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Question 352/721
A baby is circumcised. Immediate postoperative care should include:
Correct Answer: D
(A) A pressure diaper should be applied to discourage hemorrhage. (B) The baby can be fed by his mother soon after the procedure, once it is assessed that he is not in any distress and is stable. (C) Dressing changes should not be dry. Dry dressing will stick. (D) Cuddling after the procedure will hopefully quiet the baby. Feeding is also important if his feeding was withheld prior to the procedure or it is time for a feeding.
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- Q303. A client has developed congestive heart failure secondary to his myocardial infarction. Di...
- Q304. A child is admitted with severe headache, fever, vomiting, photophobia, drowsiness, and st...
- Q305. A 15-year-old female adolescent is frequently breaking the rules of the unit. She has left...
- Q306. Prior to administering digoxin to a client with congestive heart failure, the nurse needs ...
- Q307. A laboratory technique specific for diagnosing Lyme disease is:...
- Q308. Primary nursing diagnoses for the antisocial client are:...
- Q309. The most commonly known vectors of Lyme disease are:...
- Q310. Discharge teaching was effective if the parents of a child with atopic dermatitis could st...
- Q311. One week ago, a 21-year-old client with a diagnosis of bipolar disorder was started on lit...
- Q312. Provide the 1-minute Apgar score for an infant born with the following findings: Heart rat...
- Q313. A client has consented to have a central venous catheter placed. The best position in whic...
- Q314. A client has received preoperative teaching for the vertical partial laryngectomy that he ...
- Q315. A 55-year-old client is unconscious, and his physician has decided to begin tube feeding h...
- Q316. One of the most reliable assessment tools for adequacy of fluid resuscitation in burned ch...
- Q317. A 30-year-old male client is admitted to the psychiatric unit with a diagnosis of bipolar ...
- Q318. A client has been admitted to the nursing unit with the diagnosis of severe anemia. She is...
- Q319. A female client is anticipating a visit with her parents over the Thanksgiving holidays. S...
- Q320. The nurse is caring for a 2-year-old girl with a subdural hematoma of the temporal area as...
- Q321. Prior to his discharge from the hospital, a cardiac client is started on digoxin (Lanoxin)...
- Q322. After a liver biopsy, the best position for the client is:...
- Q323. A schizophrenic is admitted to the psychiatric unit. What affect would the nurse expect to...
- Q324. An 80-year-old widow is living with her son and daughter-in-law. The home health nurse has...
- Q325. Children often experience visual impairments. Refractive errors affect the child's visual ...
- Q326. A mother brings her 3-year-old child who is unconscious but breathing to the ER with an ap...
- Q327. A male client is undergoing cardiac tests. He has been instructed to wear a Holter monitor...
- Q328. A 79-year-old client with Alzheimer's disease is exhibiting significant memory impairment,...
- Q329. A client who has been diagnosed with anorexia nervosa refuses to eat lunch. The most thera...
- Q330. A successful executive left her job and became a housewife after her marriage to a plastic...
- Q331. Which of the following procedures is necessary to establish a definitive diagnosis of brea...
- Q332. A 19-year-old client has sustained a C-7 fracture, which resulted in his spinal cord being...
- Q333. A primipara is assessed on arrival to the postpartum unit. The nurse finds her uterus to b...
- Q334. A client is taught to eat foods high in potassium. Which food choices would indicate that ...
- Q335. When a client arrives on the labor and delivery unit, she informs the nurse that she has b...
- Q336. The nurse is caring for a client who has diabetes insipidus. The nurse would describe this...
- Q337. The primary focus of nursing interventions for the child experiencing sickle cell crisis i...
- Q338. A female baby was born with talipes equinovarus. Her mother has requested that the nurse a...
- Q339. Which of the following would differentiate acute from chronic respiratory acidosis in the ...
- Q340. A 26-year-old female client presents at 10 weeks' gestation. She currently is a G3 1-0-1-1...
- Q341. A client returns for her 6-month prenatal checkup and has gained 10 lb in 2 months. The re...
- Q342. A 26-year-old female client presents at 10 weeks' gestation. She currently is a G3 1-0-1-1...
- Q343. A 24-year-old graduate student recognizes that he has a phobia. He suffers severe anxiety ...
- Q344. To prevent transmission of bacterial meningitis, the nurse would instruct an infected baby...
- Q345. The physician prescribes phenytoin (Dilantin) for a client with seizure disorders. Phenyto...
- Q346. An 18-year-old client enters the emergency room complaining of coughing, chest tightness, ...
- Q347. A client is 2 hours post ventriculoperitoneal shunt placement. How should the nurse positi...
- Q348. An infant weighing 15 lb has just been treated for severe diarrhea in the hospital. Discha...
- Q349. A laboratory technique specific for diagnosing Lyme disease is:...
- Q350. A male client is admitted to the psychiatric unit after experiencing severe depression. He...
