Which is a risk factor for a prolapsed umbilical cord?

The most consistent indicator of pain in infants is:

A nurse is developing a plan of care for a suicidal client. Which documented intervention should the nurse implement first?

In working with a patient experiencing hallucinations, the nurse will direct the unlicensed assistive personnel to engage in what activity?

A patient weighing 100 kg sustains a burn at 1400 covering approximately 50% TBSA. The patient is a young healthy male with no medical history. Using the Parkland formula, how much fluid should be infused by 1800?

The nurse conducts a physical assessment for a client with severe right lower quadrant (RLQ) abdominal pain. The nurse notes that the abdomen is rigid and the client's temperature is 101.1° F (38.4° C). Which laboratory value does the nurse bring to the attention of the health care provider as a priority?

During assessment, the nurse notes umbilical cord visible at the vaginal opening after rupture of membranes. What is the nurse's priority action?

The laboratory reports of a pregnant patient revealed impaired placental perfusion. What position should the nurse suggest to the patient to enhance uteroplacental perfusion?

Which intervention is most effective in preventing atelectasis?

The seasonal flu virus during a year that is exceptionally higher than average is an example of which type of disease?

A patient misses one active combination birth control pill. What instructions should the nurse provide?

A child has a nasogastric (NG) tube after surgery for Hirschsprung disease. What is the purpose of the NG tube?

A nurse is caring for a client admitted with suspected Placenta Previa. Which action is STRICTLY CONTRAINDICATED?

An elderly woman is brought to the clinic by her daughter. The client states that she has had a cold for several days. Her daughter states that her mother has been confused about when her routine medications are to be taken and that her mother has never experienced confusion about her medications before. Based on this information, it is important that the nurse ask the client whether:

A pregnant client asks the nurse for information regarding toxoplasmosis exposure during pregnancy. What information should the nurse teach this client?

A newly diagnosed insulin-dependent type 1 diabetic with good blood sugar control is at 20 weeks' gestation. She asks the nurse how her diabetes will affect her baby. What would the best explanation include?

You have just received a 4-month-old infant to the recovery room after a repair of a cleft lip. In transferring the infant from the stretcher to the bed, what would be the appropriate position for you to place the infant in?

Doctor's order: Amoxicillin 0.25 g PO TID. Available: 75 mL bottle of amoxicillin oral suspension 250 mg/5 mL. What amount should be given?

A patient is suspected of having the influenza virus. Which intervention is the best for health care team members to take?

A client admitted to the medical-surgical unit with possible pulmonary tuberculosis asks the nurse why sputum specimens are needed if the skin test and chest x-ray indicate tuberculosis. Which response by the nurse is most appropriate?

A home health nurse is visiting a client with tuberculosis (TB). Which action by the client tells the nurse that the client understands the necessary respiratory precautions to be taken at home?

Which fall risk assessment tool would the nurse employ for the patient using a walker?

What is the pathophysiology of Type 1 Diabetes Mellitus (T1DM)?

A client's angina pectoris is being successfully treated on an outpatient basis with sublingual nitroglycerin. What teaching point should the nurse convey to the client when reporting concern about the headache that follows the use of the medication?

A nurse overhears two staff members discussing a patient's diagnosis in a public hallway. What is the nurse's best action?

The nurse is caring for a client during the first 12 hours of receiving epidural analgesia and assesses the client every hour. Along with vital signs, which best describes the priority of the hourly assessment?

How long should the nurse press an edematous area when assessing for pitting edema?

If a nurse asks for suggestions about changing a large wound dressing, what style of leadership is this?

You're assessing the one minute APGAR score of a newborn baby. On assessment, you note the following about your newborn patient: weak cry, some flexion of the arms and legs, active movement and cries to stimulation, heart rate 145, and pallor all over the body and extremities. What is your patient's APGAR score?

A nurse suspects a coworker is signing out narcotics for clients and is taking them for personal use. Which action will be taken by the nurse who has these suspicions?

A nurse is caring for a child with ADHD. Which intervention is most appropriate?

The nurse is developing a care plan for a teenage patient with attention deficit hyperactivity disorder who is at high risk for self-harm due to poor judgment, high risk-taking behaviors, and impulsivity. Which of the following is the priority nursing intervention?

A 7-month-old infant has intermittent abdominal pain, distention, bilious vomiting, red currant jelly stool, and a sausage-shaped mass in the right upper quadrant. What is the most likely diagnosis?

After an above-the-knee amputation of a right leg, a client reports pain in the right foot. Which explanation of phantom limb pain should the nurse provide?

The nurse is providing care for a patient in active labor. The patient continuously asks the nurse for medication to stop the pain. Which ethical principle does the nurse use when replying, 'We need to protect the baby from being overmedicated. Let me help you with some breathing and relaxation techniques'?

An older adult client is receiving care on a rehabilitative medicine unit during her recovery from a stroke. She complains that the physical therapist, occupational therapist, neurologist, primary care physician, and speech language pathologist "don't seem to be on the same page" and that "everyone has their own plan for me." How can the nurse best respond to the client's frustration?

Which clinical manifestation in a client 4 hours status post-nasoseptoplasty will the nurse report immediately to the surgeon?

According to the signs of systemic inflammatory response syndrome (SIRS), which of the following infection patients has an increased risk of sepsis?

The RN is caring for four clients. Which task is most appropriate to delegate to an experienced UAP?

What should you do if a choking person is coughing forcefully?

At what age is the first dose of the MMR vaccine recommended?

A client with pulmonary tuberculosis (TB) is on airborne isolation precautions. Which item(s) is essential for the nurse to wear?

Which type of isolation precautions will the nurse use when caring for a client diagnosed with tuberculosis?

A nurse manager is coordinating care after a plane crash brings multiple victims to the emergency department. Which leadership style is most appropriate?

The perioperative nurse has admitted a client who has just undergone a tonsillectomy. Which potential postoperative complication should the nurse prioritize?

After a tonsillectomy and adenoidectomy, which finding should alert the nurse to suspect early hemorrhage in a 5-year-old child?

A newborn girl who was born at 38 weeks' gestation weighs 2000 g and is below the 10th percentile in weight. The nurse recognizes that this girl will be placed in which classification?

What is the abbreviation for at bedtime?

At the end of a shift, a nurse documents a patient's condition, anticipated condition, medications, and nursing interventions fulfilled, so that the next nurse can follow the appropriate treatment and care for the patient. Which kind of report is this?

A client with acute appendicitis asks the nurse, 'Why don't you give me a heating pad? I think that will help me with my pain.' The nurse's response should be based on which reason?

A nurse is preparing a child for the postoperative period following a tonsillectomy. Which position should the nurse plan to use?

