NEW QUESTION 490
A mother called the physician’s office to ask if it would help relieve her small daughter’s abdominal pain if she gave an enema and placed a heating pad on the abdomen. Her daughter has a fever and has vomited twice.
The nurse’s response is based on the knowledge that:

NEW QUESTION 491
A dose of theophylline may need to be altered if a client with COPD:

NEW QUESTION 492
Home-care instructions for the child following a cardiac catheterization should include:

NEW QUESTION 493
A client delivered a term infant 1 hour ago. Her uterus on assessment is boggy and is U +1 in contrast to the previous assessment of U _2. The immediate nursing response is to:

NEW QUESTION 494
The nurse knows that children are more susceptible to respiratory tract infections owing to physiological differences. These childhood differences, when compared to an adult, include:

NEW QUESTION 495
A 24-year-old client presents to the emergency department protesting “I am God.” The nurse identifies this as a:

NEW QUESTION 496
A 25-year-old outpatient presents with a diagnosis of compulsive personality disorder. His coworkers become annoyed with his rigid, perfectionistic manner and preoccupation with trivial details and schedules.
A nursing intervention appropriate for this client would include:

NEW QUESTION 497
Which of the following changes in blood pressure readings should be of greatest concern to the nurse when assessing a prenatal client?

NEW QUESTION 498
The nurse is caring for a laboring client. Assessment data include cervical dilation 9 cm; contractions every 1-2 minutes; strong, large amount of “bloody show.” The most appropriate nursing goal for this client would be:

NEW QUESTION 499
A 12-year-old girl has been diagnosed with insulindependent diabetes mellitus. Which of these principles would best guide her nutritional management?

NEW QUESTION 500
To prevent transmission of bacterial meningitis, the nurse would instruct an infected baby’s mother to:

NEW QUESTION 501
A physician tells the nurse that he wants to orally intubate a client with a No. 8 endotracheal tube. The finding of normal breath sounds on the right side of the chest and diminished, distant breath sounds on the left side of the chest of a newly intubated client is probably due to:

NEW QUESTION 502
Which nursing implication is appropriate for a client undergoing a paracentesis?

NEW QUESTION 503
A 3-year-old child is in the burn unit following a home accident. The first sign of sepsis in burned children is:

NEW QUESTION 504
A pregnant client comes to the office for her first prenatal examination at 10 weeks. She has been pregnant twice before; the first delivery produced a viable baby girl at 39 weeks 3 years ago; the second pregnancy produced a viable baby boy at 36 weeks 2 years ago. Both children are living and well. Using the GTPAL system to record her obstetrical history, the nurse should record:

NEW QUESTION 505
A client has returned to the unit from the recovery room after having a thyroidectomy. The nurse knows that a major complication after a thyroidectomy is:

NEW QUESTION 506
Which of the following serum laboratory values would the nurse monitor during gentamicin therapy?

NEW QUESTION 507
A pregnant client is at the clinic for a third trimester prenatal visit. During this examination, it has been determined that her fetus is in a vertex presentation with the occiput located in her right anterior quadrant. On her chart this would be noted as: