ATI: Dynamic Quizzing

Which of the following is a manifestation of anger closure glaucoma Severe eye pain Multiple floaters Double vision

Severe eye pain Other manifestations include Halos around lights, blurred vision, headaches, brow pain, and nausea and vomiting Multiple floaters or floating dark spots in the effect of iron manifestations of a detached retina

A nurse's reviewing recommended immunizations with the guardian of a 2-month-old infant. Which of the following statement should the nurse make? Your baby can receive the varicella vaccine at 6 months of age Your baby can start the pneumococcal vaccine now Your baby should receive the flu vaccine before 6 months of age Your baby can start the measles mumps and rubella vaccine now

Your baby can start the pneumococcal vaccine now Varicella should not be given until the client is 1 years old The animal influenza vaccine should not be given until after 6 months of age The measles mumps rubella vaccine should not be given until age 12 months

A nurse is caring for client who has COPD and has been taking fluticasone the inhaler for many years. Which of the following finding should the nurse identify as an adverse effect of long-term use of this medication Glomerular filtration rate less than 60 Alanine Amino transferase alt 82 units per liter Anorexia and weakness Varicose veins in the lower extremities

Anorexia and weakness Fluticasone does not affect the kidneys which therefore would not impact GFR. It would also not affect the liver therefore alt would remain normal. It does not alter peripheral veins therefore does not cause varicose veins

Which of the following is an allergy which can be a contradiction for Hepatitis B Shellfish Gelatin Baker's yeast Eggs

Bakers yeast Michelle fish allergy would be contradiction for IV contrast A gelatin allergy would be contradiction for measles mumps and rubella An egg allergy would be contradiction for the influenza vaccine

Which of the following is contraindicated in a client who is being treated with radiation therapy for cervical cancer Borrowing a dosimeter film badge from another nurse before entering the client's room Removing an extra IV pull from the client's room to be used for another client

Borrowing a dosimeter film badge from another nurse before entering the client's room Equipment from a client who's receiving radiation therapy can be removed from the client's room without special precautions. The equipment does not pose a hazard to other people because it is not producing radiation

Which of the following is appropriate teaching for client who has osteoporosis Cottage cheese is a good source of calcium Increase your caffeine intake Brisk walking will help prevent bone loss Hormone replacement therapy with estrogen will increase your risk of osteoporosis

Brisk walking will help prevent bone loss Apparently, brisk walking is considered a weight bearing exercise which can help minimize bone loss. Cottage cheese is not a good source of calcium due to processing. Estrogen has too many risk factors such as potential cancer to be reliable

Which of the following would include blurred vision and decrease color perception at first, followed by a lens of cloudiness that continues gradually until there is a total loss of vision Glaucoma Retinal detachment Macular degeneration Cataracts

Cataracts

Which of the following would help reduce flattest and odor in a colostomy - eating crackers and yogurt regularly - chewing minty gum throughout the day - drinking orange juice everyday - putting an aspirin in the pouch

Eating crackers and yogurt regularly Yum can increase flatus, aspirin in the pouch can cause ulceration of the stoma

Nurses caring for a client who is experiencing an acute exacerbation of rheumatoid arthritis nor should anticipate that the clients affected joints will require which of the following statements And assistive device when the client is ambulating Heat paraffin therapy applied to the client's joints Gentle massage of the client's hands Active range of motion exercises on the clients affected joints

Heat paraffin therapy apply to the client's joints And elevated ESR indicates acute inflammatory process due to the client's rheumatoid arthritis. The use of a warm paraffin relieves the stiffness joints and provides comfort Clients who have ra do not need assistive devices. Can aggravate inflammation,and active range of motion exercises should never be performed during exacerbations of Ra

Which of the following is expected in a client who has a complete intestinal obstruction Hyperactive bowel sounds above the obstruction Absence of bowel sounds in all four abdominal quadrants

