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- An older adult arrives at the emergency department with reports of severe nausea and vomiting large amounts of liquid brown emesis at home. The client's vital signs are a temperature of 96.4 'F, heart rate 124 beats/minute, respirations of 16 beats/minute, and blood pressure of 75/38 mmHg. Which intervention is the most important for the nurse to implement? A. Maintain strict intake and output B. Monitor blood glucose level C. Keep the head of the bed 45 degrees D. Assess warmth of extremeties1- Nurse Katriz is planning a client education program for sickle cell disease (SCD); what topics should be included in the plan of care? A. Aerobic exercise to improve oxygenation B. Fluid restraint to 1 qt (1 L)/day C. A high-iron, high-protein diet D. Proper hand washing and infection avoidance 2- Sickle cell disease (SCD) primarily affects: A. children of African descent and Hispanics of Caribbean ancestry. B. children of Middle-Eastern and Indian descent. C. children of Asian descent. D. both African descent and Hispanics of Caribbean ancestry and Middle-Eastern and Indian descent.A nurse is assessing the following children. Which child would the nurse identify as having the greatest risk for choking and suffocating? a. A toddler playing with his 9-year-old brother's construction set b. A 4-year-old eating yogurt for lunch C. An infant covered with a small blanket and asleep in the crib d.A3-year-old drinking a glass of juice
- D 52) The nurse is assessing a 2-week-old male infant in a community health clinic and notes that his sclera appears slightly yellow. Additionally, urine in his diaper appears tea colored. This child should receive follow-up assessment for what condition? A. Huntingtons disease B. Hirschsprung's disease C. Biliary atresia Intussuscreption D. 2 W #3 E 4 % 5 T 6 ➤ & 7 1 U 8 9 K O O P + 11CASE: SORE THROAT A mother and her 6-year-old son present a prescription for IlosoneÒ 125mg/5ml for 10 days and request to speak with the pharmacist. The child is irritable, complains of throat pain, and appears flushed. The mother is eager to begin antibiotic treatment as soon as possible so that her son can return to school and she can return to work, but the prescription is not valid for 3 more days. A. Answer the following questions:1. What causes sore throat and how are they distinguished?2. Who is susceptible to sore throat, and how common is it?3. Is sore throat contagious?4. Are antibiotics effective for treating sore throats, and how long should they be used?5. When should antibiotics be used to treat a sore throat?A nurse is assessing a client with suspected gout. Which of the following would support a diagnosis of gout? Select all that apply 1. Elevated serum uric acid level 2. A swollen, red joint 3. Reports of moderate fatigue 4. Distal extremities cool totoucho5. Pain associated with movement of the affected extremity 6. Intolerance of dairy products
- 50- Which of the following should the nurse expect to note as a frequent complication for a child with congenital heart disease! A. Susceptibility to respiratory infection B. Bleeding tendencies C. Frequent vomiting and diarrhea D. Seizure disorder 51-When positioning the neonate with an unrepaired myelomeningocele, which of the following positions would be most appropriate ? a. supine the hip at 90 degree flexion b. right side-lying position with knees flexed c. prone with hips in abduction d. semi-fowler's position with chest and abdomen elevated1. Patient X is diagnosed with constipation. As a knowledgeable nurse, which nursing intervention is appropriate for maintaining normal bowel function? A. Assessing dietary intake B. Decreasing fluid intake C. Providing limited physical activity D. Turning, coughing, and deep breathing 2. A 12-year-old boy was admitted to the hospital two days ago due to hyperthermia. His attending nurse, Dennis, is quite unsure about his plan of care. Which of the following nursing interventions should be included in the care plan for the client? A. Room temperature reduction B. Fluid restriction of 2,000 ml/day C. Axillary temperature measurements every 4 hours D. Antiemetic agent administrationThe nurse should recommend a client with sickle cell disease, to eat A. Steak B. Popsicle C. Cottage cheese D. Lima beans
- Nursing A nurse is performing an admission assessment for a client who is to undergo a colonoscopy. The client informs the nurse that he took his prescribed medications before coming to the clinic. Which of the following medications is the priority to report to the provider? A. Metoprolol B. Clopidogrel C. Metformin D. DigoxinThe nurse practitioner is performing a short assessment ofa newborn who is displaying signs of jaundice. The nurseobserves the infant’s skin color and orders a test for bilirubinlevels to report to the primary care provider. What type ofassessment has this nurse performed?a. Comprehensiveb. Initialc. Time-lapsedd. Quick priorityS B is a 54-year-old Latina female who went to her healthcare provider with complaints of heartburn, dysphagia, nausea, and chest pain. She feels bloated and obtains little or no relief from over-the-counter antacids. Her past medical history includes 2-pack-a-day cigarette smoking, stressful job, and chronic use of NSAIDs for chronic back pain. 2. What teaching would the nurse provide the client who is scheduled for an EGD? 3. What are nursing considerations that should be addressed to the client with a diagnosis of GERD?