NCLEX-RN Exam Dumps | An 11-year-old boy has received a partial-thickness burn to both legs. He presents to the emergency room

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Question 299/859

An 11-year-old boy has received a partial-thickness burn to both legs. He presents to the emergency room approximately 15 minutes after the accident in excruciating pain with charred clothing to both legs. What is the first nursing action?

A. Apply ice packs to both legs.

B. Begin débridement by removing all charred clothing from wound.

C. Apply Silvadene cream (silver sulfadiazine).

D. Immerse both legs in cool water.

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Her parents...; Question 412: Which of the following procedures is necessary to establish ...; Question 413: A 2-month-old infant is receiving IV fluids with a volume co...; Question 414: A male client receives 10 U of regular human insulin SC at 9...; Question 415: A client had a vaginal delivery 3 days ago and is discharged...; Question 416: Following a bicycle accident, a 12-year-old client sustained...; Question 417: Painless vaginal bleeding in the last trimester may be cause...; Question 418: A 32-year-old mother of two was brought to the hospital by h...; Question 419: Prenatal clients are routinely monitored for early signs of ...; Question 420: MgSO4 is ordered IV following the established protocol for a...; Question 421: Diabetes mellitus is a disorder that affects 3.1 out of ever...; Question 422: Assessment of the client with pericarditis may reveal which ...; Question 423: A client had a renal transplant 3 months ago. He has suddenl...; Question 424: In acute episodes of mania, lithium is effective in 1-2 week...; Question 425: A 16-year-old female client is admitted to the hospital beca...; Question 426: Plans for the care of a client with an ulcer caused by emoti...; Question 427: A client is admitted to the labor room. She is dilated 4 cm....; Question 428: The physician prescribes amitriptyline (Elavil) for a client...; Question 429: A 6-month-old infant who was diagnosed at 4 weeks of age wit...; Question 430: A male client has a history of diverticulosis. He has questi...; Question 431: A 22-year-old single woman was admitted to the psychiatric h...; Question 432: To prevent fungal infections of the mouth and throat, the nu...; Question 433: A type I diabetic client is diagnosed with cellulitis in his...; Question 434: A postpartum client complains of rectal pressure and severe ...; Question 435: A dose of theophylline may need to be altered if a client wi...; Question 436: A client is being discharged from the hospital tomorrow foll...; Question 437: In performing the initial nursing assessment on a client at ...; Question 438: A pregnant client comes to the office for her first prenatal...; Question 439: A 48-year-old male client is hospitalized with mild ascites,...; Question 440: A client has returned to the unit from the recovery room aft...; Question 441: A male client is admitted to the psychiatric unit after expe...; Question 442: A 3-year-old child was hospitalized for acute laryngotracheo...; Question 443: In working with a manipulative client, which of the followin...; Question 444: A client reports to the nurse that the voices are practicall...; Question 445: A client is admitted to the hospital for an induction of lab...; Question 446: When assessing a female child for Turner's syndrome, the nur...; Question 447: A 22-year-old client is 16 weeks pregnant. She and her husba...; Question 448: A client's transfusion of packed red blood cells has been in...; Question 449: A 29-year-old client is diagnosed with borderline personalit...; Question 450: A mother brings her 3-year-old child who is unconscious but ...; Question 451: A female client presents to the obstetric-gynecology clinic ...; Question 452: A client is a victim of domestic violence. She is now receiv...; Question 453: An 80-year-old widow is living with her son and daughter- in...; Question 454: With a geriatric client, the nurse should also assess whethe...; Question 455: A common complication of cirrhosis of the liver is prolonged...; Question 456: A female baby was born with talipes equinovarus. Her mother ...; Question 457: A 14-year-old teenager is demonstrating behavior indicative ...; Question 458: A baby is circumcised. Immediate postoperative care should i...; Question 459: A six-month-old infant has been admitted to the emergency ro...; Question 460: The