With Complete Solutions
A 5-year-old cystic fibrosis client is admitted. Which body
system assessment will the nurse prioritize to complete initially?
Select one:
a. Urinary
b. Respiratory
c. Integumentary
d. Gastrointestinal Correct Answers b. Respiratory
Cystic fibrosis is a respiratory disorder that results from
inheriting a mutated gene. The nurse should first assess the
respiratory system.
A 7-month-old is admitted for suspected shaken baby syndrome.
Which nursing action is most appropriate?
Select one:
a. Assist client with maintaining self-image.
,b. Document assessment information objectively.
c. Maintain low continuous suction.
d. Administer morphine. Correct Answers b. Document
assessment information objectively.
Clearly and objectively document information obtained in the
interview and during the physical assessment is imperative.
A 7-year-old client has developed meningitis after a traumatic
accident. What isolation precautions will be put in place?
Select one:
a. Droplet CorrectCorrect. Isolate the client as soon as
meningitis is suspected, and maintain droplet precautions per
facility protocol.
b. Airborne
c. Contact
d. Universal Correct Answers a. Droplet
Isolate the client as soon as meningitis is suspected, and
maintain droplet precautions per facility protocol.
A client taking methylphenidate should avoid which of the
following?
, Select one:
a. Fiber-rich foods
b. Alcohol CorrectCorrect. Methylphenidate is a central nervous
system stimulant that should not be taken with alcohol or any
medication, even over the counter medications without the
provider's approval.
c. Foods with tyramine
d. Calcium-rich foods Correct Answers b. Alcohol
Methylphenidate is a central nervous system stimulant that
should not be taken with alcohol or any medication, even over
the counter medications without the provider's approval.
A client with autism is taking desipramine. The nurse provides
teaching to the parents of the client regarding adverse effects.
Which statement by the client's parent demonstrates
understanding of the teaching?
Select one:
a. "We will limit our son's beverage consumption since this
medication is a diuretic."
b. "Because this medication can effect vision, we will have our
son wear sunglasses."
c. "We will limit from our son's diet whole grain to prevent
stomach issues."