HESI NU 112 REVIEW- NURSING CONCEPTS (BASIC CARE AND COMFORT)

The parents of a child with acute poststreptococcal glomerulonephritis ask the nurse why their child is being weighed every morning. Which is the best response by the nurse?

"It's the best way to measure your child's fluid balance."

A health care provider prescribed a diagnostic workup for a client who may have myasthenia gravis. Which initial objective would the nurse establish with the client?

"The client will maintain present muscle strength."

The nurse is caring for an older adult who was admitted to the hospital to be treated for dehydration. While the nurse is providing discharge teaching, the client asks what to do about itchy, dry skin. Which response by the nurse is appropriate?

"Use a moisturizer on the skin daily to help reduce itching."

A client who has been in a coma for 2 months is being maintained on bed rest. At which angle will the nurse place the head of the bed to prevent the effects of shearing force?

30 degrees

The nurse receives an order to prepare a solution for administering a cleansing enema for an adolescent client. Which is the volume of solution that would be prepared?

500 to 750 mL In adolescents, the volume of solution required is 500 to 750 mL. The nurse would prepare 150 to 250 mL of warmed solution for infants. The nurse would prepare 250 to 350 mL of warmed solution for administering a cleansing enema in a toddler. In school-age children, the volume of warmed solution is 300 to 500 mL.

A 20-lb infant has a normal saline enema ordered, at a dose of 10 mL/kg. Which dose would the nurse administer?

90 mL First, the nurse must convert to kg by dividing 20/2.2 = 9.09 kg. 9.09 × 10 mL/kg = 90 mL dose to be administered.

What are the similarities between a preschooler and a toddler? Select all that apply. One, some, or all responses may be correct.

Both preschoolers and toddlers have similar dietary requirements. Both preschoolers and toddlers are eager to independently perform self-care.

Which finding in a newborn is a behavioral response to pain? Select all that apply. One, some, or all responses may be correct.

Crying

Which change would the nurse expect when a child transitions from toddlerhood to the stage of preschooler?

Develops later bedtime Preschoolers naturally develop later bedtimes, based on their biological sleep-wake cycles and circadian rhythm. Preschoolers have very active sleep and may appear restless rather than soundly sleeping. Daytime naps are infrequent in preschoolers. Preschoolers sleep around 12 hours each night

Which action would the nurse take to help a female, bipolar client in the manic episode meet personal hygiene needs?

Guide her to dress appropriately in her own clothing

Which foods are considered the most allergenic? Select all that apply. One, some, or all responses may be correct.

Milk, Eggs, Peanuts

Which sleep pattern would the nurse recognize as normal in preschoolers?

On average, a preschooler sleeps about 12 hours a night.

Which intervention relieves pruritus associated with varicella (chickenpox)?

Pat the lesions while applying the prescribed calamine lotion.

How does the teaching method for a preschooler differ from that for a toddler?

Preschoolers are encouraged to learn together.

A 13-year-old adolescent is found to have idiopathic scoliosis. Because exercise and avoidance of fatigue are essential components of care, which sport would the nurse suggest as the most therapeutic for this preadolescent?

Swimming

While providing care for a client with a second-degree left ankle sprain, the nurse raises the injured part above heart level. Which statement provides the reason behind this nursing intervention?

To prevent further edema