A nurse is completing discharge teaching about ostomy care with a client who has a new stoma. Which of the following instructions should the nurse include in the teaching? (Select all that apply.) A.“Use povidone-iodine to clean around the stoma.” B.“Cut the opening of the pouch / of an inch larger than the stoma.” C.“Empty […]

A client is receiving IV fluids at 150 mL/hr. Which of the following findings indicates that the client is experiencing fluid overload? A.Oliguria B.Bradycardia C.Dyspnea D.Poor skin turgor The correct answer and Explanation is : The correct answer is C. Dyspnea. Explanation: Fluid overload occurs when there is an excessive amount of fluid in the

A nurse is caring for a comatose patient and applies a hand and wrist roll in each hand of the patient to keep the thumb slightly adducted and correct position to the fingers. What is the primary purpose of this action? A.To prevent contractions in the hand. B.To prevent skin breakdown. C.To prevent decrease perfusion

A nurse is teaching a client who is on a low-sodium diet. Which of the following instructions should the nurse include? (Select all that apply.) A.Limit intake of canned soups. B.Choose botled salad dressings. C.Choose diet sodas over botled water. D.Replace processed meats with fresh meat products. E.Read labels on foods before eating. The Correct

A nurse is caring for a client who is using a continuous passive motion (CPM) machine following a total knee arthroplasty. Which of the following actions should the nurse take? A.Turn the CPM machine off while the client is eating. B.Store the CPM machine on the floor when not in use. C.Check the settings of

An infant weighing 6 pounds 3 ounces has morphine 0.5 mg IV q 2 hours prn ordered for post op pain. The recommended dosage for a child is 0.1-0.2 mg/kg/dose q2-4 hours prn. Prove mathematically the ordered dose by the physician (mg/kg/dose) and is it safe to give. The Correct Answer and Explanation is: To

A patient with deep vein thrombosis (DVT) is receiving a continuous infusion of Heparin Sodium 20,000 Units in 5% Dextrose Injection 500 mL at the rate of 25 mL/hour. How many units of heparin should the client receive in 12 hours? (Enter numeric value only.) The Correct Answer and Explanation is: To calculate how many

A nurse is reviewing the child’s medical record. Which of the following medications should the nurse expect the provider to prescribe or reconcile from the child’s home medication list? Select all that apply. A.Pancreatic lipase B.Acetaminophen C.Water-soluble vitamins D.Meperidine E.Dornase alfa The correct answer and Explanation is : In reviewing a child’s medical record and

The nurse is caring for an infant who has impetigo and is hospitalized. Which nursing intervention is the highest priority for this child? A.The nurse applies elbow restraints to the infant. B.The nurse soaks the skin with warm water. C.The nurse follows contact precautions. D.The nurse applies topical antibiotics to the lesions. The Correct Answer

12-month-old boy weighed 8 lb 2 oz at birth. Understanding developmental milestones, what should the nurse caring for the child expect the current weight to be? A.24 lb 6 oz B.20 lb 5oz C.32 lb 8 0z D.16 lb 4 oz The Correct Answer and Explanation is: At 12 months of age, a child’s weight