Which intervention belongs to primary prevention of TB?

The nurse is calculating an infusion rate for the following order: Infuse 1,000 mL of 0.9% NaCl over 12 hours using an electronic infusion device. What is the infusion rate?

A patient scores as follows on GCS: Eye opening to speech; Confused conversation; Localizes pain. Which total score should the nurse report?

When treating a patient with severe salicylate toxicity, which drug should the nurse expect to use?

A client comes into the ER with acute shortness of breath and a cough that produces pink, frothy sputum. Admission assessment reveals crackles and wheezes, a BP of 85/46, a HR of 122 BPM, and respiratory rate of 38 breaths/min. Which disorder should the nurse suspect?

Screening for gestational diabetes should occur:

What is the first line treatment for gestational diabetes?

A nurse suspects placenta previa. Which intervention is contraindicated?

The patient experiencing recurrent otitis media asks the nurse, 'Why is my doctor going to do a tympanostomy tube insertion?' Which response by the nurse is accurate?

A nurse manager observes a nurse entering the room of a client who is on contact precautions without donning personal protective equipment. Which priority action should the nurse manager take?

Which nursing intervention would the nurse provide an infant during the immediate postoperative period after surgical repair of a cleft lip?

The nurse is educating new parents about the prevention of sudden infant death syndrome (SIDS). Which sleeping position is the safest?

A patient who is 34 weeks' gestation calls the telephone triage nurse after hours to report bright red vaginal bleeding and abdominal pain. Which instruction should the nurse give the patient?

A woman with a history of epilepsy takes medication and has a positive home pregnancy test, but examination and ultrasound show that she is not pregnant. What is the most likely cause of the false-positive result?

Which client would the nurse suspect to have pyloric stenosis?

When administering medications to the patient with gout, the nurse would recognize which of the following as a treatment for chronic disease?

A nurse clarifies the purpose of a home visit with a family. Which of the following phases of the home visit process is occurring?

Which statement indicates that a client with diabetes mellitus understands proper foot care?

During an assessment, the nurse asks the patient, 'What does your pain feel like?' The patient states, 'I have numbness and a tingling sensation interspersed with shooting pain.' Which type of pain does the nurse infer from the patient's response?

During the assessment of a patient with cobalamin deficiency, what manifestation would the nurse expect to find in the patient?

A patient is admitted to the hospital with a history of night sweats, weight loss, hemoptysis, and fever and chills for the last 2 weeks. Which action would the nurse perform immediately?

A nurse is providing teaching to a client who is scheduled for an angiography. Which of the following information should the nurse include?

A client who has a new arteriovenous graft in the right forearm reports pain and cold fingers. Which action should the nurse take?

A child is hospitalized with nephrotic syndrome. Which measurement is best for the nurse to determine the child's edema?

Which treatments does the nurse anticipate for hypervolemic heart failure with edema, crackles, and elevated BNP?

Which assessment is of highest priority for the nurse to complete before administration of morphine?

A nurse is assessing a client who is receiving magnesium sulfate and notes the client has depressed deep tendon reflexes. The nurse should anticipate the need to administer which medication?

A client is postoperative after open reduction and internal fixation of a fractured femoral neck. Which long-term goal should the nurse identify?

Which patient statement shows correct understanding of metered-dose inhaler use?

Which temperature route is safest for a confused or unconscious client?

A community health nurse teaches a group of healthy adults about receiving annual immunizations. Which level of prevention is the nurse implementing?

The nurse gathers supplies, including an extra pair of sterile gloves, for a sterile dressing change on a client's large abdominal wound. The nurse uses the extra gloves for what purpose?

After assisting with the birth of a newborn, which action by the nurse is most effective in preventing heat loss by evaporation?

An individual experienced the death of a parent 2 years ago. This individual has not been able to work since the death, cannot look at any of the parent's belongings, and cries daily for hours at a time. Which nursing diagnosis most accurately describes this individual's problem?

A large-for-gestational-age infant is brought to the emergency department 5 hours after birth with tremors, diaphoresis, and tachypnea. Which assessment should the nurse complete next?

A newborn is diagnosed with hypospadias and the parents want the newborn to be circumcised. What would be the best response by the nurse?

The nurse is monitoring a client who is 5 hours postpartum and notes her perineal pad has become saturated in approximately 15 minutes. Which action should the nurse prioritize?

A nurse notes that the site of a client's peripheral IV catheter is reddened, warm, painful, and slightly edematous near the insertion point. Which action should the nurse take first?

What body has been established to protect participants of research?

To meet the sensory needs of a client with viral meningitis, what should the nurse do?

Which would the nurse plan to monitor in the newborn with a cephalohematoma?

What complication can develop from chronic pulmonary vasoconstriction and increased workload on the right side of the heart?

A nurse suspects necrotizing enterocolitis (NEC). What is the earliest sign?

Which level of prevention is a community health nurse practicing when she offers homeless clients yearly tuberculosis screening and free treatment for those who test positive?

Following teaching of foot care to a patient with diabetes, which statement indicates that additional instruction is needed?

A mother is concerned about her infant's spitting up. Which suggestion would be most appropriate?

A potentially lethal complication of acute DVT is which one of the following?

A nurse is preparing to administer a DTaP immunization booster to a 4-year-old child. Which level of prevention does this action represent?

A healthy, stable, preterm newborn will soon be discharged. The nurse should recommend which position for sleep?

A nurse inappropriately delegates a task and the patient is injured, but the nurse says the assistant should have known how to perform it. Which element is the nurse lacking?

An older-adult patient is visiting the clinic after a fall during the night. Which medication most likely contributed to the patient's fall?

The nurse administers a sublingual tablet and instructs the patient to avoid swallowing the tablet but rather to allow it to dissolve. The patient asks why. What is the nurse's best response?

A 23-year-old woman is seen in the office by the nurse practitioner for complaints of weakness, poor balance, and problems with walking. She states, "I am so clumsy. Sometimes I fall when I walk." She reports new-onset vision loss and bladder incontinence. Each episode lasts a few days; she has had several in the past 6 months. When she bends her head forward to tie her shoes, she reports a sharp shooting sensation from the upper to lower back. She is anxious and crying at the office. What is the most likely diagnosis for this patient?

What should be the first nursing intervention for a patient with severe hyperkalemia and ECG changes?

A nurse in a rural health center meets a new client, age 4. The nurse notices that his legs appear bowed and his dentition is malformed for a child his age. What vitamin deficiency would the nurse most suspect?

A strict vegan patient develops neurological symptoms and megaloblastic anemia. Which vitamin is deficient?

An 8-year-old child is being discharged after recovery from a sickle-cell vaso-occlusive episode. Which statement by the parents shows correct understanding of care?

