Unit 3 Flash Cards

The nurse in performing CPR on an infant. When performing chest compressions, which is the compression rate for an infant?

100 times per minute

Which is the most appropriate location for assessing the pulse of an infant who is less than 1 year old?

Brachial

A 9 year old child with leukemia is in remission and has returned to school. The school secretary calls the mother of the child and tells the mother that a classmate has just been diagnosed with varicells. The mother immediately calls the nurse at the health care providers office because the leukemic child has never had chickenpox. The nurse should make which response to the mother?

Bring the child to the office for an injection called immune globulin.

the nurse provides instruction to a parent of a toddler experiencing physiological anorexia. The nurse determiines the need for further teaching if the parent makes which statement?

I should feed my child if she will not eat.

The nurse witnesses a neighbor's husband sustain a fall from the roof of his house. The nurse rushes to the victim and determines the need to open the airway. The nurse opens the airway in this victim with the use of which method?

Jaw thrust maneuver

a client with TB whose status is being monitored in an ambulatory care clinic, asks the nurse when it is permissible to return to work. what should the nurse tell the client?

Three sputum cultures must be negative before returning to work.

the nurse initiates a prescription from the health care provider and restrains a client who has a chest tube connected to suction. the client is confused and ccontinues to remove the dressing around the tube and pulls at the tube. Which information should be recorded regarding restraints?

adequacy of circulation in the body area that is restrained, type of restraint and body area where the restraint was applied, communication with client and family member about need for restraint, the alternative measures that were attempted before restraints were applied.

The nurse is caring for a 6 month old infant. Which developmental ability should the nurse expect to note in this infant?

babbles using single consonants

A child is receiving edetate calcium disodium for the treatment of lead poisoning. Which laboratory result would be important to monitor during treatment?

blood urea nitrogen (BUN)

the licensed practicle nurse is assisting the RN in the care of a child who is receiving a blood transfusion and notifies the rn if the child displays which signs/symptoms of fluid overload

dry cough and distended neck veins

a nursing student enrolled in a physical assessment course is asked to describe he probable signs of pregnancy. Which are probably signs indicating possible pregnancy?

hegars, chadwicks, mcdonalds.

the nurse is planning to administer an oral glucose tolerace test to a client to rule out or confirm diabetes mellitus. The nurse knows that the client needs more information when the cllient makes which statement

i can at least drink fluids during the test, i have 30 minutes to drink the glucose load, i will have blood drawn every 5 minutes for the next 3 hours.

a client who has undergone a barium enema is being readied for discharge from the ambulatorry care unit. which statement by the client indicates understanding of the discharge instructions?

i should take a laxative and my stool should return to normal.

the nurse teaches the family of an infant with spina bifida that the infant should not be given which baby foods that may trigger a latex-type food allergy?

kiwi, bananas, avocados

a client who had abdominal surgery complains of feeling as though "something gave way" in the incisional site. The nurse removes the dressing and notes the presence of a loop of bowel protruding through the incision. Which nursing interventions should the nurse take.

notify the registered nurse, document the clients complaint, instruct the client to remain quiet, prepare the client for wound closure.

etidronate (Didronel), an antihypercalcemic medication, is prescribed for a client. Which information should the nurse reinforce when instructing the client about taking this medication

take 2 hours before meals.

The nurse provides information to the mother of a toddler regarding toilet training. the nurse should tell the mother what information?

the child should no be forced to sit on the potty for long periods, the ability of the child to remove clothing is a sign of physical readiness, waiting until the child is 24 to 30 months old makes the task considerably easier, at the age of 24 to 30 months old, the toddler is usually less negative and more willing to control their sphincters to please their parents.

the nurse prepares to tke a BP on a school age child. Where should the nurse place the BP cuff to obtain an accurate measurement?

two thirds the distance between the antecubital fossa and the shoulder.

The nurse is caring for a client who is scheduled for surgery. The client is concerned about the surgical procedure. Which action should alleviate the client's fears and misconceptions about surgery?

Ask the client to discuss information known about the planned surgery.