COMPLETE QUESTIONS AND VERIFIED
ANSWERS (100% CORRECT ANSWERS)
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The nurse is planning care for the a client who has fourth
degree midline laceration that occurred during vaginal delivery
of an 8 pound 10 ounce infant. What intervention has the
highest priority?
• Administer Prescribed stool softner
• Administer prescribed PRN sleep medications.
• Encourage breastfeeding to promote uterine involution
• Encourage use of prescribed analgesic perineal sprays.
A. Administer Prescribed stool softner
,The nurse is palpating the right upper hypochondriac region of
the abdomen of a client. What organ lies underneath this area.
• Duodenum
• Gastric Pylorus
• Liver
• Spleen
C. Liver
A client comes to the antepartal clinic and tells the nurse that
she is 6 weeks pregnant. Which sign is she most likely to report?
• Decreased sexual libido
• Amenorrhea
• Quickening
• Nocturia
B. Amenorrhea
A client's daughter phones the charge nurse to report that the
night nurse did not provide good care for her mother. What
response should the nurse make?
,• Ask for a description of what happened during the night
• Tell the daughter to talk to the unit's nurse manager
• Reassure the daughter that the mother will get better
care.
• Explain that all the staff are doing the best they can.
A. Ask for a description of what happened during the night
A hosptitalized toddler who is recovering from a sickle cell crisis
holds a toy and say's "mine". According to Erikson's theory of
psychosocial development, this child's behavior is a
demonstration of which developmental stage?
• Autonomy vs. Shame and doubt.
• Industry vs. Inferiority
• intiative vs. Guilt
• Trust vs. Mistrust
A. Autonomy vs. Shame and doubt.
Which action should the nurse implement in caring for a client
following an electroencephalogram (EEG)?
, • Monitor the client's vital signs q4h
• Assess for sensation in the client's lower extremities
• Instruct the client to maintain bed rest for eight hours
• Wash any paste from the client's hair and scalp
D. Wash any paste from the client's hair and scalp
The nurse is caring for a 75- year-old male client who is
beginning to form a decubitus ulcer at the coccyx. Which
intervention will be most helpfull in preventing further
development of the decubitus?
• Encourage the client to eat foods high in protein
• Assess the client with daily range of motion exercises
• Teach the family how to perform sterile wound care
• Ensure the IV fluids are administered as prescribed
A. Encourage the client to eat foods high in protein
What is the homeostatic cellular transport mechanism that
moves water from a hypotonic to a hypertonic fluid space?