NCLEX-RN Exam Dumps | A 6-year-old child returned to the surgical floor 20 hours ago after an appendectomy for a gangrenous

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 565/686

A 6-year-old child returned to the surgical floor 20 hours ago after an appendectomy for a gangrenous appendix. His mother tells the nurse that he is becoming more restless and is anxious. Assessment findings indicate that the child has atelectasis. Appropriate nursing actions would include:

A. Allowing the child to remain in the position of comfort, preferably semi-or high-Fowler position

B. Administering analgesics as ordered

C. Having the child turn, cough, and deep breathe every 1-2 hours

D. Remaining with the child and keeping as calm and quiet as possible

Question List (686q): 1 commentQuestion 1: Newborns are routinely screened for phenylketonuria. The nur...; Question 2: In acute episodes of mania, lithium is effective in 1-2 week...; Question 3: Loss of appetite for a child with leukemia is a major recurr...; Question 4: A 40-year-old client has lived for 8 years with an abusive s...; Question 5: Iron dextran (Imferon) is a parenteral iron preparation. The...; Question 6: A 6-year-old child is attending a pediatric clinic for a rou...; Question 7: A pregnant client is having a nonstress test (NST). It is no...; Question 8: A family by court order undergoes treatment by a family ther...; Question 9: A 29-year-old client delivered her fifth child by the Lamaze...; Question 10: A 29-year-old client is admitted for a hysterectomy. She has...; Question 11: A client who is a breast-feeding mother develops mastitis. T...; Question 12: Which of the following serum laboratory values would the nur...; Question 13: The nurse notes hyperventilation in a client with a thermal ...; Question 14: One afternoon 3 weeks into his alcohol treatment program, a ...; Question 15: A 12-year-old girl has been diagnosed with insulindependent ...; Question 16: The nurse is aware that nutrition is an important aspect of ...; Question 17: A client is having a vertical partial laryngectomy, and the ...; Question 18: A successful executive left her job and became a housewife a...; Question 19: What specific hormone must be present in serum or urine labo...; Question 20: A 1-year-old child is to receive an IM injection ordered by ...; Question 21: The physician is preparing to induce labor on a 40-week mult...; Question 22: On the third postpartum day, the nurse would expect the loch...; Question 23: A mother frantically calls the emergency room (ER) asking wh...; Question 24: A 27-year-old primigravida stated that she got up from the c...; Question 25: A pregnant client experiences spontaneous rupture of membran...; Question 26: A 23-year-old female client is brought to the emergency room...; Question 27: A 5-year-old child is hospitalized for an acute illness. The...; Question 28: A 56-year-old psychiatric inpatient has had recurring episod...; Question 29: A 4-year-old child is being discharged from the hospital aft...; Question 30: As the nurse assesses a male adolescent with chlamydia, the ...; Question 31: A newborn has been delivered with a meningomyelocele. The nu...; Question 32: A nurse is taking a maternal history for a client at her fir...; Question 33: A client diagnosed with bipolar disorder continues to be hyp...; Question 34: A 45-year-old client has a permanent colostomy. Which of the...; Question 35: In working with mental health clients who are prescribed med...; Question 36: At 30 weeks' gestation, a client is admitted to the unit in ...; Question 37: Two weeks after a client's admission for depression, the phy...; Question 38: A client has just received an epidural block. She is laborin...; Question 39: Which of the following ECG changes would be seen as a positi...; Question 40: A client tells the nurse that he has been hearing voices tha...; Question 41: A client who has been diagnosed with anorexia nervosa refuse...; Question 42: The nurse will be alert to the most potentially lifethreaten...; Question 43: While the RN is assessing a mother's perineum on her 2nd pos...; Question 44: Proper positioning for the child who is in Bryant's traction...; Question 45: A 29-year-old client is diagnosed with borderline personalit...; Question 46: A male client received a heart-lung transplant 1 month ago a...; Question 47: A male client is diagnosed with hypoparathyroidism. He has b...; Question 48: A gravida 2 para 1 client is hospitalized with severe preecl...; Question 49: A chronic alcoholic client's condition deteriorates, and he ...; Question 50: When assessing a client, the nurse notes the typical skin ra...; Question 51: A 55-year-old woman entered the emergency room by ambulance....; Question 52: A nasogastric (NG) tube inserted preoperatively is attached ...; Question 53: The mother of a child taking phenytoin will need to plan app...; Question 54: A client had a transurethral resection of the prostate yeste...; Question 55: Degenerative disorders are attributed to many factors. As a ...; Question 56: Which of the following nursing orders has the highest priori...; Question 57: A child has a nursing diagnosis of fluid volume excess relat...; Question 58: Succinylcholine chloride (Anectine) is ordered prior to elec...; Question 59: A six-month-old infant is receiving ribavirin for the treatm...; Question 60: The 4th of July holiday comes while a client is in the hospi...; Question 61: A client had a ruptured abdominal aortic aneurysm that was r...; Question 62: Following TURP, which of the following instructions would be...; Question 63: A 22-year-old client who is being seen in the clinic for a p...; Question 64: A 24-year-old client presents to the emergency department pr...; Question 65: A 30-year-old client is exhibiting auditory hallucinations. ...; Question 66: At her first prenatal visit, a 21-year-old woman who is grav...; Question 67: Often children are monitored with pulse oximeter. The pulse ...; Question 68: A client had abdominal surgery this morning. The nurse notic...; Question 69: A mother brings her 3-year-old child who is unconscious but ...; Question 70: A 33-year-old client is diagnosed with bipolar disorder, acu...; Question 71: The nurse would be concerned if a client exhibited which of ...; Question 72: A female client at 36 weeks' gestation is experiencing prete...; Question 73: The most appropriate method of evaluating whether the diet o...; Question 74: A pregnant client comes to the office for her first prenatal...; Question 75: A 35-year-old primigravida comes to the clinic for her first...; Question 76: A 33-year-old client was brought into the emergency room unc...; Question 77: A 52-year-old client is scheduled for a small-bowel resectio...; Question 78: A client is resting comfortably after delivering her first