- Q351. After instructing a female client on circumcision care, the nursery nurse asks her to rest...
- Q352. A baby is circumcised. Immediate postoperative care should include:...
- Q353. A 3-month-old infant has had a unilateral cleft lip repair. He has resumed feedings of ora...
- Q354. A male client is admitted to the psychiatric unit after experiencing severe depression. He...
- Q355. A 65-year-old client who has a new colostomy is preparing for discharge from the hospital....
- Q356. After 7 hours in restraints and a total of 30-mg haloperidol in divided doses, a client co...
- Q357. A 50-year-old male client is to receive chemotherapy. The physician's orders include antie...
- Q358. The following medications were noted on review of the client's home medication profile. Wh...
- Q359. A 32-year-old female client is being treated for Guillain-Barre syndrome. She complains of...
- Q360. The nurse would expect to include which of the following when planning the management of t...
- Q361. A client returned to the unit following a pneumonectomy. As the nurse is assessing her inc...
- Q362. After 3 weeks of treatment, a severely depressed client suddenly begins to feel better and...
- Q363. A client with a diagnosis of C-4 injury has been stabilized and is ready for discharge. Be...
- Q364. A couple is experiencing difficulties conceiving a baby. The nurse explains basal body tem...
- Q365. A client undergoes a transurethral resection, prostate (TURP). He returns from surgery wit...
- Q366. A client was admitted to the hospital after falling in her home. At the time of admission,...
- Q367. The nurse will be alert to the most potentially lifethreatening side effect associated wit...
- Q368. A client is being discharged and will continue enteral feedings at home. Which of the foll...
- Q369. A 5-year-old child has suffered second-degree thermal burns over 30% of her body. Forty-ei...
- Q370. A client with IDDM is given IV insulin for a blood glucose level of 520 mg/dL. Life-threat...
- Q371. The most commonly known vectors of Lyme disease are:...
- Q372. The nurse would be concerned if a client exhibited which of the following symptoms during ...
- Q373. A client who was started on antipsychotic medication 2 weeks ago is preparing for discharg...
- Q374. The child with iron poisoning is given IV deforoxamine mesylate (Desferal). Following admi...
- Q375. A 29-year-old client delivered her fifth child by the Lamaze method and developed a postpa...
- Q376. A client is dilated 8 cm and entering the transition phase of labor. Common behaviors of t...
- Q377. A 5-year-old child has suffered second-degree thermal burns over 30% of her body. Forty-ei...
- Q378. A 32-year-old male client is a marketing representative. His job requires him to have a tr...
- Q379. The nurse is caring for a 3-month-old girl with meningitis. She has a positive Kernig's si...
- Q380. A 16-year-old student has a long history of bronchial asthma and has experienced several s...
- Q381. A 14-year-old boy has had diabetes for 7 years. He takes 30 U of NPH insulin and 10 U of r...
- Q382. A client has been taking lithium 300 mg po bid for the past two weeks. This morning her li...
- Q383. On admission to the inpatient unit, a 34-year-old client is able to follow simple directio...
- Q384. A client is hyperactive and not sleeping. She will not remain at the table during mealtime...
- Q385. A 48-year-old client is being seen in her physician's office for complaints of indigestion...
- Q386. A 20-year-old female client delivers a stillborn infant. Following the delivery, an approp...
- Q387. A client diagnosed with severe anemia is to receive 2 U of packed red blood cells. Prior t...
- Q388. At 32 weeks' gestation, a client is scheduled for a fetal activity test (nonstress test). ...
- Q389. A 3-year-old child has had symptoms of influenza including fever, productive cough, nausea...
- Q390. A 22-year-old client is 16 weeks pregnant. She and her husband are expecting their first b...
- Q391. The nurse working with a client who is out of control should follow a model of interventio...
- Q392. A 70-year-old client has pneumonia and has just had a respiratory arrest. He has just been...
- Q393. A 4 year old has an imaginary playmate, which concerns the mother. The nurse's best respon...
- Q394. A physician's order reads: Administer KCl 10% oral solution 1.5 mL. The KCl bottle reads 2...
- Q395. Pregnant women with diabetes often have problems related to the effectiveness of insulin i...
- Q396. The nurse is notified that a 27-year-old primigravida diagnosed with complete placenta pre...
- Q397. A 16-year-old diabetic girl has been selected as a cheerleader at her school. She asks the...
- Q398. A long-term goal for the nurse in planning care for a depressed, suicidal client would be ...
- Q399. In the client with a diagnosis of coronary artery disease, the nurse would anticipate the ...
- Q400. A child with celiac disease is being discharged from the hospital. The mother demonstrates...
- Q401. The following nursing diagnosis is written for a comatose client with cirrhosis of the liv...
- Q402. A 14-year-old boy has a head injury with laceration of his scalp over his ear. The nurse s...
- Q403. Which of the following should be included in discharge teaching for a client with hepatiti...
- Q404. During an examination, the nurse notes that an infant has diaper rash on the convex surfac...