A patient is suspected of having methicillin-resistant Staphylococcus aureus (MRSA). Which intervention is most appropriate?

The nurse takes a call from a concerned mother whose infant received routine immunizations the day before and now has a temperature of 101°F (38.3°C), is fussy and pulling at the injection site. The mother wants to know what she should do. Which is the best response?

A 25-year-old woman presents with vaginal bleeding, nausea, and right lower abdominal pain and tenderness. She is hypotensive and tachycardic. What is the diagnosis?

A diagnosis of rheumatic fever is being ruled out in a child. Which laboratory test is the most reliable?

Which statement best describes the recommended vaccination schedule for an older adult client?

Which pain assessment tool is most appropriate for a sedated, intubated adult in the ICU?

A patient has a GCS of 6. What is the nurse's priority intervention?

Which term describes the repetition of one's own words or sounds?

A nurse is teaching a childbirth preparation class. Which information regarding discomfort during labor should the nurse be certain to include in her teaching?

Performing a Mantoux skin test for tuberculosis screening, performing a mammography, and daily blood pressure monitoring fall under which level of prevention?

The nurse accidentally gives a patient a medication at the wrong time. What is the nurse's first priority?

A client receiving intravenous digoxin has a baseline apical heart rate of 52 beats/min. What is the priority nursing action?

An 81-year-old patient is being discharged home on seven different medications to be taken at four different times during the day. What would be most useful in helping this patient manage her medications?

The PACU nurse is receiving the client from the OR. Which intervention should the nurse implement first?

After completing an assessment of a newborn, the nurse determines that the newborn is small-for-gestational-age based on which weight assessment?

The nurse notes that a peripheral IV site is cool, pale, and swollen and that the IV has stopped running. What has probably occurred?

The nurse is providing care for a client with ulcerative colitis who underwent the creation of a transverse colostomy. Which observation requires immediate notification of the surgeon?

A client developed a pressure area on the hip that has become infected. If the wound culture reveals methicillin-resistant Staphylococcus aureus, which medication would the nurse expect to be prescribed?

The nurse is caring for a client with a diagnosis of severe dehydration. The client has been receiving intravenous (IV) fluids and nasogastric (NG) tube feedings. The nurse monitors fluid balance using which as the best indicator?

A family member is learning to administer subcutaneous injections at home. How should used needles and syringes be discarded?

A nurse is preparing to administer insulin to a child who's just been diagnosed with type 1 diabetes. When the child's mother stops the nurse in the hall, she's crying and anxious to talk about her son's condition. The nurse's best response is:

A 7-year-old is diagnosed with nephrotic syndrome. Which sign would support this diagnosis?

You realize that you gave a drug to the wrong patient. What action should you take?

A nurse is caring for a patient who desires an elective abortion, but the nurse's religious and ethical values are strongly opposed. How should the nurse best handle the situation?

A 1-month-old boy presents with projectile vomiting and dehydration, and an olive-shaped mass is palpated in the epigastric region. What pathology is present?

A nurse is preparing to care for a child after a tonsillectomy. Which position is most appropriate?

Abruptio placenta is most accurately defined as:

A yellow crust has formed over the circumcision site 5 days after circumcision. Which response by the nurse is most appropriate?

A patient arrives after a fall. The left leg is shorter than the right and externally rotated. Which condition does the nurse suspect?

A patient has severe hip pain after a fall. The leg is internally rotated and shortened. Which diagnosis is most likely?

During an immunization program for physically challenged children in a rehabilitation center, the nurse administered pneumonia vaccines to the children as a part of the program. The scenario meets which level of prevention?

When a client has increased difficulty breathing when lying flat, what is the client demonstrating?

A child with suspected rheumatic fever is prescribed an antistreptolysin O titer. What is the purpose of the test?

A pregnant client with HIV asks about feeding options for the newborn. Which response should the nurse make?

A child is brought to the clinic with a rash and is subsequently diagnosed with measles. The parent reports also having had measles as a young child. What type of immunity to measles develops after the initial infection?

In what nursing delivery model is a nurse assigned to a patient and works with that patient during every shift?

A patient laughs while saying, ‘My dog died yesterday.’ The nurse documents this behavior using what terminology?

A patient taking chlorpromazine has a hand tremor and slowness of gait. Which adverse effect is most likely?

Which assessment should the nurse perform specifically for the safe administration of intravenous mannitol?

A patient is prescribed levofloxacin for a urinary tract infection. Which foods should the nurse instruct the patient to avoid?

Which of the following is a potential disadvantage for the patient who wishes to use an intrauterine device (IUD) as a method of birth control?

If a client develops lower abdominal pain after a cystoscopy, what should the nurse instruct the client to do?

An infant has a high gastric residual through a nasogastric tube. Which position promotes gastric emptying?

In which situation can a client's confidentiality be breached legally?

A study that carries out an investigation using observations or data that have already been collected in the past is considered a:

Immunizations are a form of:

Which condition would the nurse document in the electronic medical record for an infant with white pinpoint pimples on the nose and chin?

A mother refuses the MMR vaccine, stating that her 2-year-old has not been sick yet. Which response by the nurse is best?

Which statement by a client indicates correct understanding of vaccination?

A woman who is 4 days postpartum says she feels let down and cries for no reason. Which condition does the nurse recognize?

A nurse is caring for a newborn who was born at 38 weeks of gestation, weighs 3,200 g, and is in the 60th percentile for weight. Based on the weight and gestational age, the nurse should classify this neonate as which of the following?

A community health nurse is caring for a client who has COVID 19. Which of the following infection control precautions should the nurse use while caring for this client?

The vaccine that the CDC recommends be given to 11- to 12-year-old girls to help fight off HPV and cervical cancer is called:

The nurse caring for an infant with a diagnosis of hydrocephalus would monitor the infant for which sign of increased intracranial pressure?

Which of the following is a common complication of VP shunt placement in hydrocephalus?

A nurse is caring for a client with hyperparathyroidism and notes that the client's serum calcium level is 13 mg/dL. Which medication should the nurse prepare to administer as prescribed?

A 10 y/o girl has a broken elbow and the family ask the nurse how long broke bones usually take to hea. the nurse responds by stating that most fractures for this age group heal:

Which statement indicates that a patient understands preconception folic acid teaching?

A child develops an itchy vesicular rash with lesions in different stages of development. Which disease is most likely?

A client with schizophrenia is receiving haloperidol and has benztropine prescribed as needed. Which behavior warrants administration of benztropine?

Which of the following is an expected preoperative nursing intervention for an infant undergoing CHD surgery?