c...; Question 79: A female client admitted to the labor and delivery unit thin...; Question 80: A 35-year-old client is receiving psychopharmacological trea...; Question 81: The nurse has been assigned a client who delivered a 6- lb, ...; Question 82: A client is in active labor and has been admitted to the lab...; Question 83: Following a fracture of the left femur, a client develops sy...; Question 84: A client is diagnosed with Mycobacterium tuberculosis. He is...; Question 85: A 15-year-old female adolescent is frequently breaking the r...; Question 86: A client has been diagnosed with congestive heart failure. H...; Question 87: The nurse knows that children are more susceptible to respir...; Question 88: A client's prenatal screening indicated that she has no immu...; Question 89: A schizophrenic is admitted to the psychiatric unit. What af...; Question 90: Two weeks after a client's admission for depression, the phy...; Question 91: A client with IDDM is given IV insulin for a blood glucose l...; Question 92: A client is being discharged on warfarin (Coumadin), an oral...; Question 93: The nurse is caring for a client with pancreatitis. Which of...; Question 94: The most important goal in the care plan for a child who was...; Question 95: A male client is diagnosed with hypoparathyroidism. He has b...; Question 96: A 4 days postpartum client who is gravida 3, para 3, isexami...; Question 97: A female client has been treated since childhood for mitral ...; Question 98: A 16-year-old student has a long history of bronchial asthma...; Question 99: A 33-year-old client is diagnosed with bipolar disorder, acu...; Question 100: When a client is receiving vasoactive therapy IV, such as do...; Question 101: A woman diagnosed with multiple sclerosis is disturbed with ...; Question 102: After the RN is finished the initial assessment of a newborn...; Question 103: In teaching the client about proper umbilical cord care, the...; Question 104: A client's congestive heart failure has been treated, and he...; Question 105: A client who has gout is most likely to form which type of r...; Question 106: The physician has prescribed metoclopramide (Reglan). When a...; Question 107: The physician of a client diagnosed with alcoholism orders n...; Question 108: Which of the following nursing actions is essential to preve...; Question 109: A measurable outcome criterion in the nursing care of an ado...; Question 110: A client with IDDM is given IV insulin for a blood glucose l...; Question 111: A 35-year-old client is admitted to the hospital for electiv...; Question 112: A pregnant client is having a nonstress test (NST). It is no...; Question 113: A behavioral modification program is recommended by the mult...; Question 114: A client is having episodes of hyperventilation related to h...; Question 115: A 55-year-old client is admitted with a diagnosis of renal c...; Question 116: A 68-year-old woman is admitted to the hospital with chronic...; Question 117: The nurse should facilitate bonding during the postpartum pe...; Question 118: A client has received digoxin 0.25 mg po daily for 2 weeks. ...; Question 119: A client hospitalized with a medical diagnosis of adjustment...; Question 120: An infant with a congenital heart defect is being discharged...; Question 121: A 7-year-old child is brought to the ER at midnight by his m...; Question 122: A client is scheduled for a magnetic resonance imaging (MRI)...; Question 123: Which of the following signs might indicate a complication d...; Question 124: In assessing the nature of the stool of a client who has cys...; Question 125: A male client has been an insulin-dependent diabetic for app...; Question 126: The mother of a 7-year-old mental health center client repor...; Question 127: A client has been admitted to the labor and delivery unit in...; Question 128: A newborn infant is exhibiting signs of respiratory distress...; Question 129: Which classification of drugs is contraindicated for the cli...; Question 130: A client has begun to exhibit signs of alcohol withdrawal. H...; Question 131: Four days after admission for cirrhosis of the liver, the nu...; Question 132: A 66-year-old female client has smoked 2 packs of cigarettes...; Question 133: An 18-year-old client enters the emergency room complaining ...; Question 134: The usual treatment for diabetes insipidus is with IM or SC ...; Question 135: A common complication of cirrhosis of the liver is prolonged...; Question 136: A young child has been placed in a spica cast. The chief con...; Question 137: The nurse who is caring for a client with pneumonia assesses...; Question 138: A 26-year-old female client presents at 10 weeks' gestation....; Question 139: In performing the initial nursing assessment on a client at ...; Question 140: The nurse is caring for a 3-month-old girl with meningitis. ...; Question 141: Chorioamnionitis is a maternal infection that is usually ass...; Question 142: Stat serum electrolytes ordered for a client in acute renal ...; Question 143: When teaching a mother of a 4-month-old with diarrhea about ...; Question 144: The parents of a 2-year-old child are ready to begin toilet ...; Question 145: A client was prescribed a major tranquilizer 2 months ago. O...; Question 146: At 12 hours postvaginal delivery, a female client is without...; Question 147: A 40-year-old client has lived for 8 years with an abusive s...; Question 148: A male client had a right below-the-knee amputation 4 days a...; Question 149: On an assessment of a client's mouth, the nurse notices whit...; Question 150: A 34-year-old client who is gravida 1, para 0 has a history ...; Question 151: When inspecting a cardiovascular client, the nurse notes tha...; Question 152: A client tells the nurse that she has had a history of urina...; Question 153: A client was admitted to the hospital for a TURP. Within 48 ...; Question 154: Respiratory function is altered in a 16-year-old asthmatic. ...; Question 155: A 42-year-old client with bipolar disorder has been hospital...; Question 156: The nurse caring for a client who has pneumonia, which is ca...; Question 157: A client's physician has prescribed theophylline (Theo- Dur)...; Question 158: A 16-year-old student has a long history of bronchial asthma...; Question 159: The following nursing diagnosis is written for a comatose cl...; Question 160: A first-trimester primigravida is diagnosed with anemia. The...; Question 161: During discharge planning, parents of a child with rheumatic...; Question 162: Children often experience visual impairments. Refractive err...; Question 163: A female baby was born with talipes equinovarus. Her mother ...; Question 164: A 52-year-old client is scheduled for a small-bowel resectio...; Question 165: Which type of insulin can be administered by a continuous IV...; Question 