- Q405. The nurse and prenatal client discuss the effects of cigarette smoking on pregnancy. It wo...
- Q406. The following medications were noted on review of the client's home medication profile. Wh...
- Q407. In performing the initial nursing assessment on a client at the prenatal clinic, the nurse...
- Q408. A client delivered her first-born son 4 hours ago. She asks the nurse what the white chees...
- Q409. A male client is diagnosed with hypoparathyroidism. He has been on dialysis for several ye...
- Q410. Painless vaginal bleeding in the last trimester may be caused by:...
- Q411. A premature infant needs supplemental O2 therapy. A nursing intervention that reduces the ...
- Q412. A male client is scheduled to have angiography of his left leg. The nurse needs to include...
- Q413. A female client has been diagnosed with chronic renal failure. She is a candidate for eith...
- Q414. At 32 weeks' gestation, a client is scheduled for a fetal activity test (nonstress test). ...
- Q415. A primigravida with a blood type A negative is at 28 weeks' gestation. Today her physician...
- Q416. A client is admitted to the labor room. She is dilated 4 cm. She is placed on electric fet...
- Q417. The nurse observes that a client has difficulty chewing and swallowing her food. A nursing...
- Q418. A client is hyperactive and not sleeping. She will not remain at the table during mealtime...
- Q419. A 52-year-old female client is admitted to the hospital in acute renal failure. She has be...
- Q420. A 50-year-old depressed client has recently lost his job. He has been reluctant to leave h...
- Q421. The nurse is assessing and getting a history from a client treated for depression with a m...
- Q422. A 6-year-old child is attending a pediatric clinic for a routine examination. What should ...
- Q423. What is the appropriate nursing action for a child with increased intracranial pressure?...
- Q424. At 16 weeks' gestation, a pregnant client is admitted to the maternity unit to have a McDo...
- Q425. When teaching a sex education class, the nurse identifies the most common STDs in the Unit...
- Q426. A mother is unsure about the type of toys for her 17-month-old child. Based on knowledge o...
- Q427. A 22-year-old single woman was admitted to the psychiatric hospital by her mother, who rep...
- Q428. A family is experiencing changes in their lifestyle in many ways. The invalid grandmother ...
- Q429. A client's renal calculi are identified as consisting of calcium phosphate. Which of the f...
- Q430. The nurse teaches a male client ways to reduce the risks associated with furosemide therap...
- Q431. A client at 6 months' gestation complains of tiredness and dizziness. Her hemoglobin level...
- Q432. A client is to be discharged from the hospital and is to continue taking warfarin 2.5 mg p...
- Q433. An elective saline abortion has been performed on a 3- week primigravida. Following the pr...
- Q434. Loss of appetite for a child with leukemia is a major recurrent problem. The plan of care ...
- Q435. A client who was started on antipsychotic medication 2 weeks ago is preparing for discharg...
- Q436. A client is admitted to the hospital with a diagnosis of aplastic anemia and placed on iso...
- Q437. A client who has been diagnosed with anorexia nervosa refuses to eat lunch. The most thera...
- Q438. A client had a ruptured abdominal aortic aneurysm that was repaired surgically. Her postop...
- Q439. Clients receiving antipsychotic drug therapy will often exhibit extrapyramidal side effect...
- Q440. A 3-year-old child was hospitalized for acute laryngotracheobronchitis. During her hospita...
- Q441. A client has returned to the unit following a left femoral popliteal bypass graft. Six hou...
- Q442. A 19-year-old male client arrived via ambulance to the emergency room following a motorcyc...
- Q443. A 60-year-old male client was hospitalized 3 days ago with the diagnosis of acute anterior...
- Q444. When assessing a child with diabetes insipidus, the nurse should be aware of the cardinal ...
- Q445. The primary reason for sending a burn client home with a pressure garment, such as a Jobst...
- Q446. The nurse would assess the client's correct understanding of the fertility awareness metho...
- Q447. A 55-year-old woman entered the emergency room by ambulance. Her primary complaint is ches...
- Q448. The physician orders fluoxetine (Prozac) for a depressed client. Which of the following sh...
- Q449. A client is experiencing muscle weakness and lethargy. His serum K+is 3.2. What other symp...
- Q450. A physician's order reads: Administer furosemide oral solution 0.5 mL stat. The furosemide...
- Q451. A 74-year-old client seen in the emergency room is exhibiting signs of delirium. His famil...
- Q452. The nurse is admitting an infant with bacterial meningitis and is prepared to manage the f...
- Q453. A physician tells the nurse that he wants to orally intubate a client with a No. 8 endotra...
- Q454. On the third postpartum day, the nurse would expect the lochia to be:...
- Q455. When teaching a class of nursing students, the nurse asks why the embryonic period (weeks ...
- Q456. A client has been in labor 10 hours and is becoming very tired. She has dilated to 7 cm an...
