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?
A 3-week-old infant is admitted for nipple feedings with glucose water
surgical repair of Pyloric Stenosis. What
interventions should the nurse expect to
implement to establish hydration in the
immediate postoperative period?
a 3 year-old admitted with fever of make the child NPO and hold all mediations until the
unknown (FUO) has begun vomiting in the vomiting has stopped.
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?
4 hours after administration of 20U of give the client crackers and milk
regular insulin, the client becomes shaky
and diaphoretic. what action should the
nurse take?
a 6-month child with bronchiolitis is A high pitched cry.
admitted to the hospital. In monitoring
the respiratory status of this child, which
,symptom indicates the nurse that he is
experiencing respiratory distress?
An 8-year-old recovering from a Celiac rice
Crisis requests a bowl of cereal for
breakfast. Which cereal should the nurse
provide?
total number of confirmed pregnancies Gravida
regardless of the outcome
number of births after 20 weeks Para
pregnant for the first time primigravida
a 26 year old gravida-4, para-0 had a express sorrow for the clients grief and offer to sit with her.
spontaneous abortion at 9 weeks
gestation. at one house post dilation and
curettage (D&C) the nurse assess the vital
signs and vaginal bleeding. the client
begins to cry softly. how should the nurse
intervene?
A 26 year-old primigravida who delivered they can have intercourse when the episiotomy is healed
a 7-pound male infant 26 hours ago tells and the lochial flow has stopped
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?
, 36 hours after delivery, the nurse palpate the bladder for distention
determines a clients fundus is just above
the umbilicus and displaced to the right of
midline. what action should the nurse take
first?
a 60 year old client with cancer of the liver "Your loved ones condition is very critical, and there has
is in hepatic coma and unresponsive. what been no response in the last 24 hours"
should the nurse say to family members
were inquiring about the condition of
their loved one?
a 67 year old woman who lives alone osteoporosis resulting from hormonal changes.
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.
a 75 year old male client with Alzheimer plan to have the same nursing staff provide care for the
disease is admitted to an extended care client whenever possible.
facility. what intervention should the nurse
include into the his clients Nursing care
plan?
an 82-year old client is admitted to the footboard is used to prevent foot drop.
hospital with a fractured right hip.
following surgical repair, a footboard is
placed at the clients feet. what is the
reason the nurse will offer concerning the
footboard?
An adult female client is admitted to the ask the client if she has had any recent thoughts of
psychiatric unit with diagnosis of major harming herself.
depression. After 2 weeks of