166: A child receiving chemotherapeutic drugs experiences a loss ...; Question 167: A client is placed in five-point restraints after exhibiting...; Question 168: A client diagnosed with bipolar disorder continues to be hyp...; Question 169: The nurse working with a client who is out of control should...; Question 170: The priority nursing goal when working with an autistic chil...; Question 171: A 13-year-old hemophiliac is hospitalized for hemarthrosis o...; Question 172: A female client has experienced varying degrees of depressio...; Question 173: A male client has asthma and his physician has prescribed be...; Question 174: A 27-year-old male client is admitted to the acute care ment...; Question 175: The physician prescribes phenytoin (Dilantin) for a client w...; Question 176: A complication for which the nurse should be alert following...; Question 177: A client was exhibiting signs of mania and was recently star...; Question 178: When planning care for the passive-aggressive client, the nu...; Question 179: A 67-year-old postoperative TURP client has hematuria. The n...; Question 180: A client at 9 weeks' gestation comes for an initial prenatal...; Question 181: A client admitted with a diagnosis of possible myocardial in...; Question 182: A 47-year-old male client is admitted for colon surgery. Int...; Question 183: The nurse is caring for a client with pancreatitis. Which of...; Question 184: A 35-year-old client is admitted to the hospital for electiv...; Question 185: Seven days ago, a 45-year-old female client had an ileostomy...; Question 186: A female baby was born with talipes equinovarus. Her mother ...; Question 187: A 23-year-old borderline client is admitted to an inpatient ...; Question 188: The nurse is notified that a 27-year-old primigravida diagno...; Question 189: Parents of a child with rheumatic fever express concern that...; Question 190: A 35-year-old client is admitted to the hospital for electiv...; Question 191: A 71-year-old client fell and injured her left leg while coo...; Question 192: A client suspected of having anorexia nervosa is placed on b...; Question 193: A male client has asthma and his physician has prescribed be...; Question 194: A 6-month-old infant who was diagnosed at 4 weeks of age wit...; Question 195: A male client is admitted to the medical-surgical unit from ...; Question 196: A 19-year-old primigravida is admitted to the labor and deli...; Question 197: A 45-year-old client diagnosed with major depression is sche...; Question 198: At 30 weeks' gestation, a client is admitted to the unit in ...; Question 199: The nurse observes a client crying quietly. She has just exp...; Question 200: A client is experiencing visual problems at school. She has ...; Question 201: A client has begun to exhibit signs of alcohol withdrawal. H...; Question 202: A 49-year-old obese woman has been admitted to the general s...; Question 203: A 1000-mL dose of lactated Ringer's solution is to be infuse...; Question 204: A mother is unsure about the type of toys for her 17-month-o...; Question 205: A client's prenatal screening indicated that she has no immu...; Question 206: A 26-year-old client is admitted to the labor, delivery, rec...; Question 207: Which of the following should the nurse anticipate receiving...; Question 208: A female baby was born with talipes equinovarus. Her mother ...; Question 209: A 16-month-old infant is being prepared for tetralogy of Fal...; Question 210: A 40-year-old client has been admitted to the hospital with ...; Question 211: A 2-year-old child will undergo a cardiac catheterization to...; Question 212: At 16 weeks' gestation, a pregnant client is admitted to the...; Question 213: A 10-month-old infant's mother says that he takes fresh whol...; Question 214: A male client has a history of diverticulosis. He has questi...; Question 215: A male client is experiencing auditory hallucinations. His n...; Question 216: A laboratory technique specific for diagnosing Lyme disease ...; Question 217: A client delivered a term infant 1 hour ago. Her uterus on a...; Question 218: The initial focus when providing nursing care for a child wi...; Question 219: The nurse would need to monitor the serum glucose levels of ...; Question 220: A 2-year-old boy fell out of bed and has a subdural hematoma...; Question 221: To prevent transmission of bacterial meningitis, the nurse w...; Question 222: When evaluating a client with symptoms of shock, it is impor...; Question 223: A client presented herself to the mental health center, desc...; Question 224: The nurse assists a client with advanced emphysema to the ba...; Question 225: A client experiencing delusions states, "I came here because...; Question 226: The nurse is teaching a mother care of her child's spica cas...; Question 227: A 9-year-old child was in the garage with his father, who wa...; Question 228: A 56-year-old client is admitted to the psychiatric unit in ...; Question 229: A male client has been hospitalized with congestive heart fa...; Question 230: An infant weighing 15 lb has just been treated for severe di...; Question 231: Endotracheal tube cuff pressure should never exceed:...; Question 232: When assessing residual volume in tube feeding, the feeding ...; Question 233: After a liver biopsy, the best position for the client is:...; Question 234: A client presented herself to the mental health center, desc...; Question 235: A primigravida with a blood type A negative is at 28 weeks' ...; Question 236: The nurse caring for a client who has pneumonia, which is ca...; Question 237: A female client has just died. Her family is requesting that...; Question 238: A mother called the physician's office to ask if it would he...; Question 239: A schizophrenic is admitted to the psychiatric unit. What af...; Question 240: On the third postpartum day, the nurse would expect the loch...; Question 241: An 8-week-old infant has been diagnosed with gastroesophagea...; Question 242: The nurse is interviewing a client with a diagnosis of possi...; Question 243: A client has received preoperative teaching for the vertical...; Question 244: An 80-year-old male client with a history of arteriosclerosi...; Question 245: A primipara is assessed on arrival to the postpartum unit. T...; Question 246: A 70-year-old homeless woman is admitted with pneumonia. She...; Question 247: The nurse is caring for a client who has had a tracheostomy ...; Question 248: A 6-year-old girl is visiting the outpatient clinic because ...; Question 249: A client is experiencing mucosal cell damage secondary to ch...; Question 250: On assessment, the nurse learns that a chronic paranoid schi...; Question 251: On the third postpartum day, the nurse would expect the loch...; Question 252: A 4-year-old boy is brought to the emergency room with bruis...; Question 