room of the pediatric
clinic?

1. By walking into the waiting room to greet the child.

2. By calling the child by name at the waiting room door.

3. By asking the receptionist to bring the child into the office.

4. By standing at the waiting room door while inviting the child into the office - ANS- 1. By walking into
the waiting room to greet the child.

After 5 years of unprotected intercourse a childless couple comes to the fertility clinic The husband tells
the nurse that his parents have promised to make a down payment on a house for them if his wife gets
pregnant this year. Which response would the nurse make to this comment

1. This must be very difficult for you with this added pressure

2. Having a child is a decision you should make without your parent input

3. You're lucky It's nice that your parents are making such a generous offer.

4. Five years without a pregnancy is a long time. You were right to come to the fertility clinic. - ANS- 1.
This must be very difficult for you with this added pressure.

A child who has undergone abdominal surgery complains of incisional pain. The nurse administers the
prescribed acetaminophen. The parent asks why the child is not being given ibuprofen. How would the
nurse response?

1. It could prolong bleeding time

2. It's contraindicated for young children

3. It can suppress the healing of the infection

4. It becomes ineffective when given for long periods. - ANS- 1. It could prolong bleeding time.

,Which instruction would the nurse give to family members of a client with expressive aphasia who ask
how they can help the client regain as much speech function as possible?

1. Speak louder than usual during visits while looking directly at the client.

2. Tell the client to use the correct words when speaking.

3. Give positive reinforcement for correct communication

4. Encourage the client to speak while being patient with each attempt. - ANS- 4. Encourage the client to
speak while being patient with each attempt

Which blood pressure finding would the nurse MOST often find in toddlers?

1. 85/54 mm HG

2. 95/65 mm HG

3. 105/65 mm HG

4. 110/65 mm HG - ANS- 2. 95/65 mm Hg

A teenager who attempted suicide is admitted to a psychiatric center for care. On assessment the
teenager tells the nurse the reason was the end of a romantic relationship. Which member of the
rehabilitation care team may play a major role in providing care to this teenager?

1. Occupational therapist

2. Speech language pathologist

3. Therapeutic recreation therapist

4. Rehabilitation LPN/LVN - ANS- 3. Therapeutic recreation therapist

Which basic principle represents AA

1. Spouses should attend AA meetings

2. A commitment to permanent abstinence must be made

3. Amends must be made to each person who has been harmed

4. People have the power to overcome alcoholism if they truly want to stop drinking - ANS- 3. Amends

, must be made to each person who has been harmed

Which step of the LPN nursing process is the nurse using when conducting a clients preoperative nursing
interview?

1. Data collection

2. Evaluation

3. Planning

4. Implementation - ANS- 1. Data collection

A team of healthcare professionals cares for a client with a spinal cord injury. Which statement would be
made by a social worker on the team?

1. I'll help you communicate with people

2. I'll help you with your examination and treatment procedures

3. You should avoid foods rich in fat and eat foods rich in fiber

4. I'll assist you in finding financial resources - ANS- 4. I'll assist you in finding financial resources.

What describes the I in the SOAPIER charting acronym?

1. Effectiveness of the plan

2. a specific care or action plan

3. changes to the original plan

4. the plan itself - ANS- 2. A specific care or action plan

A teenage client has a prescription for oral solution levofloxacin to treat a sinus infection and the nurse
explains when the medication should be taken. Which statement by the client leads the nurse to
conclude that the teaching has been effective?

1. I should take the medication at mealtime

2. I should take the medication just before a meal

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