Evolve Adaptive Quizzing Basic Care and Comfort

While a client is being interviewed on her first prenatal visit she states that she has a 4-year-old son who was born at 41 weeks' gestation and a 3-year-old daughter who was born at 35 weeks' gestation. The client lost one pregnancy at 9 weeks and another at 18 weeks. Using the GTPAL system, how would you record this information?

1. G5 T1 P1 A2 L2

After tolerating an oral rehydration solution (Pedialyte) being given because of dehydration resulting from diarrhea, a 20-month-old toddler's condition improves and a regular diet is started. What foods should the nurse suggest that the parents offer their child? Select all that apply.

1. Poached eggs 3. Strained bananas 5. Animal crackers

A nurse is teaching a group of parents about the developmental needs of adolescents. Which information is the nurse most likely to provide? Select all that apply.

1. The adolescent has an increased need for calories. 3. The adolescent needs to consume iron in the diet on a daily basis. 5. The adolescent's need for nutrition is better guided by physiologic age than chronologic age.

A child with acute poststreptococcal glomerulonephritis requests a snack. Which is the most therapeutic selection of food the nurse can provide?

Applesauce

A nurse develops a teaching plan for a client with rheumatoid arthritis. What should the nurse include in the plan about ways to reduce joint stress?

"If experiencing pain after 1 to 2 hours of activity, actively take measures to address the pain."

Which statement made by a diabetic client shows that dietary teaching by the nurse was effective?

"My diet can be planned around a wide variety of commonly used foods."

A mother worries about the delayed bedtime of her 4-year-old child. What should the nurse suggest to the mother?

"You should offer your child a glass of milk before bedtime."

How should a nurse prepare a client for cranial surgery?

Obtain the client's consent to have the head shaved.

The nurse should monitor for which involuntary physiologic response in a client who is experiencing pain?

Perspiring

A client is experiencing chronic constipation, and the nurse discusses how to include more bulk in the diet. Which statement by the client indicates teaching by the nurse is successful?

"Bulk promotes defecation by absorbing water, which softens stool and promotes peristalsis."

A nursing student counsels a 70-year-old female client about changes in the reproductive system caused by aging. Which statement made by the client indicates effective learning?

"I should undergo regular clinical breast examinations."

A nurse gives a teenager discharge instructions regarding cast care. The nurse concludes that the instructions have been understood when the teenager makes what statement?

"If I get itchy around the cast, I'll rub the itchy area gently."

After gastrointestinal surgery, a client's condition improves, and a regular diet is prescribed. Which food, included on a regular diet, should the nurse encourage the client to consume to decrease discomfort?

Baked fish

The parents of a 5-month-old infant tell a nurse at the well-baby clinic that they are concerned because their baby weighs only 14 lb (6.4 kg). After reviewing the infant's health history, the nurse assures them that their baby's weight is within the expected range for age. What information prompted this reply?

Birth weight

A nurse is caring for a client after surgical creation of an ostomy. The nurse observes that the stool is formed. In which part of the colon should the nurse assess the ostomy?

Descending

A client is diagnosed with gastroenteritis. What does the nurse determine is the basic intention underlying the unique dietary management for this client?

Eliminate chemical, mechanical, and thermal irritation.

What should the nurse teach parents is the most important influence on the eating habits of early school-aged children?

Example of parents and siblings at mealtimes

A nurse in the pediatric clinic is reviewing the health history of a 6-year-old child with celiac disease who has been on the dietary regimen for 6 months. What evaluation criterion does the nurse use to assess the child's adherence to the diet?

Formed bowel movements

A client is diagnosed as having malabsorption syndrome secondary to celiac sprue. The client asks the nurse if there is anything that can help improve symptoms. What should the nurse encourage the client to incorporate into the diet for symptom improvement?

Gluten-free diet

The healthcare provider prescribes a low-fat, 2-gram sodium diet for a client with hypertension. The nurse should explain that the purpose of restricting sodium is to do what?

Prevent reabsorption of water in the distal tubules

The nurse is preparing to give grief counseling to a client who lost his or her partner recently. Which intervention does the nurse include as a priority action in the care plan?

Providing an environment for the client to express his or her feelings

What should a nurse include in the plan of care for a 9-year-old child with nephrotic syndrome?

Providing meticulous skin care

A client is hospitalized for the treatment of thrombophlebitis. What should the nurse include in the client's teaching plan about prevention of thrombophlebitis?

Put on compression stockings before arising

When a nurse requests that a client's pain intensity be rated on a scale of 0 to 10, the client states that the pain is "99." How does the nurse interpret the client's behavior?

Requires an intervention immediately

A nurse educates a group of mothers about various methods for maintaining oral hygiene in preschoolers. Which statements should the nurse include? Select all that apply.

2. "You should avoid sharing toothbrushes among siblings." 4. "You should teach your child to brush all the teeth surfaces thoroughly."

A nurse is caring for a client who had an open reduction and internal fixation of a femoral neck fracture. The client has a prescription for ambulation with slight weight bearing on the affected extremity. During the physical assessment the nurse identifies that the client has kyphosis and strong upper arm strength. What assistive device does the nurse expect the primary healthcare provider to prescribe for this client?

A standard walker

A newborn is circumcised prior to discharge from the hospital. What should the immediate postoperative care include?

Encouraging the mother to cuddle her baby to provide emotional support

The registered nurse is evaluating the actions of a nursing student providing preoperative care to a client scheduled for a kyphoplasty. Which action of the nursing student does the nurse think needs correction?

Ensuring that anticoagulants are administered before surgery

A neonate born at 36 weeks' gestation, weighing 4 lb 8 oz (2041 g), is placed under a radiant warmer. An infusion of D10% 0.2 NS is running through an umbilical vein catheter at a rate of 12 mL/hr. Why is it important for the nurse to check the neonate's voidings for specific gravity?

Infants under open radiant warmers are at risk for dehydration.

A toddler with a repaired myelomeningocele has urinary incontinence and some flaccidity of the lower extremities. What should the nurse teach the parents?

The child will probably require a program of intermittent straight catheterization.