nursing
symptomatic bradycardia includes atropine 0.02mg/kg/dose. child weighs 20 kg, how much is given per dose
0.4mg
which age should a nurse initially screen for idiopathic juvenile scoliosis
10 years
child given 0.5mg/kg/day of prednisone divided into two doses. child weighs 10kg. how much is given in each dose
2.5mg
order reads 2 grams of cephalexin (keflex) by mouth daily in equally divided doses of 500 mg each. at which frequency would it be administered
4 times per day
stroke ordered alteplase. order is for 0.9mg/kg over 1 hour. what is the total dose in milligrams the client will receive
45 mg
infant may have transposition of the great vessels. what diagnostic test would be performed to first detect
chest xray
which assessment is important for a child in sickle cell crisis
child has normal skin turgor
child with tetralogy of fallout has clubbing of the fingers and toes. clubbing is caused by
chronic hypoxia
client at a routine blood glucose for diabetes mellitus, he has excessive urination and excessive thirst.
excessive hunger
which assessment data should a nurse report to the physician
pulse of 110 beats/minute on awakening in the morning
C6 spinal injury
quadriplegia
what caused the development of a hiatal hernia
weakness of the diaphragmatic muscle
intracranial pressure is fluctuation between 20 and 25. what intervention is most appropriate
reassess the client abcs
mother of a neonate receiving phototherapy asks why her child has developed loose stools. response is accurate
they're common when receiving phototherapy treatments
charge nurse is developing the client care assignments for the shift.
a client who as experienced a cerebral vascular accident and has a DNR status
administer mediation through a nasogastric tube
acetaminophen
what medication should a nurse withhold from a client 6 hours before a series of pulmonary function tests
albuterol
elective facial surgery later and pulse rate of 130
anxiety
in preparing an educational intervention for college students, a nurse understands that drinking alcoholic beverages is often used to relieve which condition
anxiety
gallbladder removed 2 days ago, pain in right calf
assess the leg for swelling and rednes
RN charge of eight clients, LPN working under her
assessing a newly admitted client
hepatic encephalopathy
asterixis
Down syndrome
atrioventricular canal defect
teaching a client with a hiatal hernia, provide instruction on which diagnostic test
barium swallow
assesses clear fluid draining from nose who experienced head trauma 3 hours ago, what findings to suspect
basilar skull fracture
mother concerned that her 13 year old son may be depressed. what behavior would the boy exhibit
becomes angry at peers easily
which time frame for client undergoing an open cholecystectomy
before discharge, 1 to 2 days after surgery
infant diagnosed with tricuspid atresia. surgical intervention should a nurse expect the physician to recommend
black taussig operation
nurse aware that amiodarone (cordarone) is used to treat what
both atrial and ventricular dysrhythmias
amnestic disorder
cerebral anoxia
arm cast complains of severe pain.
call the physician
child diagnosed with tetralogy of fallout undergo testing. which test indicates direction and amount of shunting in this child
cardiac catheterization
which diagnostic criterion is considered a major jones criterion for acute rheumatic fever
carditis
how was your night, went out to dinner
confabulation
anorectal fistula which condition
crohns disease
small tumor confined to one liver segment or lobe
cryoablation or liver resection
nursing diagnosis is most appropriate to include familycentered plan of care when caring for an infant newly diagnosed with hypoplastic left heart syndrome
death anxiety
The nurse is caring for a client showing symptoms of bronchial obstruction. which assessment finding would the nurse expect to find
diminished breath sounds
evaluating a client who is 2 days post crush injury to his right leg
diminished distal pulses
client experiencing early symptoms of MS; what would the nurse expect
diplopia
elderly client experiencing visual and auditory hallucinations
disturbed sensory perception
which statement by the nurse described a characteristic of valvular pulmonic stenosis
divisions between the cusps are fused
postmenopausal client asks a nurse how to prevent osteoporosis. best response
do weight bearing exercises regularly
sitting up in bed talking on phone, BP of 90/50
document the blood pressure
child with asthma trying to identify allergens in household. which is most common
dust mites
suspect a fat embolus in a client who has a lot femur fracture
dyspnea
evaluated for hep A, highest risk
eating a shrimp platter at a local restaurant
lab results reviewing. along with clinical manifestations, establishes a diagnosis of Reyes syndrome
elevated liver enzymes and prolonged prothrombin and partial thromboplastin times
client with a new colostomy asks a nurse how to avoid leakage from the stony bag. what is correct
empty the bag when its about half full
which nursing intervention would be best help prevent bladder infections for a client with indwelling urinary catheter
encourage showers rather than tub baths
having trouble putting toddler to bed at night
encourage the parents to develop nighttime rituals
cardiac monitor has a HR of 170
enter the clients room and complete a full assessment
caring for client with cataract surgery, nurse should notify client which of the condition
eye pain
hypertension and risk factos
family history
emergency department feeling feverish and lethargic. which assessment finding suggests Reyes syndrome to the nurse.
