nursing

symptomatic bradycardia includes atropine 0.02mg/kg/dose. child weighs 20 kg, how much is given per dose

0.4mg

which age should a nurse initially screen for idiopathic juvenile scoliosis

10 years

child given 0.5mg/kg/day of prednisone divided into two doses. child weighs 10kg. how much is given in each dose

2.5mg

order reads 2 grams of cephalexin (keflex) by mouth daily in equally divided doses of 500 mg each. at which frequency would it be administered

4 times per day

stroke ordered alteplase. order is for 0.9mg/kg over 1 hour. what is the total dose in milligrams the client will receive

45 mg

infant may have transposition of the great vessels. what diagnostic test would be performed to first detect

chest xray

which assessment is important for a child in sickle cell crisis

child has normal skin turgor

child with tetralogy of fallout has clubbing of the fingers and toes. clubbing is caused by

chronic hypoxia

client at a routine blood glucose for diabetes mellitus, he has excessive urination and excessive thirst.

excessive hunger

which assessment data should a nurse report to the physician

pulse of 110 beats/minute on awakening in the morning

C6 spinal injury

quadriplegia

what caused the development of a hiatal hernia

weakness of the diaphragmatic muscle

intracranial pressure is fluctuation between 20 and 25. what intervention is most appropriate

reassess the client abcs

mother of a neonate receiving phototherapy asks why her child has developed loose stools. response is accurate

they're common when receiving phototherapy treatments

charge nurse is developing the client care assignments for the shift.

a client who as experienced a cerebral vascular accident and has a DNR status

administer mediation through a nasogastric tube

acetaminophen

what medication should a nurse withhold from a client 6 hours before a series of pulmonary function tests

albuterol

elective facial surgery later and pulse rate of 130

anxiety

in preparing an educational intervention for college students, a nurse understands that drinking alcoholic beverages is often used to relieve which condition

anxiety

gallbladder removed 2 days ago, pain in right calf

assess the leg for swelling and rednes

RN charge of eight clients, LPN working under her

assessing a newly admitted client

hepatic encephalopathy

asterixis

Down syndrome

atrioventricular canal defect

teaching a client with a hiatal hernia, provide instruction on which diagnostic test

barium swallow

assesses clear fluid draining from nose who experienced head trauma 3 hours ago, what findings to suspect

basilar skull fracture

mother concerned that her 13 year old son may be depressed. what behavior would the boy exhibit

becomes angry at peers easily

which time frame for client undergoing an open cholecystectomy

before discharge, 1 to 2 days after surgery

infant diagnosed with tricuspid atresia. surgical intervention should a nurse expect the physician to recommend

black taussig operation

nurse aware that amiodarone (cordarone) is used to treat what

both atrial and ventricular dysrhythmias

amnestic disorder

cerebral anoxia

arm cast complains of severe pain.

call the physician

child diagnosed with tetralogy of fallout undergo testing. which test indicates direction and amount of shunting in this child

cardiac catheterization

which diagnostic criterion is considered a major jones criterion for acute rheumatic fever

carditis

how was your night, went out to dinner

confabulation

anorectal fistula which condition

crohns disease

small tumor confined to one liver segment or lobe

cryoablation or liver resection

nursing diagnosis is most appropriate to include familycentered plan of care when caring for an infant newly diagnosed with hypoplastic left heart syndrome

death anxiety

The nurse is caring for a client showing symptoms of bronchial obstruction. which assessment finding would the nurse expect to find

diminished breath sounds

evaluating a client who is 2 days post crush injury to his right leg

diminished distal pulses

client experiencing early symptoms of MS; what would the nurse expect

diplopia

elderly client experiencing visual and auditory hallucinations

disturbed sensory perception

which statement by the nurse described a characteristic of valvular pulmonic stenosis

divisions between the cusps are fused

postmenopausal client asks a nurse how to prevent osteoporosis. best response

do weight bearing exercises regularly

sitting up in bed talking on phone, BP of 90/50

document the blood pressure

child with asthma trying to identify allergens in household. which is most common