nurse assesses a client on the second postpartum day and...; Question 461: A 68-year-old woman is admitted to the hospital with chronic...; Question 462: Clinical manifestations seen in left-sided rather than in ri...; Question 463: Following a vaginal delivery, the postpartum nurse should ob...; Question 464: The nurse is preparing a 6-year-old child for an IV insertio...; Question 465: A 23-year-old college student seeks medical attention at the...; Question 466: A client is hyperactive and not sleeping. She will not remai...; Question 467: A 12-year-old girl has been diagnosed with insulindependent ...; Question 468: During burn therapy, morphine is primarily administered IV f...; Question 469: The nurse is caring for a 3-month-old girl with meningitis. ...; Question 470: The nurse explains perineal hygiene self-care postpartum to ...; Question 471: The nurse is planning a reality orientation program for a gr...; Question 472: Provide the 1-minute Apgar score for an infant born with the...; Question 473: A client who has been diagnosed with anorexia nervosa reluct...; Question 474: The physician prescribes phenytoin (Dilantin) for a client w...; Question 475: A 17-year-old client has a T-4 spinal cord injury. At presen...; Question 476: The nurse teaches a pregnant client that a high-risk symptom...; Question 477: Cheyne-Stokes respiratory pattern can be associated with whi...; Question 478: As the nurse assesses a male adolescent with chlamydia, the ...; Question 479: A 19-month-old child is admitted to the hospital for surgica...; Question 480: A client is pleased about being pregnant, yet states, "It is...; Question 481: Prior to an amniocentesis, a fetal ultrasound is done in ord...; Question 482: A premature infant needs supplemental O2 therapy. A nursing ...; Question 483: A mother came to the pediatric clinic with her 17- month-old...; Question 484: In the coronary care unit, a client has developed multifocal...; Question 485: In counseling a client, the nurse emphasizes the danger sign...; Question 486: During the admitting mental health assessment, a client demo...; Question 487: The nurse and prenatal client discuss the effects of cigaret...; Question 488: A client who is a breast-feeding mother develops mastitis. T...; Question 489: A 4-year-old child has Down syndrome. The community health n...; Question 490: An 18-year-old client enters the emergency room complaining ...; Question 491: Often children are monitored with pulse oximeter. The pulse ...; Question 492: A client's physician has prescribed theophylline (Theo- Dur)...; Question 493: A 24-hours' postpartum client complains of discomfort at the...; Question 494: A 30-year-old client has a history of several recent traumat...; Question 495: After the RN is finished the initial assessment of a newborn...; Question 496: A female client has just died. Her family is requesting that...; Question 497: A client diagnosed with severe anemia is to receive 2 U of p...; Question 498: A male client is being treated in the burn unit for thirddeg...; Question 499: Which of the following would differentiate acute from chroni...; Question 500: A client returns to the cardiovascular intensive care unit f...; Question 501: An elective saline abortion has been performed on a 3- week ...; Question 502: A client delivered a term infant 1 hour ago. Her uterus on a...; Question 503: The nurse is teaching a mother care of her child's spica cas...; Question 504: A client is dilated 8 cm and entering the transition phase o...; Question 505: The mother of a preschooler reports to the nurse that he fre...; Question 506: A 7-year-old girl has been diagnosed with juvenile arthritis...; Question 507: A postoperative TURP client returns from the recovery room t...; Question 508: The physician has prescribed metoclopramide (Reglan). When a...; Question 509: After performing a sterile vaginal exam on a client who has ...; Question 510: Goal setting for a client with Meniere's disease should incl...; Question 511: The nurse would be sure to instruct a client on the signs an...; Question 512: A client has a history of alcoholism. He is currently diagno...; Question 513: A pregnant woman at 36 weeks' gestation is followed for PIH ...; Question 514: The nurse observes a client crying quietly. She has just exp...; Question 515: A female client at 36 weeks' gestation is experiencing prete...; Question 516: A female client was recently diagnosed with gastric cancer. ...; Question 517: The nurse