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A nurse is caring for a client who is taking allopurinol (Zyloprim.) The nurse should
monitor which of the following laboratory findings to determine the effectiveness of the
medication?
Serum albumin
Magnesium level
Uric acid level
Serum chloride
A nurse is assessing a client in the PACU. Which of the following findings indicates
decreased cardiac output?
Oliguria
Bradypnea
Constricted pupils
Shivering
A nurse is caring for a 7 month old infant who is being treated for severe dehydration.
Which of the following assessment findings indicates treatment has been effective?
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Cool, mottled skin
Flat anterior fontanel
Skin turgor displays tenting
Hyperpnea
A client at 38 weeks of gestation enters the emergency department. The nurse should
recognize that which of the following indicates that the client is in the latent phase of
labor?
contractions are 2 to 3 min apart.
The cervix is dilated 2 cm
The client reports nausea and vomiting.
The client reports the urge to push
A nurse is providing nutritional teaching to a school-age child who has cystic fibrosis.
the nurse should instruct the client to increase enzyme intake prior to consuming which
of the following foods?
Peanut butter
Peach
Oatmeal
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Plain yogurt
A nurse is planning to perform a heel stick on a neonate. which of the following actions
is appropriate to reduce discomfort during the procedure?
apply topical diphenhydramine (Benadryl) prior to the procedure.
Gently massage the neonate's heel following the procedure
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Allow the mother to hold the neonate using skin to skin contact during the
procedure.
Place an ice pack on the heel 5 min before the procedure.
A nurse is caring for a client who is in labor and receiving electronic fetal monitoring.
The nurse is reviewing the monitor tracing and notes early decelerations. which of the
following should the nurse expect?
Head compression
Abruptio placentae
Fetal hypoxia
Post maturity
A nurse is caring for a client who has diabetes insipidus and is receiving desmopressin
(DDAVP). Which of the following should the nurse monitor?
Weight
Carbohydrate intake
Hematocrit
Fasting blood glucose
A nurse is caring for a client who has a prescription for vancomycin (Vancocin) 1 g IV
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