253: A client is 6 weeks pregnant. During her first prenatal visi...; Question 254: In client teaching, the nurse should emphasize that fetal da...; Question 255: At 38 weeks' gestation, a client is in active labor. She is ...; Question 256: Which of the following signs and symptoms indicates a tensio...; Question 257: A client is started on prednisone 2.5 mg po bid. Which of th...; Question 258: A depressed client is seen at the mental health center for f...; Question 259: In addition to changing the mother's position to relieve cor...; Question 260: A 10-year-old has been diagnosed with acute poststreptococca...; Question 261: A 35-year-old client is admitted to the hospital with diabet...; Question 262: On an assessment of a client's mouth, the nurse notices whit...; Question 263: A pregnant woman at 36 weeks' gestation is followed for PIH ...; Question 264: A client was admitted to the hospital after falling in her h...; Question 265: A hyperactive client is experiencing flight of ideas. The mo...; Question 266: A 13-year-old hemophiliac is hospitalized for hemarthrosis o...; Question 267: A 19-year-old client has sustained a C-7 fracture, which res...; Question 268: A parent told the public health nurse that her 6-year-old so...; Question 269: Which of the following nursing actions is essential to preve...; Question 270: During a client's first postpartum day, the nurse assessed t...; Question 271: A client had a transurethral resection of the prostate yeste...; Question 272: A 42-year-old client presents with a diagnosis of paranoid s...; Question 273: One week ago, a 21-year-old client with a diagnosis of bipol...; Question 274: The FHR pattern in a laboring client begins to show early de...; Question 275: A male client was involved in a motor vehicle accident earli...; Question 276: A psychotic client who believes that he is God and rules all...; Question 277: A 35-year-old client has returned to her room following surg...; Question 278: The physician has ordered that a daily exercise program be i...; Question 279: A nurse should carefully monitor a client for the following ...; Question 280: A baby who was diagnosed with pyloric stenosis has continued...; Question 281: A client who has sustained a basilar skull fracture exhibits...; Question 282: A client suffering from schizophrenia has been taking chlorp...; Question 283: A 35-year-old client is receiving psychopharmacological trea...; Question 284: A client is experiencing mucosal cell damage secondary to ch...; Question 285: A husband and wife and their two children, age 9 and age 5, ...; Question 286: The nurse provides a male client with diet teaching so that ...; Question 287: Pin care is a part of the care plan for a client who is in s...; Question 288: A newborn infant is exhibiting signs of respiratory distress...; Question 289: A pregnant woman at 36 weeks' gestation is followed for PIH ...; Question 290: Cheyne-Stokes respiratory pattern can be associated with whi...; Question 291: A client who was started on antipsychotic medication 2 weeks...; Question 292: When assessing a child with diabetes insipidus, the nurse sh...; Question 293: Early in her ninth month of pregnancy, a client has been dia...; Question 294: The nurse is collecting a nutritional history on a 28- year-...; Question 295: To facilitate maximum air exchange, the nurse should positio...; Question 296: A primigravida is at term. The nurse can recognize the secon...; Question 297: A 22-year-old client who is being seen in the clinic for a p...; Question 298: Following a gastric resection, which of the following action...; Question 299: An alcoholic client who is completing the inpatient segment ...; Question 300: Discharge teaching was effective if the parents of a child w...; Question 301: A client calls the prenatal clinic to schedule an appointmen...; Question 302: The nurse notes scattered crackles in both lungs and 1+ pitt...; Question 303: A client is being admitted to the labor and delivery unit. S...; Question 304: A pregnant client comes to the office for her first prenatal...; Question 305: A client was admitted with rib fractures and a pneumothorax,...; Question 306: The physician of an alcoholic client places him on a low-pro...; Question 307: A 26-year-old female client presents at 10 weeks' gestation....; Question 308: A psychiatric nurse is providing an orientation to a new sta...; Question 309: A 34-year-old client who is gravida 1, para 0 has a history ...; Question 310: In client teaching, the nurse should emphasize that fetal da...; Question 311: A psychotic client who believes that he is God and rules all...; Question 312: A 9-month-old infant was diagnosed with nonorganic failure t...; Question 313: The nurse observes a client crying quietly. She has just exp...; Question 314: A type I diabetic client delivers a male newborn. The newbor...; Question 315: A client who was started on antipsychotic medication 2 weeks...; Question 316: A male client is scheduled for a liver biopsy. In preparing ...; Question 317: A client has chronic obstructive pulmonary disease. She is s...; Question 318: As soon as a child has been diagnosed as "hearing impaired,"...; Question 319: Which of the following procedures is necessary to establish ...; Question 320: A 7-year-old child is brought to the ER at midnight by his m...; Question 321: The nurse writes the following nursing diagnosis for a clien...; Question 322: A 19-year-old client has sustained a C-7 fracture, which res...; Question 323: An IDDM client's condition stabilizes. He begins to receive ...; Question 324: A 3-year-old child is in the burn unit following a home acci...; Question 325: Dietary planning is an essential part of the diabetic client...; Question 326: A registered nurse is trying to determine the appropriate ca...; Question 327: At her monthly prenatal visit, a client reports experiencing...; Question 328: A mother brings a 6-month-old infant and a 4-year-old child ...; Question 329: While the nurse is taking a male client's blood pressure, he...; Question 330: Clinical manifestations seen in left-sided rather than in ri...; Question 331: In working with mental health clients who are prescribed med...; Question 332: A client has been admitted to the labor and delivery unit in...; Question 333: A 48-year-old client is in the surgical intensive care unit ...; Question 334: A client is taught to eat foods high in potassium. Which foo...; Question 335: A 30-year-old female client is receiving antineoplastic chem...; Question 336: A client is diagnosed with Mycobacterium tuberculosis. He is...; Question 337: A client is being discharged from the hospital today. The di...; Question 338: Parents of children receiving chemotherapy should be warned ...; Question 339: On the first postpartal day, a client tells the nurse