- Q457. The mother of a client is apprehensive about taking home her 2 year old who was diagnosed ...
- Q458. A 3-year-old child was hospitalized for acute laryngotracheobronchitis. During her hospita...
- Q459. An elective saline abortion has been performed on a 3- week primigravida. Following the pr...
- Q460. A couple is experiencing difficulties conceiving a baby. The nurse explains basal body tem...
- Q461. Hematotympanum and otorrhea are associated with which of the following head injuries?...
- Q462. The nurse is teaching a client how to perform monthly testicular self-examination (TSE) an...
- Q463. As the nurse assesses a male adolescent with chlamydia, the nurse determines that a sign o...
- Q464. The nurse in the mental health center is instructing a depressed client about the dietary ...
- Q465. A 5-year-old child was recently diagnosed as having acute lymphoid leukemia. She is hospit...
- Q466. At 16 weeks' gestation, a pregnant client is admitted to the maternity unit to have a McDo...
- Q467. To prevent thrombophlebitis in a client on complete bed rest, the nursing care plan should...
- Q468. A client is receiving peritoneal dialysis. He has been taught to warm the dialyzing fluid ...
- Q469. The nurse is developing a plan of care for a client with an electrolyte imbalance and iden...
- Q470. A 20-year-old client presents to the obstetrics-gynecology clinic for the first time. She ...
- Q471. A 45-year-old male client was admitted to a chemical dependency treatment center following...
- Q472. A neonate was admitted to the hospital with projectile vomiting. According to the parents,...
- Q473. The nurse needs to be aware that the most common early complication of a myocardial infarc...
- Q474. A mother is unsure about the type of toys for her 17-month-old child. Based on knowledge o...
- Q475. A 35-year-old primigravida comes to the clinic for her first prenatal visit. The midwife, ...
- Q476. The nurse is assessing and getting a history from a client treated for depression with a m...
- Q477. A 6-year-old girl has been diagnosed with a urinary tract infection secondary to vesicoure...
- Q478. A pregnant client comes to the office for her first prenatal examination at 10 weeks. She ...
- Q479. In working with mental health clients who are prescribed medication that must be taken on ...
- Q480. A family is experiencing changes in their lifestyle in many ways. The invalid grandmother ...
- Q481. A 72-year-old male client had the Foley catheter that was inserted during the transurethra...
- Q482. A 3-month-old infant has had a unilateral cleft lip repair. He has resumed feedings of ora...
- Q483. A female client is exhibiting signs of respiratory distress. Which of the following signs ...
- Q484. Which of the following would differentiate acute from chronic respiratory acidosis in the ...
- Q485. Which of the following signs and symptoms indicates a tension pneumothorax as compared to ...
- Q486. A mother continues to breast-feed her 3-month-old infant. She tells the nurse that over th...
- Q487. A 54-year-old client is admitted to the hospital with a possible gastric ulcer. He is a he...
- Q488. The nurse is admitting an infant with bacterial meningitis and is prepared to manage the f...
- Q489. At 12 hours postvaginal delivery, a female client is without complications. Which of the f...
- Q490. A pregnant client comes to the office for her first prenatal examination at 10 weeks. She ...
- Q491. A client presented herself to the mental health center, describing the following symptoms:...
- Q492. Which type of insulin can be administered by a continuous IV drip?...
- Q493. Before giving methergine postpartum, the nurse should assess the client for:...
- Q494. A 6-month-old infant has developmental delays. His weight falls below the 5th percentile w...
- Q495. A 9-month-old infant is being examined in the general pediatric clinic for a routine well-...
- Q496. A male client seeks counseling after his wife of 19 years threatened to divorce him. For m...
- Q497. Assessment of a client reveals a 30% loss of preillness weight, lanugo, and cessation of m...
- Q498. On a mother's 2nd postpartum day after having a vaginal delivery, the RN is preparing to a...
- Q499. A 45-year-old client diagnosed with major depression is scheduled for electroconvulsive th...
- Q500. The nurse is caring for a 3-month-old girl with meningitis. She has a positive Kernig's si...
- Q501. A client has been in labor for 10 hours. Her contractions have become hypoactive and slowe...
- Q502. A 23-year-old male client is admitted to the chemical dependency unit with a medical diagn...
- Q503. An obstructing stone in the renal pelvis or upper ureter causes:...
- Q504. A 35-year-old client has returned to her room following surgery on her right femur. She ha...
- Q505. A 55-year-old man has recently been diagnosed with hypertension. His physician orders a lo...
- Q506. A 24-hours' postpartum client complains of discomfort at the episiotomy site. On assessmen...
- Q507. The nurse is teaching a 10-year-old insulin-dependent diabetic how to administer insulin. ...
- Q508. A client is being discharged from the hospital today. The discharge teaching for care of h...
- Q509. A female client at 10 weeks' gestation complains to her physician of slight vaginal bleedi...
