A nurse is teaching about car seat safety to the parents of a newborn who was delivered at 38 weeks of gestation. Which of the following statements by a parent indicates an understanding of the teaching? A.“The car seat should be positioned in the car at a 45-degree angle.” B.“My baby will need a car […]

A nurse is collecting data from a newborn who is 48-hr old. Which of the following findings should the nurse report to the provider? A.Erythema toxicum B.Mongolian spot C.Telangiectatic nevi D.jaundice skin and yellow tinge to the sclera The Correct answer and Explanation is: The correct answer is D. jaundice skin and yellow tinge to

Several nurses who work on a postoperative surgical unit have reported to the charge nurse their concerns about a particular surgeon’s treatment of clients during invasive procedures. Adult clients are often in tears after this particular physician performs central IV line insertions or other invasive procedures. After the charge nurse confronts the healthcare provider who

A nurse is assessing a client who has postoperative atelectasis and is hypoxic. Which of the following manifestations should the nurse expect? A.Lethargy B.Bradycardia C.Intercostal retractions D.Bradypnea The Correct answer and Explanation is: The correct answer is C. Intercostal retractions. Explanation: Atelectasis is a condition characterized by the collapse or incomplete expansion of lung tissue,

A nurse is caring for a patient at risk for atelectasis. Which independent nursing measure should the nurse prioritize to prevent the development of atelectasis? A.Ambulation. B.Oxygen therapy. C.Incentive spirometry. D.Increase oral fluid intake. The Correct answer and Explanation is: The correct answer is C. Incentive spirometry. Explanation: Atelectasis is the partial or complete collapse

A nurse is caring for a client who is at 34 weeks of gestation. The client has a medical history of gestational diabetes, preeclampsia with previous pregnancy, and chronic hypertension for 5 years. The client’s vital signs are: BP: 170/104 mm Hg, Pulse: 89/min, Respirations: 20/min, Temperature: 98.8°F (37.1°C) Oral, Oxygen saturation: 97% room air.

A nurse is admitting an adolescent who has rubella. Which of the following actions should the nurse take? A. Administer aspirin to the clientB. Isolate the client from staff who are pregnant.C. Initiate airborne precautions.D. Monitor for the development of Koplik spots The Correct answer and Explanation is: The correct answer is B. Isolate the

The nurse caring for a client diagnosed with dehydration recognizes that which of the following are appropriate nursing interventions? (SELECT ALL THAT APPLY) A.Administering diuretics as ordered B.Providing good skin and mouth care C.Monitoring intake and output D.Obtaining daily weights The Correct answer and Explanation is: The appropriate nursing interventions for a client diagnosed with

A nurse is planning care for an 8-month-old infant who has heart failure.Which of the following actions should the nurse include in the plan of care?A.Administer cool, humidified oxygen via nasal cannula. B.Provide less frequent, higher volume feedings. C.Place the infant in a prone position. D.Repeat a digoxin dosage if the infant vomits within 1

A nurse is planning to administer olanzapine 10 mg IM to a client who has schizophrenia. Which of the following actions should the nurse take? A.Administer the medication into the deltoid muscle. B.Monitor the client for at least 3 hr after the injection. C.Withhold the medication if the client reports hallucinations. D.Instruct the client to