NCLEX-RN Exam Dumps | The nurse has been assigned a client who delivered a 6- lb, 12-oz baby boy vaginally 40 minutes ago.

Valid NCLEX-RN Dumps shared by ExamDiscuss.com for Helping Passing NCLEX-RN Exam! ExamDiscuss.com now offer the newest NCLEX-RN exam dumps, the ExamDiscuss.com NCLEX-RN exam questions have been updated and answers have been corrected get the newest ExamDiscuss.com NCLEX-RN dumps with Test Engine here:

Access NCLEX-RN Dumps Premium Version
(865 Q&As Dumps, 35%OFF Special Discount Code: freecram)

<< Prev Question Next Question >>

Question 289/302

The nurse has been assigned a client who delivered a 6- lb, 12-oz baby boy vaginally 40 minutes ago. The initial assessment of greatest importance for this client would be:

A. Length of her labor

B. Type of episiotomy

C. Amount of IV fluid to be infused

D. Character of the fundus

Question List (302q): Question 1: The physician prescribes a medical regimen of isoniazid, rif...; Question 2: A client has been diagnosed as being preeclamptic. The physi...; Question 3: A first-trimester primigravida is diagnosed with anemia. The...; Question 4: A 19-year-old client fell off a ladder approximately 3 ft to...; Question 5: A 1-year-old child is to receive an IM injection ordered by ...; Question 6: A client had a right below-the-knee amputation 4 days ago. H...; Question 7: The nurse is teaching a 10-year-old insulin-dependent diabet...; Question 8: A 9-month-old infant was diagnosed with nonorganic failure t...; Question 9: A client is experiencing muscle weakness and lethargy. His s...; Question 10: Which of the following menu choices would indicate that a cl...; Question 11: A client is taught to eat foods high in potassium. Which foo...; Question 12: The nurse assesses a client's monitor strip and finds the fo...; Question 13: A 68-year-old client developed acute respiratory distress sy...; Question 14: A 40-year-old client is admitted to the coronary care unit w...; Question 15: Which of the following nursing orders has the highest priori...; Question 16: A female client is admitted to the emergency department comp...; Question 17: A physician's order reads: 0.25 normal saline at 50 mL/hr un...; Question 18: A 60-year-old male client was hospitalized 3 days ago with t...; Question 19: A client presented herself to the mental health center, desc...; Question 20: Which of the following would indicate the need for further t...; Question 21: A client presents to the psychiatric unit crying hystericall...; Question 22: A client with IDDM is given IV insulin for a blood glucose l...; Question 23: A female client has married recently. A month ago she visite...; Question 24: A client had a transurethral resection of the prostate yeste...; Question 25: A 4-year-old child is being discharged from the hospital aft...; Question 26: The nurse begins morning assessment on a male client and not...; Question 27: A 19-year-old client has sustained a C-7 fracture, which res...; Question 28: Newborns are routinely screened for phenylketonuria. The nur...; Question 29: A 2-day-old infant boy has been diagnosed with an atrial sep...; Question 30: The nurse discovers that a 78-year-old client who received h...; Question 31: A 4-year-old child with a history of sickle cell anemia is a...; Question 32: A primipara is assessed on arrival to the postpartum unit. T...; Question 33: A postoperative TURP client returns from the recovery room t...; Question 34: A 27-year-old male client is admitted to the acute care ment...; Question 35: A client is being discharged from the hospital today. The di...; Question 36: The most frequent cause of early postpartum hemorrhage is:...; Question 37: A male client has asthma and his physician has prescribed be...; Question 38: A 5-year-old child cries continually in her bed. Her parents...; Question 39: A 16-year-old student has a long history of bronchial asthma...; Question 40: A 9-month-old infant visits her pediatrician for a routine v...; Question 41: A pregnant client complains of varicosities in the third tri...; Question 42: A client diagnosed with severe anemia is to receive 2 U of p...; Question 43: A client states to his nurse that "I was told by the doctor ...; Question 44: A 71-year-old client fell and injured her left leg while coo...; Question 45: Four days after admission for cirrhosis of the liver, the nu...; Question 46: A 50-year-old male client is to receive chemotherapy. The ph...; Question 47: A 5-year-old child was recently diagnosed as having acute ly...; Question 48: When discussing the relationship between exercise and insuli...; Question 49: The nurse is caring for a 2-year-old girl with a subdural he...; Question 50: The nurse is aware that nutrition is an important aspect of ...; Question 51: Following TURP, which of the following instructions would be...; Question 52: Diagnostic assessment findings for an infant with possible