dust mites

suspect a fat embolus in a client who has a lot femur fracture

dyspnea

evaluated for hep A, highest risk

eating a shrimp platter at a local restaurant

lab results reviewing. along with clinical manifestations, establishes a diagnosis of Reyes syndrome

elevated liver enzymes and prolonged prothrombin and partial thromboplastin times

client with a new colostomy asks a nurse how to avoid leakage from the stony bag. what is correct

empty the bag when its about half full

which nursing intervention would be best help prevent bladder infections for a client with indwelling urinary catheter

encourage showers rather than tub baths

having trouble putting toddler to bed at night

encourage the parents to develop nighttime rituals

cardiac monitor has a HR of 170

enter the clients room and complete a full assessment

caring for client with cataract surgery, nurse should notify client which of the condition

eye pain

hypertension and risk factos

family history

emergency department feeling feverish and lethargic. which assessment finding suggests Reyes syndrome to the nurse.

fever, profoundly impaired consciousness, and hepatomegaly

recent surgery and is on bed rest

foot and ankle range of motion exercises

preparing a client with Kawasaki disease for discharge. most appropriate information for the nurse to include?

frequent echocardiography will be needed

damage to the hippocampus, amygdala, and fornix should focus on?

frequent monitoring of vital signs

2 month old arrives with a heart rate of 180 and temp of 103.18 rectally. most appropriate nursing intervention

give acetaminophen (Tylenol)

they're crawling only sheets get them off

hallucinations

multiple myeloma, which action should alert, he may have difficulty coping

he avoids any conversation concerning his health

what would nurse anticipate in a 1 year old child with supra ventricular tachycardia

heart rate of more than 240 beats/minute

strongly indicate the possibility of cirrhosis

hepatomegaly

teaching plan with crohns disease, which factor would link

heredity

client with cirrhosis. which would be most indicative of late stage cirrhosis

hypoxia

perimenopausal at high risk for osteoporosis, lactose intolerance and small body frame.

increase the amount of calcium and vitamin D in your diet

consistent with diagnosis of cirrhosis

increased prothrombin time

accurate in describing gastritis

inflammation of the gastric mucosa

nursing diagnosis related to medical regimen

iron

what surgical procedure is recommended for repair of transposition of the great arteries

jatene procedure

client hospitalized for emphysema

keep the head of the bed slightly elevated during the procedure

abdominal surgery for repair of an aortic aneurysm, body changes

let the client express his feelings

A child is undergoing testing to rule out a diagnosis of Kawasaki disease. Which test results may lead to this diagnosis?

leukocytosis

male client diagnosed with panhypopituitarism. which hormone will be given to the client orally

levothyroxine

which action is correct for performing tracheal suctioning

limit suctioning to 10-15 seconds in duration

which diet for ulcerative colitis

low residue and high protein

what positions relief of appendicitis pain?

lying with legs drawn up

60 year old male client suspected of having coronary artery disease. physicians ordered a noninvasive diagnostic test to evaluate cardiac changes. what test does the nurse prepare for?

magnetic resonance imaging

goal will the nurse make highest priority with a new tracheostomy

maintaining a patent airway

crohns disease exhibit

malabsorption

client requires oxygen delivery at a FlO2 of 92%

mask with reservoir bag

client is scheduled to retire in the next month. he says he can't cope his world is falling apart. therapist recognizes this reaction as which of the following

maturational crisis

client has bipolar disease receiving a dosage of lithium carbonate (lithobid). reports hyperactive and hyperverbal. what intervention do you implement

measurement of lithium blood levels

72 year old being discharged from outpatient surgery after having a cataract removed from his right eye. it is important to teach the client what?

not rub or place pressure on the eye

involuntary, jerking, rhythmic movements of the eyes

nystagmus

evaluating the extent of Parkinson's disease; observe which symptoms

muscle rigidity

an elderly client on bed rest fora week a bout of pneumonia is in a negative nitrogen balance. which complication has highest priority?

