Sem3 Exam 3-PrepU
Hypoglycemia in a mature infant is defined as a blood glucose level below which amount? 80 mg/100 ml whole blood 45 mg/100 ml whole blood 100 mg/100 ml whole blood 30 mg/100 ml whole blood
45 mg/100 ml whole blood
When performing an Apgar score on an infant, the nurse declares the infant healthy. Which score below would reflect that finding? 6 8 2 4
8
Which statement regarding newborn circumcision is accurate? Newborns do not experience pain during a circumcision. An advantage of circumcision is a decreased risk of penile cancer. A disadvantage of circumcision is a higher risk of sexually transmitted infections. The American Academy of Pediatrics (AAP) currently discourages circumcision.
An advantage of circumcision is a decreased risk of penile cancer.
Which of the following procedures involves a surgical fusion of the joint? Osteotomy Tenorrhaphy Synovectomy Arthrodesis
Arthrodesis
What is the priority intervention for a client who has been admitted repeatedly with attacks of gout? Insert a Foley catheter Assess diet and activity at home Increase fluids Place client on bed rest
Assess diet and activity at home
A client is being discharged from the hospital after being diagnosed with and treated for systemic lupus erythematosus (SLE). What would the nurse not say when teaching the client and family information about managing the disease? · Avoid sunlight and ultraviolet radiation. · Pace activities. · If you have problems with a medication, you may stop it until your next physician visit. · Maintain a well-balanced diet and increase fluid intake to raise energy levels and promote tissue healing.
If you have problems with a medication, you may stop it until your next physician visit.
The nurse is caring for a client with ankylosing spondylitis (AS). Which medication will the nurse expect to be prescribed for this client? Antibiotics Nonsteroidal anti-inflammatory drugs (NSAIDs) Anticoagulants Oral corticosteroids
Nonsteroidal anti-inflammatory drugs (NSAIDs)
An older adult with rheumatoid arthritis says exercise was not effective. Which response will the nurse make to learn the reason for the failure of this treatment approach? "Does exercise usually work for you?" "Do you think you are too old to exercise?" "What types of exercise were you doing?" "Why do you think the exercise didn't work?"
What types of exercise were you doing?"
A client asks the nurse how to identify rheumatoid nodules with rheumatoid arthritis. What characteristic will the nurse include? tender to the touch nonmovable reddened located over bony prominence
located over bony prominence
The nurse is performing a health history with a new client in the clinic. What is the most common reason for a client to seek medical attention for arthritis? joint swelling pain weakness stiffness
pain
The nurse is teaching a client with osteoarthritis about the disease. What is the most important client focus for disease management? prevention of joint deformity strategies for remaining active disease-modifying antirheumatic drug therapy detection of systemic complications
strategies for remaining active
A client with gout has been advised to lose weight. The client informs the nurse of plans to go on a "guaranteed rapid weight loss" plan that involves fasting and heavy exercise. Which response would be most appropriate? "Make sure to eat some fat occasionally with all that exercise." "There might be some difficulties with your plan and fasting." "The fasting is okay, but make sure you drink fluids when exercising." "Try combining the fasting with moderate exercise."
"There might be some difficulties with your plan and fasting."
A pregnant single mom living alone tells the nurse she is considering getting a cat for her 2-year-old daughter. Which is the best response by the nurse? "You should wait until after you give birth to obtain the cat for your daughter." "If you don't think caring for a cat is too much work, that would be great." "The exposure to the cat litter may cause you to need a C-section." "This will cut down on the jealousy for your two-year-old when the baby comes."
"You should wait until after you give birth to obtain the cat for your daughter."
A client diagnosed with arthritis doesn't want to take medications. Physical therapy and occupational therapy have been consulted for nonpharmacologic measures to control pain. What might physical and occupational therapy include in the care plan to help control this client's pain? Acupuncture Heat therapy and nonsteroidal anti-inflammatory medications (NSAIDs) An exercise routine that includes range-of-motion (ROM) exercises Cold therapy
An exercise routine that includes range-of-motion (ROM) exercises
A newborn with high serum bilirubin is receiving phototherapy. Which is the most appropriate nursing intervention for this client? Gentle shaking of the baby Application of eye dressings to the infant Placing light 6 inches above the newborn's bassinet Delay of feeding until bilirubin levels are normal
Application of eye dressings to the infant
A woman in scrubs enters a mother's room while the nurse is completing an assessment. The woman states the doctor is in the nursery and has requested the infant be brought back for an examination. What will the nurse do? Ask the woman to bring the infant back when the doctor finishes the examination. Ask how long the infant will be gone since her next feeding is in 30 minutes. Ask to see the woman' hospital identification badge. Call the nursery to confirm the doctor does indeed need this infant at this time.
