A nurse is assisting an infant who has respiratory syncytial virus.For which of the following findings should the nurse intervene?A.Brisk capillary refill B.Tachypnea C.Rhinorrhea D.Coughing The correct answer and Explanation is : The correct answer is B. Tachypnea. Explanation: Respiratory syncytial virus (RSV) is a common respiratory virus that often affects infants and young children. […]

A nurse is caring for a client who was admitted for observation following a head injury. Which of the following findings by the nurse indicates the client is experiencing increased intracranial pressure? A.Pin-point pupils B.Irritability C.Pallor D.Decreased blood pressure The Correct Answer and Explanation is : Correct Answer: B. Irritability Explanation: Increased intracranial pressure (ICP)

A nurse is caring for a client who has an alcohol use disorder and is experiencing withdrawal. Which of the following interventions is the nurse’s priority? A.Identify the use of defense mechanisms. B.Prevent the client from harming herself or others. C.Support the client’s coping skills. The Correct Answer and Explanation is : The correct answer

A nurse is planning care for a client who has bacterial meningitis. Which of the following interventions should the nurse implement? A.Ensure the client’s bed is positioned to greater than 45°. B.Initiate airborne precautions. C.Ensure lights are dimmed in the client’s room. D.Encourage frequent ambulation. The Correct Answer and Explanation is : The correct answer

A nurse is preparing to administer clindamycin phosphate IM 15 mg/kg/day divided in equal doses every 6 hr to an infant who weighs 21 lb. Available is clindamycin phosphate injection 150 mg/mL. How many mL should the nurse administer per dose? (Round the answer to the nearest hundredth. Use a leading zero if applicable. Do

A nurse is caring for a postoperative client. Which of the following findings indicate the client may be actively bleeding? A.Bounding pulses B.Restlessness C.Warm skin D.Brisk capillary refill The correct answer and Explanation is : The correct answer is B. Restlessness. Explanation: Restlessness can be an indicator of active bleeding in a postoperative client for

Immediately after log-rolling a client to a lateral position, which intervention should the practical nurse (PN) implement? A.Raise the head of the bed 30 degrees. B.Measure blood pressure and pulse rate. C.Flex legs and place blanket between legs. D.Place pillows to maintain alignment. The correct answer and Explanation is : The correct intervention immediately after

A nurse is creating a plan of care for a female client who has recurrent urinary tract infections. Which of the following interventions should the nurse include in the plan? A.Drink four 240 mL (8 oz) glasses of water each day. B.Void every 5 to 6 hr during the day C.Wear loose-fitting underwear D.Take a

A nurse is creating a teaching plan for a client who has a new diagnosis of diabetes mellitus. ExhibitsWhich of the following teaching methods is based on the cognitive domain of learning? Select all that apply. A.Give the client printed information describing diabetes mellitus. B.Engage in a question-and-answer session with the client. C.Ask the client

A community health nurse is planning a smoking cessation class. Which of the following factors will have the greatest effect on the success of the class? A.Presenter’s teaching strategies. B.Presenter’s credibility. C.Client’s motivation. D.Client’s education level. The Correct Answer and Explanation is : The factor that will have the greatest effect on the success of