- Q510. A gravida 2 para 1 client delivered a full-term newborn 12 hours ago. The nurse finds her ...
- Q511. A 54-year-old client is admitted to the hospital with a possible gastric ulcer. He is a he...
- Q512. The client has been in active labor for the last 12 hours. During the last 3 hours, labor ...
- Q513. A primigravida with a blood type A negative is at 28 weeks' gestation. Today her physician...
- Q514. A cardinal symptom of the schizophrenic client is hallucinations. A nurse identifies this ...
- Q515. An 8-week-old infant has been diagnosed with gastroesophageal reflux. The nurse is teachin...
- Q516. A male client has experienced low back pain for several years. He is the primary support o...
- Q517. An 8-year-old boy has been diagnosed with hemophilia. Which of the following diagnostic bl...
- Q518. A client is experiencing visual problems at school. She has complained of difficulty seein...
- Q519. The nurse would be sure to instruct a client on the signs and symptoms of an eye infection...
- Q520. At her monthly prenatal visit, a client reports experiencing heartburn. Which nursing meas...
- Q521. A physician's order reads: Administer KCl 10% oral solution 1.5 mL. The KCl bottle reads 2...
- Q522. A burn victim's immunization history is assessed by the nurse. Which immunization is of pr...
- Q523. Which of the following should the nurse anticipate receiving as an as-needed order for a p...
- Q524. The physician orders fluoxetine (Prozac) for a depressed client. Which of the following sh...
- Q525. A client is started on prednisone 2.5 mg po bid. Which of the following instructions shoul...
- Q526. A client with severe PIH receiving MgSO4 is placed in a quiet, darkened room. The nurse ba...
- Q527. A male client receives 10 U of regular human insulin SC at 9:00 AM. The nurse would expect...
- Q528. A 16-year-old diabetic girl has been selected as a cheerleader at her school. She asks the...
- Q529. Which type of insulin can be administered by a continuous IV drip?...
- Q530. A mother brings a 6-month-old infant and a 4-year-old child to the nursing clinic for rout...
- Q531. The physician prescribes phenytoin (Dilantin) for a client with seizure disorders. Phenyto...
- Q532. Assessment of a newborn for Apgar scoring includes observation for:...
- Q533. The child with iron poisoning is given IV deforoxamine mesylate (Desferal). Following admi...
- Q534. When planning care for a 9-year-old client, the nurse uses which of the most effective mea...
- Q535. A 10-month-old infant's mother says that he takes fresh whole milk eagerly, but that when ...
- Q536. On morning rounds, the nurse found a manic-depressive client who is taking lithium in a co...
- Q537. A 42-year-old male client has been treated at an alcoholic rehabilitation center for physi...
- Q538. The nurse is teaching a 10-year-old insulin-dependent diabetic how to administer insulin. ...
- Q539. The pediatric nurse charts that the parents of a 4-yearold child are very anxious. Which o...
- Q540. A client is pregnant with her second child. Her last menstrual period began on January 15....
- Q541. A child is to receive atropine 0.15 mg (1/400 g) as part of his preoperative medication. A...
- Q542. A baby is circumcised. Immediate postoperative care should include:...
- Q543. A 27-year-old healthy primigravida is brought to the labor and birthing room by her husban...
- Q544. At 16 weeks' gestation, a pregnant client is admitted to the maternity unit to have a McDo...
- Q545. A 23-year-old male client is admitted to the chemical dependency unit with a medical diagn...
- Q546. An 80-year-old widow is living with her son and daughter- in-law. The home health nurse ha...
- Q547. A 16-year-old student has a long history of bronchial asthma and has experienced several s...
- Q548. The parents of a 2-year-old child are ready to begin toilet training activities with him. ...
- Q549. Chorioamnionitis is a maternal infection that is usually associated with:...
- Q550. When assessing a female child for Turner's syndrome, the nurse observes for which of the f...
- Q551. A client who is gravida 1 para 1 vaginally delivered a 7- lb girl. She received a midline ...
- Q552. A client is having episodes of hyperventilation related to her surgery that is scheduled t...
- Q553. As a nurse works with an adolescent with cystic fibrosis, the nurse begins to notice that ...
- Q554. On admission to the inpatient unit, a 34-year-old client is able to follow simple directio...
- Q555. A 60-year-old male client was hospitalized 3 days ago with the diagnosis of acute anterior...
- Q556. A 17-year-old client has a T-4 spinal cord injury. At present, he is learning to catheteri...
- Q557. After 3 weeks of treatment, a severely depressed client suddenly begins to feel better and...
- Q558. A 35-year-old client is admitted to the hospital with diabetic ketoacidosis. Results of ar...
- Q559. Three weeks following discharge, a male client is readmitted to the psychiatric unit for d...
- Q560. The nurse would teach a male client ways to minimize the risk of infection after eye surge...
- Q561. After a 10-year-old child with insulin-dependent diabetes mellitus receives her dinner tra...