Ask to see the woman' hospital identification badge.
A nurse is preparing a client with systemic lupus erythematosus (SLE) for discharge. Which instruction should the nurse include in the teaching plan? "Corticosteroids may be stopped when symptoms are relieved." "Exposure to sunlight will help control skin rashes." "There are no activity limitations between flare-ups." "Monitor your body temperature."
"Monitor your body temperature."
A client is worried that her newborn's stools are greenish, with an unpleasant odor. The newborn is being formula-fed. What instruction should the nurse give this client? Switch to feeding breast milk. No action is need; this is normal. Change to a soy-based formula. Increase the newborn's fluid intake.
No action is need; this is normal.
The nurse is assessing a newborn by auscultating the heart and lungs. Which natural phenomenon will the nurse explain to the parents is happening in the cardiovascular system? Oxygen is exchanged in the lungs. The oxygen in the blood decreases. Pressure changes occur and result in closure of the ductus arteriosus. Fluid is removed from the alveoli and replaced with air.
Pressure changes occur and result in closure of the ductus arteriosus
The nurse is caring for a new mother and newborn in a rooming-in unit and watches the mother put the infant in the bed, lying on her side, propped up with a pillow. The nurse should point out that this position can increase the risk of which situation? Gastroesophageal reflux Sudden infant death syndrome Sleeping for short intervals Apnea episodes
Sudden infant death syndrome
The nurse is planning teaching for a client with gout. Which topics will the nurse include in the teaching? Select all that apply. Weight loss Limiting exercise Restricting the intake of water Decreasing alcohol intake Avoiding purine-rich foods
Weight loss Decreasing alcohol intake Avoiding purine-rich foods
A 12-hour-old infant is receiving IV fluids for polycythemia. For which complication should a nurse monitor this client? fluid overload decreased level of consciousness hypotension tachycardia
fluid overload
An obese woman with diabetes has just given birth to a term, large-for-gestational-age (LGA) newborn. Which condition should the nurse most expect to find in this infant? hypotension hyperglycemia hypertension hypoglycemia
hypoglycemia
The nurse is preparing a teaching plan for new parents about why newborns experience heat loss. Which information about newborns would the nurse include? thick skin with deep lying blood vessels limited voluntary muscle activity expanded stores of glucose and glycogen enhanced shivering ability
limited voluntary muscle activity
The Ballard scoring system evaluates newborns on which two factors? tone maturity and extremities maturity physical maturity and neuromuscular maturity body maturity and cranial nerve maturity skin maturity and reflex maturity
physical maturity and neuromuscular maturity
The nurse notes the listed assessment findings in a newborn. Which finding correlates with a glucose level for a newborn is 39 mg/dl (2.16 mmol/l). strong cry elevated temperature poor feeding heart rate of 142 beats/min
poor feeding
A client arrives at the orthopedic clinic and reports suspecting a stress fracture of the right foot. The physician orders an x-ray with negative results. What does the nurse understand that these negative results can mean? carbohydrates fluid intake protein-rich foods purine-rich foods
purine-rich foods
The nurse is caring for a client with palindromic rheumatism. The nurse knows that this type of rheumatism can lead to which diagnosis? Rheumatoid arthritis Scleroderma Systemic lupus erythematosus Fibromyalgia
Rheumatoid arthritis
Which nursing intervention is priority for the nursery nurse to complete on a newborn immediately following a cesarean birth? Maintain a thermoneutral environment. Assess for congenital defects. Suction the newborn's airway. Monitor for hypoglycemia.
Suction the newborn's airway.