A woman is 40 years old and a heavy smoker. She has a single sexual partner but has very irregular menstrual cycles. She wants a highly reliable contraceptive. Which method would be the best recommendation?

The following are strategies implemented by the Department of Health to prevent mosquito-borne diseases. Which of these is most effective in the control of Dengue fever?

A student nurse is working with a patient who has asthma. The primary nurse says wheezes can be heard on auscultation. What does the student expect to hear?

A patient gives consent for surgery and now wishes to revoke the consent. What action should the nurse take next?

A client tells the nurse that he really does not understand the surgical procedure and is concerned because he will be awake during surgery. Which action by the nurse is appropriate?

A pregnant client is admitted to the high-risk unit with abdominal pain and heavy vaginal bleeding. What is the nurse's priority intervention?

Priority Decision: A patient diagnosed with class 3 TB 1 week ago is admitted to the hospital with symptoms of chest pain and coughing. What nursing action has the highest priority?

Indicate the level of prevention that is represented in each question: Immunization against rubella

A nurse is caring for a client who is intubated and has a subclavian central venous catheter. Which nursing intervention is most important to prevent the spread of infection to this client?

A patient presents to the office for a 6-week postpartum visit desiring contraception. Which of the following would be the most appropriate and effective choice of birth control if the patient was breastfeeding?

A nurse is preparing an order of Amydramine 30 mg PO BD. The available supply/dose is 15 mg / 5 mL. What is the correct dosage to be administered?

A patient with pulmonary TB is being admitted to the unit. Which type of precautions should be implemented?

The nurse manager is considered a "great communicator." She can be found on the unit talking with staff, keeping them informed and asking their opinions. She believes that nurses are motivated by internal means and that they want to participate in making decisions about the unit although the final decision always rests with her. The nurses recognize that this nurse manager is what type of leader?

For which of the following issues should the nurse observe the mother closely during the 4th stage of labor?

After the initial assessment of the newborn infant, the infant's weight, length, and head circumference are plotted out on a growth chart. The growth chart shows that the infant's weight is at the 15th percentile, length is at the 20th percentile, and head circumference is at the 30th percentile. These results indicate that the infant is:

A pregnant client is making her first antepartum visit. She has a 2-year-old son born at 40 weeks, a 5-year-old daughter born at 38 weeks, and 7-year-old twin daughters born at 35 weeks. She had a spontaneous abortion 3 years ago at 10 weeks. How would the nurse, using the GTPAL format, document the client's obstetric history?

The birth parent of an infant with myelomeningocele asks if the child is likely to have any other defects. The nurse responds based on the understanding that myelomeningocele is commonly associated with which disorder?

The nurse caring for a patient receiving a transfusion notes that 15 minutes after the infusion of packed red blood cells (PRBCs) has begun, the patient is having difficulty breathing and complains of severe chest tightness. What is the most appropriate initial action for the nurse to take?

Which major neonatal complication is carefully monitored after the birth of the infant of a diabetic mother?

The nurse observes that a postsurgical client has hemorrhaged and is in hypovolemic shock. Which nursing intervention will manage and minimize hemorrhage and shock?

When caring for a client who has acute respiratory distress syndrome (ARDS), the nurse elevates the head of the bed 30 degrees. What is the reason for this intervention?

A nurse is caring for a client who reports contractions every 8 to 10 minutes that stop after hydration and rest. Which finding indicates false labor?

A newborn weighing 9 lb 14 oz has a cesarean birth because of cephalopelvic disproportion. The Apgar scores are 7 at 1 minute and 9 at 5 minutes. What should the nurse do after the initial physical assessment?

A nurse is teaching a client who has active genital herpes simplex virus, type 2. Which of the following statements should the nurse include in the teaching?

A 25 kg child needs fluids. What should the daily maintenance fluid requirement be?

Which screening test is commonly used to diagnose cervical cancer?

Which routine nursing assessment is contraindicated for a patient admitted with suspected placenta previa?

A client diagnosed with brief psychotic disorder tells a nurse about voices telling him to kill the president. Which nursing diagnosis should the nurse prioritize for this client?

A patient who has been anticoagulated with warfarin (Coumadin) has been admitted for gastrointestinal bleeding. The history and physical examination indicates that the patient may have taken too much warfarin. The nurse anticipates that the patient will receive which antidote?

A client with schizophrenia repeatedly uses the same word, phrase, or idea despite attempts to change the topic. Which language disturbance is the client exhibiting?

A client presents with heavy vaginal bleeding, severe lower abdominal pain, and an open cervix. Ultrasound reveals some products of conception still in the uterus. What type of abortion is this?

Which intervention should the college health clinic nurse implement as a secondary prevention strategy to identify students at risk for diabetes?

The nurse cares for a client with bacterial meningitis. Which isolation precaution will the nurse apply?

An infant with bronchiolitis is hospitalized, and the causative organism is respiratory syncytial virus (RSV). What type of isolation is required?

The nurse in an emergency department notices a patient's husband, pacing in the hallway, muttering to himself, and looking angrily around the emergency department. Which statement should the nurse make to the spouse to help prevent escalation and/or violence?

A 29-year-old man has right lower-quadrant abdominal pain. Palpation of the left lower quadrant causes pain in the right lower quadrant. What is the name of this sign?

A nurse is preparing to administer a Mantoux skin test to a client. What is the purpose of a Mantoux skin test using purified protein derivative (PPD)?

Which of the following describes a positive Rovsing's sign?

When providing an SBAR report, what information belongs in the "Situation" section?

Which leadership style is reflected when the nurse leader asks the team, ‘What do you think should be done in this situation?’

The nurse's initial action when caring for an infant with a slightly decreased temperature is to:

A charge nurse is observing a newly licensed nurse administer medications to a client. Which of the following actions by the newly licensed nurse should prompt the charge nurse to intervene?

A nurse overhears a coworker make an inappropriate comment. What action should the nurse take first?

The nurse is assessing a pregnant client at 16 weeks of gestation. Where should the fundus of the uterus be located?

A nurse is providing discharge teaching to the guardian of an infant following a hypospadias repair. Which instruction should the nurse include?

The nurse is caring for a child admitted with pyloric stenosis. Which clinical manifestation would likely have been noted?

What is the main feature of a randomized controlled trial (RCT)?

A primary care provider has ordered a Mantoux test. The nurse explains that this test is used to screen for which condition?

An infant with tetralogy of Fallot suddenly becomes cyanotic during a hypercyanotic spell. Which position should the nurse place the infant in?

While the nurse is performing morning care, a client begins to have a seizure. What should the nurse do?

The nurse is preparing to insert a nasogastric tube into a client. Which position should the nurse use for insertion?