c...; Question 53: One of the most dramatic and serious complications associate...; Question 54: A premature infant needs supplemental O2 therapy. A nursing ...; Question 55: An 11-year-old boy has received a partial-thickness burn to ...; Question 56: The mother of a child taking phenytoin will need to plan app...; Question 57: On the first postpartal day, a client tells the nurse that s...; Question 58: A 30-year-old client has just been treated in the ER for bru...; Question 59: After a liver biopsy, the best position for the client is:...; Question 60: A 35-year-old client is admitted to the hospital with diabet...; Question 61: A husband asks if he can visit with his wife on her ECT trea...; Question 62: A male client is undergoing cardiac tests. He has been instr...; Question 63: Due to his prolonged history of alcohol abuse, an alcoholic ...; Question 64: A 15-year-old client is admitted to the adolescent unit. The...; Question 65: A client's physician has prescribed theophylline (Theo- Dur)...; Question 66: A 17-year-old client has a T-4 spinal cord injury. At presen...; Question 67: A female client at 36 weeks' gestation has been treated succ...; Question 68: A 48-year-old male client is hospitalized with mild ascites,...; Question 69: At 32 weeks' gestation, a client is scheduled for a fetal ac...; Question 70: A 70-year-old client is almost finished receiving her second...; Question 71: A client is admitted to the hospital for an induction of lab...; Question 72: A pregnant client comes to the office for her first prenatal...; Question 73: A mother came to the pediatric clinic with her 17- month-old...; Question 74: A client with cystic fibrosis exhibits activity intolerance ...; Question 75: A 5-year-old child has suffered second-degree thermal burns ...; Question 76: A 24-year-old graduate student recognizes that he has a phob...; Question 77: A female client is seeking counseling for personal problems....; Question 78: The physician prescribes phenytoin (Dilantin) for a client w...; Question 79: The nurse is collecting a nutritional history on a 28- year-...; Question 80: Following a gastric resection, which of the following action...; Question 81: A client was prescribed a major tranquilizer 2 months ago. O...; Question 82: A client on the infectious disease unit is discussing transm...; Question 83: A 26-year-old client is admitted to the labor, delivery, rec...; Question 84: A 30-year-old client has been admitted to the psychiatric se...; Question 85: A client has been diagnosed with congestive heart failure. H...; Question 86: A 48-year-old client is in the surgical intensive care unit ...; Question 87: The FHR pattern in a laboring client begins to show early de...; Question 88: A violent client remains in restraints for several hours. Wh...; Question 89: A 55-year-old client is admitted with a diagnosis of renal c...; Question 90: The physician has ordered that ampicillin 250 mg IV be given...; Question 91: Painless vaginal bleeding in the last trimester may be cause...; Question 92: A 55-year-old man is admitted to the hospital with complaint...; Question 93: A client has ascites, which is caused by:...; Question 94: A 79-year-old client with Alzheimer's disease is exhibiting ...; Question 95: The nurse assists a client with advanced emphysema to the ba...; Question 96: A client had abdominal surgery this morning. The nurse notic...; Question 97: A client suffering from schizophrenia has been taking chlorp...; Question 98: A child is to receive atropine 0.15 mg (1/400 g) as part of ...; Question 99: The nurse working with a client who is out of control should...; Question 100: A type I diabetic client is diagnosed with cellulitis in his...; Question 101: A neonate was admitted to the hospital with projectile vomit...; Question 102: A client hospitalized with a medical diagnosis of adjustment...; Question 103: A client has been instructed in how to take her nitroglyceri...; Question 104: After several days, an IDDM client's serum glucose stabilize...; Question 105: In counseling a client, the nurse emphasizes the danger sign...; Question 106: The physician is preparing to induce labor on a 40-week mult...; Question 107: In healthcare settings, nurses must be familiar with primary...; Question 108: A couple is experiencing difficulties conceiving a baby. The...; Question 109: A client has been in labor for 10 hours. Her contractions ha...; Question 110: A client's congestive heart failure has been treated, and he...; Question 111: A male client was involved in a motor vehicle accident earli...; Question 112: A 37-year-old client has been taking antipsychotic medicatio...; Question 113: A 52-year-old client's abdominal aortic aneurysm ruptured. S...; Question 114: A pregnant client experiences spontaneous rupture of membran...; Question 115: A 2-year-old child with a scalp laceration and subdural hema...; Question 116: