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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? -
answeradminister 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? - answernipple 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? - answermake 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? - answergive 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? - answerA 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? - answerrice
total number of confirmed pregnancies regardless of the outcome -
answerGravida
number of births after 20 weeks - answerPara
pregnant for the first time - answerprimigravida
, 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 assess the vital signs
and vaginal bleeding. the client begins to cry softly. how should the nurse
intervene? - answerexpress sorrow for the clients 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? -
answerthey can have intercourse when the episiotomy is healed and the lochial
flow has stopped
36 hours after delivery, the nurse determines a clients fundus is just above the
umbilicus and displaced to the right of midline. what action should the nurse take
first? - answerpalpate 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? - answer"Your loved ones condition is very critical, and there
has been no response in the last 24 hours"