Hyperactive bowel sounds above the obstruction Absence of bowel sounds is indication of paralytic Ileus Diarrhea is also expected in a client who has a partial intestinal obstruction

Which of the following is expected in aging Hypotension when standing up Increase you elasticity of the blood vessel walls Decrease thickness of the valves of the heart Non-palpable peripheral pulses

Hypotension when standing up The circulatory systems ability to compensate decreases with aging. Therefore orthostatic hypotension is expected in older adults when they move from a city to standing position. Blood vessels would become least elastic, the heart valves would thicken, in the purple pulses would become weaker but should remain palpable

Which of the following is appropriate for a client who is under a 2 G sodium diet restriction for heart failure - I should use salt sparingly while cooking - I can have yogurt as a dessert - I should use baking soda when I bake - I should use canned vegetables instead of Frozen

I can have yogurt as a dessert Baking soda is high in sodium

A client with schizophrenia has been hearing voices in his head which is telling him to purchase a knife today. He fears that by purchasing the knife, he will do something bad period which of the following responses should the nurse make. Why do you think the voices want you to buy a knife Do you already own any knives When the voices speak, do you always do what they say I don't hear any voices, just yours in mind. But I understand that you are fearful

I don't hear any voices, just yours and mind. But I understand you're fearful

Which of the following is appropriate teaching for a client who is 7 weeks of gestation who is experiencing nausea and vomiting Acupressure bands on my elbows might make me feel better I should have a small snack before bedtime

I should have a small snack before bedtime This can help relieve nausea involving through the night and prevent the client from feeling too hungry on waking. Acupressure bands one of the wrists, not on the elbows, can help reduce nauseating.

Which of the following is appropriate teaching for client who is taking a civil Sistine of via a handheld nebulizer I should try to call productively just before I begin the treatment If the medication becomes discolored, I should throw it out and get a new Supply

I should try to cough productively just before I begin the treatment The medication mixture might develop a light purple color after opening, which is expected. It does not need to be discarded

A client who has osteoporosis is taking risdronate. Which of the following statements indicates an understanding of the teaching I will take his medication with a full cup of water I will lie down after I take this medication I will take his medication with food I'll take his medication at bedtime

I will take this medication with a full cup of water This medication should be taken on an empty stomach with only water. This should be taking at least 30 minutes before the first meal of the day

Which of the following is appropriate teaching for a client who has postmenopausal osteoporosis with a prescription of intranasal calcitonin salmon Administer a spray into each nostril daily I should expect nasal bleeding for the first week I need to decompress the side arms to activate the pump I should expect to take this medication for a short-term course of treatment

I'll need to compress the side arms to activate the pump This medication needs only to be administered in one nostril, alternate each nostril once a day, this is a long-term treatment for postmenopausal osteoporosis with no documented long-term adverse effects

A nurse is providing discharge teaching to a client who has kidney transplant and has a prescription for oral cyclosporine.Which of the following statements by the client indicates an understanding of the teaching? I will be able to stop taking this medication within 6 months after my surgery I am likely to develop higher blood pressure while taking this medication I am likely to lose my hair while taking this medication I'm taking this medication to boost my immune system

I'm likely to develop higher blood pressure while taking this medication Half of all patients who take cyclosporine will have hypertension. Cyclosporine is a lifelong medication given to post transplant patients which can cause abnormal hair growth, and immunosuppression

Which of the following is appropriate teaching for a client who has a migraine If I overuse this medication I might become addicted to it This medication is okay to use during pregnancy Tingling in my fingers and toes and adverse effect that goes away with continued use I will experience restlessness as an adverse effect when I begin taking this medication

If I overuse this medication, I might become addicted to it This medication is not safe to use during pregnancyand may result in tingling in the fingers and toes due to possible toxicity. Withdrawal symptoms include restlessness, headaches, nausea and vomiting

