The practical nurse (PN) heard adventitious breath sounds while auscultating the lungs of an older adult who is receiving an IV of 5% dextrose in water (DW) at 100 mL/hour. Which action should the PN take next? A.Report the findings to the charge nurse. B.Review the last balance of intake and output. C.Slow the DSW […]
Which specific nursing interventions are implemented in the care of a child with leukemia who is at risk for infection? Select all that apply. A.Reduce exposure to environmental organisms. B.Maintain the child in a semiprivate room. C.Use strict aseptic technique for all procedures. D.Ensure that anyone entering the child’s room wears a mask E.Apply firm
A nurse is teaching a new mother how to use a bulb syringe to suction her newborn’s secretions. Which of the following instructions should the nurse Include? A.Insert the syringe tip before compressing the bulb. B.Suction each of the nares before suctioning the mouth. C.insert the tip of the syringe into the center of the
A nurse is planning care for a client who has a prescription for continuous enteral feedings through an NG tube. Which of the following actions should the nurse plan to take? A.Measure gastric residual volumes every 4 hr. B.Advance the rate of the feeding every 2 hr. C.Maintain the head of the bed at a
A nurse is planning a mechanical soft diet for a client who has difficulty chewing. Which of the following foods should the nurse plan to include on the client’s meal tray? A.Peas B.Dried apricots C.Canned pears D.Cashews The Correct Answer and Explanation is : The correct answer is: C. Canned pears Explanation: A mechanical soft
A nurse is planning a mechanical soft diet for a client who has difficulty chewing Read More »
A patient is taking acetaminophen (Tylenol) 325 mg, 2 tablets PO every 6 hours. How many grams is the patient receiving in 24 hours? The correct answer and Explanation is : To determine the total amount of acetaminophen a patient is receiving in 24 hours, follow these steps: Summary:The patient is receiving 2.6 grams of
A patient is taking acetaminophen (Tylenol) 325 mg Read More »
The nurse is monitoring a client admitted to the hospital with a diagnosis of appendicitis who is scheduled for surgery in 2 hours. The client begins to complain of increased abdominal pain and begins to vomit. On assessment, the nurse notes the abdomen is distended and bowel sounds are diminished.Which is the most appropriate nursing
The nurse should reinforce that fixation at the oral stage of development can lead to which of the following conditions? A.Inability to form healthy relationships B.Feelings of shame C.Bedwetting D.Overeating The correct answer and Explanation is : The correct answer is D. Overeating. Explanation: Freud’s psychosexual stages of development outline how personality and behaviors develop
A nurse is assisting with teaching a class about Freud’s psychosexual stages Read More »
A registered nurse (RN) and an experienced licensed practical nurse (LPN) are caring for a group of clients. Which of the following tasks should the RN delegate to the LPN? SELECT ALL THAT APPLY A.Initiate a plan of care for a client who is postoperative from an appendectomy. B.Administer a tap-water enema to a client
The nurse has been doing medication education for the client receiving lithium (Eskalith).Which statement by the client indicates that teaching has been effective? A.“I need to call my physician if I excessively sweat during exercise,” B.“I can stop taking my lithium when my moods are stable.” C.I don’t need to have my blood checked anymore