instructs a pregnant client (G2P1) to rest in a si...; Question 518: The health team needs to realize that the compulsive concern...; Question 519: A male client is undergoing cardiac tests. He has been instr...; Question 520: A 15-year-old female adolescent is frequently breaking the r...; Question 521: Clients receiving antipsychotic drug therapy will often exhi...; Question 522: A postoperative TURP client is ordered continuous bladder ir...; Question 523: A pregnant client experiences a precipitous delivery. The nu...; Question 524: The nurse is trying to help a mother understand what is happ...; Question 525: The nurse is caring for a client who has diabetes insipidus....; Question 526: To ensure proper client education, the nurse should teach th...; Question 527: A 5-year-old child is hospitalized for an acute illness. The...; Question 528: A 38-year-old female client with a history of chronic schizo...; Question 529: The nurse has been caring for a 16-year-old female who recen...; Question 530: Priapism may be a sign of:; Question 531: In teaching the client about proper umbilical cord care, the...; Question 532: A client delivered a stillborn male at term. An appropriate ...; Question 533: The nurse is teaching a child's parents how to protect the c...; Question 534: Which of the following findings would be abnormal in a postp...; Question 535: The parents of a 9-year-old child with acute lymphocytic leu...; Question 536: Parents of children receiving chemotherapy should be warned ...; Question 537: A client presented herself to the mental health center, desc...; Question 538: The nurse notes multiple bruises on the arms and legs of a n...; Question 539: A 35-year-old primigravida comes to the clinic for her first...; Question 540: A 68-year-old client developed acute respiratory distress sy...; Question 541: Following her surgery, a 5-year-old child will return to the...; Question 542: The doctor has ordered a restricted fluid intake for a 2- ye...; Question 543: What is the most effective method to identify early breast c...; Question 544: When a client with pancreatitis is discharged, the nurse nee...; Question 545: An 82-year-old former restaurant owner walks to the nursing ...; Question 546: MgSO4 blood levels are monitored and the nurse would be prep...; Question 547: Based on your knowledge of genetic inheritance, which of the...; Question 548: When planning care for the passive-aggressive client, the nu...; Question 549: A young boy tells the nurse, "I don't like my Dad to kiss or...; Question 550: Loss of appetite for a child with leukemia is a major recurr...; Question 551: While the nurse is taking a male client's blood pressure, he...; Question 552: A couple is experiencing difficulties conceiving a baby. The...; Question 553: A client is receiving peritoneal dialysis. He has been taugh...; Question 554: A 19-year-old male client arrived via ambulance to the emerg...; Question 555: A client has been instructed in how to take her nitroglyceri...; Question 556: A physician's order reads: Administer furosemide oral soluti...; Question 557: A 2-year-old child with a scalp laceration and subdural hema...; Question 558: A psychiatric client has been stabilized and is to be discha...; Question 559: Respiratory function is altered in a 16-year-old asthmatic. ...; Question 560: A 64-year-old client is admitted to the hospital with benign...; Question 561: In working with mental health clients who are prescribed med...; Question 562: Following TURP, which of the following instructions would be...; Question 563: The nurse needs to be aware that the most common early compl...; Question 564: A 6-year-old girl is visiting the outpatient clinic because ...; Question 565: An 18-month-old child has been playing in the garage. His mo...; Question 566: A 48-year-old client presents with a long history of severed...; Question 567: A female client has been recently diagnosed as bipolar. She ...; Question 568: Which of the following activities would be most appropriate ...; Question 569: When teaching a sex education class, the nurse identifies th...; Question 570: After 7 hours in restraints and a total of 30-mg haloperidol...; Question 571: The initial focus when providing nursing care for a child wi...; Question 572: Which of the following signs and symptoms indicates a tensio...; Question 573: After a 10-year-old child with insulin-dependent diabetes me...; Question 574: A 27-year-old primigravida stated that she got up from