The nurse teaches a patient about taking a sublingual nitroglycerin tablet. Which statement indicates understanding? I should place it:

Which information concerning a safe feeding technique would the nurse provide to a mother whose newborn infant son has a cleft lip and palate?

A nurse has concerns that an order written for a client is not appropriate. The provider is contacted and insists the order is correct, but the nurse still has reservations. What is the appropriate action?

Who is ultimately accountable for the appropriateness and supervision of a delegated task?

A patient complains of difficulty seeing at night. Exam reveals dry conjunctivae with white patches. These findings are consistent with a deficiency of what vitamin?

The nurse is teaching pregnant women about diet. Which nutrient decreases the incidence of neural tube defects?

A community mental health nurse is implementing a tertiary prevention activity. Which of the following interventions is most likely being completed?

The nurse enters the patient's room to give medications. Which action is most appropriate to identify the 'right patient'?

During the preoperative assessment of a patient scheduled for right cataract extraction and intraocular lens implantation, what is most important for the nurse to assess?

As an RN stands in line for the cafeteria cashier, he overhears the staff in front of him talking about a client the RN took care of earlier in the week. The client's room number is mentioned along with the diagnosis and prognosis. Which of the following actions should the RN take?

Which of the following scenarios constitutes a violation of HIPAA?

The nurse is providing care to a newborn with severe meconium aspiration syndrome. The nurse is reviewing diagnostic test results. Which finding would the nurse expect?

A new mother is changing the diaper of her 12-hour-old newborn and asks why the stool is black and sticky. Which response by the nurse is most appropriate?

A 39-week pregnant client arrives to the labor and delivery unit. Upon cervical exam, the client is 8 cm dilated, 100% effaced, and the fetus is at +2 station. What is the priority action of the nurse?

A nursing student is providing foot care to a client with diabetes. Which action by the student indicates a need for further teaching?

Which type of pain would the nurse suspect if a patient reports numbness and tingling sensation interspersed with shooting or electric-like pain?

A patient describes numbness in the arms and hands with a tingling sensation. The patient also frequently stumbles when walking. What vitamin deficiency does the nurse determine may cause some of these symptoms?

A client is admitted with suspected tuberculosis and productive sputum while testing is pending. Which precaution should the nurse use to prevent exposure?

Which key point should the nurse include when teaching a client about postprocedural care after cardiac catheterization?

After an arteriovenous graft is inserted in a patient's right forearm, the patient reports pain and coldness in the right fingers. Which action would the nurse take?

What is a hallmark of the diagnosis of nephrotic syndrome?

A patient with heart failure has excessive aldosterone secretion and is continuously asking for water. What instruction does the nurse give the unlicensed assistive personnel?

A class of new nursing students is learning how to administer medications to clients. What should the instructor teach the students about giving opiates?

What should the nurse be prepared to administer in a client with signs of magnesium toxicity?

Which goal is most appropriate for a patient who has had a total hip replacement?

How should a typical metered-dose inhaler be inhaled?

Which is considered the safest and most non-invasive method of temperature taking?

A nurse is planning a community health initiative. Which intervention best reflects primary prevention?

The nurse is preparing to change the soiled linen of a patient's unoccupied bed. Which precaution minimizes the risk of transmitting microorganisms?

Failing to dry a newborn immediately after birth causes heat loss primarily by:

The nurse is caring for a newborn born to a mother with Type 2 Diabetes Mellitus who takes insulin. Upon assessment, the nurse notes that the respiratory rate is 68, temperature is 97.5 and the newborn is jittery. What is the nurse's priority action?

During a routine well-child check, a clinician identifies anterior hypospadias in a 2-month-old male. The parents ask if he can be circumcised next week. Which recommendation is most appropriate?

A woman delivered a 9-lb, 10-ounce baby 1 hour ago and is lying in a puddle of blood with two saturated pads. What is the nurse's first action?

The nurse notes that the site of a client's peripheral IV catheter is reddened, warm, painful, and slightly edematous proximal to the insertion point. How should the nurse document this complication?

A researcher obtains a random sample of hospitals, acquires a list of every aide working in those hospitals, and randomly selects two aides from each hospital. What sampling technique is used?

A patient with severe headache, photophobia, stiff neck, fever, nausea, and vomiting is suspected of having meningitis. Which nursing intervention is the priority to reduce the risk of increased intracranial pressure?

Infants who develop cephalohematoma are at increased risk for which complication?

What is the most common cause of cor pulmonale?

Necrotizing enterocolitis is an inflammatory disease of the gastrointestinal mucosa. Which findings are characteristic of NEC?

A newly hospitalized patient experiencing psychosis says, 'Red chair out town board.' Which term should the nurse use to document this finding?

The nurse is admitting a patient with glaucoma who states that she is allergic to all sulfa drugs. Which medication order should the nurse question and report to the health care provider?

Assessment reveals difficulty communicating verbally, hyperventilation, tachycardia, headache, nausea, and dizziness. Which level of anxiety is the client experiencing?

After the baby is born, what should be the first action performed?

Prior to administering a client's daily dose of digoxin to treat heart failure, the nurse reviews the client's laboratory data and notes the following results: serum calcium, 9.8 mg/dL (2.45 mmol/L); serum magnesium, 1.0 mEq/L (0.4 mmol/L); serum potassium, 4.1 mEq/L (4.1 mmol/L); serum creatinine, 0.9 mg/dL (79.5 mcmol/L). Which result would alert the nurse that the client is at risk for digoxin toxicity?

At 37 weeks, a woman has sudden intense abdominal pain, a rigid board-like abdomen, and no vaginal bleeding. What should the nurse do next?

A client has a myocardial infarction in the left ventricle and develops bilateral crackles, three-pillow orthopnea, an S3 heart sound, and a cough with pink frothy sputum. What do these signs and symptoms indicate?

Which type of cryotherapy is most commonly used, effective, and can be applied with a swab or cryoprobe?

The nurse is conducting an ongoing assessment of a client prescribed loxapine. Which finding is most likely attributable to this medication?

A nurse manager is coping with a staff member who is very resistant to change. Which strategy would be beneficial?

A patient's cervix is 8 cm dilated and she is 100% effaced. What action by the nurse is most important currently?

A nurse assesses a child's skin and finds moist, thin-roofed vesicles that have ruptured to form thick honey-colored crusts around the mouth and nose. What is the most likely diagnosis?

Which of the following symptoms would most likely indicate pneumonia in a pediatric patient?

A community health clinic promotes annual screening mammograms to detect early-stage breast tumors before symptoms appear. Which level of disease prevention does this represent?

A patient with chronic lung disease presents with elevated jugular veins, hepatomegaly, and ankle edema. What best explains these findings?