fever, profoundly impaired consciousness, and hepatomegaly
recent surgery and is on bed rest
foot and ankle range of motion exercises
preparing a client with Kawasaki disease for discharge. most appropriate information for the nurse to include?
frequent echocardiography will be needed
damage to the hippocampus, amygdala, and fornix should focus on?
frequent monitoring of vital signs
2 month old arrives with a heart rate of 180 and temp of 103.18 rectally. most appropriate nursing intervention
give acetaminophen (Tylenol)
they're crawling only sheets get them off
hallucinations
multiple myeloma, which action should alert, he may have difficulty coping
he avoids any conversation concerning his health
what would nurse anticipate in a 1 year old child with supra ventricular tachycardia
heart rate of more than 240 beats/minute
strongly indicate the possibility of cirrhosis
hepatomegaly
teaching plan with crohns disease, which factor would link
heredity
client with cirrhosis. which would be most indicative of late stage cirrhosis
hypoxia
perimenopausal at high risk for osteoporosis, lactose intolerance and small body frame.
increase the amount of calcium and vitamin D in your diet
consistent with diagnosis of cirrhosis
increased prothrombin time
accurate in describing gastritis
inflammation of the gastric mucosa
nursing diagnosis related to medical regimen
iron
what surgical procedure is recommended for repair of transposition of the great arteries
jatene procedure
client hospitalized for emphysema
keep the head of the bed slightly elevated during the procedure
abdominal surgery for repair of an aortic aneurysm, body changes
let the client express his feelings
A child is undergoing testing to rule out a diagnosis of Kawasaki disease. Which test results may lead to this diagnosis?
leukocytosis
male client diagnosed with panhypopituitarism. which hormone will be given to the client orally
levothyroxine
which action is correct for performing tracheal suctioning
limit suctioning to 10-15 seconds in duration
which diet for ulcerative colitis
low residue and high protein
what positions relief of appendicitis pain?
lying with legs drawn up
60 year old male client suspected of having coronary artery disease. physicians ordered a noninvasive diagnostic test to evaluate cardiac changes. what test does the nurse prepare for?
magnetic resonance imaging
goal will the nurse make highest priority with a new tracheostomy
maintaining a patent airway
crohns disease exhibit
malabsorption
client requires oxygen delivery at a FlO2 of 92%
mask with reservoir bag
client is scheduled to retire in the next month. he says he can't cope his world is falling apart. therapist recognizes this reaction as which of the following
maturational crisis
client has bipolar disease receiving a dosage of lithium carbonate (lithobid). reports hyperactive and hyperverbal. what intervention do you implement
measurement of lithium blood levels
72 year old being discharged from outpatient surgery after having a cataract removed from his right eye. it is important to teach the client what?
not rub or place pressure on the eye
involuntary, jerking, rhythmic movements of the eyes
nystagmus
evaluating the extent of Parkinson's disease; observe which symptoms
muscle rigidity
an elderly client on bed rest fora week a bout of pneumonia is in a negative nitrogen balance. which complication has highest priority?
