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The nurse knows that
which statement by the
mother indicates that the
mother
understands safety pre-
cautions with her four
month-old infant and her 4
year-old child?
A) "I strap the infant car
seat on the front seat to
face backwards."
is D: "I have the four
B) "I place my infant in the
year-old hold and help
middle of the living room
feed the four month-old
floor on a blanket to play
a bottle in the kitchen
with my
4 year old while I make
supper in the kitchen."
C) "My sleeping baby lies
so cute in the crib with the
little buttocks stuck up in
the air
while the four year old
naps on the sofa."
D) "I have the 4 year-old
hold and help feed the four
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month-old a bottle in the
kitchen
while I make supper."
Upon completing the ad-
mission documents, the
nurse learns that the 87
year-old client
does not have an ad-
vance directive. What ac-
tion should the nurse
take? is B: Give information
A) Record the information about advance directives
on the chart
B) Give information about
advance directives
C) Assume that this client
wishes a full code
D) Refer this issue to the
unit secretary
A nurse administers the in-
fluenza vaccine to a client
in a clinic. Within 15 min-
utes after
the immunization was giv-
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en, the client complains of
itchy and watery eyes, in-
creased
anxiety, and difficulty
breathing. The nurse ex-
pects that the first action in
the sequence of
is B: Administer epineph-
care for this client will be to
rine 1:1000 as ordered .
A) Maintain the airway
B) Administer epinephrine
1:1000 as ordered
C) Monitor for hypotension
with shock
D) Administer diphenhy-
dramine as ordered
Which of these children at
the site of a disaster at
a child day care center
would the
triage nurse put in the
"treat last" category?
A) An infant with inter-
mittent bulging anterior
fontanel between crying
episodes
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B) A toddler with severe
deep abrasions over 98%
of the body
C) A preschooler with 1
is B: A toddler with severe
lower leg fracture and the
deep abrasions over 98%
other leg with an upper leg
of the body .
fracture
D) A school-age child with
singed eyebrows and hair
on the arms
When admitting a client
to an acute care facility,
an identification bracelet is
sent up
with the admission form.
In the event these do not
match, the nurse's best ac- is C: notify the admissions
tion is to office and wait to apply the
A) Change whichever item bracelet
is incorrect to the correct
information
B) Use the bracelet and
admission form until a re-
placement is supplied
C) Notify the admissions