A nurse is caring for a toddler who has acute laryngotracheobronchitis and has been placed in a cool mist tent. Which of the following findings indicates that the treatment has been effective? A.Barking cough B.Decreased stridor C.Improved hydration D.Decreased temperature The Correct Answer and Explanation is: The correct answer is B. Decreased stridor. Explanation: Acute […]

A nurse in an emergency department is caring for a client who has appendicitis. Which of the following actions should the nurse take? A.Maintain the client in a semi-Fowler’s position. B.Administer an enema 1 hr prior to surgery. C.Apply a warm pack to the client’s lower abdomen. D.Place the client on a clear liquid diet.

A newborn with a repaired gastroschisis is transferred to the pediatric unit after several days in the pediatric intensive care unit. The infant is receiving parenteral nutrition and continuous enteral feedings. To maintain normal growth and development of the infant, which action should the nurse include in the plan of care? A Speak to the

A nurse in an emergency department is caring for a client following a motor-vehicle crash. The client’s Glasgow coma scale rating is 15. Which of the following findings should the nurse expect A.The client withdraws from pain B.The client is unable to obey commands. C.The client opens eyes to sound D.The client is oriented times

What is the normal value (NV) for sodium in the blood. A.3.5-5 mEq/L. B.9-10.5 mg/dL. C.135-145 mEq/L. D.96-106 mEq/L. The Correct Answer and Explanation is: The correct answer is C. 135-145 mEq/L. Sodium (Na⁺) is an essential electrolyte in the body that plays a crucial role in maintaining fluid balance, nerve function, and muscle contraction.

The nurse notes that the patient’s radial pulse is irregular. What is the most appropriate first action of the nurse? A.Document the finding in the patient’s medical record. B.Assess the brachial pulse for a pulse deficit. C.Notify the health care provider immediately. D.Count the patient’s apical pulse for one full minute. The Correct Answer and

A nurse is observing a newborn for signs of neonatal neck righting reflex. The nurse gently turns the newborn’s head to one side and observes the response. What should the nurse expect to see if the reflex is present? A.The newborn’s arm and leg on the same side as the head extend, while the opposite

The nurse reviews the physician’s orders for clonazepam and gives the medication as ordered. What nursing interventions are appropriate for the client starting clonazepam? Select all that apply. A Screen for orthostatic hypotensionB Provide oral care at least twice a dayC Monitor calcium levelsD Assess mental status regularlyE Assist the client to the bathroomF Have

A nurse is caring for a child with epiglottitis.Which nursing intervention should the nurse prioritize to maintain a patent airway?A.Administering antibiotics intravenously as prescribed. B.Providing humidified air or cool mist therapy to moisten the airway. C.Administering corticosteroids intravenously as prescribed. D.Administering analgesics and antipyretics as prescribed. The Correct Answer and Explanation is: The correct answer

A nurse is preparing to change a wet-to-dry dressing for a client who has a chronic wound on the lower leg. Which action by the nurse demonstrates proper technique? A.Soaking the old dressing with sterile saline before removing it B.Applying antibiotic ointment to the new dressing before placing it on the wound C.Moistening the new