Adaptive Quizzing: Evolve

25 The nurse observes the practices of the parents of several pediatric clients. Which parent needs a nursing intervention regarding medication adherence practices?

Client 2 Uses a bottle cap or soup spoon to dose liquid drug formulations

9 A client who has open-angle (chronic) glaucoma is scheduled for eye surgery to promote aqueous humor outflow. The nurse evaluates that the client understands the preoperative teaching about the first 24 hours after surgery when the client makes which statement?

1 "I should avoid coughing."

14 A nursing instructor asks a nursing student to explain the developmental changes in toddlers. Which statements made by the nurse indicate the need for further teaching? Select all that apply.

2 "Toddlers have a concave-shaped abdomen." 3 "Toddlers sleep approximately 12 hours a day."

20 The nurse knows that when a magnesium sulfate infusion is given to a client with preeclampsia, it can build to a toxic level. Which assessment finding should prompt the nurse to withhold the medication and notify the primary healthcare provider?

2 Absence of deep tendon reflexes

7 The clinic nurse is providing home care instructions for a client with pelvic inflammatory disease. What resting position should be recommended by the nurse?

2 Fowler

13 The person with which type blood is considered a universal blood recipient?

3 AB

18 Suicide precautions are ordered for a newly admitted client. What is the most therapeutic way to provide these precautions?

3 Assigning a staff member to be with the client at all times

24 A nurse arrives at the scene of an accident and finds a 5-month-old infant unconscious. After performing the initial steps of cardiopulmonary resuscitation (CPR), the nurse plans to locate the infant's pulse. Which pulse site in the accompanying figure should be palpated? A carotid B apical C brachial D Deep Femoral Artery

3 C

8 A primigravida at term is admitted to the birthing room in active labor. Later, when the client is dilated 8 cm, she tells the nurse that she has the urge to push. The nurse instructs her to pant-blow at this time because pushing can cause which of the following?

3 Cervical edema

6 The nurse suspects that a newborn's mother contracted rubella during the first trimester of pregnancy. Which newborn problems support this assumption? Select all that apply.

3 Deafness 5 Cardiac anomalies

11 The nurse is caring for a Mexican American client. Which nonverbal method of communication might offend this client?

2 Maintaining direct eye contact with the client

10 Which members of the healthcare team are under dependent status when a task is delegated by the registered nurse (RN)? Select all that apply.

2 Client attendant 5 Licensed vocational nurse (LVN)

29 The registered nurse (RN) is caring for a client with epilepsy. Which tasks delegated by the registered nurse (RN) to the assistive personnel indicates active delegation? Select all that apply.

2 Instructing the licensed practical nurse (LPN) to monitor the vital signs 4 Instructing the unlicensed assistive personnel (UAP) to reposition the client 5 Instructing the unlicensed assistive personnel (UAP) to place the oxygen mask

15 While classifying a client with heart failure in accordance with New York Heart Association guidelines, the nurse finds that performing less-than-ordinary activity causes fatigue, palpitations, dyspnea, and angina in the client. What classification of heart failure does the nurse document in the client's medical record?

3 Class III

1 A nurse is assessing a toddler with plumbism (lead poisoning). Which organ system is of most concern because of the condition's irreversible effects?

3 Nervous

21 A nurse reviews the medical records of four different clients. Which client is eligible to receive Medicaid services for long-term health care? Client 1 25 year old client with a prognosis of six months to live Client 2 30 year old diagnosed with chronic disease Client 3 78 year old with kidney disease Client 4 21 year old with a chronic illness whose income is less than the cost of the facility care

4 Client 4

17 When talking with the nurse, a client with a mood disorder says, "I feel rotten. I feel useless. I can't think straight. I feel overwhelmed by everything. I don't know if I can go on." What should the nurse document when describing this encounter?

4 Client stated, "I feel rotten. I feel useless. I can't think straight. I feel overwhelmed by everything. I don't know if I can go on."

12 What factor identified by the nurse in a client's history places the client at increased risk for breast cancer?

4 Late beginning of childbearing

3 Which statement of the chief executive officer of another healthcare facility does the nurse recognize as related to diffusion theory? Select all that apply.

1 "Our hospital culture communicates changes quickly by using Twitter." 3 "Our leaders are engaged in a change to infuse the energy from early adopters."

2 A 6-year-old child is admitted with an acute infection and dehydration. There is a prescription for an IV antibiotic to be piggybacked to a continuous hydration solution. During the administration of the antibiotic the child becomes restless, flushes, and begins to wheeze. Place the nursing actions in order of their priority.

The child is experiencing an allergic reaction. First the antibiotic should be stopped to prevent anaphylactic shock. Maintaining respiratory function is a priority; therefore it should be checked immediately and assessed routinely. The continuation of hydration is important to dilute the effect of the allergen and to keep the vein open if emergency medication is required. After the immediate needs of the child have been met, the practitioner should be notified.

16 A client who had a myocardial infarction asks the nurse, "What's the chance of my having another heart attack if I watch my diet and stress levels carefully?" What is the most appropriate initial response by the nurse?

1 Identifying the concerns and helping the client explore feelings

30 What responsibilities belong to the nurse coordinator on an interdisciplinary hospice team? Select all that apply.

1 Manages the care of clients 2 Assigns the primary hospice team 3 Admits clients into the hospice program

4 A licensed practical nurse teaches a nursing student about Medicare and Medicaid amendments associated with the Social Security Act that are related to home health care. Which statements made by the nursing student indicate effective learning? Select all that apply.

1 "Medicare defines and limits the services it reimbursed." 3 "Medicare revolutionized home care by changing the payment source." 4 "Medicare and Medicaid amendments directly affected home health care."

23 The nurse is caring for four different clients. Which client's facility is most appropriate?

1 Client Patient being weaned from the ventilator following exacerbation of chronic obstructive pulmonary disease

28 Which are the functions of skeletal muscle? Select all that apply.

1 Eye movements 2 Movement of bones

27 A client is diagnosed with Crohn's disease, and parenteral vitamins are prescribed. The client asks why the vitamins have to be given intravenously (IV) rather than by mouth. What rationales for this route should the nurse include in a response to the question? Select all that apply.

1 More rapid action results 2 They are ineffective orally. 4 Intestinal absorption may be inadequate.

19 What dietary choices should the nurse instruct the client taking spironolactone to avoid increasing? Select all that apply.

1 Potatoes 3 Cantaloupe

5 A client is scheduled for a labyrinthectomy to treat Meniere syndrome. What expected outcome of the procedure should be included in preoperative teaching?

4 Permanent irreversible deafness

22 A client is admitted to the high-risk unit in preterm labor. A loading dose of 6 g of magnesium sulfate over 20 minutes is prescribed, to be followed by 2 g/hr. Premixed stock is available with 40 g of magnesium sulfate in 1000 mL of D5W. At a rate of how many milliliters should a nurse set the infusion pump to complete the loading dose? Record your answer using a whole number. _____ mL/hr

450

26 A nurse is to administer 5000 units of heparin to a prenatal client on prolonged bed rest. The label indicates that there are 20,000 units of heparin in each milliliter of solution. How much solution should the nurse give the client? Record your answer using two decimal places and include a leading zero if applicable. ___ mL

50