Which of the following is expected in a development of a 12 month old infant Able to refer to them self using the appropriate pronoun by 18 months Showing interest and waking up pictures at 20 months Able to control their bladder by the age of 24 months Spontaneously using a crayon at 15 months

Spontaneously using a crayon at 15 months At 30 months, did the toddler should be able to refer to themselves as the appropriate pronoun At 15 months, they should have intense focus and interest in pictures At 30 months, the taller should have control of their bladder during the daytime

A nursing provider's office is providing teaching to a client with osteoporosis who has a new prescription for aldendronate sodium. Which of the following pieces of information should the nurse include This medication kidney administered by IV once yearly Take this medication with a full glass of water on an empty stomach Side effects include leukopenia This medication should be taken with calcium containing foods to increase absorption

Take this medication with a full glass of water on an empty stomach

Which of the following should the nurse do when preparing to interview the mother of a 3-month-old who they suspect to be physically abusing - insist that the parent tell the nurse how the child was injured - tell the parent that a child protective agent must be notified - show disapproval to the parent regarding the infant's condition - call at least two other staff members to sit in the room during the interview

Tell the parent that child protective agency must be notified The interview should be private, the nurse should avoid making accusations

Which of the following potential diagnosis would a client have when they develop restored distress, since of breath sounds on one side, and tracheal deviation away from the affected side Tension pneumothorax Flail chest

Tension pneumothorax

Which of the following is an indication of a complication related to casting in arm of a child - the child reports tightness at the wrist - the child's grasp is weak

The child reports tightness at the rest The wheatgrass can be due to the fracture itself, but if the child develops paralysis it could indicate an impairment of circulation. Tightness at the wrist indicates and impairment and circulation and needs to be addressing immediately

Which of the following is true regarding involuntary commitment to mental health facilities - the client can challenge hospitalization following emergency treatment - a client whose competent but committed involuntarily is unable to make treatment decisions - court hearing should be held 7 days after emergency commitment

The client can challenge hospitalization following emergency treatment The court should see the client within 4 days in order to abide by their constitutional rights

A nurse is assessing at the client who has right-sided weakness while ambulating using a cane. Which of the following actions should indicate to the nurse that the client understands how the procedure goes for Kane walking The client holds the cane on the affected side The client advances the unaffected leg followed by the cane The client supports his weight on the unaffected laid when moving the cane forward The client keeps two points of support on the ground

The client keeps two points of support on the ground The client should hold the cane on the unaffected or stronger side of the body. When ambulating with a cane, the client should Advance the cane and then follow it with the unaffected or stronger leg. When ambulating with a cane, the client should support weight on both legs when moving to came forward

A nurse at a clinic is preparing to teach the process of involution to a group of antenatal clients. Which of the following information should be provided The finest is approximately 2 cm above the level umbilicus at the end of the third stage of Labor The fundus is approximately 3 cm above the umbilicus with 12 hours after delivery The fund is located halfway between the umbilicus and mons poopiest on the 6-day postpartum The fund is not palpable abominally at 2 weeks postpartum

The fundus is not palpable abdominally at 2 weeks postpartum

Which of the following is an abnormal result for a 12 month old infant Current weight is double the birth weight Posterior Fontanel is closed Unable to walk without support Six teeth are present

The infant's current weight is double his birth weight Or 12 month old infant's weight should be triple his birth weight. The posterior fontanelle closes at 2 months. Walking is expected between the months of 13 to 15,and 6-8 teeth are expected

Which of the following is appropriate education for a client who is experiencing age-related vaginal atrophy and has a prescription for estaridol cream - this medication can be used daily - this medication should be applied externally - this medication has fewer systemic effects than oral estrogen - this medication can increase your risk of bone loss

This medication has fewer systemic effects than oral estrogen The cream should be used one two three days per week, is applied internally, and can decrease risk of postmenopausal bone loss

Which of the following simulates RBC production - Tissue Hypoxia - Thrombocytopenia - Inflammation

Tissue Hypoxia- This is because hypoxia stimulates the production of erythropoietin. Which in turn stimulates RBC production.