- Q562. A client who is a breast-feeding mother develops mastitis. The clinical signs and symptoms...
- Q563. A female client has experienced varying degrees of depression throughout her life. Now tha...
- Q564. Assessment of parturient reveals the following: cervical dilation 6 cm and station 22; no ...
- Q565. A 5-year-old child cries continually in her bed. Her parents have been unsuccessful in ass...
- Q566. A 42-year-old client presents with a diagnosis of paranoid schizophrenia. She has become i...
- Q567. A client is placed on lithium therapy for her manicdepressive illness. When monitoring the...
- Q568. Hematotympanum and otorrhea are associated with which of the following head injuries?...
- Q569. A client has ascites, which is caused by:
- Q570. When interviewing parents who are suspected of child abuse, the nurse would use which of t...
- Q571. A female client was recently diagnosed with gastric cancer. She entered the hospital and h...
- Q572. When teaching a sex education class, the nurse identifies the most common STDs in the Unit...
- Q573. A female client has married recently. A month ago she visited her physician with complaint...
- Q574. A client with cirrhosis of the liver becomes comatose and is started on neomycin 300 mg q6...
- Q575. A 9-month-old infant was diagnosed with nonorganic failure to thrive. During her hospitali...
- Q576. A client tells the nurse that she has had a history of urinary tract infections. The nurse...
- Q577. A 9-month-old infant was diagnosed with nonorganic failure to thrive. During her hospitali...
- Q578. A seventh grader lost consciousness after being hit in the head with a basketball. In the ...
- Q579. A 23-year-old female client is brought to the emergency room by her roommate for repeatedl...
- Q580. A client's membranes have just ruptured spontaneously. Which of the following nursing acti...
- Q581. A schizophrenic is admitted to the psychiatric unit. What affect would the nurse expect to...
- Q582. A female client with major depression stated that "life is hopeless and not worth living."...
- Q583. A pregnant woman at 36 weeks' gestation is followed for PIH and develops proteinuria. To i...
- Q584. Discharge teaching was effective if the parents of a child with atopic dermatitis could st...
- Q585. In working with mental health clients who are prescribed medication that must be taken on ...
- Q586. The physician has ordered that ampicillin 250 mg IV be given over 30 minutes. The medicati...
- Q587. In teaching the client about proper umbilical cord care, the nurse recommends that:...
- Q588. During his hospitalization, a 3-year-old child has become unusually aggressive in his play...
- Q589. To ensure proper client education, the nurse should teach the client taking SL nitroglycer...
- Q590. A 35-weeks-pregnant client is undergoing a nonstress test (NST). During the 20-minute exam...
- Q591. Which of the following findings would necessitate discontinuing an IV potassium infusion i...
- Q592. An infant with a congenital heart defect is being discharged with an order for the adminis...
- Q593. A child is to receive atropine 0.15 mg (1/400 g) as part of his preoperative medication. A...
- Q594. When assessing a child with diabetes insipidus, the nurse should be aware of the cardinal ...
- Q595. At 30 weeks' gestation, a client is admitted to the unit in premature labor. Her contracti...
- Q596. Plans for the care of a client with an ulcer caused by emotional problems need to take int...
- Q597. A 68-year-old client developed acute respiratory distress syndrome while hospitalized for ...
- Q598. A 22-year-old client is 16 weeks pregnant. She and her husband are expecting their first b...
- Q599. An 18-month-old child has been playing in the garage. His mother brings him to a nurse's h...
- Q600. A female client has been recently diagnosed as bipolar. She has taken lithium for the past...
- Q601. A client states to his nurse that "I was told by the doctor not to take one of my drugs be...
- Q602. A female client who has chronic obstructive pulmonary disease (COPD) has presented in the ...
- Q603. On admission to the postpartal unit, the nurse's assessment identifies the client's fundus...
- Q604. Based on your knowledge of genetic inheritance, which of these statements is true for auto...
- Q605. A 42-year-old client presents with a diagnosis of paranoid schizophrenia. She has become i...
- Q606. A 52-year-old client is scheduled for a small-bowel resection in the morning. In conjuncti...
- Q607. A 38-year-old female client with a history of chronic schizophrenia, paranoid type, is cur...
- Q608. A 40-year-old client has been admitted to the hospital with severe substernal chest pain r...
- Q609. The 4th of July holiday comes while a client is in the hospital being treated for schizoph...
- Q610. Loss of appetite for a child with leukemia is a major recurrent problem. The plan of care ...
- Q611. A client has just received an epidural block. She is laboring on her right side. The nurse...
- Q612. A child sustains a supracondylar fracture of the femur. When assessing for vascular injury...
- Q613. A 70-year-old client is almost finished receiving her second unit of packed red blood cell...
- Q614. A 32-year-old female client is being treated for Guillain- Barre syndrome. She complains o...
- Q615. A 47-year-old male client is admitted for colon surgery. Intravenous antibiotics are begun...
