A nurse is assessing the amount, color, odor, consistency, and presence of clots or tissue in the lochia of a postpartum client. Which of the following findings should the nurse report as abnormal? A.Lochia rubra on day 2 postpartum B.Lochia serosa on day 4 postpartum C.Lochia alba on day 10 postpartum D.Large clots on day […]

The practical nurse (PN) overhears a female client with Cushing’s syndrome tell her family in a very loud and angry voice to leave her room and not to come back. The response by the PN is based on recognizing which common manifestation of the syndrome? A.Impaired cognition. B.Memory loss. C.Mood alterations. D.Hearing loss. The Correct

A nurse is caring for a child who has Legg-Calve-Perthes disease and is in Buck extension traction. Which of the following actions should the nurse take? A.Reposition the child every 2 hr. B.Remove the traction boot during baths. C.Reduce fluid intake. D.Apply antibiotic ointment to pin sites daily. The Correct Answer and Explanation is: The

A nurse is caring for a child who is suspected of having Legg-Calve-Perthes disease. The nurse should prepare the child for which of the following diagnostic procedures? A.Bone biopsy. B.Radiographs. C.MRI. D.Genetic testing. The Correct Answer and Explanation is: The correct answer is B. Radiographs. Explanation: Legg-Calve-Perthes disease is a condition characterized by the avascular

A nurse recently administered filgrastim intravenously to a client who has cancer and is receiving cytotoxic chemotherapy.For which of the following data, discovered after the medication was administered, should the nurse file an incident report? A.The client had chemotherapy 12 hr before the medication was administered. B.The medication vial sat at room temperature for 2

A nurse is collecting data from four clients who have wounds. The nurse should recognize that which of the following clients has a manifestation of a wound infection? A.A client who has swelling and tenderness around the wound B.A client who has brown crusting over the wound C.A client who has serosanguineous drainage from the

A nurse is caring for a client who has stomatitis following radiation therapy. Which of the following interventions is appropriate for the nurse to take? A.Avoid serving sauces or gravies. B.Discourage the use of a straw. C.Serve the client hot meals. D.Offer the client frozen bananas as a snack. The Correct Answer and Explanation is:

A nurse is caring for a client who has stomatitis following radiation therapy. Which of the following is an appropriate intervention for the nurse to take? A.Serve foods without sauces or gravies. B.Instruct the client to drink liquids without a straw. C.Offer mouth rinses with normal saline and water. D.Serve foods while still at a

A nurse is preparing to administer ondansetron 0.15 mg/kg IV to a client who weighs 132 lb. Available is ondansetron 2 mg/ml. How many ml. should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.) The Correct Answer and Explanation is:

A client with obsessive-compulsive disorder (OCD) reports, “Thoughts stick in my mind and the rituals I use are stupid, but I cannot control them. People laugh at me, but they do not understand how awful it is. I am a burden to my family because I cannot hold a job. I do not know how