A nurse is providing interventions for a dehydrated child.Select all appropriate nursing interventions from the following options (A-E).A.“Administering oral rehydration solution (ORS).”.. B.“Keeping the child in a cold environment.”.. C.“Monitoring the child’s vital signs.”.. D.“Providing heavy meals at regular intervals.”.. E.“Educating the child and caregivers about dehydration.”.. The correct answer and Explanation is : The […]

A nurse is preparing to administer a topical medication to a client. Which of the following actions should the nurse take? A.Show the assistive personnel where to apply the medication. B.Ask the client when the previous nurse last applied the medication. C.Identify the client by comparing the medication administration record with the client’s room number.

A nurse is assessing a client who has schizophrenia. Which of the following findings should the nurse identify as a negative symptom of schizophrenia? A.Magical thinking B.Flat affect C.Ideas of reference D.Clang association The correct answer and Explanation is : The correct answer is B. Flat affect. Explanation: In schizophrenia, symptoms are categorized into positive

A nurse is caring for a client who is receiving furosemide to treat heart failure.Which of the following laboratory values should the nurse monitor for this client?. A.Serum cholesterol. B.Serum amylase. C.Serum potassium. D.Serum triglyceride. The correct answer and Explanation is : The correct answer is C. Serum potassium. Explanation: Furosemide is a loop diuretic

A nurse is providing teaching about expected gestational changes to a client who is at 12 weeks of gestation. Which of the following statements by the client indicates a need for further teaching? A I will reduce my stress level.B I will use only nonprescription medications while pregnant.C I will monitor my weight gain during

The nurse is caring for a patient who is receiving vancomycin (Vancocin). The nurse notes that the patient is experiencing flushing, rash, pruritus, and urticaria. The patient’s heart rate is 120 beats per minute, and the blood pressure is 92/57 mm Hg. The nurse understands that these findings are consistent with: A.allergic reaction. B.rhabdomyolysis. C.Stevens-Johnson

The nurse observed that a client with diabetic ketoacidosis is experiencing abnormally deep, regular, and rapid respirations. How would the nurse document this observation in the medical record? A.Bradypnea B.Kussmaul’s respirations C.Cheyne-Stokes respirations D.Biot’s respirations The correct answer and Explanation is : The correct answer is B. Kussmaul’s respirations. Explanation: Kussmaul’s respirations are a type

Which description of stool is characteristic of intussusception? A.Loose, foul-smelling stools. B.Ribbon-like stools. C.Hard stools positive for guaiac. D.“Currant jelly” stools. The correct answer and Explanation is : The correct answer is: D. “Currant jelly” stools. Explanation Intussusception is a serious condition where a part of the intestine telescopes into an adjacent segment, leading to

A nurse is collecting data from a client who has left sided heart failure. For which of the following findings should the nurse notify the provider? A.Weight loss of 1 kg (2.2 lb) in the past 24 hr B.Pale, clammy skin C.Fatigue when ambulating 152 m (500 ft) D.Productive cough with pink, frothy sputum The

When a client has a nursing diagnosis of Ineffective Coping, which nursing interventions would best meet the desired outcome of demonstrating appropriate coping strategies? (Select all that apply). A.Assist the client in identification of a social support network. B.Administer sedative-hypnotics as directed. C.Identify stress-reducing techniques when environmental stressors cannot be controlled. D.Discuss with the client