the c...; Question 575: The physician orders fluoxetine (Prozac) for a depressed cli...; Question 576: In assessing the nature of the stool of a client who has cys...; Question 577: A client had abdominal surgery this morning. The nurse notic...; Question 578: A 26-year-old client is in a treatment center for aprazolam ...; Question 579: Proper positioning for the child who is in Bryant's traction...; Question 580: The most appropriate method of evaluating whether the diet o...; Question 581: A client has returned to the unit following a left femoral p...; Question 582: A client is going to have a pneumonectomy in the morning. Sh...; Question 583: A 6-year-old girl has been diagnosed with a urinary tract in...; Question 584: A mother continues to breast-feed her 3-month-old infant. Sh...; Question 585: A 15-year-old client is admitted to the adolescent unit. The...; Question 586: Prior to administering digoxin to a client with congestive h...; Question 587: The nurse is caring for a 2-year-old girl with a subdural he...; Question 588: A successful executive left her job and became a housewife a...; Question 589: During discharge planning, parents of a child with rheumatic...; Question 590: A client with a diagnosis of C-4 injury has been stabilized ...; Question 591: In assessing cardiovascular clients with progression of aort...; Question 592: The nurse is caring for a 6-week-old girl with meningitis. T...; Question 593: Primary nursing diagnoses for the antisocial client are:...; Question 594: A 55-year-old man has recently been diagnosed with hypertens...; Question 595: A client is diagnosed with organic brain disorder. The nursi...; Question 596: The nurse in the mental health center is instructing a depre...; Question 597: A 30-year-old female client is receiving antineoplastic chem...; Question 598: A nasogastric (NG) tube inserted preoperatively is attached ...; Question 599: In an interview for suspected child abuse, the child's mothe...; Question 600: A client has received digoxin 0.25 mg po daily for 2 weeks. ...; Question 601: A client with cystic fibrosis exhibits activity intolerance ...; Question 602: The most frequent cause of early postpartum hemorrhage is:...; Question 603: The physician of an alcoholic client places him on a low-pro...; Question 604: Which one of the following is considered a reliable indicato...; Question 605: A 2-year-old boy fell out of bed and has a subdural hematoma...; Question 606: A female client is started on warfarin (Coumadin) 5 mg po bi...; Question 607: A burn victim's immunization history is assessed by the nurs...; Question 608: A 35-year-old client is receiving psychopharmacological trea...; Question 609: A 74-year-old client seen in the emergency room is exhibitin...; Question 610: While changing the dressing on a client's central line, the ...; Question 611: Which of the following should the nurse anticipate receiving...; Question 612: Chorioamnionitis is a maternal infection that is usually ass...; Question 613: The nurse enters the room of a client on which a "do not res...; Question 614: An 11-month-old infant is admitted with a possible diagnosis...; Question 615: A male client has heart failure. He has been instructed to g...; Question 616: Cystic fibrosis is transmitted as an autosomal recessive tra...; Question 617: In admitting a client to the psychiatric unit, the nurse mus...; Question 618: Which nursing implication is appropriate for a client underg...; Question 619: A client presents to the psychiatric unit crying hystericall...; Question 620: An IDDM client's condition stabilizes. He begins to receive ...; Question 621: The nurse discovers that a 78-year-old client who received h...; Question 622: After several days, an IDDM client's serum glucose stabilize...; Question 623: A client's record from the ED indicates that she overdosed o...; Question 624: When administering phenytoin (Dilantin) to a child, the nurs...; Question 625: A 4-year-old child is being discharged from the hospital aft...; Question 626: On admission to the postpartal unit, the nurse's assessment ...; Question 627: A client is admitted to the hospital with diabetic ketoacido...; Question 628: At her monthly prenatal visit, a client reports experiencing...; Question 629: A client experiencing delusions states, "I came here because...; Question 630: An expected response to sodium polystyrene sulfonate (Kayexa...; Question 631: A client who was started on antipsychotic medication 2 weeks...; Question 