Which of the following is appropriate diet advice for parents and guardians of children Infants should be transitioned to low calorie milk at 12 months Preschoolers need 10 to 12 g of protein per day Toddlers can be given up to 120 to 180 ML of juice per day School age children should be encouraged to avoid afternoon snacks

Toddlers can be given up to 120 to 180 ML of juice per day Dietary fat is essential for growth and development in infants and toddlers, therefore you should not be using low calorie milk. Preschoolers need 13 to 19 g of protein per day. School age children usually prefer afternoon snacks but should be encouraged to make healthy food choices

A client is suffering from syndrome of inappropriate antidiuretic hormone secretion (SIADH). Which medication is expected Chlorpromamide Tolvaptan Vasopressin Desmopressin

Tolvaptan SI ADH is a disorder of water and toxication due to the inappropriate continuous secretion of antidiuretic hormone. This causes hypervolemia and hyponatremia. Tolvaptan promotes the excretion of water, which helps correct the fluid in balance in the client who have this disease. Chlorpropamide is an antibiotic agent with antidiuretic effects that would worsen the manifestations of siadh Vasopressin and desmopressin are used to treat diabetes insipidus

A nurse is providing teaching to a client who has a new prescription for Lisinopril. Which of the following should the nurse include in the teaching as an adverse effect of this medication Tongue swelling Low potassium level Runny nose Bruising

Tongue swelling This is an indication of angioedema. Clients who are taking ACE inhibitors off hyperkalemia.

In SIADH, is there too much water or too little

Too much water, which results in hyponatremia and hypervolemia

Which of the following is an indication of Theophylline toxicity for client is taking the medication for chronic bronchitis relief Tremors Bradycardia

Tremors Theophyline is a xanthine derivative bronchodilator. An early manifestation of toxicity is CNS stimulation. Diarrhea, hypertension, restlessness, irritability, and tachycardia are all other signs of toxicity to this medication

Which of the following is appropriation for a client who has AIDS - discard leftovers after 8 hours - uses separate cutting board for poultry - thaw frozen foods at room temperature - store cold foods at 10° C or 50° F or less

Use a separate cutting board for poultry Leftover food should be discarded 24 hours afterwards to prevent growth of bacteria, frozen foods be thawed in the refrigerator to prevent growth of bacteria, cold food should be stored at 4.4° Celsius or 40° F or less.

Which of the following is appropriate for a client who is receiving radiation therapy for mouth cancer and reports a dry mouth Offer graham crackers has a snack Avoid foods containing citrus Rinse the mouth with an alcohol base mouth wash before eating Use gravies and sauces to soften food

Use gravies and sauces to soften food The client should avoid eating dry and coarse Foods, and consume foods that contain Citrus to stimulate saliva. The only mouthwash does client can use is ones that are alcohol free

Which client statement is the priority in a client who is post-term labor - I had blood streak discharge a few hours ago - when my water broke, it was not clear - I have not felt my baby move as much today - I feel like I cannot breathe when I walk up the stairs

When my water broke, it was not clear This can indicate when opium aspiration in the newborn The nurse should confirm the heartbeat of the feet is the Doppler to reassure the client or take action if the heartbeat is not identifiable. Another assessment finding is the nurse's priority

Should a client who's receiving brachytherapy remain in their bed throughout treatment

Yes, movement can cause dislodgement of the implant

Which of the following is appropriate teaching for a client who's going through an MRI You can have a mild sedative before the procedure You'll have to lie still on your back for 15 to 20 minutes

You can have them out sedative before the procedure The client is expected to lie still for 45 to 60 Minutes. There is no exposure to radiation, and the client may become claustrophobic therefore a sedative may be administered

Alcohol withdrawal seizures tend to happen within how many hours after the last drink

