Gggg 652
,
, A school nurse is assessing a child who has been stung by a bee. The child's hand is swelling and the nurse notes
that the child is allergic to insect stings. Which of the following findings should the nurse expect if the child
develops anaphylaxis? (SATA)
A) Bradycardia
B) Nausea
C) Hypertension
D) Urticaria
E) Stridor - ✔✔B) Nausea
D) Urticaria
E) Stridor
A nurse is caring for a client who is unconscious. Which of the following actions should the nurse take when
providing oral care for the client?
A) Test for the presence of the clients gag reflex
B) Place the client in the supine position
C) Use a firm toothbrush for tooth and gum care
D) Use 2 gauze-wrapped fingers to hold the mouth open - ✔✔A) Test for the presence of the clients gag reflex
A nurse is planning care for a client who has acute myelogenous leukemia and a platelet count of 48,000/mm^3.
Which of the follow interventions should the nurse include?
A) Avoid IM injections
B) Assess the client for ecchymosis once per shift
C) Do not allow the client to have visitors
D) Encourage daily flossing between teeth - ✔✔A) Avoid IM injection
,
, A school nurse is assessing a child who has been stung by a bee. The child's hand is swelling and the nurse notes
that the child is allergic to insect stings. Which of the following findings should the nurse expect if the child
develops anaphylaxis? (SATA)
A) Bradycardia
B) Nausea
C) Hypertension
D) Urticaria
E) Stridor - ✔✔B) Nausea
D) Urticaria
E) Stridor
A nurse is caring for a client who is unconscious. Which of the following actions should the nurse take when
providing oral care for the client?
A) Test for the presence of the clients gag reflex
B) Place the client in the supine position
C) Use a firm toothbrush for tooth and gum care
D) Use 2 gauze-wrapped fingers to hold the mouth open - ✔✔A) Test for the presence of the clients gag reflex
A nurse is planning care for a client who has acute myelogenous leukemia and a platelet count of 48,000/mm^3.
Which of the follow interventions should the nurse include?
A) Avoid IM injections
B) Assess the client for ecchymosis once per shift
C) Do not allow the client to have visitors
D) Encourage daily flossing between teeth - ✔✔A) Avoid IM injection
