A nurse is caring for a child who has Hirschsprung disease. Which of the following findings should the nurse expect? A.Ridged abdomen B.Ribbonlike, foul-smelling stools C.Projectile vomiting D.Chronic hunger The correct answer and Explanation is : For a child with Hirschsprung disease, the expected finding would be: B. Ribbonlike, foul-smelling stools Explanation: Hirschsprung disease, also […]

A client diagnosed with bipolar I disorder is distraught over insomnia experienced over the last 3 nights and a 12-pound weight loss over the past 2 weeks. Which should be this clients priority nursing diagnosis? A.Altered nutrition: less than body requirements R/T hyperactivity AEB weight loss B.Altered sleep patterns R/T mania AEB insomnia for the

A nurse is caring for a client who has increased intracranial pressure (ICP) following a closed-head injury. Which of the following actions should the nurse take? A.Use log rolling to reposition the client. B.Place a warming blanket on the client. C.Instruct the client to cough and deep breathe. D.Place the client in a supine position.

A nurse is discussing discharge plans with an older adult client who lives alone and has left-sided weakness following a stroke.Which of the following information is the priority for the nurse to discuss?A.Choosing an agency to provide home physical therapy. B.Obtaining an alert system to get help in case of a fall. C.Providing information about

What reflex is elicited: Fanning of toes when stroking lateral edge of baby’s foot? A.Babinski’s Reflex. B.Stepping Reflex. C.Moro reflex. D.Plantar Grasp reflex. The correct answer and Explanation is : The correct answer is A. Babinski’s Reflex. Explanation: Babinski’s Reflex is a normal reflex found in infants and is one of the key indicators of

A clear liquid breakfast is prescribed for a client who is scheduled for surgery later today. The client asks the nurse for a small cup of chocolate ice cream. Which action should the nurse take? A.Call the healthcare provider to clarify if the client may have ice cream as requested. B.Offer to prepare a chocolate-flavored

A nurse is preparing to administer metronidazole 500 mg by intermittent bolus over 60 min. Available is metronidazole 500 mg in 100 ml 0.9% sodium chloride. The nurse should set the IV pump to deliver how many mL/hr? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not

A nurse is teaching a female client who has an anxiety disorder and is prescribed alprazolam (Xanax). Which of the following information should the nurse include in the teaching? A.“If a dose is missed, double the next dose of medication.” B.“This medication may increase your blood pressure.” C.“Do not eat aged cheeses while taking this

A nurse is caring for a client who is postoperative following a laminectomy with spinal fusion. Which of the following actions should the nurse take? A.Position the client in a high-Fowler’s position if clear drainage is noted on the dressing B.Monitor sensory perception of the lower extremities. C.Assist the client into a knee-chest position to

A client has a serum potassium level of 2.9 mEq/L. Which action prescribed by the health care provider should the nurse take first? A.Ask the patient about home insulin doses B.Administer IV potassium supplements C.Place the patient on a cardiac monitor D.Start an insulin infusion at 0.1 units/kg/h The correct answer and Explanation is :