12 to 24 hours

Can you use a PICC line for blood sampling

Yes. You also flush the line with 10 mL of sterile saline You will clean it with chlorhexidine

What food is safe to take while using phenylazine for major depressive disorder - boiled beef steak - smoked salmon

Boiled beef steak

A nurse is caring for a client who is 33 weeks of gestation and reports dark red vaginal bleeding and contractions that do not stop. Which of the following actions should the nurse take first Check fetal heart dance Assess the uterine contraction pattern Measure maternal vital signs Obtain of biophysical profile

Check the fetal heart tones The greatest risk to this client is fetal mortality from placental abruption. Therefore the priorities immediate also quotation mark

SATA- Which of the following is appropriate education regarding Buck's traction - you will have considerably less pain with attraction in place - you'll have the traction in place for a week or so - the traction will help decrease muscle spasms - the weights act as a pulling Force to keep your leg and hips still - we have to make sure the weights are just barely touching the floor

- you'll have considerably less pain with the traction in place - the traction will help decrease muscle spasms - the weights act as a pulling Force to keep your leg and hips still (Buck's traction is short-term, the weight should be suspended at all times and should not be touching the floor)

Which of the following is manifestation of a hip dislocation Shortening of a leg Bulging on the affected hip

Shortening of the leg

Which of the following findings should the nurse report to the provider as a possible hematologic disorder in an older adult client Pallor Absence of hair on the legs

Absence of hair on the legs Pallor is expected in a older adult client due to pigment loss

Which of the following should a nurse do for a client with otitis media with the temperature of 102.4° f Redress the child in minimal clothing Administer and antipyretic to the child

Administer and antipyretic to the child The nurse should redress the child one hour after the administration of antipyretic. It is not effective beforehand

A nurse is caring for a client who is undergoing electric convulsive therapy to treat major depression. Following the procedure, which of the following actions should the nurse take Administer oxygen Administer an anticonvulsant Administer an opioid antagonist Administer IV fluids

Administer oxygen In preparation for electroconvulsive therapy, and medication is administered which paralyzes respiratory muscles. Oxygen therapy is indicated until the restore status is stable

A nurse is assessing a female client 24 hours after delivery and knows the fundus is to send meters above the umbilicus. Which of the following actions should the nurse take? Administer a trocolytic medication Apply heating pad to the mid abdominal area Reassess the fundus in 2 hours Ambulate the client to the bathroom

Ambulate the client to the bathroom The uterus should be a finger breath below the umbilicus that 24 hours postpartum. Waiting to us before taking action greatly increases the risk of hemorrhage

Which of the following is a difference between variant angina and stable angina - exertion often begins on pain - occurs randomly at various times - varying angina can cause changes on your electrocardiogram - reducing your cholesterol can help your experience less pain

Can cause changes on your electrocardiogram This typically occurs with rest,occurs at the same time every day,and is caused by vasospasms rather than atherosclerosis

Which of the following is appropriate teaching for a client who's using a flow oriented incentive spirometer - blow the spirometer to elevate the balls and the device - cough after each use - clean the mouthpiece with an alcohol swab after each use

Cough deeply after each use The nurse should encourage the client to clean the mouthpiece with water and dry it after each use

Which of the following is an appropriate instruction to provide to parents of a school-age child who has pediculosis Machine wash clothing and cold water Dry clothing in a hot dryer for at least 20 minutes Silk Combs and brushes for 5 minutes in boiling water Seal non-washable items in a bag for 7 days

Dry clothing in a hot dryer for at least 20 minutes Machine wash child's clothing and bed linens and hot water Soak the child's Combs and brushes in 10 minutes and boiling water Seal non washable items in a bag for 14 days

Pancytopenia

Decrease in WBCs, RBCs, and plts

In a client who has bacterial meningitis, their Lumber puncture will result in an increase or decrease in glucose

