Prep U P1
observe the kid for signs of pain
A 10-year-old boy who had an appendectomy had expressed worry that following the procedure he would have lots of pain. Two days after the procedure the child is claiming he is having no pain. Which nursing intervention should the nurse prioritize when assessing this child? Tell him to let you know if he begins to feel pain. Explain to his caregiver that his pain level shows he is getting better quickly. Observe him for physical signs which might indicate pain. Ask him to show you his pain level using the color pain scale.
ability to control his own behavior
A 15-year-old boy asks numerous questions about recovery from anesthesia and typical behaviors of someone awakening from sedation. The nurse interprets the concern of this teen to be: about his ability to control his own behavior. about a change in body image. anxiety related to the surgical procedure itself. adequacy of postsurgical pain control.
Prepare the child
A 6-year-old child will be hospitalized for a surgical procedure. How can the nurse best ease the stress of hospitalization for this child? Tell the parents to bring toys for the child from home. Prepare the child for hospitalization by explaining what to expect and showing him or her around the hospital. There is no way to adequately prepare a child for an impending hospitalization. Have another child talk with the child to be hospitalized.
the pain stopped
A client being treated for a peptic ulcer seeks medical attention for vomiting blood. Which statement indicates to the nurse the reason for the client developing hematemesis? "I think the soda that I drank irritated my stomach." "The pain stopped so I stopped taking the medications." "I felt better but then just got really nauseated and threw up." "I only ate dinner yesterday and it gave me an upset stomach."
acute gastritis
A client comes to the clinic after developing a headache, abdominal pain, nausea, hiccupping, and fatigue about 2 hours ago. The client tells the nurse that the last food was buffalo chicken wings and beer. Which medical condition does the nurse find to be most consistent with the client's presenting problems? Acute gastritis Duodenal ulcer Gastric cancer Gastric ulcer
.45 percent sodium chloride
A client diagnosed with hypernatremia needs fluid volume replacement. What intravenous solution would be the safest for the nurse to administer? 0.45% sodium chloride 0.9% sodium chloride 5% dextrose in water 5% dextrose in normal saline solution
Belching early satiety sour taste in mouth
A client has been diagnosed with chronic gastritis. The nurse knows that which of the following symptoms are indicative of gastritis? Select all that apply. Hiccups Belching Early satiety Hematemesis Sour taste in the mouth
black and tarry
A client is admitted to the health care facility with a diagnosis of a bleeding gastric ulcer. The nurse expects the client's stools to have which description? Coffee-ground-like Clay-colored Black and tarry Bright red
melena
A nurse assesses the stools of a client diagnosed with peptic ulcer disease. Inspection reveals black, tarry stools. The nurse would use which term to document this finding? melena hematemesis pyrosis achlorhydria
using a pinwheel
A nurse caring for a 5-year-old who had abdominal surgery yesterday is trying to teach the child how to take deep breaths. The best way that the nurse can accomplish this is by: teaching pursed-lip breathing. using a pinwheel. using a spirometer. using a flow meter.
the toddler is quiet
A nurse is caring for an 18-month-old girl undergoing traction therapy in a rehabilitation unit. The nurse understands that the girl is in the second phase of separation anxiety when she observes what behavior? The toddler is quiet, looks sad, and is disinterested in playing. The child exhibits signs of anger. The girl acts extremely agitated. The toddler cries inconsolably. The girl ignores her.