The health care provider hands a neonate to the nurse immediately after birth. Which is the most appropriate action for the nurse to take next for this newborn?

Which evidence-based care practice is recommended during the immediate newborn period?

What type of vaccine is MMR?

Which of the following lobes are involved in planning, memory, and personality?

Where should the nurse place the stethoscope to assess an adult client's apical pulse?

A nurse is beginning warfarin sodium therapy. Which medication should be available on the unit as the antidote for warfarin?

A nurse provides safety teaching to parents of a 1-week-old infant. Which statement indicates the need for further teaching?

The nurse is reviewing conditions caused by nutrient deficiencies. Conditions such as infantile rickets, tetany, and osteomalacia are caused by a deficiency in which vitamin or mineral?

Which medication is the antidote for opioid overdose?

The Centers for Disease Control and Prevention has predicted that the flu will be very contagious this season. Based on this information, nurses set up flu vaccine clinics in local churches and senior citizen centers. Which level of prevention is this an example of?

A client gives birth to a full-term male with an 8/9 Apgar score. What should the immediate nursing care include?

The provider orders 500 mg of a medication. The available medication is 250 mg per tablet. How many tablets should the nurse administer?

A nurse is caring for a client who is 36 weeks pregnant with severe preeclampsia. Which order should the nurse expect to receive?

After oral labetalol for gestational hypertension, a pregnant patient has a blood pressure of 178/96 mm Hg with headache and blurry vision. Which order should the nurse anticipate?

When administering magnesium sulfate to a client with preeclampsia, the nurse understands that this drug is given to:

In women, chlamydia usually:

Enemas are ordered preoperatively for a child with Hirschsprung disease. What solution should the nurse use?

The nurse and the physical therapist discuss the therapy schedule and goals for a patient on a rehabilitation unit. What type of communication is occurring between the nurse and the therapist?

Who is responsible for filling out an incident report?

A nurse is caring for a client who has just been told that their fetus carries a genetic disorder associated with significant health-related issues. The client asks, "Should I have an abortion?" What is the most appropriate response by the nurse?

A nurse is preparing to perform an abdominal assessment. In which order should the nurse perform the assessment techniques?

The nurse is preparing to give a medication by intravenous bolus. The IV insertion site is warm, reddened, and tender. What action should the nurse take first?

A mother refuses the MMR vaccine for her child because she believes childhood diseases help children fight infections later. What is the nurse's most appropriate response?

A client at 27 weeks gestation has been diagnosed with gestational diabetes. Which therapy will most likely be ordered?

The nurse understands that late postpartum hemorrhage may be prevented by:

The nurse has four clients. Which client would require the use of a mechanical lift?

A nurse performs the Barlow and Ortolani maneuvers on a newborn. Which finding does the nurse document as a positive sign of hip instability or dislocation?

A middle-aged female client reports anxiety, insomnia, weight loss, the inability to concentrate, and eyes feeling "gritty." Thyroid function tests reveal the following findings. A 6-hour radioactive iodine uptake test showed a diffuse uptake of 85%. Based on these assessment findings, which condition would the nurse suspect?

The nurse admits a client with severe dehydration. Which laboratory result supports the admitting diagnosis?

A client states, 'I think my water broke!' The nurse tests the fluid with nitrazine paper and confirms membrane rupture if the swab turns which color?

A client with a history of mental illness who takes an antipsychotic medication complains of constant xerostomia. Which factor is the most likely cause?

A woman in labor received an opioid close to the time of birth. The nurse should assess the newborn for which effect?

Researchers measure the same participants every year for 10 years. Which timeline is represented?

A parent of a newborn presents to the clinic for the first newborn visit. The provider discusses the positive newborn screening for Phenylketonuria (PKU). The parent asks the nurse, "Why didn't they find this while I was pregnant?" Which of the following responses should the nurse provide?

While changing a female newborn's diaper, the nurse observes a mucus-like, slightly bloody vaginal discharge. Which action would the nurse do next?

At 39 weeks' gestation, a client asks about the difference between true and false labor. Which information regarding true labor contractions should the nurse include?

A nurse is caring for a cancer patient receiving subcutaneous morphine sulfate for pain. Which nursing action is most important?

Which of the following describes hs?

Which newborn challenge occurs when the newborn inhales amniotic fluid mixed with meconium in utero or at birth?

The nurse is preparing a client for internal fetal monitoring. Which finding is required?

When assessing the weight of a 5-month-old infant, which finding indicates healthy growth?

The nurse is working with a 16-year-old pregnant girl who tells the nurse that she needs an abortion. The nurse provides the patient with information on alternatives to abortion, but after several sessions, the patient still insists on having the abortion. The competency of the nurse as a consultant requires what of the nurse?

A nurse is assessing a child with pyloric stenosis. Which finding is most likely?

The 20-year-old who has laser surgery to remove the tonsils should be positioned postoperatively in which position?

Which statement best defines abruptio placentae?

A client's wife states that her husband has been giving her the cold shoulder. The nurse identifies this behavior as which of the following?

A 29-week infant receiving CPAP develops nasal flaring, grunting, and worsening retractions. What is the nurse's priority response?

A nurse is planning primary prevention activities related to the emergence of tuberculosis (TB) in the local community. Which activity would the nurse implement?

Ms. Kiyawasew, a 23-year-old First Nations woman, is pregnant with her first child. Based on the statistics for infant mortality, which intervention is most important for the nurse to implement?

What is the most effective intervention to reduce maternal mortality in rural communities?

The nurse manager of a quality improvement program asks a nurse to conduct a retrospective audit. Which action should the auditing nurse plan to perform?

A student health nurse is counseling a college student who wants to lose weight. At the first evaluation, the student has lost only 1 lb instead of the projected 5 lb. Which is the best nursing response?

A mother who has been breastfeeding for three months reports fever, unilateral breast swelling, pain, and redness. What is the appropriate nursing response?

To foster family-centered care, which action should the nurse take?

Which is the best password practice for a nurse using an electronic health record?

When signing in to the electronic medical record, a nurse is prompted to change their password. Which best-practice guideline does the nurse use to formulate the new password?

The nurse manager is analyzing patient outcomes after knee replacement surgeries, so the nurse manager collects data on all patients who have had knee replacement surgery five years after discharge. Which type of audit is the nurse manager conducting?

A client has a wound on the left trochanter with black tissue at the perimeter and exposed bone. What is the nurse's best action?

When developing the plan of care for an infant with pyloric stenosis, the nurse identifies deficient fluid volume related to prolonged vomiting. Which parameter should the nurse use when evaluating the client outcome?

A nurse is teaching a patient about healthy bowel elimination habits. Which of the following foods should the nurse recommend to help prevent constipation?