An older adult with rheumatoid arthritis limits going out with others because of the need to use a cane. Which response will the nurse make to this client? "Look at the cane as maintaining your independence." "Invite people over to your home instead." "It must be hard to get older." "Everyone will get older at some time."
"Look at the cane as maintaining your independence."
The nurse is completing a health history with a client in a clinic. What assessment finding best correlates with a diagnosis of osteoarthritis? anorexia and weight loss joint stiffness that increases with activity fever and malaise erythema and edema over the affected joint
joint stiffness that increases with activity
The nurse is providing care to a newborn with severe meconium aspiration syndrome (MAS). The nurse is reviewing the newborn's diagnostic test results. Which finding would the nurse expect? elevated blood pH vocal cords negative for meconium patchy, fluffy infiltrates on chest X-ray increased PaO2
patchy, fluffy infiltrates on chest X-ray
Which finding would the nurse expect in a neonate who is born with the assistance of a vacuum extractor? increased intracranial pressure scalp edema vaginal lacerations cervical lacerations
scalp edema
A nurse is assessing a newborn and notifies the primary health care provider because the nurse suspects increased intracranial pressure. When reporting the findings, which of the following would the nurse most likely include? soft, nonbulging fontanels (fontanelles) vital signs within acceptable ranges seizure activity overriding sutures
seizure activity
The nurses at a local free clinic are concerned there may be an increase in small-for-gestational-age infants in the community. When collecting data to research the situation, the nurses will exclude infants above which category? the 4th percentile for gestational age the 8th percentile for gestational age the 6th percentile for gestational age the 10th percentile for gestational age
the 10th percentile for gestational age
A premature infant develops respiratory distress syndrome. With this condition, circulatory impairment is likely to occur because, with increased lung tension,: the pulmonary artery closes. the ductus arteriosus remains open. there are aortic valve strictures. the foramen ovale closes prematurely.
the ductus arteriosus remains open.
At what point should the nurse expect a healthy newborn to pass meconium? by 12 to 18 hours of life before birth within 1 to 2 hours of birth within 24 hours after birth
within 24 hours after birth
A client with rheumatoid arthritis arrives at the clinic for a checkup. Which statement by the client refers to the most overt clinical manifestation of rheumatoid arthritis? "I have pain in my hands." "My legs feel weak." "I have trouble with my balance." "My finger joints are oddly shaped."
"My finger joints are oddly shaped."
A client with osteoarthritis expresses concerns that the disease will prevent the ability to complete daily chores. Which suggestion should the nurse offer? "Do all your chores in the evening, when pain and stiffness are least pronounced." "Pace yourself and rest frequently, especially after activities." "Do all your chores in the morning, when pain and stiffness are least pronounced." "Do all your chores after performing morning exercises to loosen up."
"Pace yourself and rest frequently, especially after activities."
The nurse is caring for the newborn after birth. The nurse has obtained erythromycin ophthalmic ointment and prepares for administration. The parent asks the nurse, "I know all newborns get ointment put in their eyes, but why?" How will the nurse respond? It is to prevent a corneal tear during birth. It helps to moisten the eye after birth to assist in blinking. It helps the newborn's vision to be more clear. It is precautionary to prevent gonorrheal and chlamydial conjunctivitis.
It is precautionary to prevent gonorrheal and chlamydial conjunctivitis.
A client at 34 weeks' gestation has recently been diagnosed with human immunodeficiency virus (HIV). The client asks how HIV would be transmitted to the newborn. Which statement would be the nurse's best response? "It is not transmitted to your newborn as it is protected in the uterus." "The risk of your newborn being infected with HIV infection is about 1%." It is recommended to formula-feed your newborn as it is transmitted through your breast milk." "It is only transmitted through the birth canal so a cesarean birth will be scheduled."
It is recommended to formula-feed your newborn as it is transmitted through your breast milk."
The nurse is caring for a client with palindromic rheumatism. The nurse knows that this type of rheumatism can lead to which diagnosis? Scleroderma Systemic lupus erythematosus Rheumatoid arthritis Fibromyalgia
Rheumatoid arthritis
The nurse is performing discharge teaching for a client with rheumatoid arthritis. What teachings are priorities for the client? Select all that apply. Narcotic safety Safe exercise Dressing changes Medication dosages and side effects Assistive devices
Safe exercise Medication dosages and side effects Assistive devices
A 20-year-old client gave birth to a baby boy at 43 weeks' gestation. What might the nurse observe in the newborn during routine assessment? The testes in the child may be undescended. The infant may have excess of lanugo and vernix caseosa. The newborn may look wrinkled and old at birth. The newborn may have short nails and hair.