632: A client admitted with a diagnosis of possible myocardial in...; Question 633: Assessment of a client reveals a 30% loss of preillness weig...; Question 634: A 10-year-old client with a pin in the right femur is immobi...; Question 635: The physician recommends immediate hospital admission for a ...; Question 636: A 2-year-old toddler is hospitalized with epiglottitis. In a...; Question 637: A client delivered her first-born son 4 hours ago. She asks ...; Question 638: A mother frantically calls the emergency room (ER) asking wh...; Question 639: A 45-year-old client has a permanent colostomy. Which of the...; Question 640: A 72-year-old client with a new colostomy is being evaluated...; Question 641: A child is to receive atropine 0.15 mg (1/400 g) as part of ...; Question 642: The cardiac client who exhibits the symptoms of disorientati...; Question 643: Several months after antibiotic therapy, a child is readmitt...; Question 644: The nurse caring for a client who has pneumonia, which is ca...; Question 645: In the client with a diagnosis of coronary artery disease, t...; Question 646: A 26-year-old client is diagnosed with an astrocytoma, a ben...; Question 647: A client is receiving IV morphine 2 days after colorectal su...; Question 648: Which of the following nursing care goals has the highest pr...; Question 649: When a client is receiving vasoactive therapy IV, such as do...; Question 650: In caring at home for a child who just ingested a caustic al...; Question 651: The nurse working in a prenatal clinic needs to be alert to ...; Question 652: Which of the following ECG changes would be seen as a positi...; Question 653: Which of the following would have the physiological effect o...; Question 654: Except for initial explosiveness on admission, a client diag...; Question 655: A 4 year old has an imaginary playmate, which concerns the m...; Question 656: The nurse is collecting a nutritional history on a 28- year-...; Question 657: A 67-year-old client will be undergoing a coronary arteriogr...; Question 658: A seventh grader lost consciousness after being hit in the h...; Question 659: A pregnant client during labor is irritable and feels the ur...; Question 660: A female client is seeking counseling for personal problems....; Question 661: The most important reason to closely assess circumferential ...; Question 662: A 74-year-old obese man who has undergone open reduction and...; Question 663: A client has been admitted to the labor and delivery unit in...; Question 664: A husband asks if he can visit with his wife on her ECT trea...; Question 665: A client has received preoperative teaching for the vertical...; Question 666: Which of the following symptoms might the nurse observe in a...; Question 667: The nurse who is caring for a client with pneumonia assesses...; Question 668: The nurse is admitting an infant with bacterial meningitis a...; Question 669: A 1000-mL dose of lactated Ringer's solution is to be infuse...; Question 670: Which of the following medications requires close observatio...; Question 671: The serial sevens test is often used to determine delirium a...; Question 672: A male client is experiencing extreme distress. He begins to...; Question 673: A client diagnosed with bipolar disorder continues to be hyp...; Question 674: When interviewing parents who are suspected of child abuse, ...; Question 675: A 45-year-old client diagnosed with major depression is sche...; Question 676: A client with a C-3-4 fracture has just arrived in the emerg...; Question 677: A client is scheduled for a magnetic resonance imaging (MRI)...; Question 678: A 30-year-old client is exhibiting auditory hallucinations. ...; Question 679: A 72-year-old male client had the Foley catheter that was in...; Question 680: A 20-year-old male client is being treated for protein defic...; Question 681: A client calls the prenatal clinic to schedule an appointmen...; Question 682: A client at 6 months' gestation complains of tiredness and d...; Question 683: A male client seeks counseling after his wife of 19 years th...; Question 684: A client has ascites, which is caused by:...; Question 685: The physician has ordered that ampicillin 250 mg IV be given...; Question 686: A 55-year-old client is unconscious, and his physician has d...; Question 687: A 20-year-old client presents to the obstetrics-gynecology c...; Question 688: A client is resting comfortably after delivering her first c...; Question 689: A 27-year-old