Which immunity type becomes active as a result of infection by a specific microorganism?

During an examination of a pediatric patient admitted for postoperative pain management, the nurse notes a decreased respiratory rate. What is the most likely cause?

An African American female is suspected of having vitamin B12 deficiency anemia. Because jaundice can occur, which body part is the best indicator?

The spouse of a client with cancer asks why breakthrough doses of morphine need to be higher and more frequent to achieve pain relief. Which response is appropriate?

Which nutrient enhances the absorption of calcium?

When planning care for a laboring woman whose membranes have ruptured, the nurse recognizes that the woman's risk for which condition has increased?

A postpartum patient delivered vaginally after 20 hours of ruptured membranes. On day 2 postpartum, she reports pelvic pain and chills. The fundus is tender, and her temperature is 101.9°F (38.8°C). Lochia has a foul odor. The nurse suspects endometritis. Which statement made by the new nurse indicates a need for further education?

The nurse is teaching a patient how to use an incentive spirometer. Which instruction is most appropriate?

A nurse is teaching a patient how to perform flow type incentive spirometry prior to his scheduled thoracic surgery. What instruction should the nurse provide to the patient?

The nurse is teaching a client newly diagnosed with asthma about triggers. Which statement by the client indicates the client understands the teaching plan?

A nurse is collecting data from a client who has an abdominal aortic aneurysm. Which manifestation should the nurse expect?

A nurse is preparing a school-age child for a tonsillectomy. Which of the following actions should the nurse take?

A nurse is providing teaching to a client who is scheduled for a Papanicolaou (Pap) test. The nurse should inform the client that the Pap test is used to screen for which condition?

The parents of a school-age child are told that their child is diagnosed with leukemia. As the nurse caring for this child, what is the expected first response of the parents to the diagnosis of chronic illness in their child?

You are called to a residence for a ventilator-dependent child with respiratory distress. Upon your arrival, the child's mother tells you that the child was doing fine, but then suddenly began experiencing labored breathing. She further tells you that the child's home ventilator was recently replaced with a newer one. Assessment of the child reveals that she is in marked respiratory distress and has intercostal retractions. Your FIRST action should be to:

A school-age female is diagnosed with a urinary tract infection caused by Escherichia coli. When teaching the child and parents how to prevent a recurrence, the nurse should emphasize which intervention as most important?

An elderly woman with osteoarthritis has difficulty ambulating and reports chronic pain. Which nursing intervention best promotes mobility?

Which action will the nurse perform first when caring for a client who is in sickle cell crisis?

How can information technology be used to increase patient safety?

Which hormone is responsible for uterine growth?

Which nursing intervention is most important immediately after a child has a ventriculoperitoneal shunt inserted?

A patient is scheduled to receive a beta-agonist. Before administration, which assessment finding should concern the nurse most?

A sexually active client presents with a sore throat and a generalized rash. The client states that a chancre that had been present healed approximately three months ago. The physical assessment and serologic test findings indicate syphilis. What stage is the client experiencing?

A school nurse is demonstrating the use of a peak flow meter to help children with chronic asthma recognize when they need to use a rescue inhaler. Which level of prevention is being used by the nurse?

Which infectious disease intervention best represents the use of secondary prevention?

A nurse accesses an EHR to retrieve immunization history before administering vaccines. Which EHR feature is being used?

When caring for a patient with nephrotic syndrome, which food selection indicates the patient understands the diet teaching provided?

Nurse Serge is analyzing survey data to find correlations between patient satisfaction and the number of follow-up visits. Which research approach is he employing?

Which type of research study, if well done, in the hierarchy of evidence is most likely to provide reliable answers to a specific clinical question?

Which of the following maternal condition is associated with fetal macrosomia?

What is the standard delivery approach when placenta previa persists near delivery?

An infant is born at 39 weeks to a mother whose HBsAg status is negative. The infant is medically stable and weighs 3,100 g. When should the first dose of monovalent HepB vaccine be given?

An infant is hospitalized for respiratory syncytial virus (RSV) bronchiolitis. Which precautions should the nurse implement?

Which isolation precaution should the nurse implement for a client with meningitis?

Which infection requires a negative pressure room?

At birth, which should the nurse do to prevent heat loss in the newborn?

The nurse is obtaining vital signs for a client who has acquired immune deficiency syndrome (AIDS). Prior to entering the room, the nurse should do which of the following?

A nurse preceptor is working with a student nurse. Which behavior by the student nurse will require the nurse preceptor to intervene?

Calculate the total fluid to be infused in the first 8 hours after arrival for an adult burn victim weighing 81 kg with a TBSA of 19%:

Which type of isolation precautions should be used for a patient suspected of having rubeola?

Which statement best explains phantom limb pain after a below-knee amputation?

What should the gynecology clinic nurse recommend for the client experiencing premenstrual syndrome (PMS)?

The nurse is preparing to collect data during the reassessment of a patient's neurologic status. Which equipment is unnecessary for this procedure?

Which action should the nurse take when a 35-yr-old patient has a Pap test result of minor cellular changes?

Which of the following factors does not need to be considered when utilizing shared decision-making to evaluate the need to vaccinate an adult (27-45 years of age) with 9vHPV vaccine?

The nurse is working in a clinic that is designed to provide health education and immunizations. Which type of preventive care is the nurse providing?

A nurse is caring for an infant who just underwent surgery for a cleft lip. In which position should the nurse place the infant?

The healthcare provider prescribes furosemide (Lasix) 15 mg IV stat. On hand is Lasix 20 mg/2 ml. How many milliliters should the nurse administer?

Which assisted reproductive technology involves fertilizing an egg and sperm in a laboratory before transferring the embryo to the uterus?

A client is receiving IV potassium. The IV pump displays an occlusion alarm. The tubing is free of occlusions, and the IV flushes easily without symptoms of infiltration. Which action should the nurse take next?

The nurse completes an admission assessment on a child with sickle cell anemia who is experiencing a painful vaso-occlusive crisis. Which nursing action would be a priority for the nurse to implement?

A nurse is assessing an infant for increased ICP. Which finding is most concerning?

Nurses can prevent evaporative heat loss in the newborn by:

Four hours after delivery of a healthy neonate of an insulin-dependent diabetic woman, the baby appears jittery, irritable, and has a high-pitched cry. Which nursing action has top priority?

A pregnant patient is being induced with oxytocin, which has been infusing for 1 hour. The initial rate was 6 milliunits/min, and the rate now is 18 milliunits/min. The nurse notes regular contractions occurring every 3 minutes, each lasting 35 seconds. The nurse will:

The nurse is educating the patient who will be started on an anti-tuberculosis medication regimen. The patient asks the nurse, "How long will I have to be on these medications?" What should the nurse tell the patient?

