Evolve: Basic Care and Comfort

Which is the nurses best response to a client asking why barium is used in a barium enema upper gastrointestinal series?

"Barium gives more contrast to the soft tissue of the alimentary tract, allowing absorption of x-rays."

When discussing the delegation of client tasks such as assistance with daily living activities, which statement about accountability would the nurse leader include?

"Remaining answerable for one's choices to oneself and others characterizes accountability."

Which side effect should the nurse assess a client for when administering a selective serotonin reuptake inhibitor?

-Anxiety -Nausea -Sedation -Restlessness -Suicidal ideation -Increased energy level

Which condition contributes to a toddlers delay in speech development?

-Hearing deficit -Lead poisoning -Social isolation -Damage to the cerebrum -Autism spectrum disorder

Which would the nurse assess when using the Mental Status Assessment at a Glance?

-Orientation -Choice of words -Manner of dress -Immediate memory -Understanding of proverbs -Current situation and coping behaviors

Which information regarding a preterm infants body temperature control is accurate? select all that apply

-There is a lack of brown fat stores. -The muscles do not have the ability to shiver. -The sweat glands do not function to capacity. -There is a posture that extends body surface area. -The heat-regulating center of the brain is immature.

Which early sign of suggestive of an abusive personality? Select all that apply

-Verbal abuse -Jealousy controlling -Enforces rigid sex roles -Hypersensitive, easily insulted -Isolates partner from family and friends. -Makes others responsible for his or her feelings.

Which symptoms would the nurse include when updating the clients plan of care about the potential discomforts of the second trimester of pregnancy?

-pyrosis -backache -headache -flatulence -constipation

Which skin disease requires the use of contact precautions?

-scabies -impetigo -pediculosis -herpes zoster -neonatal herpes simplex

At which age (in years) would a child master spoon-feeding?

2 year

Which is the volume range of solution when administering a cleansing enema to a 3-year-old child?

250-350 mL

How many daily ounces of juice would the nurse recommend to the parents of a 2-year-old child?

4 ounces

For which amount of time would the nurse advise a parent to keep pumped breastmilk in the refrigerator?

48 hours

Which is the recommended size range of a urinary catheter that can be used in a 3 year old child?

8 to 10 Fr

Which information regarding histrionic personality disorder is accurate?

A pattern of excessive emotional expression is accompanied by attention seeking behaviors.

Which complication will the nurse look for in a client diagnosed with excessive gonadotropin production?

Amenorrhea

Which approach to weight gain is appropriate for a pregnant woman of average height who weighs 145 lb (65.8 kg)?

An increase of 300 calories per day

Which food choice by the client indicates understanding after the nurse has provided education regarding a low-sodium diet?

Banana

Which definition relates to steatorrhea?

Fatty stools

Which symptom or symptoms related to neuroleptic malignant syndrome?

Fever, confusion, muscle rigidity, tremor, and incontinence

Which function is associated with the biceps brachii muscle?

Flexion of the lower arm

A 15-year-old student is in which stage of Piaget's theory of cognitive development?

Formal operations

Which information regarding hepatitis C is accurate?

Hepatitis C can be managed with medication.

Which dietary deficiency would the nurse expect to find in a toddler client who does not consume adequate amounts of solid food?

Iron

Which characteristic toddler behavior is displayed when a 2 year old client continues to respond with no when presented with choices?

Negativism

Which would be appropriate when a parent asks how often new foods can be introduced to a 6-month-old infant?

Once a week

Which can occur in a case of dysfunctional labor?

Prolonged latent phase of cervical dilation

Which medication is commonly prescribed for schizophrenia?

Promazine

Which loss relates to the definition of anosmia?

Sense of smell

Which dietary information would the nurse emphasize when reinforcing a dietary program for a pregnant client with diabetes?

The need to eat a pregnancy diet that meets increased dietary needs and to adjust the insulin dosage as necessary

Which is correct about the antianxiety agent buspirone?

Therapeutic effects are not seen for 3 to 6 weeks.

Which behavior would the nurse expect to observe when evaluating the development of a healthy 2-year-old child?

Uses a cup to drink

Which local sign or symptom would the nurse expect to see when providing care for a client diagnosed with a benign pituitary adenoma?

Visual disturbances

Which intervention would the nurse recommend for post-cesarean gas pain?

Walking around the room.