Decrease in glucose

Which of the following is the reason why a provider would use lidocaine and epinephrine during a laceration repair Prevents medication toxicity during the procedure Opens the blood vessels for Rapid anesthesia from the lidocaine Delay systemic absorption of the anesthetic properties of Lidocaine Acts as a catalyst for the anesthetic properties of Lidocaine

Delay systemic absorption of the anesthetic properties of Lidocaine Epinephrine decreases local blood flow And Delay systemic absorption

Which of the following is appropriate teaching regarding formula feeding The Bedtime bottle can be placed in the crib after the infant is 6 months of age Discard open cans of formula after 48 Hours Refrigeration Powdered and concentrated formula can be reconstituted with tap water straight from the faucet Bottles and nipples can be hand washed and hot, soapy water

Discard open cans of formula after 48 Hours of refrigeration Bottles, nipples, nipple rings, and caps must be boiled for 5 minutes prior to the first use. Hand washing these items is not a reliable source to eliminate bacteria for formula feeds

And a client who has bacterial meningitis, their Lumber puncture will result in an increase or decrease in protein

Increase

Which of the following medications should the nurse consider hearing assessment for the client Ferrous sulfate Digoxin Omeprazole Furosemide

Furosemide Furosemide can cause autotoxicity

Which of the following would include sudden severe pain around the eyes that radiates to the face and is associated with headache, he Lowes around lights, and sudden blurred vision Glaucoma Retinal detachment Macular degeneration Cataracts

Glaucoma

Which of the following fracture types is most common in children Impacted Depressed Compound Green stick

Green stick This is a kind of fracture in which one side of the bone begins to splinter

Which of the following Foods is appropriate for a client who has chronic renal failure Canned soup Grilled fish Pastrami Peanut butter

Grilled fish The other foods are high in sodium, which should be avoided in clients who have chronic renal failure

Delirium tremens

Hallucinations and delusions that occur after not drinking for 3 days while being an alcoholic. Considered in a medical emergency

Which of the following is appropriate to give to a med-surg nurse who is just floated to the Pediatric unit Delegate assistive personal test to the medical surgical nurse Assign the unit nurse to act as resource for the medical surgical nurse

Has signed the unit nurse to act as a resource for the medical surgical nurse

Which of the following is appropriate teaching to give to a parent of a preschooler who has an imaginary friend Children commonly have imaginary friends when they reach school age Notify your provider of the imaginary friend persist longer than 6 months Have your child take responsibility for actions he tries to blame the imaginary friend for Have your child take responsibility for actions if he tries to blame the imaginary friend Set lemons by not allowing your child to have the imaginary friend present during family meals

Have your child take responsibility for actions if he tries to blame the imaginary friend Pretending with the preschooler is okay

Which of the following items is safe to go to the MRI Coronary artery stents Aneurysm clip Hearing aids Automated internal defibrillator

Hearing aids

A client who is in an Addisonian crisis with a BP of 72/42 should have what medication - desmopressin - hydrocortisone - dopamine - Furosemide

Hydrocortisone Clients enduring this crisis will require hydrocortisone to assist with replacing cortisol levels

I'll call withdrawals will do what to blood pressure

Hypertension, this occurs 68 hours after cessation

Which of the following is an appropriate intervention for a client who has an NG tube, is NPO, and reports nausea Irrigate the tube with normal Saline solution Provide oral hygiene Plant the two for 30 minutes Increase the amount of section

Irrigate the tube of normal Saline solution Increasing the suction can result in increased risk of tissue injury

At the start of a counseling session with a nurse, the client states were wasting time with these meetings I can't trust anyone with what's really bothering me about things I've done. Which of the following responses should the nurse provide? What makes you think that These sessions are for your own good. We need to continue them. Is it because you feel like no one would be understand what your experiencing Perhaps you'd rather talk about that visit you had with your sister