that s...; Question 340: Following a gastric resection, which of the following action...; Question 341: A male client is admitted to the psychiatric unit after expe...; Question 342: A young boy tells the nurse, "I don't like my Dad to kiss or...; Question 343: The nurse teaches a pregnant client that a high-risk symptom...; Question 344: A 44-year-old female client is receiving external radiation ...; Question 345: A client had a cardiac catheterization with angiography and ...; Question 346: The physician has ordered that ampicillin 250 mg IV be given...; Question 347: A 16-year-old client with anorexia nervosa is on an inpatien...; Question 348: Which of the following risk factors associated with breast c...; Question 349: A gravida 2 para 1 client is hospitalized with severe preecl...; Question 350: Often children are monitored with pulse oximeter. The pulse ...; Question 351: A newborn is admitted to the newborn nursery with tremors, a...; Question 352: In planning daily care for a client with multiple sclerosis,...; Question 353: The physician decides to prescribe both a short-acting insul...; Question 354: An elective saline abortion has been performed on a 3- week ...; Question 355: A husband asks if he can visit with his wife on her ECT trea...; Question 356: The cardiac client who exhibits the symptoms of disorientati...; Question 357: A client was prescribed a major tranquilizer 2 months ago. O...; Question 358: A nurse is performing a vaginal exam on a client in active l...; Question 359: A husband asks if he can visit with his wife on her ECT trea...; Question 360: In addition to changing the mother's position to relieve cor...; Question 361: A 14-year-old boy has a head injury with laceration of his s...; Question 362: A 30-year-old client in the third trimester of her pregnancy...; Question 363: A 32-year-old male client is a marketing representative. His...; Question 364: A 35-weeks-pregnant client is undergoing a nonstress test (N...; Question 365: To prevent fungal infections of the mouth and throat, the nu...; Question 366: Which of the following should be included in discharge teach...; Question 367: The nurse is assisting a 4th-day postoperative cholecystecto...; Question 368: A client has been taking lithium 300 mg po bid for the past ...; Question 369: A female client is concerned that she is in a "high-risk" gr...; Question 370: A family by court order undergoes treatment by a family ther...; Question 371: A physician's order reads: Administer furosemide oral soluti...; Question 372: Parents of young children often need anticipatory guidance f...; Question 373: A 25-year-old lawyer who is married with three young childre...; Question 374: A 16-year-old client comes to the prenatal clinic for her mo...; Question 375: A male client had a right below-the-knee amputation 4 days a...; Question 376: A postpartum client complains of rectal pressure and severe ...; Question 377: A 23-year-old male client is admitted to the chemical depend...; Question 378: After a liver biopsy, the best position for the client is:...; Question 379: The primary reason for sending a burn client home with a pre...; Question 380: A client confides to the nurse that he tasted poison in his ...; Question 381: The day following his admission, the nurse sits down by a ma...; Question 382: A physician tells the nurse that he wants to orally intubate...; Question 383: A physician's order reads: 0.25 normal saline at 50 mL/hr un...; Question 384: A six-month-old infant is receiving ribavirin for the treatm...; Question 385: A client tells the nurse that she has had a history of urina...; Question 386: A 23-year-old female client is brought to the emergency room...; Question 387: A murmur has been discovered during the routine physical exa...; Question 388: An 82-year-old former restaurant owner walks to the nursing ...; Question 389: MgSO4 is ordered IV following the established protocol for a...; Question 390: A 1-year-old child is to receive an IM injection ordered by ...; Question 391: A client has just been transferred to the floor from the lab...; Question 392: A pregnant client comes to the office for her first prenatal...; Question 393: A client had a renal transplant 3 months ago. He has suddenl...; Question 394: A 56-year-old client is admitted to the psychiatric unit in ...; Question 395: Children often experience visual impairments. Refractive err...; Question 396: A client's renal calculi are identified as consisting of cal...; Question 397: The nurse is admitting an infant with bacterial meningitis a...; Question 398: The nurse teaches a male client ways to reduce the risks ass...; Question 399: A 27-year-old healthy primigravida is brought to the labor a...; Question 400: A 2-year-old child will undergo a cardiac catheterization to...; Question 401: A client with severe PIH receiving MgSO4 is placed in a quie...; Question 402: A 17-year-old pregnant client who is gravida 1, para 0, is a...; Question 403: A female client has married recently. A month ago she visite...; Question 404: The nurse documents a client's surgical incision as having r...; Question 405: A 28-year-old client performs a long, involved ritual in get...; Question 406: A 55-year-old man is admitted to the hospital with complaint...; Question 407: A 10-year-old boy has been diagnosed with Legg-Calve Perthes...; Question 408: With a geriatric client, the nurse should also assess whethe...; Question 409: After 3 weeks of treatment, a severely depressed client sudd...; Question 410: Discharge teaching was effective if the parents of a child w...; Question 411: A 20-year-old female client delivers a stillborn infant. Fol...; Question 412: At her first prenatal visit, a 21-year-old woman who is grav...; Question 413: The nurse is preparing a 6-year-old child for an IV insertio...; Question 414: A 30-year-old client has a history of several recent traumat...; Question 415: Which of the following activities would be most appropriate ...; Question 416: Which stage of labor lasts from delivery of the baby to deli...; Question 417: A newborn infant is exhibiting signs of respiratory distress...; Question 418: A female client is exhibiting signs of respiratory distress....; Question 419: A chronic alcoholic client's condition deteriorates, and he ...; Question 420: A client in active labor asks the nurse for coaching with he...; Question 421: A client states to his nurse that "I was told by the doctor ...; Question 422: A dose of theophylline may need to be altered if a client wi...; Question 423: Which of the following findings would be abnormal in a postp...; Question 424: A client with IDDM is given IV insulin for a blood glucose l...; Question 425: A female client was recently diagnosed with gastric cancer. ...; Question 426: After 3 weeks of treatment, a severely