A nurse is caring for a patient who is 18 weeks pregnant. The patient tells the nurse that she felt fluttering movements in her abdomen 3 days ago. The nurse should interpret this finding as which of the following? A.Quickening. B.Chloasma. C.Lightening. D.Ballottement. The Correct Answer and Explanation is: The correct answer is A. Quickening. […]
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While conducting an admission assessment of a female client with bipolar disorder, the client suddenly starts to undress and throw her clothes around the room.What should be the nurse’s initial action? A.Switch to less anxiety-provoking Questions. B.Ignore the client’s inappropriate behavior. C.Leave the client’s room so she can act out her anxiety. D.State that it
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A nurse is collecting data from a toddler during a well-child visit. Which of the following actions should the nurse take to prepare the toddler for a physical examination? A.Allow the toddler to handle the equipment. B.Thoroughly explain each procedure to the toddler. C.Start the examination with routine immunizations. D.Completely undress the toddler. The Correct
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A patient with paraplegia resulting from a T9 spinal cord injury has a neurogenic reflexic bladder. Which action should the nurse include in the plan of care? A.Catheterize for residual urine after voiding. B.Instruct the patient how to self-catheterize. C.Assist the patient to the toilet every 2 hours. D.Teach the patient to use the Credé
A nurse enters a client’s room and sees smoke coming from the client’s trash can.Which of the following actions should the nurse take first? A. Confine the fire by closing doors and windows.B. Activate the fire alarm system.C. Extinguish the fire if possible.D. Rescue the client from immediate danger. The Correct Answer and Explanation is:
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The emergency department (ED) is caring for a 9-month-old male client who was brought to the ED for nasal congestion, cough, fever, and difficulty breathing. The client and his sister both attend daycare daily while their parents are at work. The sister has been acting a bit run down but has not had a fever
A nurse is preparing to insert an indwelling urinary catheter for a female client. Identify the sequence of actions the nurse should take. (Move the steps into the box on the right, placing them in the order of performance. Use all the steps.) A.Insert the catheter until a flow of urine begins. B.Attach prefilled syringe
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A mental health nurse on an inpatient eating disorders unit is caring for a client who has anorexia nervosa and has a body mass index of 16.7. Which of the following actions should the nurse take? (Select all that apply.) A.Monitor the client’s weight daily B.Allow the client to choose the meals she will eat
A nurse is caring for a client who has advanced stage prostate cancer. The nurse should expect the provider to prescribe which of the following medications for this client? A.Tamoxifen B.Leuprolide C.Cyclophosphamide D.Finasteride The Correct Answer and Explanation is: The correct answer is B. Leuprolide. Explanation: Advanced stage prostate cancer often requires a multifaceted treatment
A nurse is caring for a client who has advanced stage prostate cancer. Read More »
A client who weighs 60 kg receives a prescription for dalteparin 200 units/kg subcutaneously once a day for a month. The medication is available in 25,000 units/mL vial. How many mL should the nurse administer? (Enter numerical value. If rounding is required, round to the nearest tenth.) The Correct Answer and Explanation is: To determine