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- 12. The nurse is assessing a patient's pain. When the patient describes his pain as cramping and burning, which component of the pain history is being addressed? a., Depth b., Location c., Quality d., Severity5) The nurse is assessing a toddler who is admitted with suspected intussusception and presents with vomiting, and blood and mucus present in the stools. Which action should the nurse implement first? A. Insert a nasogastric tube to low intermittent suction. B. Maintain NPO status and initiate IV fluid hydration. C. Use a faces pain scale to medicate for pain as prescribed. D. Prepared for radiographic studies to determine treatment options.1. There are at least three AMD discussions between Justin's parents (or mother) and his physician. Describe each experience (location or situation, conversation) then identify the concerns his parents had and those the physician had with each discussion. 2. After viewing the discussions of AMDS with Justin's mother, identify (and provide an example) of at least three challenges of presenting AMDs to family members. 3. Identify the life sustaining treatments Tim's mother and Alex's parents implemented for their children. How did these parents consider their children's self- determination rights in their decisions regarding care? 4.Along with AMDs, what are other concerns a family must contend with when dealing with a family member with a terminal illness?
- The patient has been prescribed prednisone for exacerbation of COPD. Which information should the nurse discuss with the patient? (Select all that apply). A. The medication must be tapered before stopping B. Drink 3 liters of fluid each day C. Take the medication with food D. Avoid going into the sunlight. E. Avoid green, leafy vegetables1.A client is on magnesium sulfate for severe preeclampsia. The nurse must notify the attending physician regarding which of the following findings? I. Patellar and biceps reflexes of +3. II. Urinary output of 30 mL/hr. III. Respiratory rate of 16 rpm. IV. Serum magnesium level of 9 g/dL. 2.A woman with severe preeclampsia, 38 weeks’ gestation, is being induced with IV oxytocin (Pitocin). Which of the following would warrant the nurse to stop the infusion? I. Blood pressure 160/110. II. Frequency of contractions every 3 minutes. III. Duration of contractions of 130 seconds. IV. Fetal heart rate 156 with early decelerations.A nurse is assessing a child recently brough to ED. based on the notes, which observations would cause the nurse to suspect epiglottitis a spontaneous cough b. excessive crying c. low grade fever d. drooling
- 43) The nurse is preparing to administer medications for an eight-month-old infant with heart failure. The infant has blood pressure of 114/66 mmHg, apical pulse of 88 beats/minute, and respirations of 30 breaths/minute. Which medication should the nurse withhold until the healthcare provider is notified? 44) A. Digoxin B. Enalapril C. Hydralazine D. Furosemide A child who weighs 10 nounde receives to are in Inuy 1 cocorintion for QB I U vy1). Due to the client’s diagnosis of low back pain, cyclobenzaprine is prescribed. Which instructionsshould the nurse teach the client? Select all that applyA. Take the medication just before leaving home for work each day.B. Drink a full glass of water with each dose of medication.C. The medication can cause drowsiness that will make driving unsafe.D. Divide the dose of medication between early morning and bedtime.E. Encourage the client to change positions slowly. 2).The nurse working in the postanesthesia care unit (PACU) recovering a male client after anexploratory laparotomy administers the prescribed hydromorphone intravenously. Five minuteslater the nurse assess the client’s respirations at 8 breaths per minute. Which interventionshould the nurse implement first?A. Ask the anesthesiologist to come and assess the client.B. Administer naloxone intravenously.C. Re-assess the client’s respiratory status in 20 minutes.D. Use an ambu bag and ventilate the client. 3).An adolescent…1. A nurse is caring for an adolescent who is 1 hour post-operative followingan appendectomy. Which of the following findings should the nurse report to theprovider?a. Heart rate 63 / minuteb. muscle rigidityc. temperature 36.4 Celsius (97.5 Fahrenheit)d. abdominal pain