depressed client sudd...; Question 427: A 45-year-old male client experiences a sense of depression ...; Question 428: A client had a ruptured abdominal aortic aneurysm that was r...; Question 429: A primigravida with a blood type A negative is at 28 weeks' ...; Question 430: A 26-year-old client is diagnosed with an astrocytoma, a ben...; Question 431: A physician's order reads: 0.25 normal saline at 50 mL/hr un...; Question 432: A parent told the public health nurse that her 6-year-old so...; Question 433: The mother of a client is apprehensive about taking home her...; Question 434: The physician orders medication for a client's unpleasant si...; Question 435: A client's membranes have just ruptured spontaneously. Which...; Question 436: Which of the following would indicate the need for further t...; Question 437: A 3-year-old child was hospitalized for acute laryngotracheo...; Question 438: A client is receiving peritoneal dialysis. He has been taugh...; Question 439: A 3-year-old child was hospitalized for acute laryngotracheo...; Question 440: Assessment of a client reveals a 30% loss of preillness weig...; Question 441: Which of the following should be included in discharge teach...; Question 442: The primary focus of nursing interventions for the child exp...; Question 443: A depressed client is seen at the mental health center for f...; Question 444: A client suffering from schizophrenia has been taking chlorp...; Question 445: A 4-week-old infant is admitted to the emergency room in res...; Question 446: A 66-year-old female client has smoked 2 packs of cigarettes...; Question 447: Forty-eight hours after a thyroidectomy, a female client com...; Question 448: A child becomes neutropenic and is placed on protective isol...; Question 449: A female client with major depression stated that "life is h...; Question 450: The nurse is caring for a client who has diabetes insipidus....; Question 451: Following her surgery, a 5-year-old child will return to the...; Question 452: Nursing assessment of early evidence of septic shock in chil...; Question 453: A client has developed congestive heart failure secondary to...; Question 454: A client is being discharged with albuterol (Proventil) and ...; Question 455: A 26-year-old client is admitted to the labor, delivery, rec...; Question 456: A client is a victim of domestic violence. She is now receiv...; Question 457: A 2-year-old child with a scalp laceration and subdural hema...; Question 458: A 24-year-old woman who is gravida 1 reports, "I can't take ...; Question 459: The most commonly known vectors of Lyme disease are:...; Question 460: A 20-year-old male client is being treated for protein defic...; Question 461: A 15-year-old client was diagnosed as having cystic fibrosis...; Question 462: A client is hyperactive and not sleeping. She will not remai...; Question 463: A client with cirrhosis of the liver becomes comatose and is...; Question 464: Parents of young children often need anticipatory guidance f...; Question 465: Which of the following nursing care goals has the highest pr...; Question 466: Assessment of a client reveals a 30% loss of preillness weig...; Question 467: A client was admitted with rib fractures and a pneumothorax,...; Question 468: The doctor has ordered a restricted fluid intake for a 2- ye...; Question 469: Which of the following serum laboratory values would the nur...; Question 470: A schizophrenic client has made sexual overtures toward her ...; Question 471: Which of the following would indicate the need for further t...; Question 472: A client is diagnosed with Mycobacterium tuberculosis. He is...; Question 473: A client had a right below-the-knee amputation 4 days ago. H...; Question 474: What is the appropriate nursing action for a child with incr...; Question 475: Nursing assessment of early evidence of septic shock in chil...; Question 476: Which one of the following is considered a reliable indicato...; Question 477: The postpartum nurse should include which of the following i...; Question 478: The primary reason that an increase in heart rate (100 bpm) ...; Question 479: A client on the infectious disease unit is discussing transm...; Question 480: Hematotympanum and otorrhea are associated with which of the...; Question 481: The nurse is caring for a 6-week-old girl with meningitis. T...; Question 482: Three hours postoperatively, a 27-year-old client complains ...; Question 483: A client was admitted to the hospital after falling in her h...; Question 484: A 38-year-old pregnant woman visits her nurse practitioner f...; Question 485: A client returned to the unit following a pneumonectomy. As ...; Question 486: The nurse enters the playroom and finds an 8-year-old child ...; Question 487: A client is diagnosed with organic brain disorder. The nursi...; Question 488: A 28-year-old woman was admitted to the hospital for a thyro...; Question 489: When a client with pancreatitis is discharged, the nurse nee...; Question 490: Prior to his discharge from the hospital, a cardiac client i...; Question 491: A seventh grader lost consciousness after being hit in the h...; Question 492: An elective saline abortion has been performed on a 3- week ...; Question 493: A client with a head injury asks why he cannot have somethin...; Question 494: A client has been instructed in how to take her nitroglyceri...; Question 495: A 43-year-old client is admitted to the hospital with a diag...; Question 496: A female client decides on hemodialysis. She has an internal...; Question 497: The nurse begins morning assessment on a male client and not...; Question 498: The nurse discovers that a 78-year-old client who received h...; Question 499: Goal setting for a client with Meniere's disease should incl...; Question 500: A first-trimester primigravida is diagnosed with anemia. The...; Question 501: A female client has been diagnosed with chronic renal failur...; Question 502: A new mother experiences strong uterine contractions while b...; Question 503: A baby is circumcised. Immediate postoperative care should i...; Question 504: A client's membranes have just ruptured spontaneously. Which...; Question 505: A 56-year-old psychiatric inpatient has had recurring episod...; Question 506: When a client with pancreatitis is discharged, the nurse nee...; Question 507: A child is admitted with severe headache, fever, vomiting, p...; Question 508: A 28-year-old client comes to the clinic for her first prena...; Question 509: A 26-year-old male client is brought by his wife to the emer...; Question 510: A client undergoes a transurethral resection, prostate (TURP...; Question 511: Which of the following should the nurse anticipate receiving...; Question 512: The nurse is interviewing a client with a diagnosis of possi...; Question 513: During a client's first postpartum