A family is experiencing changes in their lifestyle in many ...; Question 117: When teaching a mother of a 4-month-old with diarrhea about ...; Question 118: On assessment, the nurse learns that a chronic paranoid schi...; Question 119: A 30-year-old female client is receiving antineoplastic chem...; Question 120: Endotracheal tube cuff pressure should never exceed:...; Question 121: A 50-year-old depressed client has recently lost his job. He...; Question 122: A 3-year-old child is in the burn unit following a home acci...; Question 123: A 49-year-old obese woman has been admitted to the general s...; Question 124: Pregnant women with diabetes often have problems related to ...; Question 125: A 4-week-old infant is admitted to the emergency room in res...; Question 126: Discharge teaching for the client who has a total gastrectom...; Question 127: An elective saline abortion has been performed on a 3- week ...; Question 128: The pediatric nurse charts that the parents of a 4-yearold c...; Question 129: An 8-year-old child is admitted to the hospital for surgery....; Question 130: A depressed client is seen at the mental health center for f...; Question 131: A client is having episodes of hyperventilation related to h...; Question 132: The health team needs to realize that the compulsive concern...; Question 133: A 14-year-old teenager is demonstrating behavior indicative ...; Question 134: During a client's first postpartum day, the nurse assessed t...; Question 135: Blood work reveals the following lab values for a client who...; Question 136: For the past several months, an elderly female client with A...; Question 137: The nurse instructs a client on the difference between true ...; Question 138: To prevent thrombophlebitis in a client on complete bed rest...; Question 139: A 24-year-old woman who is gravida 1 reports, "I can't take ...; Question 140: A 6-year-old child returned to the surgical floor 20 hours a...; Question 141: A 16-year-old client with a diagnosis of oppositional defian...; Question 142: On a mother's 2nd postpartum day after having a vaginal deli...; Question 143: A client suspects that she is pregnant. She reports two miss...; Question 144: A 52-year-old client is scheduled for a small-bowel resectio...; Question 145: A client admitted with a diagnosis of possible myocardial in...; Question 146: Parents of children receiving chemotherapy should be warned ...; Question 147: The nurse writes the following nursing diagnosis for a clien...; Question 148: Following a vaginal delivery, the postpartum nurse should ob...; Question 149: A client is receiving peritoneal dialysis. He has been taugh...; Question 150: MgSO4 is ordered IV following the established protocol for a...; Question 151: The nurse enters the room of a client on which a "do not res...; Question 152: A client in active labor asks the nurse for coaching with he...; Question 153: A client is in early labor. Her fetus is in a left occipitoa...; Question 154: A 14-year-old boy fell off his bike while "popping a wheelie...; Question 155: An 18-year-old girl is admitted to the hospital with a depre...; Question 156: A client at 6 months' gestation complains of tiredness and d...; Question 157: The nurse would assess the client's correct understanding of...; Question 158: The nurse provides a male client with diet teaching so that ...; Question 159: MgSO4 blood levels are monitored and the nurse would be prep...; Question 160: The therapeutic blood-level range for lithium is:...; Question 161: A psychotic client who believes that he is God and rules all...; Question 162: The doctor has ordered a restricted fluid intake for a 2- ye...; Question 163: A client with cirrhosis of the liver becomes comatose and is...; Question 164: A 38-year-old pregnant woman visits her nurse practitioner f...; Question 165: A client who has sustained a basilar skull fracture exhibits...; Question 166: A 4 year old has an imaginary playmate, which concerns the m...; Question 167: The medication that best penetrates eschar is:...; Question 168: A 75-year-old client is hospitalized with pneumonia caused b...; Question 169: In teaching the client about proper umbilical cord care, the...; Question 170: The client will be more comfortable and the results more acc...; Question 171: A 42-year-old male client has been treated at an alcoholic r...; Question 172: A male client is diagnosed with hypoparathyroidism. He has b...; Question 173: The child with iron poisoning is given IV deforoxamine mesyl...; Question 174: At 30 weeks' gestation, a client is admitted to the unit in ...; Question 175: A 6-month-old infant has developmental delays. His weight fa...; Question 176: An 8-year-old boy has been diagnosed with hemophilia. Which ...; Question 177: Which of the following physician's orders would the nurse qu...; Question 178: A 16-year-old client with anorexia nervosa is on an