A nurse is planning care for a 10-month-old infant who is 8 hours postoperative following cleft palate repair. Which of the following interventions should the nurse include in the infant’s plan of care? A Apply and release elbow restraints every hourB Keep the infant supineC Feed the infant with a spoon for 48 hoursD Suction […]

A nurse is assisting with the care of a client who has a closed-chest tube drainage system. Which of the following actions should the nurse take? A.Monitor for at least 150 mL of drainage every hour. B.Clamp the tube for 30 min every 8 hr. C.Pin the tubing to the client’s bed sheets. D.Replace the

When assessing a newborn 1 hour after birth, the nurse measures an axillary temperature of 95.8° F (35.4° C), an apical pulse of 114 beats per minute, and a respiratory rate of 60 breaths per minute. The nurse would identify which area as the priority? A.Hypothermia. B.Deficient fluid volume. C.Impaired gas exchange. D.Risk for infection.

A nurse is assessing a client for orthostatic hypotension. Which of the following actions should the nurse take first? A.Check the blood pressure with the client in a supine position. B.Place the client in a sitting position. C.Assist the client into a standing position. D.Determine the client’s blood pressure 1 min after each position change.

A nurse is caring for a client who has anorexia nervosa.Which of the following findings requires immediate intervention by the nurse?A.Blood pH 7.60. B.BUN 21 mg/dL. C.+2 edema of the lower extremities. D.Lanugo covering the body.] The correct answer and Explanation is : The finding that requires immediate intervention by the nurse is A. Blood

A nurse is collecting data from a client at a 6-week postpartum checkup. The client tells the nurse, “I am breastfeeding and would like to use a birth control pill.” Which of the following statements should the nurse make? A.“Progestin-only birth control pills are preferred for contraception during lactation.” B.“Taking birth control pills while breastfeeding

A nurse is caring for a client who is receiving radiation therapy and is experiencing anorexia.Which of the following actions should the nurse take? A.Encourage the client to drink low-protein supplements. B.Serve the client’s largest meal in the evening. C.Provide the client with cold foods rather than hot foods. D.Tell the client to drink two

A nurse is collecting data from a female client who reports she wants to begin taking oral contraceptives. Which of the following findings is a contraindication for this client? A.History of ectopic pregnancy B.Vaginal yeast infection C.Hypertension D.Irregular menses The Correct Answer and Explanation is: The correct answer is C. Hypertension. Explanation: Oral contraceptives, or

The covalent bonds between the monomers of an enzyme macromolecule are: A.Ester bonds B.Peptide bonds C.Phosphodiester bonds D.Glycosidic bonds The correct answer and Explanation is : The correct answer is B. Peptide bonds. Explanation: Enzymes are proteins, and proteins are made up of monomers called amino acids. These amino acids are linked together by peptide

The nurse is caring for a client who is taking metformin (Glucophage) for hyperglycemia prior to admission. The nurse would question the following order for this client: A.CT scan with contrast B.Chest X-ray 1 view C.V/Q scan D.Bilateral lower extremity ultrasound The Correct Answer and Explanation is: The correct answer is A. CT scan with