A nurse is caring for a client who is in the first stage of labor. The nurse observes the umbilical cord protruding from the vagina. Which of the following actions should the nurse perform first? A.Insert a gloved hand into the vagina to relieve pressure on the cord. B.Cover the cord with a sterile, moist […]
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Which of the following would the nurse have readily available for a client who is receiving magnesium sulfate to treat severe preeclampsia?A.Calcium gluconate. B.Calcium carbonate. C.Potassium chloride. D.Ferrous sulfate. The correct answer and Explanation is : The correct answer is A. Calcium gluconate. Explanation: Magnesium sulfate is commonly used in the management of severe preeclampsia
A nurse is caring for a client who has cholecystitis with cholelithiasis and obstruction of the common bile duct. The nurse should expect the client’s urine to appear which of the following colors? A.Pale yellow B.Red C.Greenish-brown D.Dark and concentrated The correct answer and Explanation is : The correct answer is D. Dark and concentrated.
A nurse in an emergency department is preparing to care for a client who is being brought in with multiple system trauma following a motor vehicle crash. Which of the following should the nurse identify as the priority focus of care? A Preventing musculoskeletal disabilityB Airway protectionC Stabilizing cardiac arrhythmiasD Decreasing intracranial pressure The correct
The patient received Humalog (rapid acting) insulin 5 units subcutaneously at 8:00 AM. The nurse plans to monitor this patient for signs of hypoglycemia at which time related to the insulin’s peak action? A.1:00 PM B.8:00 PM C.There is no peak action for this insulin D.9:00 AM The correct answer and Explanation is : The
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A nurse is admitting a child who has suspected epiglottitis. Which of the following actions should the nurse take first? A.Administer 0,9% sodium chloride IV solution. B.Assist with otitaining an x-ray of the child’s neck C.Initiate IV antibiotics. D.Place the child on droplet precautions The correct answer and Explanation is : The correct answer is
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A nurse is admitting a child who has acute epiglottitis. Which of the following actions should the nurse take? A.Obtain a throat culture. B.Initiate droplet isolation precautions. C.Assist the child into a supine position. D.Check oxygen saturation every 4 hr. The correct answer and Explanation is : The correct answer is B. Initiate droplet isolation
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What is the inherent rate of the AV (atrioventricular) node area? A.40 to 60. B.20 to 40. C.60 to 80. D.80 to 100. The correct answer and Explanation is : The correct answer is: A. 40 to 60 Explanation: The atrioventricular (AV) node is a crucial part of the heart’s electrical conduction system. It is
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A nurse is assisting in providing postmortem care for a client who was a devout follower of Hinduism. Which of the following requests should the nurse anticipate from the client’s family? A.To stay with the client’s body for 8 hr following their death B.To bury the client’s body within 24 hr of their death C.To
A nurse is providing teaching to a client who has dumping syndrome. Which of the following instructions should the nurse include in the teaching? A.“Eat protein at each meal.” B.“Consume three large meals daily.” C.“Drink beverages with meals.” D.“Sit up in bed after meals.” The correct answer and Explanation is : The correct answer is:
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