Is it because you feel like no one would understand what you are experiencing But this response, the nurses demonstrating a therapeutic communication technique of her applies the implied, which helps clarify the implicit meaning of the client statement and encourages further discussion

Which of the following is appropriate teaching for the parent of a child who has diaper dermatitis - leave the zinc oxide ointment intact and reapply as necessary during diaper changes - use cloth diapers washing a low residue detergent - dry the affected area with a hair dryer on the low setting twice per day

Leave the zinc ointment intact and reapply as necessary during diaper changes

Filgastrim increases what blood level

Leukocytes

A nurse is caring for a client has ulcerative Colitis. Which of the following is a reason why the client would need to stay in bed when they have bed rest with bathroom privileges You need to conserve energy at this time Lying quietly in bed helps slow down the activity in your intestines Staying in bed promotes the rest and comfort you need Staying in bed will help prevent and dream minimize your fall risk

Lying quietly in bed help slow down the activity in your intestines

Which of the following is associated with a decline of central vision leading to total loss. There would be a report of Mount burning and distortion Glaucoma Retinal detachment Macular degeneration Cataracts

Macular degeneration

Which of the following is a contradiction for all vaccines Previous local reaction to an injectable vaccine Modern illness without a fever Recent exposure to an infectious disease Family history of an allergy to penicillin

Moderate illness without a fever

Should a client who's using a pca pumpbe on bed rest

No, encourage frequent ambulation to help reduce the risk of lung flattening or whatever idk this is what the ATI says

If a nurse finds a medication not provided to a clients, as it is found within the client's bed sheets, should the nurse document the finding in the client's electronic medical record

No, they should not because the entire electronic medical record is subject to litigation

Which medication is indicated for a client has preeclampsia with a boggy uterus and excessive uterine bleeding Oxytocin Methylergonovine

Oxytocin Methylergonic Vine will increase their blood pressure which will result in preeclampsia evolving into eclampsia

Which of the following should be included in the care of an infant who has myelomeningocele? Fasten the diaper loosely Cleanse the sack with povodyne iodine daily Puppy the abdomen for bladder distention Cover the sack with a dry sterile gauze dressing

Palpate the abdomen for bladder distention A neurogenic bladder is a common complication of this disease. The bladder should always be assessed even if the client is voiding. A diaper should never be placed on the client until the defect has been repaired due to the risk of tearing the sack.

Which of the following is appropriate teaching to a newly licensed nurse about intermittent auscultation of the fetal heart rate Count the fetal heart rate for 15 seconds after contractions Palpate and count them Eternal radial pulse while listening to the fetal heart rate Place the listening device over the fetal chest to hear the fetal heart rate For custom maternal abdomen to verify the position of the fetus

Palpating count the maternal radial pulse while listening to the fetal heart rate Listening device should be placed on the fetal back to hear the fetal heart rate. This area has the clearest and loudest sounds

Which of the following medications is expected to be provided for a client who has PTSD Bupropion Phenelzine Mirtazapine Paroxetine

Paroxetine This is an SSRI that is considered the first line treatment for PTSD Bupropion is used for smoking cessation Phenelzine is a MAOI, which are the most risky to perscribe. Mirtazapine is a tricyclic antidepressant, which isn't the first line for PTSD

After enduring a Sickle Cell crisis, which of the following statements indicates that the client understands their instructions - I should try to drink at least 2 L of fluid per day - I can still fly out to visit my sister in Colorado for a while - physical activity is good for me, but I need to avoid overexertion

Physical activity is good for me, but I need to avoid overexertion The client should be drinking at least 3 L per day, not just two

Which of the following should the nurse suspect in a client who has a spontaneous rupture of the membranes and prolonged decelerations on the fetal monitor Uterine rupture Placental abruption Prolapse umbilical cord Amniotic fluid embolus

Prolapse umbilical cord

Which of the following is an appropriate priority intervention for a client who is manic. Maintain the client's contact with her family Discourage the client's use of vulgar language Protect the client from impulsive behavior Redirect the client's excessive energy to creative tasks