The newborn may look wrinkled and old at birth.
A client is recovering from an attack of gout. What will the nurse include in the client teaching? Weight loss will increase uric acid levels and reduce stress on joints. Weight loss will reduce inflammation. Weight loss will reduce purine levels. Weight loss will reduce uric acid levels and reduce stress on joints.
Weight loss will reduce uric acid levels and reduce stress on joints.
A client asks the nurse what surfactant is. Which explanation would the nurse give as the main role of surfactant in the neonate? promotes clearing of mucus from the respiratory tract helps the lungs remain expanded after the initiation of breathing assists with ciliary body maturation in the upper airways helps maintain a rhythmic breathing pattern
helps the lungs remain expanded after the initiation of breathing
A client with group AB blood whose husband has group O blood has just given birth. Which complication or test result is a major sign of ABO blood incompatibility that the nurse should look for when assessing this neonate? jaundice after the first 24 hours of life bleeding from the nose or ear jaundice within the first 24 hours of life negative Coombs test
jaundice after the first 24 hours of life
A nurse is conducting a presentation at a community health center about congenital malformations. The nurse describes that some common congenital malformations can occur and are recognized to be caused by multiple genetic and environmental factors. Which example would the nurse most likely cite? spina bifida color blindness hemophilia cystic fibrosis
spina bifida
· A nurse is caring for a 25-year-old G1P0 at 37 weeks' gestation. The client's history indicates that the client has had alcohol abuse disorder throughout their pregnancy. What signs and symptoms does the nurse expect the newborn to exhibit? · The nurse recognizes the newborn is exhibiting signs and symptoms of fetal alcohol syndrome, which include ,___ ,_____ ,_____ and ______.
· High pitched cry · Jitteriness · Large narrow spaced eyes · Flat midface
Which term refers to fixation or immobility of a joint? Ankylosis Arthroplasty Diarthrodial Hemarthrosis
Ankylosis
Which of the following procedures involves a surgical fusion of the joint? Osteotomy Arthrodesis Synovectomy Tenorrhaphy
Arthrodesis
A client is experiencing painful joints and changes in the lungs, heart, and kidneys. For which condition will the nurse schedule this client for diagnostic tests? Heart disease Autoimmune disorders Metabolic disorders Vascular diseases
Autoimmune disorders
A client with Sjogren's syndrome is experiencing xerostomia. Which information will the nurse provide to help alleviate this client's problem? Select all that apply. Avoid smoking Omit spicy and salty foods Eat small frequent meals Limit the intake of alcohol Use antiseptic mouthwash twice a day
Avoid smoking Omit spicy and salty foods Eat small frequent meals Limit the intake of alcohol
A nurse is caring for an infant with an elevated bilirubin level who is under phototherapy. What evaluation data would best indicate that the newborn's jaundice is improving? Bilirubin level went from 15 to 11. Reticulocyte count is 6%. Skin looks less jaundiced. Hematocrit is 38.
Bilirubin level went from 15 to 11.
The nurse has completed an assessment on a 1-day-old newborn. Which finding should the nurse prioritize? heart rate 158 bpm respiratory rate 42 breaths/min Blood sugar 42 mg/dl temperature of 97.8°F (36.5°C)
Blood sugar 42 mg/dl
The nurse is teaching a client about the characteristics of osteoarthritis. How will the nurse determine the client teaching was successful? Clients may have swan neck deformity. Clients may develop Heberden nodes. Clients will develop boutonniere deformity. Clients will have an ulnar deviation.
Clients may develop Heberden nodes.
Which finding is consistent with the diagnosis of rheumatoid arthritis? Increased red blood cell count Cloudy synovial fluid Increased C4 complement component Decreased ESR
Cloudy synovial fluid
A client with osteoarthritis asks for information concerning activity and exercise. When assisting the client, which concept should be included? Delaying exercise for at least 1 hour after awakening allows the client to participate in exercise after some of the morning-related stiffness has subsided. Exercising immediately upon awakening allows the client to participate in activities when he has the greatest amount of energy. Exercising in the evening before going to bed is beneficial. The time of day when exercise is performed isn't important.
