Compass: MCSP what I got wrong
Which is an appropriate response to a pregnant client who reports that she is always tired and feels sick to her stomach, especially in the morning?
Let's discuss ways to resolve these common problems
A client presents with abnormal uterine bleeding, pelvic pressure, pressure during urination, and painful intercourse. Which diagnosis would the nurse suspect when an enlarged uterus and nodular masses are palpated on examination?
Leiomyomas
A client who recently experienced a brain attack (cerebrovascular accident [CA]) and has limited mobility reports constipation. Which is most important for the nurse to determine when collecting information about the constipation?
Length of time this problem has existed
Which information concerning a safe feeding technique would the nurse provide to a mother whose newborn infant son has a cleft lip and palate?
'Give him frequent rest periods and frequent burpings during feedings so he can get rid of swallowed air.
The nursing instructor asks the nursing student to explain the developmental needs of toddlers. Which statement by the nursing student indicates a need for further teaching?
'They are easy to please with food! 'They are growing at an increased rate.'
Which interventions are appropriate for the client brought to the hospital with heat exhaustion?
0.9% normal saline IV, placing a moist sheet over the client, initial fluid bolus to correct hypotension, placing in a cold area and removing constrictive clothing.
How long should a toddler sleep each day?
11-12 hrs
A client who sustained a cerebrovascular accident (CVA, also known as a 'brain attack') becomes incontinent of feces. Which nursing intervention is most important for supporting the success of the client's bowel training program?
Adhere to a definite time for attempted evacuations.
Which assessment finding would the nurse report to the health care provider when giving immediate postoperative care to a client with a newly placed ostomy?
Blanching, dark red to purple color of stoma
An infant being treated for talipes equinovarus (clubfoot) has a cast change every 2 to 3 weeks. Which assessments would the nurse include at routine visits?
Color of the toes of the foot in the cast Movement of the toes of the foot in the cast
Which nursing interventions are most important in the care of an infant with iron-deficiency anemia?
Conserving the infant's energy protecting the infant from infection, teaching the parents about nutrition
A 3-year-old child with nephrotic syndrome is admitted with ascites, oliguria, respirations of 40 breaths per minute, and a recent weight gain of 10 lb (4.5 kg). Which nursing intervention would the nurse provide to ease the child's respiratory difficulty?
Ensuring bed rest in the low-Fowler position
Which developmental intervention would the nurse provide to promote safety among adolescents?
Helping parents minimize risks to their adolescents' safety Teaching parents to serve as role models by guiding expectations and providing education
Laboratory results for a client with small cell lung cancer reflect urine with a high specific gravity and a serum sodium level of 127 mE/L. The client has gained 7 pounds in 3 days, has decreased urine output, and no edema is noted. Which nursing interventions are appropriate for this dient?
Initiate furosemide Institute a fluid restriction of 800 to 1000 mL/day
A client with diabetes states, 'I cannot eat big meals; I prefer to snack throughout the day. Which information would the nurse include in response to this client's statement?
Regulated food intake is basic to control.
Which item would the nurse use to feed an infant after a cleft lip repair?
Rubber-tipped syringe
A client who had an open reduction and internal fixation of a femoral neck fracture has a prescription for ambulation with slight weight bearing on the affected extremity. The nurse identifies that the client has kyphosis and strong upper-arm strength. Which assistive device would the nurse expect the primary health care provider to prescribe?
Walker