AND CORRECT ANSWERS GRADED A+.
A 6-month-old infant with congestive heart failure (CHF) is receiving
digoxin elixir. Which observation by the nurse warrants immediate
intervention?
Apical heart rate of 60.
Sweating across the forehead.
Doesn't suck well.
Respiratory rate of 30 breaths per minute. - CorreCt Answers -Apical heart
rate of 60.
A 4-year-old boy is brought to the emergency department by his parent,
who reports that the child has been pointing at his stomach and saying, "It
hurts so bad." Which pain-assessment tool should the nurse use?
Descriptor Scale.
Brief Pain Inventory.
A numeric rating scale.
Wong-Baker FACES Scale. - CorreCt Answers -Wong-Baker FACES Scale.
Which clinical finding should the nurse expect a child with nephrosis to
exhibit?
,Elevated blood pressure.
Blood-tinged urine.
Elevated temperature.
Urine protein 3+ to 4+. - CorreCt Answers -Urine protein 3+ to 4+.
The father of an 8-year-old child tells the nurse he is interested in seeing
his child succeed in soccer. The nurse talks with the boy, who expresses a
sincere interest in playing chess and feels like a failure at soccer. How
should the nurse respond to this father?
The father should decrease his expectations to give the son a chance to
succeed.
The child has an introverted personality and should be encouraged to play
isolated games.
The father should encourage the son to participate in team sports instead of
less physical activities.
The child should be given opportunities to achieve a sense of competency in
an area he chooses. - CorreCt Answers -The child should be given
opportunities to achieve a sense of competency in an area he chooses.
,The nurse is instructing an adolescent with bulimia and a low potassium
level about the risk for complications. Which medical problem should be
the focus of the nurse's instruction to this client?
Anemia.
Cardiac arrhythmias.
Gastrointestinal reflux.
Heightened neurologic reflexes. - CorreCt Answers -Cardiac arrhythmias.
A 2-year-old is receiving care in the emergency department (ED) for a deep
laceration on the head. What action should the nurse implement to
facilitate the child's cooperation?
Allow the child to hold a favorite toy or blanket.
Direct the parents to remain outside the treatment room.
Keep the child physically restrained during nursing care.
Let the child decide whether to sit up or lie down for procedures. - CorreCt
Answers -Allow the child to hold a favorite toy or blanket
, A mother brings her 6-month-old infant to the clinic for a well-baby routine
exam. Which vaccine(s) should the nurse verify the infant has received?
(Select all that apply.)
Meningococcal polysaccharide vaccine (MPSV4).
Haemophilus influenzae type b conjugate vaccine (Hib).
Inactivated poliovirus vaccine (IPV).
Hepatitis B virus vaccine (HepB).
Diphtheria, tetanus toxoids, and acellular pertussis (DTaP).
Measles, mumps, and rubella vaccine (MMR). - CorreCt Answers -
Inactivated poliovirus vaccine (IPV).
Hepatitis B virus vaccine (HepB).
Diphtheria, tetanus toxoids, and acellular pertussis (DTaP).
The parents of a 14-year-old girl tell the nurse that their daughter dresses as
a tomboy and plays baseball one day and the next day dresses in feminine
clothes and becomes a teenage "drama queen." What information should
the nurse use to respond to the parents?