Nursing Concepts

A nurse is caring for a neonate who was delivered at 30 weeks of gestation after his mother received two injections of betamethasone (Celestone). Because of the administration of betamethasone to the client's mother, the nurse should monitor the neonate for which of the following effects?

Hypoglycemia stop pick the confuse word- sternal retraction

A nurse is caring for a client who has nausea and a prescription for promethazine (Pheergan) 25mgIM. Which of the following is appropriate when preparing a medication for administration from an ampule?

set the ampule on a flat surface to withdraw the promethazine expelling air bubbles back into the ampule creates pressure in the ampule, which forces the medication out, wasting it.

A nurse is caring for a school-age child who is newly diagnosed with type 1 diabetes mellitus. Which of the following actions by the nurse is appropriate to prepare the child for administration of insulin?

Allow the child to manipulate the medical equipment preschool-provide a toy doctor's kit to play with

A nurse is caring for an adult client who has an allergy to sulfa, is taking valproic acid (Depakote) for a seizure disorder, and has been newly diagnosed with osteoarthritis. The client states, "I keep seeing commercials on TV for Celebrex and I want to try it and see if it will help my pain." Upon review of scientific evidence, the nurse should inform the client of which of the following?

Celecoxib is contraindicated in clients with an allergy to sulfonamide.

A nurse in a local clinic is caring for a female client who is 35 yrs old. Which of the following screenings should the nurse recommend to the client?

Dermatologist evaluation every 3 years to detect skin cancer

A nurse in a provider's office is orienting a newly licensed nurse on how to position a client for a vaginal examination. The nurse should include in the teach to place the client in which of the following positions?

lithotomy differ to dosal recumbent

A nurse is reinforcing teaching with a client who is prescribed buspirone (BuSpar). Which of the following statements by the client indicates an understanding of the teaching?

"I can have 1-2 alcoholic beverages a week."

A nurse is reinforcing teaching about client consent to treatment with a group of newly licensed nurses. Which of the following statements by a newly licensed nurse indicates a need for further teaching?

"It is the responsibility of the provider to obtain express consent." Know implied consent

A nurse at a long-term care facility is participating in a quality improvement project to reduce the occurrence of pressure ulcers. Which of the following audits should be conducted to determine the impact of a new skincare regimen on the incidence of pressure ulcers among clients who are immobile?

Outcome audit

A nurse has assigned four tasks to an assistive personnel (AP). Which of the following should the nurse instruct the AP to perform first?

Take an ABG specimen to laboratory transport a client to the radiology department for an x-ray second, unless the x-ray is prescribed as STAT

A charge nurse on the pediatric unit is making assignments for a nurse who has floated from the labor and delivery unit. Which of the following clients is appropriate for the charge nurse to assign?

an adolescent who is 2 days post operative following an appendectomy

a nurse is reviewing the documentation of a newly licensed nurse. Which of the following actions by the newly license nurse while documenting requires the nurse preceptor to intervene?

including in a client's nurses' note that an incident report was completed after a medication error Stop second guess

A nurse is reinforcing teaching about HIV with a group of high school students. Which of the following information is appropriate for the nurse to include?

initial HIV symptoms are often similar to the flu use of a condom reduce the risk of contracting HIV, but does not ensure prevent.

A nurse is caring for a client who is diagnosed with active pulmonary tuberculosis and is taking isonizid (INH) and ethambutol (Myambutol). Which of the following manifestation reported by the client necessitate the discontinuation of ethambutol?

loss of color discrimination N/V - adverse GI effects are not common