Delaying exercise for at least 1 hour after awakening allows the client to participate in exercise after some of the morning-related stiffness has subsided.
Which is an appropriate nursing intervention in the care of the client with osteoarthritis? Provide an analgesic after exercise Avoid the use of topical analgesics Assess for gastrointestinal complications associated with COX-2 inhibitors Encourage weight loss and an increase in aerobic activity
Encourage weight loss and an increase in aerobic activity
Which is an appropriate nursing intervention in the care of the client with osteoarthritis? Assess for gastrointestinal complications associated with COX-2 inhibitors Avoid the use of topical analgesics Encourage weight loss and an increase in aerobic activity Provide an analgesic after exercise
Encourage weight loss and an increase in aerobic activity
A nurse assesses a client in the health care provider's office. Which assessment findings support a suspicion of systemic lupus erythematosus (SLE)? Photosensitivity, polyarthralgia, and painful mucous membrane ulcers Weight gain, hypervigilance, hypothermia, and edema of the legs Hypothermia, weight gain, lethargy, and edema of the arms Facial erythema, pericarditis, pleuritis, fever, and weight loss
Facial erythema, pericarditis, pleuritis, fever, and weight loss
The nurse is discussing the new medication that a client will be taking for treatment of rheumatoid arthritis. Which disease-modifying antirheumatic drug (DMARD) will the nurse educate the client about? Celecoxib Mercaptopurine azathioprine Methotrexate Methylprednisolone
Methotrexate
What is the first action the nurse takes in surfactant administration? Obtain and document baseline vital signs. Change the infant's diaper. Call pharmacy for medication. Hold feedings.
Obtain and document baseline vital signs.
Which is the leading cause of disability and pain in the elderly? Scleroderma Osteoarthritis (OA) Systemic lupus erythematosus (SLE) Rheumatoid arthritis (RA)
Osteoarthritis (OA)
The nursery nurse notes that one of the newborn infants has white patches on his tongue that look like milk curds. What action would be appropriate for the nurse to take? Since it looks like a milk curd, no action is needed. Wipe the tongue off vigorously to remove the white patches. Report the finding to the pediatrician. Rinse the tongue off with sterile water and a cotton swab.
Report the finding to the pediatrician.
Which action will the nurse avoid when performing basic care for a newborn male? Inspecting the genital area for irritated skin Retracting the foreskin over the glans to assess for secretions Palpating if testes are descended into the scrotal sac Determining the location of the urethral opening
Retracting the foreskin over the glans to assess for secretions
The nurse is caring for a client with palindromic rheumatism. The nurse knows that this type of rheumatism can lead to which diagnosis? Fibromyalgia Systemic lupus erythematosus Rheumatoid arthritis Scleroderma
Rheumatoid arthritis
Which of the following disorders is characterized by an increased autoantibody production? Scleroderma Polymyalgia rheumatic Rheumatoid arthritis (RA) Systemic lupus erythematosus (SLE)
Systemic lupus erythematosus (SLE)
A client is taking ibuprofen for the treatment of osteoarthritis. What education will the nurse give the client about the medication? Take the medication on an empty stomach in order to increase effectiveness. Since the medication is able to be obtained over the counter, it has few side effects. Take the medication with food to avoid stomach upset. Inform the health care provider if there is ringing in the ears.
Take the medication with food to avoid stomach upset.
The client brings her infant daughter to the pediatrician's office for her first visit since hospital discharge. At birth, the newborn was at the 8th percentile with a weight of 2,350 g. She was born at 36 weeks' gestation. Which documentation is most accurate? The infant was born at term but at a low-birth-weight and small-for-gestational- age. The infant was born at term but a very-low-birth-weight and small-for-gestational-age. The infant was a preterm, low-birth-weight and small-for-gestational-age neonate. The infant was a preterm, very-low-birth-weight and small-for-gestational-age.
The infant was a preterm, low-birth-weight and small-for-gestational-age neonate.