muscle wasting
digoxin level greater than 2 mcg/ml
nausea and vomiting
most common adverse reaction a nurse might observe after administering enteric coated erythromycin
nausea and vomiting
what developmental stage would the nurse not at risk for diverticulosis
older adult
describes Murphys sign
on palpation and deep inspiration, pain is elicited and the client stops breathing in
heart failure sleeps with two pillows, which condition
orthopnea
rheumatoid arthritis being treated with prednisone. complications are
osteoporosis and diabetes mellitus
pernicious anemia undergoes gastrectomy
parenteral route
what causes peritonitis
perforated ulcer
what arterial blood gas results with emphysema
ph 7.30 paco2 52 hco3 30
which symptom occurs initially with Parkinson's disease
pill rolling movements of the hand
a nurse is assessing a client and notes an increase in the tactile remits. which condition would the nurse suspect with this client
pneumonia
client with Reyes syndrome exhibiting increased intracranial pressure.
position the child in the supine position, with the Childs head turned to the side
dementia disorder, tray for breakfast
recent memory
client diagnosed with MS, what activities exacerbate MS
pregnancy
client diagnosed with epiglottis. nurse recognizes the client was diagnosed with what
presenting signs and symptoms
school nurse provided vision and hearing screenings. nurse offers an immunization clinic during the evening hours. this is an example of which type of prevention strategy
primary
fracture, ordered a high protein diet, why?
protein promotes cell growth and bone union
client begun exhibiting signs of myasthenia gravis. nurse anticipates assessment to include
ptosis
nurse is aware client who had a repair of total anomalous pulmonary venous return is at risk for what
pulmonary hypertension
client with diabetes should the nurse report
sodium 118
client following surgery in the post anesthesia, client gagging on his airway and about to vomit. which position would the nurse place the client in.
recovery
unemployed hasn't filled levothyroxine, related to not taking it
rectal temperature of 94
nursing discharge has the highest priority going home with a full leg cast
reporting signs of impaired circulation
the nurse is caring for a pregnant client with cardiovascular disease. which treatment would the nurse expect for this client
scheduled rest periods throughout the day
client with chronic alcohol abuse admitted for detoxification. BP increases and he's given lorazepam (Ativan) to prevent which complication
seizure
six months after the death of her infant son. suspected of dysfunctional grieving
she's overactive without a sense of loss
taking phenytoin (dilantin), adverse effects?
somnolence
child with tetralogy of fallout may assume which position of comfort during exercise
squatting
suspected appendicitis, what describes their pain?
steady
nasopharyngeal suction, reading 86% pulse oximeter
stop suctioning and give oxygen to the client
healthy liver
take prescribed medications according to instructions
borderline personality disorder causes a nurse to feel angry toward the client. which resposnse is most therapeutic
tell the client how her behavior makes the nurse feel
client returns to nursing unit after bronchoscopy, it is expectorating pink-tinged mucus
tell the client this is expected after the procedure but continue to monitor the client
2 year old child with wilms tumor
tell the parents that surgery will be within 24 to 48 hours
70 year old with acute rheumatoid arthritis
tender, painful and stiff joints
recurrence of crowns disease, which area of alimentary canal
terminal ileum
RN is supervising an unlicensed care provider.
the RN is responsible for delegating tasks to adjunct personnel
appendectomy 24 hours ago
the client will be able to walk in the hallway
what outcome is most appropriate for a client with a diagnosis of depression and attempted suicide
the client will verbalize an absence of suicidal ideation, plan and intent
which statement made by a client about her neonate indicates the need for further teaching
the first thing i'm going to do when we get home is give the baby a tub bath
interact verbally once in each group therapy session
the goal was partially met
neonate 1 month checkup. purpose of this test
to check for developmental dysplasia of the hip
subdural hematoma is restless and confused with dilation or ipsilateral pupil. orders mannitol for which reason
to promote osmotic diuresis to decrease intracranial pressure
diverticular disease about proper diet
tossed salad with tomatoes, sunflower seeds and tuna
ulcerative colitis exhibit
toxic megacolon
treatment plan for acute gastritis
treating the underlying cause
total knee replacement. continuous passive motion.
turn the machine off when the client is eating a meal
client undergone a lumbar laminectomy voiding of small amounts of urine. may develop what condition
urine retention
nursing intervention is most important to include in a nursing care plan for a client with atelectasis
use the incentive spirometer every hour
what condition may lead to sinus arrest or sinus pause in a child
valsalvas maneuver