day, the nurse assessed t...; Question 514: The therapeutic blood-level range for lithium is:...; Question 515: Nursing care of the infant prior to surgical closure of a me...; Question 516: While changing the dressing on a client's central line, the ...; Question 517: The nurse is caring for a laboring client. Assessment data i...; Question 518: Hematotympanum and otorrhea are associated with which of the...; Question 519: A client has been admitted to the nursing unit with the diag...; Question 520: A 3-year-old child is admitted with a diagnosis of possible ...; Question 521: A nurse is taking a maternal history for a client at her fir...; Question 522: A client presents to the emergency room with cyanosis, cough...; Question 523: An infant weighing 15 lb has just been treated for severe di...; Question 524: A primipara is assessed on arrival to the postpartum unit. T...; Question 525: A client with emphysema is placed on diuretics. In order to ...; Question 526: During the active phase of rheumatic fever, the nurse teache...; Question 527: A 24-hours' postpartum client complains of discomfort at the...; Question 528: The nurse is caring for a 6-week-old girl with meningitis. T...; Question 529: A 30-year-old client has just been treated in the ER for bru...; Question 530: A 23-year-old college student seeks medical attention at the...; Question 531: In evaluating the effectiveness of magnesium sulfate (MgSO4)...; Question 532: The nurse is developing a plan of care for a client with an ...; Question 533: The nurse notes hyperventilation in a client with a thermal ...; Question 534: A 55-year-old client is admitted with a diagnosis of renal c...; Question 535: Nursing care for the parents of a child with a congenital he...; Question 536: A client reports to the nurse that the voices are practicall...; Question 537: A client is experiencing muscle weakness and lethargy. His s...; Question 538: In discussing the plan of care for a child with chronic neph...; Question 539: When evaluating a client with symptoms of shock, it is impor...; Question 540: Which of the following physician's orders would the nurse qu...; Question 541: A client is admitted to the hospital for an induction of lab...; Question 542: A client undergoes a transurethral resection, prostate (TURP...; Question 543: An 80-year-old male client with a history of arteriosclerosi...; Question 544: A 4-year-old child with a history of sickle cell anemia is a...; Question 545: A client on the infectious disease unit is discussing transm...; Question 546: A 60-year-old male client was hospitalized 3 days ago with t...; Question 547: A client returns for her 6-month prenatal checkup and has ga...; Question 548: The nurse recognizes that a client with the diagnosis of cho...; Question 549: A client who has sustained a basilar skull fracture exhibits...; Question 550: Pregnant women with diabetes often have problems related to ...; Question 551: A client has been in labor 10 hours and is becoming very tir...; Question 552: To prevent thrombophlebitis in a client on complete bed rest...; Question 553: A 70-year-old client is almost finished receiving her second...; Question 554: A type I diabetic client is diagnosed with cellulitis in his...; Question 555: The mother of a child taking phenytoin will need to plan app...; Question 556: Which of the following findings would be abnormal in a postp...; Question 557: To prevent transmission of bacterial meningitis, the nurse w...; Question 558: Dietary planning is an essential part of the diabetic client...; Question 559: A 50-year-old depressed client has recently lost his job. He...; Question 560: A 6-year-old girl is visiting the outpatient clinic because ...; Question 561: A female client has been treated since childhood for mitral ...; Question 562: A 30-year-old female client is receiving antineoplastic chem...; Question 563: When planning care for a 9-year-old client, the nurse uses w...; Question 564: A female client at 10 weeks' gestation complains to her phys...; Question 565: A 6-year-old child returned to the surgical floor 20 hours a...; Question 566: A 60-year-old woman exhibits forgetfulness, emotional labili...; Question 567: A 29-year-old client delivered her fifth child by the Lamaze...; Question 568: An infant with a congenital heart defect is being discharged...; Question 569: The nurse would be sure to instruct a client on the signs an...; Question 570: The physician prescribes phenytoin (Dilantin) for a client w...; Question 571: At 30 weeks' gestation, a client is admitted to the unit in ...; Question 572: A physician's order reads: Administer furosemide oral soluti...; Question 573: A male client is experiencing auditory hallucinations. His n...; Question 574: A 40-year-old client is admitted to the hospital for tests t...; Question 575: After a 10-year-old child with insulin-dependent diabetes me...; Question 576: A client is having a pneumonectomy done today, and the nurse...; Question 577: A complication for which the nurse should be alert following...; Question 578: A 25-year-old client is admitted for a tonsillectomy. She te...; Question 579: A 16-year-old client with anorexia nervosa is on an inpatien...; Question 580: A client is experiencing visual problems at school. She has ...; Question 581: Home-care instructions for the child following a cardiac cat...; Question 582: A 22-year-old single woman was admitted to the psychiatric h...; Question 583: A client is pregnant for the fourth time and has had three n...; Question 584: What specific hormone must be present in serum or urine labo...; Question 585: After an infant is delivered by cesarean delivery and placed...; Question 586: A 2-year-old toddler is hospitalized with epiglottitis. In a...; Question 587: A female client has just died. Her family is requesting that...; Question 588: A male client is experiencing extreme distress. He begins to...; Question 589: A 48-year-old client presents with a long history of severed...; Question 590: Nursing care for the parents of a child with a congenital he...; Question 591: Which of the following changes in blood pressure readings sh...; Question 592: An 8-year-old boy has been diagnosed with hemophilia. Which ...; Question 593: A 3-year-old child is in the burn unit following a home acci...; Question 594: Which nursing implication is appropriate for a client underg...; Question 595: A 4-week-old infant is admitted to the emergency room in res...; Question 596: The nurse discovers that a 78-year-old client who received h...; Question 597: What is the appropriate nursing action for a child with incr...; Question 598: A client has chronic obstructive pulmonary disease. She is s...; Question 599: A male client has been hospitalized with congestive heart fa...; Question 600: A six-month-old infant has been admitted