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An infant born with esophageal atresia and
tracheoesophageal fistula receives a prescription for
internal feedings after corrective surgery. To promote
normal growth and development of the infant, which action
should the nurse include in the plan of care? - ANSWER-
Offer a pacifier for non-Nutritive sucking
The nurse is preparing a four year-old client with a serum
bilirubin level of 19 for discharge from the hospital. When
teaching the parents about home photo therapy, which
,instruction should the nurse include in the discharge
teaching plan?
A) Cover with a receiving blanket.
B) Perform diaper changes under the light.
C) Feed the infant every four hours.
D) Reposition the infant every two hours. - ANSWER-D)
Reposition the infant every two hours.
The nurse initiate the procedure to remove a clients
peripherally inserted central catheter when a code blue is
called for another client in the unit who collapse in the
hallway while ambulating with the unlicensed assistive
personnel. Which action should the nurse take?
,A) Close the room door.
B) Finish the procedure.
C) Respond to the code.
D) Call for an assistant. - ANSWER-B) Finish the
procedure.
Which nursing intervention is most important for the nurse
to include in the plan of care for a client with alcohol
withdrawal delirium?
A) Maintain a quiet, non-stimulating environment.
B) Confront the clients denial of substance abuse.
C) Force oral fluids and provide frequent small meals.
, D) Encourage attendance and group participation. -
ANSWER-A) Maintain a quiet, non-stimulating
environment.
A client arrives at the emergency department describing
chest pain that began three hours earlier which has not
subsided. To assess the quality of the clients chest pain.
Which approach for the nurse use?
A) Provide a numeric pain scale.
B) Ask the client to describe the pain.
C) Identify effective pain relief measures.
D) Observe body language and movement. - ANSWER-B)
Ask the client to describe the pain.