- Q616. In assessing the nature of the stool of a client who has cystic fibrosis, what would the n...
- Q617. A female client is started on warfarin (Coumadin) 5 mg po bid. To adequately evaluate the ...
- Q618. A child has a nursing diagnosis of fluid volume excess related to compromised regulatory m...
- Q619. A parent told the public health nurse that her 6-year-old son has been taking tetracycline...
- Q620. A client is a depressed, 48-year-old salesman. A serious concern for the nurse working wit...
- Q621. When giving discharge instructions to a 24-year-old client who had a short-arm cast applie...
- Q622. Which of the following nursing care goals has the highest priority for a child with epiglo...
- Q623. A premature infant needs supplemental O2 therapy. A nursing intervention that reduces the ...
- Q624. A female client at 30 weeks' gestation is brought into the emergency department after fall...
- Q625. Assessment of a client reveals a 30% loss of preillness weight, lanugo, and cessation of m...
- Q626. A 23-year-old college student seeks medical attention at the college infirmary for complai...
- Q627. A 52-year-old client is scheduled for a small-bowel resection in the morning. In conjuncti...
- Q628. A 64-year-old client is admitted to the hospital with benign prostatic hypertrophy (BPH). ...
- Q629. The following nursing diagnosis is written for a comatose client with cirrhosis of the liv...
- Q630. The nurse notes multiple bruises on the arms and legs of a newly admitted client with lupu...
- Q631. A client is experiencing muscle weakness and lethargy. His serum K+ is 3.2. What other sym...
- Q632. Which of the following ECG changes would be seen as a positive myocardial stress test resp...
- Q633. At 38 weeks' gestation, a client is in active labor. She is using her Lamaze breathing tec...
- Q634. A male client has asthma and his physician has prescribed beclomethasone (Vanceril) 3 puff...
- Q635. A psychiatric nurse is providing an orientation to a new staff nurse. She reminds the nurs...
- Q636. A 75-year-old client is hospitalized with pneumonia caused by gram-positive bacteria. Whic...
- Q637. A 54-year-old client is admitted to the hospital with a possible gastric ulcer. He is a he...
- Q638. Which of the following medications requires close observation for bronchospasm in the clie...
- Q639. An IDDM client's condition stabilizes. He begins to receive a daily injection of NPH insul...
- Q640. A client had a hemicolectomy performed 2 days ago. Today, when the nurse assesses the inci...
- Q641. After the fetal activity test (nonstress test) is completed, the RN is looking at the test...
- Q642. A 40-year-old client is admitted to the coronary care unit with chest pain and shortness o...
- Q643. A client was not using his seat belt when involved in a car accident. He fractured ribs 5,...
- Q644. A client presents to the emergency room with cyanosis, coughing, tachypnea, and tachycardi...
- Q645. A chronic alcoholic client's condition deteriorates, and he begins to exhibit signs of hep...
- Q646. Which of the following blood values would require further nursing action in a newborn who ...
- Q647. A client is pregnant with her second child. Her last menstrual period began on January 15....
- Q648. A 4-year-old boy is brought to the emergency room with bruises on his head, face, arms, an...
- Q649. After a 10-year-old child with insulin-dependent diabetes mellitus receives her dinner tra...
- Q650. A 6-year-old girl is visiting the outpatient clinic because she has a fever and a rash. Th...
- Q651. When a client is receiving vasoactive therapy IV, such as dopamine (Intropin), and extrava...
- Q652. A 19-month-old child is admitted to the hospital for surgical repair of patent ductus arte...
- Q653. A 9-year-old child was in the garage with his father, who was repairing a lawnmower. Some ...
- Q654. Following a vaginal delivery, the postpartum nurse should observe for:...
- Q655. A 35-year-old client is receiving psychopharmacological treatment of his major depression ...
- Q656. Children often experience visual impairments. Refractive errors affect the child's visual ...
- Q657. In caring at home for a child who just ingested a caustic alkali, the nurse would immediat...
- Q658. During a client's first postpartum day, the nurse assessed that the fundus was located lat...
- Q659. A 9-month-old infant visits her pediatrician for a routine visit. A developmental assessme...
- Q660. A female client is exhibiting signs of respiratory distress. Which of the following signs ...
- Q661. A client is in early labor. Her fetus is in a left occipitoanterior (LOA) position; fetal ...
- Q662. In an interview for suspected child abuse, the child's mother openly discusses her feeling...
- Q663. A female client at 36 weeks' gestation is experiencing preterm labor. Her physician has pr...
- Q664. The day following his admission, the nurse sits down by a male client on the sofa in the d...
- Q665. A six-month-old infant is receiving ribavirin for the treatment of respiratory syncytial v...
- Q666. Iron dextran (Imferon) is a parenteral iron preparation. The nurse should know that it:...
- Q667. A neonate was admitted to the hospital with projectile vomiting. According to the parents,...
- Q668. Painless vaginal bleeding in the last trimester may be caused by:...
