54) The nurse is caring for a 5-week-old infant presenting with a history of projectile vomiting after feedings which additional finding should the nurse expect to assess? A. Olive-size mass in the epigastric area B. Frequent burping accompanied by poor feeding. C. Stool that consists of mucus and blood D. Rebound tenderness in the left lower abdominal quadrant. EC
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- The nurse is caring for a 5-week-old infant presenting with a history of projectile vomiting after feedings. Which additional finding should the nurse expect to assess? A Frequent burping accompanied by poor feeding. 8 Stool that consists of mucus and blood. C Rebound tenderness in the left lower abdominal quadrant. D Olive-size mass in the epigastric aga.41. A newborn with esophageal atresia has just returned from surgery to place agastrostomy tube. Which nursing diagnosis will the nurse use to plan the care for thisclient?A. Risk for imbalanced nutritionB. Risk for deficient fluid volumeC. Risk for impaired thermoregulationD. Risk for ineffective gas exchangeA nurse is assessing a client who has acute pancreatitis. Which of the following findings should the nurse expect?A.HypertensionB.Hyperactive bowel soundsC.Peripheral edemaD.Periumbilical discoloration
- 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 extremetiesWhen the nurse is talking with a client who is experiencing "lightening." the client would most likely state which of the following? a. "lcan breathe easier now." b. I don't have to urinate as often now." c. My lower back pain is gone now. d. My feet are more swollen than before."A client who had a bladder tumor recently underwent surgery for removal of the urinary bladder with creation of an ileal conduit. An appliance is fitted over the surgical stoma.a. The nurse would monitor the client for which possible complications? b. What measures should the nurse include when providing postoperative care for this client?
- A nurse caring for patients with bowel alterations formulatesa nursing diagnosis for a patient with a new ileostomy. Whichdiagnosis is most appropriate?a. Disturbed Body Imageb. Constipationc. Delayed Growth and Developmentd. Excess Fluid VolumeAn older adult with iron deficiency anemia is being discharged with a prescription for ferrous sulfate enteric-coated tablets. To promote best absorption of the medication, which information should the nurse include in the discharge instructions? A. Take the tablet with a daily multivitamin. B. Bedtime is the best time to take the tablet. C. Wait 2 hours after meals to take the tablet. D. Crush the tablets and mix with pudding.The nurse is feeding an older adult who was admitted with aspiration pneumonia. The client is weak and begins coughing while attempting to drink through a straw. Which intervention should the nurse implement? A. Teach coughing and deep breathing exercises B. Assess the client's oral cavity for ulceration C. Request thick nectar liquid for the client D. Monitior the client when using a straw for liquids
- A client is scheduled to receive phenytoin (Dilantin) 100 mg orally at 6 PM but is having difficulty swallowing capsules. What method should the nurse use to help the client take the medication? a. Sprinkle the powder from the capsule into a cup of water b. Administer 4 mL of phenytoin suspension containing 125 mg/5 mL c. Obtain a change in the administration route to allow an IM injection d. Insert a rectal suppository containing 100mg of phenytoinThe nurse is planning care for a patient with cirrhosis. For which of the condition the nurse would place the patient on bleeding precautions?A. EncephalopathyB. Low vitamin KC. Elevated liver enzymesD. Hepatorenal syndromeExplain pleaseA patient has a fecal impaction. The nurse correctly adminis-ters an oil-retention enema by: a. Administering a large volume of solution (500–1,000 mL)b. Mixing milk and molasses in equal parts for an enemac. Instructing the patient to retain the enema for at least30 minutesd. Administering the enema while the patient is sitting onthe toilet