inpatien...; Question 179: A 27-year-old healthy primigravida is brought to the labor a...; Question 180: A client is being treated for congestive heart failure. His ...; Question 181: Assessment of the client with pericarditis may reveal which ...; Question 182: In assisting preconceptual clients, the nurse should teach t...; Question 183: A 30-year-old client in the third trimester of her pregnancy...; Question 184: A 35-year-old client is admitted to the hospital for electiv...; Question 185: The postpartum nurse should include which of the following i...; Question 186: During the active phase of rheumatic fever, the nurse teache...; Question 187: On admission to the inpatient unit, a 34-year-old client is ...; Question 188: A pregnant client continues to visit the clinic regularly du...; Question 189: As a postoperative cholecystectomy client completes tomorrow...; Question 190: Which of the following nursing orders should be included in ...; Question 191: The nurse is caring for a laboring client. Assessment data i...; Question 192: After 7 hours in restraints and a total of 30-mg haloperidol...; Question 193: A pregnant client experiences a precipitous delivery. The nu...; Question 194: A laboratory technique specific for diagnosing Lyme disease ...; Question 195: An 82-year-old former restaurant owner walks to the nursing ...; Question 196: A 22-year-old client who is being seen in the clinic for a p...; Question 197: A complication for which the nurse should be alert following...; Question 198: A client has received preoperative teaching for the vertical...; Question 199: A nasogastric (NG) tube inserted preoperatively is attached ...; Question 200: The serial sevens test is often used to determine delirium a...; Question 201: A client had a hemicolectomy performed 2 days ago. Today, wh...; Question 202: A 27-year-old man was diagnosed with type I diabetes 3 month...; Question 203: A client is admitted to the hospital with a diagnosis of apl...; Question 204: In evaluating the laboratory results of a client with severe...; Question 205: A 7-year-old girl has been diagnosed with juvenile arthritis...; Question 206: As a nurse in the emergency room, you receive an outside cal...; Question 207: When planning care for the passive-aggressive client, the nu...; Question 208: A female client was employed as a client care technician in ...; Question 209: A 9-month-old infant is being examined in the general pediat...; Question 210: A 74-year-old obese man who has undergone open reduction and...; Question 211: A 2-year-old child will undergo a cardiac catheterization to...; Question 212: Parents of young children often need anticipatory guidance f...; Question 213: A 4-year-old child has Down syndrome. The community health n...; Question 214: A 13-year-old hemophiliac is hospitalized for hemarthrosis o...; Question 215: A client had a ruptured abdominal aortic aneurysm that was r...; Question 216: A 26-year-old client is in a treatment center for aprazolam ...; Question 217: A client is admitted to the labor unit. On vaginal examinati...; Question 218: Following her surgery, a 5-year-old child will return to the...; Question 219: A 9-week-old female infant has a diagnosis of bilateral clef...; Question 220: After 3 weeks of treatment, a severely depressed client sudd...; Question 221: A client diagnosed with bipolar disorder continues to be hyp...; Question 222: A client has returned to the unit from the recovery room aft...; Question 223: An 11-month-old infant is admitted with a possible diagnosis...; Question 224: A young boy tells the nurse, "I don't like my Dad to kiss or...; Question 225: When a client arrives on the labor and delivery unit, she in...; Question 226: The nurse who is caring for a client with pneumonia assesses...; Question 227: A newborn girl's father expresses concern that the newborn d...; Question 228: An 8-week-old infant has been diagnosed with gastroesophagea...; Question 229: Nursing care of the infant prior to surgical closure of a me...; Question 230: A 30-year-old client has a history of several recent traumat...; Question 231: A child is admitted with severe headache, fever, vomiting, p...; Question 232: After the RN is finished the initial assessment of a newborn...; Question 233: When a client is receiving vasoactive therapy IV, such as do...; Question 234: A client reports to the nurse that the voices are practicall...; Question 235: A male infant is to be discharged home this morning. Which i...; Question 236: In performing the initial nursing assessment on a client at ...; Question 237: A 20-year-old client presents to the obstetrics-gynecology c...; Question 238: The most important reason to closely assess circumferential ...; Question 239: A client is 6 weeks pregnant. During her first prenatal visi...; Question 240: A client sustained second- and third-degree burns to his fac...; Question 241: A diagnosis