Saunders child health - Study guides, Class notes & Summaries

Questions 1.
ID: 3
A nurse performing a physical assessment of a client gathers both subjective and objective data. Which finding would the nurse document as subjective data? 
 A The client appears anxious. B Blood pressure is 170/80 mm Hg. C The client states that he has a rash. Correct D The client has diminished reflexes in the legs. 


Rationale: The purpose of a physical assessment is to collect both subjective and objective data. Subjective data, collected during the health his...

Hesi Study Module 3 Questions 1. ID: 8The mother of a 3-year-old child tells the nurse that her child hit her doll after the mother scolded her for picking the neighbors’ flowers. Which defense mechanism used by the child does the nurse identify in the mother’s report? Projection Sublimation Displacement Correct Identification Rationale: The defense mechanism of displacement involves the discharge of intense feelings for one person onto a substitute person or object that is less threatening ...

Hesi Study Module 3 Questions 1. ID: 8The mother of a 3-year-old child tells the nurse that her child hit her doll after the mother scolded her for picking the neighbors’ flowers. Which defense mechanism used by the child does the nurse identify in the mother’s report? Projection Sublimation Displacement Correct Identification Rationale: The defense mechanism of displacement involves the discharge of intense feelings for one person onto a substitute person or object that is less threatening ...

1.ID: 6
A client is being discharged home after a routine hip replacement surgery. The nurse is instructing the client on how to prevent postoperative complications. What statements by the client would indicate the need for further teaching? Select all that apply. A. “Limiting fiber is necessary to avoid diarrhea.” Correct B. “I should empty my bladder when I feel the urge.” C. “Avoiding pain medication will prevent constipation.” Correct D. “I should drink plenty of liquids li...

1. Nclex Module 4 Exam 1. 1.ID: 93 A client with schizophrenia says, “I’m away for the day ... but don’t think we should play or do we have feet of clay?” Which alteration in the client’s speech does the nurse document? A. Neologism B. Word salad C. Clang association Correct D. Associative looseness Rationale: Clang association is the meaningless rhyming of words in which the rhyming is more important than the context of the words. A neologism is a made-up word that has meaning ...

NURSING 2362 MODULE 3 EXAM Questions 1. ID: The mother of a 3-year-old child tells the nurse that her child hit her doll after the mother scolded her for picking the neighbors’ flowers. Which defense mechanism used by the child does the nurse identify in the mother’s report? Projection Sublimation Displacement Correct Identification Rationale: The defense mechanism of displacement involves the discharge of intense feelings for one person onto a substitute person or object that is less t...

NURSING 2362 MODULE 3 EXAM Questions 1. ID: The mother of a 3-year-old child tells the nurse that her child hit her doll after the mother scolded her for picking the neighbors’ flowers. Which defense mechanism used by the child does the nurse identify in the mother’s report? Projection Sublimation Displacement Correct Identification Rationale: The defense mechanism of displacement involves the discharge of intense feelings for one person onto a substitute person or object that is less t...

SAUNDERS ATI PHARMACOLOGY STUDY GUIDE Week 1: Chapter 35 “Maternity and Newborn Medications” Questions Answers and Rationales 1. The nurse is monitoring a client who is receiving oxytocin (Pitocin) to induce labor. Which assessment finding would cause the nurse to immediately discontinue the oxytocin infusion? 1. Fatigue 2. Drowsiness 3. Uterine hyperstimulation 4. Early decelerations of the fetal heart rate Rationale: Often used to induce labor. High doses are often used for uterin...

Saunders NCLEX Postpartum Questions Exam Questions & Answers, With Rationales-A rubella titer result of a 1-day postpartum client is less than 1:8, and a rubella virus vaccine is prescribed to be administered before discharge. The nurse provides which information to the client about the vaccine? Select all that apply. 1. Breast-feeding needs to be stopped for 3 months. 2. Pregnancy needs to be avoided for 1 to 3 months. 3. The vaccine is administered by the subcutaneous route. 4. Exp...

Chart/Exhibit Practice Item While performing a physical assessment on a client with a long- term history of tobacco use, a nurse notes changes in the client’s fingers (see illustration). Angle > 180 The nurse should best document this assessment finding as: 1. vitiligo. 2. clubbing. 3. keratinized. 4. poor capillary refill. ANSWER: 2 In this question, the nurse should document the finding as clubbing. The picture shows swelling at the distal end of the finger and loss of the normal ...