- Q669. A 23-year-old female client is brought to the emergency room by her roommate for repeatedl...
- Q670. A client was admitted with rib fractures and a pneumothorax, which were sustained as a res...
- Q671. The nurse assesses a client on the second postpartum day and finds a dark red discharge on...
- Q672. Which behavior by a female client feeding her newborn demonstrates that she needs more tea...
- Q673. Following the delivery of a healthy newborn, a client has developed thrombophlebitis and i...
- Q674. A client undergoes a transurethral resection, prostate (TURP). He returns from surgery wit...
- Q675. After 3 weeks of treatment, a severely depressed client suddenly begins to feel better and...
- Q676. A 25-year-old client is admitted for a tonsillectomy. She tells the nurse that she has had...
- Q677. The nurse is caring for a client who has diabetes insipidus. The nurse would describe this...
- Q678. Which of the following statements relevant to a suicidal client is correct?...
- Q679. The nurse is caring for a client who has had a tracheostomy for 7 years. The client is sta...
- Q680. A 24-year-old graduate student recognizes that he has a phobia. He suffers severe anxiety ...
- Q681. A client presents to the psychiatric unit crying hysterically. She is diagnosed with sever...
- Q682. A 9-year-old child was in the garage with his father, who was repairing a lawnmower. Some ...
- Q683. When administering phenytoin (Dilantin) to a child, the nurse should be aware that a toxic...
- Q684. A 35-year-old client is admitted to the hospital with diabetic ketoacidosis. Results of ar...
- Q685. A client returns to the cardiovascular intensive care unit following his coronary artery b...
- Q686. A female client has just died. Her family is requesting that all nursing staff leave the r...
- Q687. A 26-year-old client has no children. She has had an abdominal hysterectomy. In the first ...
- Q688. A 23-year-old borderline client is admitted to an inpatient psychiatric unit following an ...
- Q689. A 20-year-old female client delivers a stillborn infant. Following the delivery, an approp...
- Q690. A 72-year-old client with a new colostomy is being evaluated at the clinic today for const...
- Q691. A client takes warfarin (Coumadin) 15 mg po daily. To evaluate the medication's effectiven...
- Q692. A 66-year-old female client has smoked 2 packs of cigarettes per day for 20 years. Her art...
- Q693. The nurse recognizes that a client with the diagnosis of cholecystitis and cholelithiasis ...
- Q694. Proper positioning for the child who is in Bryant's traction is:...
- Q695. A 50-year-old depressed client has recently lost his job. He has been reluctant to leave h...
- Q696. Before completing a nursing diagnosis, the nurse must first:...
- Q697. A client is having episodes of hyperventilation related to her surgery that is scheduled t...
- Q698. A 26-year-old male client is brought by his wife to the emergency department (ED) unconsci...
- Q699. A client was prescribed a major tranquilizer 2 months ago. One month ago she was placed on...
- Q700. Two hours after the second injection of haloperidol, a client complains to the nurse of a ...
- Q701. The nurse is caring for a client who has diabetes insipidus. The nurse would describe this...
- Q702. The physician orders haloperidol 5 mg IM stat for a client and tells the nurse that the do...
- Q703. A physician's order reads: 0.25 normal saline at 50 mL/hr until discontinued. The nurse is...
- Q704. For the past several months, an elderly female client with Alzheimer's disease has experie...
- Q705. One afternoon 3 weeks into his alcohol treatment program, a client says to the nurse, "It'...
- Q706. Which of the following nursing actions is essential to prevent drug-resistant tuberculosis...
- Q707. Following a fracture of the left femur, a client develops symptoms of osteomyelitis. Durin...
- Q708. MgSO4 is ordered IV following the established protocol for a client with severe PIH. The a...
- Q709. A 23-year-old female client is brought to the emergency room by her roommate for repeatedl...
- Q710. A client has returned to the unit from the recovery room after having a thyroidectomy. The...
- Q711. A child with celiac disease is being discharged from the hospital. The mother demonstrates...
- Q712. A client is admitted to the labor unit. On vaginal examination, the presenting part in a c...
- Q713. An 80-year-old male client with a history of arteriosclerosis is experiencing severe pain ...
- Q714. A client is in early labor. Her fetus is in a left occipitoanterior (LOA) position; fetal ...
- Q715. A 30-year-old client has a history of several recent traumatic experiences. She presents a...
- Q716. The nurse assists a client with advanced emphysema to the bathroom. The client becomes ext...
- Q717. A 15-year-old client was diagnosed as having cystic fibrosis at 8 months of age. He is in ...
- Q718. A client is dilated 8 cm and entering the transition phase of labor. Common behaviors of t...
- Q719. Which of the following menu choices would indicate that a client with pressure ulcers unde...
- Q720. At 30 weeks' gestation, a client is admitted to the unit in premature labor. Her physician...
- Q721. A female client has been hospitalized for several months following major abdominal surgery...