healthy primigravida is brought to the labor a...; Question 690: After instructing a female client on circumcision care, the ...; Question 691: A 30-year-old client has just been treated in the ER for bru...; Question 692: Diabetes during pregnancy requires tight metabolic control o...; Question 693: A female client is exhibiting signs of respiratory distress....; Question 694: A nurse is performing a vaginal exam on a client in active l...; Question 695: A 67-year-old man had a physical examination prior to beginn...; Question 696: A 47-year-old client has been admitted to the general surger...; Question 697: A female client has been hospitalized for several months fol...; Question 698: The nurse recognizes that a client with the diagnosis of cho...; Question 699: A male client has experienced low back pain for several year...; Question 700: A client's behavior is annoying other clients on the unit. H...; Question 701: A 26-year-old client has no children. She has had an abdomin...; Question 702: A normal 3-year-old child is suspected of having meningitis....; Question 703: A client who is 7 months pregnant is diagnosed with pyelonep...; Question 704: The pediatrician has diagnosed tinea capitis in an 8- year-o...; Question 705: A 24-year-old male client is admitted with a diagnosis of si...; Question 706: Parents of young children often need anticipatory guidance f...; Question 707: A 49-year-old obese woman has been admitted to the general s...; Question 708: A client is to be discharged from the hospital and is to con...; Question 709: Other drugs may be ordered to manage a client's ulcerative c...; Question 710: A parent told the public health nurse that her 6-year-old so...; Question 711: A male client is scheduled to have angiography of his left l...; Question 712: A 3-year-old child is admitted with a diagnosis of possible ...; Question 713: The nurse is teaching a 10-year-old insulin-dependent diabet...; Question 714: A 74-year-old female client is 3 days postoperative. She has...; Question 715: Signs and symptoms of an allergy attack include which of the...; Question 716: A 27-year-old male client is admitted to the acute care ment...; Question 717: A primigravida is at term. The nurse can recognize the secon...; Question 718: At 32 weeks' gestation, a client is scheduled for a fetal ac...; Question 719: The nurse is assisting a 4th-day postoperative cholecystecto...; Question 720: The physician prescribes a medical regimen of isoniazid, rif...; Question 721: When planning care for a 9-year-old client, the nurse uses w...; Question 722: A client has chronic obstructive pulmonary disease. She is s...; Question 723: A client is having a vertical partial laryngectomy, and the ...; Question 724: Which stage of labor lasts from delivery of the baby to deli...; Question 725: A young child has been placed in a spica cast. The chief con...; Question 726: A 23-year-old borderline client is admitted to an inpatient ...; Question 727: What is the appropriate nursing action for a child with incr...; Question 728: A female client admitted to the labor and delivery unit thin...; Question 729: Which of the following risk factors associated with breast c...; Question 730: A 22-year-old client presents with a diagnosis of antisocial...; Question 731: A 2-year-old child is recovering from surgery. Considering g...; Question 732: A client states to his nurse that "I was told by the doctor ...; Question 733: A group of nursing students at a local preschool day care ce...; Question 734: A client is admitted to the hospital with a diagnosis of apl...; Question 735: A female client has experienced varying degrees of depressio...; Question 736: A 48-hour-old male infant is ordered to have phototherapy. W...; Question 737: A client has been admitted to the nursing unit with the diag...; Question 738: The nurse instructs a client on the difference between true ...; Question 739: When evaluating a client with symptoms of shock, it is impor...; Question 740: A 65-year-old client who has a new colostomy is preparing fo...; Question 741: A physician's order reads: 0.25 normal saline at 50 mL/hr un...; Question 742: A 24-year-old woman who is gravida 1 reports, "I can't take ...; Question 743: Forty-eight hours after a thyroidectomy, a female client com...; Question 744: The client will be more comfortable and the results more acc...; Question 745: A client had a myocardial infarction 5 days ago. His physici...; Question 746: A physician's