NCLEX-RN Exam Dumps | A nurse is performing a vaginal exam on a client in active labor. An important landmark to assess during

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 358/686

A nurse is performing a vaginal exam on a client in active labor. An important landmark to assess during labor and delivery are the ischial spines because:

A. Ischial spines are the narrowest diameter of the pelvis

B. Ischial spines are the widest diameter of the pelvis

C. They represent the inlet of birth canal

D. They measure pelvic floor

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 358/686

LEAVE A REPLY

Download PDF File