a client receiving nasogastric tube feeding. a client receiving total parenteral nutrition. a client on mechanical ventilation. a client with dysphagia.
A nurse performing a newborn assessment would expect what respiratory rate and heart rate as a normal finding?
RR 15 breaths/minute, HR 72 beats/minute RR 35 breaths/minute, HR 96 beats/minute RR 46 breaths/minute, HR 153 beats/minute RR 68 breaths/minute, HR 137 beats/minute
A child with thrush has been prescribed fluconazole (Diflucan). The child’s mother asks what this medication is used for, and the nurse correctly replies
“This is an antiviral medication used to treat your child’s viral infection.” “This medication is used to treat yeast infections.” “This medication is an analgesic that will ease your child’s pain while eating.” “This is an antibiotic for your child’s bacterial infection.”
The clinical triad of abnormalities seen in serotonin syndrome includes all of the following EXCEPT
cognitive effects. autonomic effects. somatic effects. behavioral effects.
The charge nurse considers both patient-related and staff-related factors when making daily assignments. All of the following are patient-related factors EXCEPT
mechanical ventilation use. complex medication regimen. isolation precaution requirements. nurse-to-client ratio.
In the team nursing model of client care
each staff member receives different task assignments to complete for a group of clients. the RN leads a team consisting of an LPN and UAP, and they all care for a client together. the RN completes all care for a client on a particular shift. the client assignments are determined by geographic location on the…
A client has been diagnosed with renal insufficiency, which has led to pronounced fluid volume excess. The nurse would expect which of the following signs and symptoms?
decreased urine output hypotension jugular vein distention weak, thready pulse tachycardia
A nurse is working in a residential facility when a fire breaks out in one hallway. The nurse and an elderly client are trapped in the client’s room and cannot get out. The nurse should
crawl in the closet with the client and shut the door. open a window in the client’s room. instruct the client to crawl under the bed. leave the door to the room open.
A 14-year-old boy comes in for a yearly exam and confides in the nurse that he feels embarrassed he is shorter than most of the girls in his class. He asks if he will catch up in height. The best therapeutic response from the nurse is
“There is no reason to be embarrassed. Everyone feels awkward at this age, not just you.” “Puberty is a difficult time, but everyone grows at a different rate. In a few years, you will likely be taller than many of the girls.” “So you feel embarrassed just because you are short? You shouldn’t care about…