order reads: Administer KCl 10% oral solution ...; Question 747: The nurse assesses a client's monitor strip and finds the fo...; Question 748: The nurse assesses a postoperative mastectomy client and not...; Question 749: A 52-year-old client's abdominal aortic aneurysm ruptured. S...; Question 750: A 3-year-old child is in the burn unit following a home acci...; Question 751: Following the delivery of a healthy newborn, a client has de...; Question 752: One of the medications that is prescribed for a male client ...; Question 753: A client has been diagnosed with congestive heart failure. H...; Question 754: A female client at 30 weeks' gestation is brought into the e...; Question 755: A mother brings a 6-month-old infant and a 4-year-old child ...; Question 756: A client had a right below-the-knee amputation 4 days ago. H...; Question 757: A client is admitted to the labor unit. On vaginal examinati...; Question 758: The primary focus of nursing interventions for the child exp...; Question 759: A pregnant client complains of varicosities in the third tri...; Question 760: The nurse is notified that a 27-year-old primigravida diagno...; Question 761: The mother of a client is apprehensive about taking home her...; Question 762: The nurse documents a client's surgical incision as having r...; Question 763: Prior to his discharge from the hospital, a cardiac client i...; Question 764: A 16-year-old student has a long history of bronchial asthma...; Question 765: An 8-year-old boy has been diagnosed with hemophilia. Which ...; Question 766: Following a gastric resection, which of the following action...; Question 767: Early in her ninth month of pregnancy, a client has been dia...; Question 768: The usual treatment for diabetes insipidus is with IM or SC ...; Question 769: The physician of a client diagnosed with alcoholism orders n...; Question 770: A client is being discharged with albuterol (Proventil) and ...; Question 771: The nurse is caring for a client with pancreatitis. Which of...; Question 772: A newborn infant is exhibiting signs of respiratory distress...; Question 773: A 4-year-old child with a history of sickle cell anemia is a...; Question 774: The nurse is aware that nutrition is an important aspect of ...; Question 775: A client is a depressed, 48-year-old salesman. A serious con...; Question 776: A client suffering from schizophrenia has been taking chlorp...; Question 777: On morning rounds, the nurse found a manic-depressive client...; Question 778: The mother of a 7-year-old mental health center client repor...; Question 779: Assessment of a newborn for Apgar scoring includes observati...; Question 780: A female client has been treated since childhood for mitral ...; Question 781: The therapeutic blood-level range for lithium is:...; Question 782: To prevent thrombophlebitis in a client on complete bed rest...; Question 783: The nurse will be alert to the most potentially lifethreaten...; Question 784: A 79-year-old client with Alzheimer's disease is exhibiting ...; Question 785: The following medications were noted on review of the client...; Question 786: When the nurse is evaluating lab data for a client 18-24 hou...; Question 787: A client undergoes a transurethral resection, prostate (TURP...; Question 788: A client who has sustained a basilar skull fracture exhibits...; Question 789: The nurse is caring for a client who has had a tracheostomy ...; Question 790: A client takes warfarin (Coumadin) 15 mg po daily. To evalua...; Question 791: The nurse would teach a male client ways to minimize the ris...; Question 792: The client tells the nurse, "I have pain in my left shoulder...; Question 793: A 37-year-old client has been taking antipsychotic medicatio...; Question 794: A 47-year-old male client is admitted for colon surgery. Int...; Question 795: A client is pregnant with her second child. Her last menstru...; Question 796: A 10-year-old boy has been diagnosed with Legg-Calvé Perthes...; Question 797: A client has a chest tube placed in his left pleural space t...; Question 798: Two weeks after a client's admission for depression, the phy...; Question 799: A client has begun to exhibit signs of alcohol withdrawal. H...; Question 800: A complication for which the nurse should be alert following...; Question 801: A female client who has chronic obstructive pulmonary diseas...; Question 802: A 26-year-old male client is brought by his wife to the emer...; Question 803: Before giving methergine postpartum, the