The nurse is performing a newborn assessment. Which symptom, if present in a newborn, would indicate respiratory distress? A.Flaring of the nares B.Shallow and irregular respirations C.Respiratory rate of 50 breaths per minute D.Abdominal breathing with synchronous chest movement The correct answer and Explanation is : The correct answer is A. Flaring of the nares. […]
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A nurse is reviewing medications prescribed for a client. For which of the following prescriptions should the nurse contact the provider for clarification? A.Docusate sodium 200 mg PO at bedtime B.Meloxicam 15 mg PO daily C.Regular insulin 8 units subcutaneous before meals D.Fentanyl 25 mcg/hr transdermal patch E.Fentanyl 25 mcg/hr transdermal patch The correct answer
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While percussing the borders of the heart, the nurse picks up an area of dullness beginning at the 5th left intercostal space and moving upward to the 2nd left intercostal space at the sternal border. What do these findings indicate? A.Expected finding. B.Cardiac enlargement. C.Benign variation. D.Cardiac atrophy. The correct answer and Explanation is :
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A nurse is caring for a 3-year-old child immediately following a tonic-clonic seizure. Which of the following actions should the nurse take? A Offer the child sips of clear fluids.B Place the child in a supine position.C Administer an oral antiepileptic medication.D Check the child for oral injuries. The correct answer and Explanation is :
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A nurse is caring for a client who has a vented NG tube set to low intermittent suction and has vomited. Which of the following actions should the nurse perform first? A.Replace the NG tube. B.Provide oral hygiene care. C.Administer an antiemetic D.Evaluate functioning of the suction device The correct answer and Explanation is :
A nurse is administering furosemide IV bolus to a client who has fluid volume excess. The nurse should recognize which of the following findings as an indication that the medication has been effective? A.Weight loss. B.Decreased inflammation. C.Increased blood pressure. D.Decreased pain. The correct answer and Explanation is : The correct answer is: A. Weight
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A nurse is caring for a client who is taking furosemide (Lasix) daily to treat heart failure. The nurse recognizes that the client is at risk for which electrolyte imbalance? A.Hypokalemia B.Hypocalcemia C.Hypernatremia D.Hyperkalemia The correct answer and Explanation is : The correct answer is A. Hypokalemia. Explanation: Furosemide, commonly known as Lasix, is a
A new mother expresses concern to the nurse that her baby is crying and grunting when passing stool. What is the nurse’s best response to this observation?A.“This is normal behavior for infants unless the stool passed is black or green.” B.“This is normal behavior for infants due to the immaturity of the gastrointestinal system.” C.“This
A home health nurse is caring for a child who has Lyme disease. Which of the following is an appropriate action for the nurse to take? A.Ensure the state health department has been notified. B.Administer antitoxin C.Educate the family to avoid sharing personal belongings. D.Assess for skin necrosis The correct answer and Explanation is :
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A nurse is preparing to administer a soapsuds enema to an adult client. Which of the following actions should the nurse take? A.Insert the tubing about 15 cm (6 in) into the anus. B.Hang the enema container 61 cm (24 in) above the anus. C.Assist the client to the left Sims’ position. D.Put on sterile
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