eating
A patient comes to the clinic complaining of pain in the epigastric region. The nurse suspects that the patient's pain is related to a peptic ulcer when the patient states the pain is relieved by what? Eating Drinking milk Suppressing emesis Having a bowel movement
four year old
For the ______-year-old, construction toys, jigsaw puzzles, memory games, and fantasy play are favorites
clammy
How is the skin with metabolic acidois
megacolon
Symptoms include constipation, liquid fecal incontinence, and abdominal distention. for which condition
read
The 3-year-old child should have a large sturdy toys such as big blocks, active toys like a pounding bench, and musical toys that encourage rhythmic movement
the 1 year old client with a respiratory disorder prescribed oxygen therapy
The charge nurse is planning staffing on a pediatric unit. Which client will the charge nurse assign to the registered nurse? the 1-year-old client with a respiratory disorder prescribed oxygen therapy the 6-year-old client admitted yesterday for oral rehydration following a mild gastrointestinal disorder the 8-year-old client recovering from an appendectomy who is ambulating the 12-year-old client with a urinary tract infection taking oral antibiotics
refrain until the gi subside
The nurse advises the patient who has just been diagnosed with acute gastritis to: Take an emetic to rid the stomach of the irritating products. Refrain from food until the GI symptoms subside. Restrict food and fluids for 12 hours. Restrict all food for 72 hours to rest the stomach.
antispasmodic
The nurse caring for a client with diverticulitis is preparing to administer the client's medications. The nurse anticipates administration of which category of medication because of the client's diverticulitis? Antianxiety Antispasmodic Antiemetic Anti-inflammatory
1 2 3
The nurse is caring for a hospitalized toddler who is prescribed bedrest. Which item(s) would the nurse recognize as appropriate for the toddler? Select all that apply. 1.boxes to put toys in and/or take out toys 2.stacking blocks or small boxes 3.nursery rhymes or sing-along songs on tape 4. fine-print books or magazines to read 5. jigsaw puzzle with pieces 1/2 in (1.25 cm) or smaller coins, small tokens, or marbles to organize and sort
why dont you sit
The nurse is caring for a preschooler who is hospitalized with a suspected blood disorder and receives an order to draw a blood sample. Which approach is best? "I need to take some blood." "We need to put a little hole in your arm." "I need to remove a little blood." "Why don't you sit on your mom's lap?"
lets see who can blow these cotton balls off first
The nurse is caring for a preschooler who requires postsurgical breathing exercises. Which approach will best elicit the child's cooperation? "Let's see who can blow these cotton balls off the table first." "You need to do the breathing or you could get pneumonia." "Do you want to play a breathing exercise game with me?" "You will need to cooperate. Otherwise, you might not feel better."
The machine makes a very loud rattle, however, headphones will help
The nurse is caring for an 11-year-old girl preparing to undergo a magnetic resonance imaging (MRI) scan. Which statement would best help prepare the girl for the test and decrease anxiety? "You won't hear a sound if you wear your headphones." "The machine makes a very loud rattle; however, headphones will help." "There are a variety of loud sounds you will hear." "The MRI scanner sounds like a machine gun."
wait and let him bring up questions he has
The nurse is educating the parents of a 7-year-old boy scheduled for surgery to help prepare the child for hospitalization. Which statement by the parents indicates a need for further teaching? "We should talk about going to the hospital and what it will be like coming home." "We should visit the hospital and go through the preadmission tour in advance." "It is best to wait and let him bring up the surgery or any questions he has." "It is a good idea to read stories about experiences with hospitals or surgery."
plan to review information
The nurse is preparing discharge teaching for a child and the caregivers after a week of hospitalization. Which activity should the nurse prioritize in this plan? Begin the teaching sessions just prior to the child leaving the facility. Provide written instructions which can be taken home to read and follow. Ensure the caregiver has assistance to handle the complex treatments at home. Plan to review information and procedures with the family caregivers before discharge.
shallow breathing tetany muscle cramps Tingling Twitching N/V Sweating
What are the seven symptoms of metabolic alkalosis
sweating and hypotension
What is the skin like and what is the blood pressure like with resp acidois?
bleeding in low gi tract
bright red stools are indicative of what
fistuals diarrhea renal failure
causes of metabolic acidosis 3
vomiting gi suctioning diuretics antacids
causes of metabolic alkalosis
bowel perforation
megacolon can lead to
high protein and high calorie and low residue
two aspects of the IBD diet
hyponatremia
The nurse is caring for a client who has a serum osmolality of 250 mOsm/kg. The nurse knows to assess further for: Dehydration. Hyperglycemia. Hyponatremia. Acidosis.