of hepatitis C is confirmed by a male client's p...; Question 242: A client has had amniocentesis. One of the tests performed o...; Question 243: A pregnant client is at the clinic for a third trimester pre...; Question 244: The most important goal in the care plan for a child who was...; Question 245: A 34-year-old client who is gravida 1, para 0 has a history ...; Question 246: A client tells the nurse that he has been hearing voices tha...; Question 247: The nurse would be concerned if a client exhibited which of ...; Question 248: The nurse should facilitate bonding during the postpartum pe...; Question 249: Three hours postoperatively, a 27-year-old client complains ...; Question 250: When a client with pancreatitis is discharged, the nurse nee...; Question 251: A female client presents to the obstetric-gynecology clinic ...; Question 252: The family member of a child scheduled for heart surgery sta...; Question 253: A 47-year-old male client is admitted for colon surgery. Int...; Question 254: A pregnant client is having a nonstress test (NST). It is no...; Question 255: A male client receives 10 U of regular human insulin SC at 9...; Question 256: A murmur has been discovered during the routine physical exa...; Question 257: A measurable outcome criterion in the nursing care of an ado...; Question 258: The mother of a 7-year-old mental health center client repor...; Question 259: During his hospitalization, a 3-year-old child has become un...; Question 260: A client is placed on lithium therapy for her manicdepressiv...; Question 261: One of the medications that is prescribed for a male client ...; Question 262: A male client received a heart-lung transplant 1 month ago a...; Question 263: The nurse documents a client's surgical incision as having r...; Question 264: A 7-year-old child is brought to the ER at midnight by his m...; Question 265: A male client is experiencing extreme distress. He begins to...; Question 266: A female client plans to bottle-feed her newborn. Her physic...; Question 267: A client is experiencing mucosal cell damage secondary to ch...; Question 268: A client undergoes a transurethral resection, prostate (TURP...; Question 269: A 40-year-old client is admitted to the hospital for tests t...; Question 270: A 45-year-old male client experiences a sense of depression ...; Question 271: The parents of a 2-year-old child are ready to begin toilet ...; Question 272: A mother brings a 6-month-old infant and a 4-year-old child ...; Question 273: A 6-month-old infant who was diagnosed at 4 weeks of age wit...; Question 274: A 14-year-old teenager is hospitalized for anorexia nervosa....; Question 275: A client is pregnant for the fourth time and has had three n...; Question 276: A 3-year-old child was hospitalized for acute laryngotracheo...; Question 277: A 15-year-old female adolescent is frequently breaking the r...; Question 278: A 52-year-old client who underwent an exploratory laparotomy...; Question 279: A 6-year-old girl is visiting the outpatient clinic because ...; Question 280: A client is being discharged with albuterol (Proventil) and ...; Question 281: Assessment of a client reveals a 30% loss of preillness weig...; Question 282: A client suspected of having anorexia nervosa is placed on b...; Question 283: A client's behavior is annoying other clients on the unit. H...; Question 284: A client is to have a coronary artery bypass graft performed...; Question 285: After a 10-year-old child with insulin-dependent diabetes me...; Question 286: A 23-year-old female client is brought to the emergency room...; Question 287: A client has been admitted to the nursing unit with the diag...; Question 288: A hyperactive client is experiencing flight of ideas. The mo...; Question 289: The nurse has been assigned a client who delivered a 6- lb, ...; Question 290: A client delivered her first-born son 4 hours ago. She asks ...; Question 291: An IDDM client's condition stabilizes. He begins to receive ...; Question 292: The nurse notes scattered crackles in both lungs and 1+ pitt...; Question 293: A 33-year-old client was brought into the emergency room unc...; Question 294: A 29-year-old client delivered her fifth child by the Lamaze...; Question 295: A parent told the public health nurse that her 6-year-old so...; Question 296: A 47-year-old client comes to the emergency department compl...; Question 297: A 22-year-old client presents with a diagnosis of antisocial...; Question 298: A male client has heart failure. He has been instructed to g...; Question 299: A female client comes for her second prenatal visit. The nur...; Question 300: A schizophrenic is admitted to the psychiatric unit. What af...; Question 301: A 14-year-old boy has a head injury with laceration of his s...; Question 302: What is the appropriate nursing action for a child with incr...

Question 289/302

LEAVE A REPLY

Download PDF File