Protect the client from impulsive behavior Impulsive behavior put the client at risk of self-harm. The nurse should read you write the client's energy into calming a constructive activity, but is not the most priority action

A client who have cirrhosis will need an increase in what macronutrient compensate for disease related weight loss

Protein. Grilled chicken is appropriate food source to have, while avoiding high sodium and fat content

Which of the following is appropriate way to manage heartburn in a first trimester pregnancy client Reduce the amount of food you eat during meals Sip carbonated beverages between meals Lie down and rest immediately after meals Drink iced tea with meals

Reduce the amount of food you eat during meals Sips of milk can help alleviate heartburn temporarily. Carbonated beverages or a contrary indicated for clients who have heartburn

Which of the following is a risk factor for necrotizing enterocolitis in newborns Post-term birth Macrosomia Restore distress syndrome Maternal gestational diabetes

Respiratory distress syndrome Respiratory distress can cause intestinal ischemia secondary to hypoxia Other risk factors include preterm birth, low birth weight, an intrauterine growth restriction

Which of the following can be described as a flash of light followed by curtain across the field of vision Glaucoma Retinal detachment Macular degeneration Cataracts

Retinal detachment Also note this can be painless

Which of the following is a risk factor for hearing loss Steroids Salicylates Antacids Laxatives

Salicylates Such as aspirin

Which of the following is appropriate teaching for an older adult client who has constipation Increase your intake of refined fiber foods Sit on the toilet 30 minutes after eating a meal Drink a minimum of 1000 mL of fluid daily Take a laxative everyday to maintain regularity

Sit on the toilet 30 minutes after eating a meal The client should be eating coarse fiber and whole grains, rather than refined fiber Laxatives can hinder natural defecation habits and can cause constipation as a result

Delivery is considered when a biophysical profile score of what is obtained at or 36 weeks of gestation

Six or lower

Which of the following indicates a possible Development delay for a four year old Inability to tie shoes Adding three parts to stick figure Speaking using two or three word sentences Inability to walk backward

Speaking using two or three word sentences Four-year-olds are expected to speak in four to five words sentences

Which of the following is expected for a 3-year-old child Walking backward while moving Heel To Toe Standing on one foot for several seconds Using scissors to cut out shapes Printing letters with a pencil

Standing on one foot for several seconds Walking backward from heel toe is expected for a 5 year old Using scissors to cut out shapes is expected for 4 year old Printing letters with a pencils expected for 5 year old

Which of the following is appropriate documentation to make over a client who became upset and refused to take your medication before throwing it onto the floor The client refused to take medication today The client stated, I will not take this pill The clients seemed angry and hostile The client threw the medication on the floor

The client through the medication on the floor This documents what took place in an accurate factual account while being specific

What happens to the skin of a client who has Addison's disease

The skin becomes darkened with a bronze pigment

Which of the following is appropriate to say to a client who says nothing ever has happened that was good during my marriage. The nurse should be using cognitive reframing. - let's discuss what you consider to be negative about your marriage - what activities take your mind off your marriage experience - what did you learn from your marriage that to help you in the future - only you can understand how your marriage negatively affected your life

What did you learn from your marriage to help you in the future The other options Focus the client on the negative

Which of the following is appropriate teaching regarding purse lip breathing I'll inhale slowly through pursed lips to help me breathe better When I breathe out through purse lips, my Airways don't collapse between breaths

When I breathe out through purse lips, my Airways don't collapse between breaths In pursed lip breathing, you will inhale through the nose and out through the mouth

Is pink tingedurine in a newborn a normal finding

Yes

Is bluish discoloration of the hands and feet of a newborn normal

Yes, acrosynosis is normal for a newborn

Bucks traction

knee immobility:widely used in the lower limb for femoral fractures, lower backache, acetabular and hip fractures.