WEEK 1 CUSTUM EXAM LPN NURSING PROCESS

A nurse advise his parents to assist her child with stretching exercises. The child has an impaired physical mobility due to a neuromuscular impairment. Which rational explains the need to perform stretching exercises?

To prevent contractures

A client with gastroesophageal reflux is to receive metoclopramide 15 mg orally before meals. The concentrated solution contains 10 mg/ml. How much solution should the nurse administer?

1.5

A client with stage four pressure ulcer is to receive 0.22.g of zinc sulfate by mouth. Each tablet contains 110mg. How many tablets with the nurse administer?

2

Which condition is more common in adolescent girls than boys?

Anorexia nervosa

Which assessment with the nurse perform before administering digoxin to a client?

Apical heart rate

The nurse is teaching a client newly diagnosed with diabetes about the importance of glucose monitoring. Which blood glucose level should the nurse identify as hypoglycemia?

68 mg/dL

A nurse is taking the blood pressure of a client with hypertension. The first sound is heard at 140; the second sound is a swishing sound heard at 130; they tapping sound is heard at 100; a muffled sound is heard at 90; the sound disappears at 72. When recording just the systolic and diastolic readings. What is the diastolic pressure?

72 mm Hg

Which finding is expected by the nurse is reviewing blood screening test of the immune system of a client with AIDS

A Decreased in the CD4 T cells

Which modifiable risk factor associated with CAD with the nurse discuss when conducting a health class for adolescence?

Cigarette smoking

Which activity would the nurse expect to cause significant distress in a client with heart failure?

Climbing a flight of stairs to the bedroom

Which therapeutic effect would the nurse expect to identify when minute tall is administered parenterally to a client with cerebral edema?

Decreased intracranial pressure

Which emotion with the client be experiencing when they ask " are you sure I'm ready to move?" Just before being transferred from an intensive care unit to an intermediate care unit?

Fear

Which factor primarily influences the onset of puberty in adolescence?

Genetics

Four hours after surgery, the blood glucose level of a client who has type one diabetes is elevated. Which intervention with the nurse implement?

Giving supplemental doses of regular insulin

The nurse identifies that which lab test as part of the CBC?

Hemoglobin

A client has a tentative diagnosis of Cushing syndrome. Which finding would the nurse expect on assessment?

Hypertension and moon face

At 4:30 PM a client who is receiving human insulin every morning states" I feel very nervous" the nurse observes that the client skin is moist and cool. Which condition explains what the client is likely experiencing?

Hypoglycemia

The nurse is caring for an adolescent with hemophilia. Which statement by the client indicates a need for further teaching?

I'll use a straight razor when I start shaving

Which information would be important for the nurse to determine and a mother with AIDS who states that she has been caring for her baby, even though she is not feeling well?

If the baby is breast-feeding

Which finding would a nurse expect to find when assessing a diabetic client with leg ulcers who has been receiving long-term corticosteroid therapy?

In adequate wound healing

Which statement by a client with hypertension prescribed a 2G sodium diet provides evidence that the nurses dietary instructions are understood?

Labels on prepackaged food products should be evaluated before purchase

Which enzyme with the nurse consider to be deficient in a client experiencing abdominal discomfort following ingestion of milk?

Lactase

A nurse is caring for a 15-year-old Adolescent Hwy was admitted to the hospital after an acetaminophen overdose. Which diagnostic study is important for the nurse to monitor at this time?

Liver function tests

Which intervention would be included in the plan of care for an infant who just underwent myelomeningocele repair?

Monitoring for cerebral fluid leakage

An adolescent who was admitted to the hospital with ketoacidosis, is stable and relieving insulin subcutaneously. One hour after its administration, the nurse enters the room and notes that the adolescent is diaphoretic and irritable. Which intervention is the nurses priority?

Obtaining a blood glucose reading

A nurse is caring for an adolescent in the post operative care unit. Which action would the nurse take to ensure accuracy of a pulse ox reading?

Placing the probe on a finger or earlobe

Which behavior is most unusual for a seven month old infant?

Putting clothes pins in a plastic bottle

Which indicator with the nurse used to determine effectiveness after administration of sublingual nitroglycerin?

Relief of anginal pain

Which health education topic will be appropriate for adolescence?

Safe sexual practices

Which information would be included related to automobile infant restraint systems when teaching parents of a newborn preparing for discharge? Select all that apply.

Secure the infant seat, so that it face is the rear Follow the manufacturers directions to secure the infant seat in the backseat Be sure to follow weight guidelines, set forth in the manufacturers instructions

The nurses in the post anesthesia care unit and is caring for a client who just had a thyroidectomy. Which response is most important for the nurse to monitor?

Signs of respiratory obstruction

Which sign in the newborn infant would reflect an Apgar score of one in the category of respiration?

Slow, week cry

Which dietary restriction with the nurse teach a client with heart failure?

Sodium

A client with hyperthyroidism asks the nurse about the test that will be prescribed. Which diagnostic test with the nurse include in the response?

TSH assay and T3

Which action would be included in the plan of care for the next few days for a client hospitalized for heart failure who is receiving digoxin and will continue taking the drug after discharge?

Taking the apical pulse before drug administration and teaching the client how to count the pulse

Hey 16-year-old single mother and her mother bring a one month old infant to the emergency department after an accidental fall down the stairs. Which person has a responsibility for sign the consent form for treatment?

The mother, despite her age

Which health problem does the nurse identify from an older client history that increases the clients risk factors for a cerebrovascular accident?

Transient ischemic attacks

Which an adult with the nursery call when administering warfarin to a client?

Vitamin K

Which action would the nurse take to prevent cross-contamination when caring for a client with herpes genitalis?

Wear a gown and gloves, when giving direct care

Which addition to the diet with the nurse encourage for a client admitted for a laparoscopic cholecystectomy to help normalized malfunction after surgery?

Whole bran