muscle wasting

digoxin level greater than 2 mcg/ml

nausea and vomiting

most common adverse reaction a nurse might observe after administering enteric coated erythromycin

nausea and vomiting

what developmental stage would the nurse not at risk for diverticulosis

older adult

describes Murphys sign

on palpation and deep inspiration, pain is elicited and the client stops breathing in

heart failure sleeps with two pillows, which condition

orthopnea

rheumatoid arthritis being treated with prednisone. complications are

osteoporosis and diabetes mellitus

pernicious anemia undergoes gastrectomy

parenteral route

what causes peritonitis

perforated ulcer

what arterial blood gas results with emphysema

ph 7.30 paco2 52 hco3 30

which symptom occurs initially with Parkinson's disease

pill rolling movements of the hand

a nurse is assessing a client and notes an increase in the tactile remits. which condition would the nurse suspect with this client

pneumonia

client with Reyes syndrome exhibiting increased intracranial pressure.

position the child in the supine position, with the Childs head turned to the side

dementia disorder, tray for breakfast

recent memory

client diagnosed with MS, what activities exacerbate MS

pregnancy

client diagnosed with epiglottis. nurse recognizes the client was diagnosed with what

presenting signs and symptoms

school nurse provided vision and hearing screenings. nurse offers an immunization clinic during the evening hours. this is an example of which type of prevention strategy

primary

fracture, ordered a high protein diet, why?

protein promotes cell growth and bone union

client begun exhibiting signs of myasthenia gravis. nurse anticipates assessment to include

ptosis

nurse is aware client who had a repair of total anomalous pulmonary venous return is at risk for what

pulmonary hypertension

client with diabetes should the nurse report

sodium 118

client following surgery in the post anesthesia, client gagging on his airway and about to vomit. which position would the nurse place the client in.

recovery

unemployed hasn't filled levothyroxine, related to not taking it

rectal temperature of 94

nursing discharge has the highest priority going home with a full leg cast

reporting signs of impaired circulation

the nurse is caring for a pregnant client with cardiovascular disease. which treatment would the nurse expect for this client

scheduled rest periods throughout the day

client with chronic alcohol abuse admitted for detoxification. BP increases and he's given lorazepam (Ativan) to prevent which complication

seizure

six months after the death of her infant son. suspected of dysfunctional grieving

she's overactive without a sense of loss

taking phenytoin (dilantin), adverse effects?

somnolence

child with tetralogy of fallout may assume which position of comfort during exercise

squatting

suspected appendicitis, what describes their pain?

steady

nasopharyngeal suction, reading 86% pulse oximeter

stop suctioning and give oxygen to the client

healthy liver

take prescribed medications according to instructions

borderline personality disorder causes a nurse to feel angry toward the client. which resposnse is most therapeutic

tell the client how her behavior makes the nurse feel

client returns to nursing unit after bronchoscopy, it is expectorating pink-tinged mucus

tell the client this is expected after the procedure but continue to monitor the client

2 year old child with wilms tumor

tell the parents that surgery will be within 24 to 48 hours

70 year old with acute rheumatoid arthritis

tender, painful and stiff joints

recurrence of crowns disease, which area of alimentary canal

terminal ileum

RN is supervising an unlicensed care provider.

the RN is responsible for delegating tasks to adjunct personnel

appendectomy 24 hours ago

the client will be able to walk in the hallway

what outcome is most appropriate for a client with a diagnosis of depression and attempted suicide

the client will verbalize an absence of suicidal ideation, plan and intent

which statement made by a client about her neonate indicates the need for further teaching

the first thing i'm going to do when we get home is give the baby a tub bath

interact verbally once in each group therapy session

the goal was partially met

neonate 1 month checkup. purpose of this test

to check for developmental dysplasia of the hip

subdural hematoma is restless and confused with dilation or ipsilateral pupil. orders mannitol for which reason

to promote osmotic diuresis to decrease intracranial pressure

diverticular disease about proper diet

tossed salad with tomatoes, sunflower seeds and tuna

ulcerative colitis exhibit

toxic megacolon

treatment plan for acute gastritis

treating the underlying cause

total knee replacement. continuous passive motion.

turn the machine off when the client is eating a meal

client undergone a lumbar laminectomy voiding of small amounts of urine. may develop what condition

urine retention

nursing intervention is most important to include in a nursing care plan for a client with atelectasis

use the incentive spirometer every hour

what condition may lead to sinus arrest or sinus pause in a child

valsalvas maneuver