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1. When assessing a multiparous client following a vacuum-assisted birth, the nurse should be alert for what complication?: Cervical laceration. Maternal complications with vacuum-assisted birth are rare but can include per- ineal, vaginal, or cervical lacerations. 2. A nurse is assessing a client q15min during the immediate postpartum period- which requires immediate action?: Boggy uterus. This indicates that the client is at greatest rush for uterine atony; therefore, the nurse should i...

1. A nurse in a pediatric unit is preparing to insert an IV catheter for 7-year-old. Which of the following actions should the nurse take? A. Unable to read B. Tell the child they will feel discomfort during the catheter insertion. C. Use a mummy restraint to hold the child during the catheter insertion. D. Require the parents to leave the room during the procedure.: B. Tell the child they will feel discomfort during the catheter insertion. 2. A nurse is caring for a client who has arteri...

1. Pancreatitis: -- Upper left quadrant pain (abdominal pain) Priority Finding: *Absent bowel sounds* (indicative of paralytic ileus. *Expected findings:* (H) amylase + (H) Lipase Liver enzymes elevated Glucose may be elevated - (L) insulin N/V, jaundice, (H) WBC 2. Hepatitis A: Contaminated Food 3. Lab values (Per ATI): *BUN*: 10-20 *Cr*: 0.6-1.2 *Creatinine Clearance*: 80-139 *Na*: 135-145 *K*: 3.5-5 *Ca*: 9-11 *Cl*: 98-106 *Mg*: 1.3-2.1 *Albumin*: 3.5-5 (slow changes in protein)...

1. A nurse is assessing a newborn who has a blood glucose level of 30 mg/dl. Which of the following manifestations should the nurse expect? A. Loose stools B. Jitteriness C. Hypertonia D. Abdominal distention: B. Jitteriness 2. A nurse is assessing a client who is immediately post-operative following total hip arthroplasty, which of the following considerations should the nurse take when positioning the client? A. Place the client's heels directly against the bed mattress B. Ensure th...

1. A nurse is assessing an infant who has water intoxication. Which of the following findings should the nurse expect?: bounding pulse 2. A nurse is discussing the z-track administration of hydroxyzine with a newly licensed nurse. Which of the following statements indicates the newly licensed nurse understands the purpose of the technique: a. This technique decreases the risk of subcutaneous infiltration 3. 1. A nurse is creating a plan of care for a client who has anorexia nervosa. Which of t...

1. Having recently moved into the area, a 56-year-old female is having her initial visit with the primary care provider she selected. The patient denies any chronic or acute illnesses. You measure & record her vital sign data, whats next? The primary reason for assessing this patient's vital signs is to: establish a baseline when the patient reports no specific health-related problem. You got it right. Vital signs are assessed for various reasons that include determin- ing the patient'...

1. A nurse is planning care for a client who is receiving heparin to treat a deep-vein thrombosis of the left lower leg. Which interventions should the nurse include in the plan of care? maintain the client on bed rest restrict the client to 1 L of fluid per day place cool compresses on the edematous area elevate the affected leg: elevate the affected leg the nurse should elevate the client's affected extremity to reduce edema and decrease the risk of chronic venous insufficiency 2. A ...

1. Why is a measure of serum lactate obtained in the initial assessment of the trauma patient? Answer: c: a) to measure oxygenation and ventilation b) to quantify the base deficit for the adequacy of cellular perfusion c) *to gauge end-organ perfusion and tissue hypoxia ** d) to determine the underlying cause of shock 2. A trauma patient is restless and repeatedly asking "where am I?" vital signs upon arrival were BP 100/60 mm Hg, HR 96 beats/min, and RR 24 breaths/min. Her skin is cool...

1. A nurse is assessing an infant who has water intoxication. Which of the following findings should the nurse expect?: bounding pulse 2. A nurse is discussing the z-track administration of hydroxyzine with a newly licensed nurse. Which of the following statements indicates the newly licensed nurse understands the purpose of the technique: a. This technique decreases the risk of subcutaneous infiltration 3. 1. A nurse is creating a plan of care for a client who has anorexia nervosa. Which of t...

1. A nurse is assessing an infant who has water intoxication. Which of the following findings should the nurse expect?: bounding pulse 2. A nurse is discussing the z-track administration of hydroxyzine with a newly licensed nurse. Which of the following statements indicates the newly licensed nurse understands the purpose of the technique: a. This technique decreases the risk of subcutaneous infiltration 3. 1. A nurse is creating a plan of care for a client who has anorexia nervosa. Which of t...