nurse should assess...; Question 804: A 7-year-old child is brought to the ER at midnight by his m...; Question 805: A client returned to the unit following a pneumonectomy. As ...; Question 806: A term neonate has experienced no distress at birth and has ...; Question 807: A client has been uncomfortable in crowds all her life. Afte...; Question 808: A 60-year-old woman exhibits forgetfulness, emotional labili...; Question 809: The primary reason that an increase in heart rate (100 bpm) ...; Question 810: When providing dietary teaching to an individual who has dia...; Question 811: A client is admitted to the psychiatric unit after lavage an...; Question 812: A neonate was admitted to the hospital with projectile vomit...; Question 813: As a nurse works with an adolescent with cystic fibrosis, th...; Question 814: A female client has married recently. A month ago she visite...; Question 815: A client had a hemicolectomy performed 2 days ago. Today, wh...; Question 816: During a client's first postpartum day, the nurse assessed t...; Question 817: Diagnostic assessment findings for an infant with possible c...; Question 818: A primigravida with a blood type A negative is at 28 weeks' ...; Question 819: A 55-year-old woman entered the emergency room by ambulance....; Question 820: A woman diagnosed with multiple sclerosis is disturbed with ...; Question 821: As a postoperative cholecystectomy client completes tomorrow...; Question 822: The FHR pattern in a laboring client begins to show early de...; Question 823: A new mother experiences strong uterine contractions while b...; Question 824: A 70-year-old client has pneumonia and has just had a respir...; Question 825: In discussing the plan of care for a child with chronic neph...; Question 826: A 56-year-old psychiatric inpatient has had recurring episod...; Question 827: A client decided early in her pregnancy to breast-feed her f...; Question 828: Pin care is a part of the care plan for a client who is in s...; Question 829: A female client decides on hemodialysis. She has an internal...; Question 830: A client is being discharged and will continue enteral feedi...; Question 831: A family is experiencing changes in their lifestyle in many ...; Question 832: A 78-year-old female client has a total hip arthroplasty. He...; Question 833: Parents of a child with rheumatic fever express concern that...; Question 834: A psychotic client who believes that he is God and rules all...; Question 835: A 24-year-old client presents to the emergency department pr...; Question 836: A client who is gravida 1 para 1 vaginally delivered a 7- lb...; Question 837: A 54-year-old client is admitted to the hospital with a poss...; Question 838: A client at 9 weeks' gestation comes for an initial prenatal...; Question 839: A client is in active labor and has been admitted to the lab...; Question 840: A family by court order undergoes treatment by a family ther...; Question 841: A female client with major depression stated that "life is h...; Question 842: Nursing interventions designed to decrease the risk of infec...; Question 843: A male client is scheduled for a liver biopsy. In preparing ...; Question 844: Which of the following nursing actions is essential to preve...; Question 845: Home-care instructions for the child following a cardiac cat...; Question 846: Which of the following lab data is representative of a clien...; Question 847: A 44-year-old female client is receiving external radiation ...; Question 848: A school-age child with asthma is ready for discharge from t...; Question 849: At 30 weeks' gestation, a client is admitted to the unit in ...; Question 850: Before completing a nursing diagnosis, the nurse must first:...; Question 851: A 26-year-old female client presents at 10 weeks' gestation....; Question 852: A client is now pregnant for the second time. Her first chil...; Question 853: On the third postpartum day, the nurse would expect the loch...; Question 854: A gravida 2 para 1 client delivered a full-term newborn 12 h...; Question 855: A client had a transurethral resection of the prostate yeste...; Question 856: A 25-year-old outpatient presents with a diagnosis of compul...; Question 857: A nurse should carefully monitor a client for the following ...; Question 858: The nurse practitioner determines that a client is approxima...; Question 859: A 5-year-old child has suffered second-degree thermal burns ...

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