Which medical condition would cause a patient's scrotum to have a red glow of serous fluid upon transillumination?

What does the diagnosis of secondary infertility refer to?

A midwife is providing instructions to a group of pregnant clients regarding measures to prevent toxoplasmosis. Which statement if made by one of the clients indicates a need for further instructions?

Which of the following findings indicates a possible pulmonary embolism in a postpartum woman?

A family member reports that the client had been oriented and able to carry on a logical conversation last evening, but this morning is confused and disoriented. The nurse can suspect that the client is displaying symptoms associated with which cognitive disorder?

An action the psychologist can advise a family to take in the home setting to enhance safety for the family member with Alzheimer's disease is:

the client who is 8 weeks pregnant, tells the nurse that she wants to try an herbal remedy for treating nausea. Which herb should the nurse suggest?

A nurse manager encourages staff to openly discuss concerns and develop a shared solution that benefits all parties. Which strategy is MOST effective?

A woman gave birth 2 hours ago. The nurse notes small clots and a moderate amount of lochia accumulated on the perineal pad. What is the nurse's first action?

A nurse assessing a client's wound documents the finding of purulent drainage. What is the composition of this type of drainage?

After birth, the nurse monitors the mother for postpartum hemorrhage secondary to uterine atony. Which clinical finding would increase the nurse's concern regarding this risk?

A nurse in a prenatal clinic is caring for a client who is at 7 weeks of gestation. The client reports urinary frequency and asks if this will continue until delivery. Which of the following responses should the nurse make?

A nurse is reinforcing safe food practices with a pregnant client. Which food should the nurse tell her to avoid?

A school-age patient with rubella is placed in droplet precautions. Which action should the nurse take when implementing these precautions?

The surgical mask the perioperative nurse is wearing becomes moist. Which action will the perioperative nurse take next?

An HIV-positive client questions the nurse about a vaccine for HIV. Which response by the nurse is most accurate?

Which of the following statements regarding HIV is correct?

What nursing intervention is best when a patient is struggling with the decision to abort an abnormally developing fetus discovered during genetic testing in the first trimester of pregnancy?

What is the nurse's FIRST action upon discovering a medication error that caused no harm to the client?

Which is the primary treatment for hypoglycemia in newborns with feeding intolerance?

You suspect appendicitis in an 18-year-old client. With his right hip and knee flexed, you slowly rotate his right leg internally. He reports pain in the right lower quadrant. Which sign did you elicit?

The American College of Radiology and ACOG recommend that average-risk women begin routine screening mammography at age:

Which characteristic is associated with false labor contractions?

In which type of study is the researcher aware of the outcome and works backward to investigate potential causes?

A study utilized the medical records of nursing home residents as the source of data for the study. This is an example of which type of study?

Professor Sanchez is interested in studying development of motor skills. She collects data from 200 one-year-olds and follows and assesses them for a period of five years. What type of research design is Professor Sanchez using?

Data collection instruments were sent to the same sample of women at six different times during the first year of living with breast cancer. What type of study design does this exemplify?

A primiparous client who is beginning to breast-feed her neonate asks the nurse, "Is it important for my baby to get colostrum?" When instructing the client, the nurse would explain that colostrum provides the neonate with:

Which of the following tests distinguish between whether a person has the sickle trait or sickle cell disease?

To minimize nocturia, what should the nurse teach the patient to do?

A nurse is teaching a group of nursing students about the pathophysiology of hypertrophic pyloric stenosis. Which statement indicates correct understanding?

Which assessment components are included in the initial PACU assessment?

A nurse is educating a female about hygiene measures to reduce her risk for urinary tract infection. What does the nurse instruct the client to do?

The nurse assesses a peripheral IV site and finds pallor, swelling, cool skin, and a damp dressing. Which complication should the nurse suspect?

A pregnant client is seen for a regular prenatal visit and tells the nurse about experiencing irregular contractions. The nurse determines that the client is experiencing Braxton Hicks contractions. On the basis of this finding, which nursing action is appropriate?

When the nurse checked the patient an hour ago, 800 ml was left in the bag. The bag is now empty. What should the nurse do first?

What equipment would be necessary to complete an evaluation of cranial nerves 9 and 10 during a physical assessment?

You are performing procedural sedation to repair a complex facial laceration on a child in the ED. Unfortunately your patient is progressing from clinical signs of moderate sedation to deep sedation and is in need of reversal using flumazenil. In which of the following scenarios is the use of flumazenil appropriate?

A client with a new pacemaker asks if they can use a cellphone. Which teaching is best?

A client with acute kidney injury is receiving a fluid challenge of 500 mL of normal saline over 1 hour. With a drop factor of 20 drops/mL, how many drops per minute does the nurse infuse?

What clinical manifestations suggest hydrocephalus in an infant?

A 10-month-old infant with hydrocephalus is admitted for suspected shunt infection. Which assessment finding should the nurse report to the healthcare provider immediately?

What is the recommended initial fluid therapy for everyone with confirmed hypercalcemia?

A 3-year-old child has a femoral shaft fracture. The nurse recognizes that the approximate healing time for this child is how long?

The nurse is providing nutrition counseling for a patient planning pregnancy. Which nutrient should be emphasized to prevent neural tube defects?

A 6-month-old infant presents to the pediatrician's office with a two-day history of increased fussiness, poor feeding, low-grade fever and rash. The family returned from a trip to India last week. The rash appears on the trunk in several stages of erythematous macules, vesicular papules and pustules. Which of the following is the most likely diagnosis?

A client is diagnosed with schizophrenia. A physician orders haloperidol (Haldol) 50 mg bid, benztropine (Cogentin) 1 mg prn, and zolpidem (Ambien) 10 mg HS. Which client behavior would warrant the nurse to administer benztropine?

She knows she has been taking too many risks in her sexual encounters and would like to begin using contraception. She is also concerned about acquiring a sexually transmitted infection. Which method of contraception should the nurse recommend to April?

Which of these is an example of a 'source reduction' strategy to prevent dengue fever or zika virus?

A Muslim patient is scheduled for transplant surgery. The patient asks the nurse to postpone the operation for an hour so that the evening prayers can be completed before the operation. How would the nurse respond to such a request?

A client is prescribed 1 tablespoon of guaifenesin (Robitussin) every 6 hours. Over the last 24 hours, how many milliliters of the medication has the client ingested?

A hospitalized client with severe anemia is to receive a unit of blood. Which facet of care is most appropriate for the newly licensed practical nurse?

A client receives a diagnosis of cancer after a biopsy of a suspicious lymph node. The client states, "You must have made a mistake, I want a second opinion." Which stage of grief is the client experiencing?