Basic Care and Comfort

Which foods would the nurse encourage for a child with acute glomerulonephritis?

Corn on the cob, baked chicken, rice, apple, and milk These are permitted on the low-sodium, low-potassium diet that the child should be following

Which hormone would the nurse identify as inhibiting insulin and glucagon secretion?

Somatostatin Inhibits insulin and glucagon secretion, as well as growth hormone, thyroid stimulating hormone, and cholecystokinin

Morning sickness generally disappears by the end of which month?

Third month

When caring for a client with anorexia nervosa, how many kilograms per week is a reasonable goal for weight gain?

1 kg/ week

Which amount of time is the maximum amount the nurse would permit an older adult with a CVS to remain in one position?

1-2 hours

How long should a toddler sleep each day?

11-12 hours, with most still taking one nap during the day

Which term would the nurse use to document a 1 cm elevated solid lesion noted on a client's skin?

A: Nodule (elevated solid lesion greater than 0.5 cm in diameter) Papule: elevated solid lesion less than 0.5 cm in diameter Vesicle: circumscribed superficial collection of serous fluid Pustule: elevated, superficial lesion, filled with purulent fluid

Which is the priority intervention for the infant with developmental dysplasia of the hip?

Abduction of the hip

Which domain of the nursing interventions classification taxonomy includes care that supports the health of the community?

Domain 7 Domain 1: interventions that support physical functioning Domain 2: supports homeostatic regulation Domain 6: incorporates interventions that support the effective use of the health care delivery system

Non-weight bearing with crutches has been prescribed for a client with a leg-injury. Which activity would the nurse teach the client to prepare for crutch walking?

Exercise the triceps, finger flexors, and elbow extensors -They are used in crutch walking and need strengthening

Which medication acts as an antidote to benzodiazepine?

Flumazenil

Which preventative wellness recommendations will the nurse make to a male client who tests positive for the BRCA mutation after his mother and two sisters are found to carry the gene?

Get a baseline mammogram at 40 years Get breast self-examination training at 35 years Get a clinical breast examination every 6 months starting at 35 years Prostate screening should be initiated at 50 years, not 50

Which client statement indicates understanding of content taught about removing his or her three-way indwelling catheter and continuous bladder irrigation?

I probably will experience some burning on urination

Which sleep disorders are examples of dyssomnias?

Insomnia RLS Obstructive sleep apnea Nightmares and sleep terrors are parasomnias

The parents of a child with acute poststreptococcal glomerulonophritis asks the nurse why their child is being weighed every morning. Which is the best response by the nurse?

Its the best way to measure your childs fluid balance Daily changes in weight are indicators of fluid changes

Which intervention regarding skin care would the nurse include in a teaching plan for the client with scleroderma?

Keep skin lubricated with lotion -With scleroderma, the skin becomes dry because of interference with the underlying swear glands.

Which description would the nurse expect when the parents of a child with celiac disease describe their child's stools?

Large, pale, foul-smelling They are unable to absorb fats from the intestinal tract, resulting in stools like this

Which foods are considered the most allergenic?

Milk, eggs, peanuts

A client with hepatic cirrhosis begins to exhibit slurred speech, confusion, drowsiness, and a flapping tremor. Based upon this assessment, which prescribed diet would the nurse anticipate?

Moderate protein The liver is unable to detoxify ammonia to urea and the client is experiencing clinical manifestations leading to an impending hepatic encephalopathy coma, protein intake should be moderate

Which condition would the nurse document when a newborn infant is noted to have small, flat pink spots at the nape of the neck?

Nevi

A teenager is being discharged with a case. Which would the nurse recommend if the client experiences pruritus around the case edges?

Put an ice pack on the affected area

In which location would the Doppler ultrasound transducer be placed to best auscultate fetal heart tones when the fetus is in the right occiput posterior position?

Right side below umbilicus

Which dietary selections made by the client indicate understanding of previously taught dietary principles associated with having viral hepatitis?

Salad, sliced chicken sandwich, gelatin dessert Diet should be high in carbs, moderate protein and fat content

Which position would the nurse select for an infant with hydrocephalus?

Supine, with the head elevated about 45 degrees - allowing gravity to minimize ICP

Which snack foods can the nurse recommend that are safe for a child with celiac disease?

Tortilla chips Products composed of corn, rice, and millet do not contain gluten and are permitted on a low-gluten diet - Tortilla chips are made from corn flour

Which intervention would the nurse recommend to relieve symptoms of a yeast infection?

Using a sitz bath

Which pain scale would the nurse use when assessing a 4-year-old child?

Wong-Baker

When can a primigravida fetal heartbeat be heard for the first time?

A fetal HB can be obtained at 10-12 weeks with electronic doppler ultrasound Fetoscope cannot pick up the heartbeat until the 17th week

The home health nurse provides education for a client with cancer of the tongue who will begin gastrostomy feedings at home. Which client statement indicates effective teaching?

Before I start the procedure, I will measure the residual volume -This establishes the absorption amount of the previous feeding - If a residual exceeds the parameter or is over 200 mL, a feeding may be held. This prevents abdominal distention, nausea, vomiting, and aspiration