The nurse has administered erythromycin ointment to a newborn. What outcome indicates this nursing intervention has been effective? The newborn does not contract ophthalmia neonatorum. The newborn's sclerae do not appear yellow. The newborn is about to produce sufficient tears. The newborn's active eye infection resolves.
The newborn does not contract ophthalmia neonatorum.
Which term indicates an accumulation of crystalline depositions in articular surfaces, bones, soft tissue, and cartilage? Pannus Subchondral bone Joint effusion Tophi
Tophi
The nurse places a newborn experiencing respiratory difficulty under a radiant warmer to prevent which complication? hypoxia alkalosis hypercapnia acidosis
acidosis
On examination, the hands and feet of a 12-hour-old infant are cyanotic without other signs of distress. The nurse should document this as: poor oxygenation. cold stress. potential for respiratory distress. acrocyanosis.
acrocyanosis.
A nurse is assessing a client with possible osteoarthritis. What is the most significant risk factor for primary osteoarthritis? congenital deformity age trauma obesity
age
A group of pregnant women are discussing high-risk newborn conditions as part of a prenatal class. When describing the complications that can occur in these newborns to the group, which would the nurse include as being at lowest risk? low-birth-weight newborns appropriate-for-gestational-age (AGA) newborns small-for-gestational-age (SGA) newborns large-for-gestational-age (LGA) newborns
appropriate-for-gestational-age (AGA) newborns
A client has given birth to a full-term infant weighing 10 pounds, 5 ounces (4678 grams). What priority assessment should be completed by the nurse? perfusion blood glucose feeding difficulty temperature control
blood glucose
The nurse frequently assesses the respiratory status of a preterm newborn based on the understanding that the newborn is at increased risk for respiratory distress syndrome because of which factor? inability to clear fluids deficiency of surfactant smaller respiratory passages immature respiratory control center
deficiency of surfactant
The nurse is gathering a health history for a client with osteoarthritis. What clinical manifestation will the nurse expect to find? early morning stiffness small joint involvement joint pain that increases with rest subcutaneous nodules
early morning stiffness
A client is being treated for hyperuricemia. Part of the treatment strategy is for the client to avoid contributing factors whenever possible. Which activities might bring on an acute attack? high carbohydrate intake eating organ meats and sardines frequently ingesting salicylates frequently drinking coffee
eating organ meats and sardines
A client is being treated for hyperuricemia. Part of the treatment strategy is for the client to avoid contributing factors whenever possible. Which activities might bring on an acute attack? frequently ingesting salicylates eating organ meats and sardines frequently drinking coffee high carbohydrate intake
eating organ meats and sardines
A nurse is assessing the fluid status of a preterm newborn. Which parameter would be most appropriate for the nurse to assess? fluid intake fontanels (fontanelles) skin turgor urinary output
fontanels (fontanelles)
A client has given birth to a small-for-gestational-age (SGA) newborn. Which finding would the nurse expect to assess? head larger than body protuberant abdomen round flushed face brown lanugo body hair
head larger than body
Osteoarthritis is known as a disease that: affects young males. requires early treatment because most of the damage seems to occur early in the course of the disease. is the most common and frequently disabling of joint disorders. affects the cartilaginous joints of the spine and surrounding tissues.
is the most common and frequently disabling of joint disorders.
A client diagnosed with arthritis doesn't want to take medications. Physical therapy and occupational therapy have been consulted for nonpharmacologic measures to control pain. What might physical and occupational therapy include in the care plan to help control this client's pain? • Heat therapy and nonsteroidal anti-inflammatory medications (NSAIDs) • Acupuncture • An exercise routine that includes range-of-motion (ROM) exercises • Cold therapy
An exercise routine that includes range-of-motion (ROM) exercises
The nurse is assessing a client with a history of ankylosing spondylitis. What will the nurse most commonly assess? red, butterfly-shaped facial rash patchy hair loss on the scalp low back pain increased urine output
low back pain
A newborn is suspected to have fetal alcohol syndrome as a result of maternal use of alcohol during pregnancy. Which of the following would the nurse expect to assess? long nose thick upper lip large bulging eyes low nasal bridge
low nasal bridge
The nurse should carefully monitor which neonate for hyperbilirubinemia? neonate with Apgar scores 9 and 10 at 1 and 5 minutes neonate of an Rh-positive mother neonate of African descent neonate with ABO incompatibility
neonate with ABO incompatibility
A client with a history of gout experiences an attack every 2 to 3 months despite losing weight and stopping all alcohol intake. Which question will the nurse ask when assessing this client? "Are you taking frequent rest periods throughout the day?" "Have you reduced the amount of daily exercise?" "Have you increased your intake of fat-soluble vitamins?" "Are you taking the medication as prescribed?"