to the emergency ro...; Question 601: A client has chronic obstructive pulmonary disease. She is s...; Question 602: A 17-year-old client has a T-4 spinal cord injury. At presen...; Question 603: A 16-year-old diabetic girl has been selected as a cheerlead...; Question 604: A client is to be discharged from the hospital and is to con...; Question 605: When providing dietary teaching to an individual who has dia...; Question 606: The physician orders fluoxetine (Prozac) for a depressed cli...; Question 607: During an examination, the nurse notes that an infant has di...; Question 608: A depressed client is seen at the mental health center for f...; Question 609: When assessing a female child for Turner's syndrome, the nur...; Question 610: A 35-weeks-pregnant client is undergoing a nonstress test (N...; Question 611: When the nurse is evaluating lab data for a client 18-24 hou...; Question 612: A 27-year-old healthy primigravida is brought to the labor a...; Question 613: A 55-year-old man has recently been diagnosed with hypertens...; Question 614: The nurse is teaching a mother care of her child's spica cas...; Question 615: A female client has been treated since childhood for mitral ...; Question 616: A 25-year-old outpatient presents with a diagnosis of compul...; Question 617: The nurse notes hyperventilation in a client with a thermal ...; Question 618: A complication for which the nurse should be alert following...; Question 619: A 3-month-old infant has had a unilateral cleft lip repair. ...; Question 620: One of the medications that is prescribed for a male client ...; Question 621: Following a gastric resection, a 70-year-old client is admit...; Question 622: A client's renal calculi are identified as consisting of cal...; Question 623: A 19-year-old client fell off a ladder approximately 3 ft to...; Question 624: Which of the following findings would necessitate discontinu...; Question 625: An 11-year-old boy has received a partial-thickness burn to ...; Question 626: An 18-year-old client enters the emergency room complaining ...; Question 627: A client on the infectious disease unit is discussing transm...; Question 628: A 23-year-old female client is brought to the emergency room...; Question 629: A client has received preoperative teaching for the vertical...; Question 630: A client is being discharged on warfarin (Coumadin), an oral...; Question 631: Which of the following risk factors associated with breast c...; Question 632: Which of the following would differentiate acute from chroni...; Question 633: The therapeutic blood-level range for lithium is:...; Question 634: A primigravida is at term. The nurse can recognize the secon...; Question 635: The nurse assesses a postoperative mastectomy client and not...; Question 636: What specific hormone must be present in serum or urine labo...; Question 637: A client has had amniocentesis. One of the tests performed o...; Question 638: After a 10-year-old child with insulin-dependent diabetes me...; Question 639: A client is a depressed, 48-year-old salesman. A serious con...; Question 640: A male client is scheduled for a liver biopsy. In preparing ...; Question 641: A 30-year-old male client is admitted to the psychiatric uni...; Question 642: A newborn girl's father expresses concern that the newborn d...; Question 643: Clinical manifestations seen in left-sided rather than in ri...; Question 644: A client with bipolar disorder taking lithium tells the nurs...; Question 645: A client is a depressed, 48-year-old salesman. A serious con...; Question 646: During an examination, the nurse notes that an infant has di...; Question 647: Prenatal clients are routinely monitored for early signs of ...; Question 648: After a 10-year-old child with insulin-dependent diabetes me...; Question 649: A client has been diagnosed as being preeclamptic. The physi...; Question 650: A 2-year-old child with a scalp laceration and subdural hema...; Question 651: When planning care for the passive-aggressive client, the nu...; Question 652: A 17-year-old pregnant client who is gravida 1, para 0, is a...; Question 653: During the active phase of rheumatic fever, the nurse teache...; Question 654: A client has begun to exhibit signs of alcohol withdrawal. H...; Question 655: A 48-year-old female client is going to have a cholecystecto...; Question 656: The physician has ordered that ampicillin 250 mg IV be given...; Question 657: A male client was involved in a motor vehicle accident earli...; Question 658: A 26-year-old female client presents at 10 weeks' gestation....; Question 659: A female client presents to the obstetric-gynecology clinic ...; Question 660: The parents of a 9-year-old child with acute lymphocytic leu...; Question 661: A school-age child with asthma is ready for discharge from t...; Question 662: A 60-year-old woman exhibits forgetfulness, emotional labili...; Question 663: A male client has heart failure. He has been instructed to g...; Question 664: To prevent fungal infections of the mouth and throat, the nu...; Question 665: A child with celiac disease is being discharged from the hos...; Question 666: A 23-year-old female client is brought to the emergency room...; Question 667: Which of the following physician's orders would the nurse qu...; Question 668: A pregnant client is at the clinic for a third trimester pre...; Question 669: In performing the initial nursing assessment on a client at ...; Question 670: A 47-year-old client comes to the emergency department compl...; Question 671: The nurse has been caring for a 16-year-old female who recen...; Question 672: A child sustains a supracondylar fracture of the femur. When...; Question 673: A client is pregnant with her second child. Her last menstru...; Question 674: A 24-year-old graduate student recognizes that he has a phob...; Question 675: A male client has a history of diverticulosis. He has questi...; Question 676: A male client receives 10 U of regular human insulin SC at 9...; Question 677: During the admitting mental health assessment, a client demo...; Question 678: A 24-hours' postpartum client complains of discomfort at the...; Question 679: A 14-year-old client has a history of lying, stealing, and d...; Question 680: A hyperactive client is experiencing flight of ideas. The mo...; Question 681: A 79-year-old client with Alzheimer's disease is exhibiting ...; Question 682: When a client is receiving vasoactive therapy IV, such as do...; Question 683: A client at 6 months' gestation complains of tiredness and d...; Question 684: Which of the following would differentiate acute from chroni...; Question 685: In caring at home for a child who just ingested a caustic al...; Question 686: In an interview for suspected child abuse, the child's mothe...

Question 565/686

LEAVE A REPLY

Download PDF File