2026) With Correct Verified and Well
Analyzed Answers Graded A+
2 days after an abdominal hysterectomy, an elderly client with
diabetes Mellitus Type II has a syncopal episode. Her vital signs are
within normal limits and her sugar is 325 mg/dL. what intervention
should the nurse implement first?
administer regular insulin per sliding scale
A 3-week-old infant is admitted for surgical repair of Pyloric Stenosis.
What interventions should the nurse expect to implement to establish
hydration in the immediate postoperative period?
nipple feedings with glucose water
a 3-year-old admitted with fever of unknown (FUO) has begun
vomiting in the past half hour. The child's temp. is 101.8F, and the last
does of antipyretic medication was given 5 hours ago. the child has
prescriptions of acetaminophen (Tylenol) 160 mg per 5 mL elixir or
16o mg suppositories PRN fever or pain. what action should the nurse
take at this time?
make the child NPO and hold all mediations until the vomiting has
stopped.
4 hours after administration of 20U of regular insulin, the client
becomes shaky and diaphoretic. what action should the nurse take?
give the client crackers and milk
a 6-month child with bronchiolitis is admitted to the hospital. In
monitoring the respiratory status of this child, which symptom
indicates the nurse that he is experiencing respiratory distress?
A high-pitched cry.
,An 8-year-old recovering from a Celiac Crisis requests a bowl of
cereal for breakfast. Which cereal should the nurse provide?
rice
total number of confirmed pregnancies regardless of the outcome
Gravida
number of births after 20 weeks
Para
pregnant for the first time
primigravida
a 26-year-old gravida-4, para-0 had a spontaneous abortion at 9 weeks
gestation. at one house post dilation and curettage (D&C) the nurse
assesses the vital signs and vaginal bleeding. the client begins to cry
softly. how should the nurse intervene?
express sorrow for the client’s grief and offer to sit with her.
A 26-year-old primigravida who delivered a 7-pound male infant 26
hours ago tells the nurse that she is confused about when she and
her husband can return to having sexual intercourse. What info
should the nurse reinforce with this client?
they can have intercourse when the episiotomy is healed and the
lochial flow has stopped
36 hours after delivery, the nurse determines a client’s fundus is just
above the umbilicus and displaced to the right of midline. what action
should the nurse take first?
palpate the bladder for distention
a 60-year-old client with cancer of the liver is in hepatic coma and
unresponsive. what should the nurse say to family members were
inquiring about the condition of their loved one?
"Your loved one’s condition is very critical, and there has been no
response in the last 24 hours"
a 67-year-old woman who lives alone tripped on a rug in her home
and fractured her right hip. the nurse knows that which predisposing
factor contributes to the occurrence of hip fractures among elderly
women.
, osteoporosis resulting from hormonal changes.
a 75-year-old male client with Alzheimer disease is admitted to an
extended care facility. what intervention should the nurse include into
his clients Nursing care plan?
plan to have the same nursing staff provide care for the client
whenever possible.
an 82-year-old client is admitted to the hospital with a fractured right
hip. following surgical repair, a footboard is placed at the client’s feet.
what is the reason the nurse will offer concerning the footboard?
footboard is used to prevent foot drop.
An adult female client is admitted to the psychiatric unit with
diagnosis of major depression. After 2 weeks of antidepressant
medication therapy, the nurse notices the client has more energy, is
giving her belongings away to her visitors, and is in an overall better
mood. Which intervention is best for the nurse to implement?
ask the client if she has had any recent thoughts of harming herself.
an adult male client tells the nurse that he believes someone is trying
to obtain his cpu records, which his wife reports are recreational in
nature. the client insist that an elaborate alarm system needs to be
installed in his home. the nurse knows that this client is exhibiting
which signs or symptoms?
delusions of persecution
After a change of shift report, the nurse makes rounds on a
postoperative unit. Which client finding necessitates the immediate
attention of the nurse?
A. A client who is having bright red drainage from the rectum
following a colonoscopy with a polyp removal
After a client returns from Hemodialysis, the nurse measures the
client's weight and notes a 3-poundweight loss from the pre-dialysis
weight. The client reports feeling weak and fatigued. What action
should the nurse take next?
A. Measure the client's blood pressure
After morning dressing changes are completed, a male client who has
paraplegia contaminates his ischial decubiti dressing with a diarrheal