A nurse is caring for a newborn who is 4 hr old. Nurses’ Notes Large ecchymotic caput succedaneum noted on occiput with molding of the skull. Anterior fontanel level and soft.Newborn’s respirations are shallow and irregular. Newborn’s skin color is consistent with their genetic background. Acrocyanosis noted. The newborn is active and moves all extremities […]

A charge nurse is making a room assignment for a client who has scabies. In which of the following rooms should the nurse place the client? A.A negative-pressure isolation room B.A positive-pressure isolation room C.A private room D.A semi-private room with a client who has pediculosis capitis The Correct Answer and Explanation is: The correct

A nurse is providing education to a client who has asked what a transesophageal echocardiogram will determine. Which of the following statements should the nurse utilize to best answer the client? A.This procedure will detect ventricular thrombi. B.This procedure will determine heart conduction problems. C.This procedure will determine exercise tolerance. D.This procedure will detect blood

A nurse is providing end-of-life care for a client who has terminal cancer. The nurse notices that the client’s breathing is becoming shallow and irregular. What is the most appropriate action for the nurse to take? A Administer oxygen via nasal cannula.B Elevate the head of the bed.C Notify the physician immediately.D Stay with the

A nurse is reinforcing teaching with a client who is taking allopurinol about the risk for developing Stevens-Johnson syndrome. For which of the following manifestations should the nurse instruct the client to monitor and report? A.Tinnitus with ear pain B.Hyperreflexia C.Skin rash with fever D.Diplopia The Correct Answer and Explanation is: The correct answer is

The nurse is teaching a client about how to use crutches. Which action performed by the client demonstrates to the nurse a correct understanding of how to use the crutches? A.Walks with the arms fully extended. B.Fits the crutch 2 finger widths from axilla. C.Avoids adjusting the height of the hand grips. D.Holds the crutch

The nurse suspects the client’s dose of levothyroxine (Synthroid) is too low when the client displays which symptom? A.Tachycardia B.Intolerance to cold C.Weight loss D.Fine tremors of fingers and hands The Correct Answer and Explanation is: The correct answer is B. Intolerance to cold. Explanation: Levothyroxine (Synthroid) is a synthetic form of thyroid hormone used

A nurse is teaching a client who has angina about a new prescription for sublingual nitroglycerin tablets. Which of the following instructions should the nurse include in the teaching? A.“Keep the tablets at room temperature in their original glass bottle.” B.“Discard any tablets you do not use every 6 months.” C.“Take one tablet each morning

A nurse is reinforcing teaching with a client about the use of budesonide for asthma management. Which of the following statements by the adolescent indicates an understanding of the teaching? A.“I will take my inhaler treatment before each meal and at bed time.” B.“I should use my inhaler when I have an asthma attack.” C.“I

A nurse is teaching a class about using niacin to reduce LDL cholesterol.The nurse should include in the teaching that which of the following conditions is a contraindication for receiving this medication?A.Hyperthyroidism. B.Asthma. C.High blood pressure. D.Active liver disease. The Correct Answer and Explanation is: The correct answer is D. Active liver disease. Explanation: Niacin,