"Are you taking the medication as prescribed?"
A client with rheumatoid arthritis wants to participate in water aerobics classes for arthritis at the community center. Which statement will the nurse respond to this client? "Don't go if your joints are inflamed." "That's not the best activity for misaligned joints." "Have someone check your blood pressure before exercising." "Be sure to wear nonslip footwear for safety."
"Be sure to wear nonslip footwear for safety."
The mother of a preterm infant tells her nurse that she would like to visit her newborn in the neonatal intensive care unit (NICU). Which response by the nurse would be most appropriate? "Certainly. You may only observe the child from a distance, however, as his immune system is still not developed adequately." "Certainly. You will need to wash your hands and gown before you can hold him, however." "I'm sorry. You may not visit your son until he has been released from the NICU." "I'm sorry. You may not visit the NICU, but we can arrange to have your son brought to your room so that you can hold him."
"Certainly. You will need to wash your hands and gown before you can hold him, however."
A new mother who is breastfeeding her newborn asks the nurse, "How will I know if my baby is drinking enough?" Which response by the nurse would be most appropriate? "Make sure he drinks at least 5 minutes on each breast." "If his lips are moist, then he's okay." "He should wet between 6 to 10 diapers each day." "If he seems content after feeding, that should be a sign."
"He should wet between 6 to 10 diapers each day."
In the child diagnosed with hydrocephalus, an obstruction occurs that blocks the normal process of: circulatory blood flow. lymphatic system. cerebrospinal fluid. genitourinary tract.
cerebrospinal fluid.
The nurse is caring for a client with a new onset of gout. What medication does the nurse anticipate will be ordered by the health care provider? probenecid colchicine allopurinol anturane
colchicine
The nurse observes a newborn experiencing coughing, choking, and unexplained cyanosis during feeding. These are classic signs of what condition? intestinal obstruction esophageal atresia ankyloglossia cystic fibrosis
esophageal atresia
The nurse is teaching a newly diagnosed client about systemic lupus erythematosus(SLE). What statement by the client indicates the teaching was successful? "The symptoms are primarily localized to the skin but may involve the joints." "The belief is that it is an autoimmune disorder with an unknown trigger." "This disorder is more common in men in their thirties and forties than in women." "SLE has very specific manifestations that make diagnosis relatively easy."
"The belief is that it is an autoimmune disorder with an unknown trigger."
A nurse is teaching a postpartum client and her partner about caring for their newborn's umbilical cord site. Which statement by the parents indicates a need for additional teaching? "The cord stump should change from brown to yellow." "We can put him in the tub to bathe him once the cord falls off and is healed." "We need to call the primary care provider if we notice a funny odor." "Exposing the stump to the air helps it to dry."
"The cord stump should change from brown to yellow."
New parents are getting ready to go home from the hospital and have received information to help them learn how best to care for their new infant. Which statement indicates that they need additional teaching about how to soothe their newborn if he becomes upset? "We'll lightly rub his back as we talk to him softly." "We'll swaddle him snuggly to make him feel secure." "We'll turn on the mobile that's hanging above his head in his crib." "We'll hold off on feeding him for a while because he might be too full."
"We'll hold off on feeding him for a while because he might be too full."
A client is experiencing an acute exacerbation of rheumatoid arthritis. What should the nursing priority be? Providing comprehensive client teaching; including symptoms of the disorder, treatment options, and expected outcomes Supplying adaptive devices, such as a zipper-pull, easy-to-open beverage cartons, lightweight cups, and unpackaged silverware Administering ordered analgesics and monitoring their effects Performing meticulous skin care
Administering ordered analgesics and monitoring their effects