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When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

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250 questions, answers, and explanations are offered in this sample exam from the 2013 edition of NCLEX-RN Exam Cram.

  • A 43-year-old African American male is admitted with sickle cell anemia. The nurse plans to assess circulation in the lower extremities every two hours. Which of the following outcome criteria would the nurse use?

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    A.

    Body temperature of 99°F or less

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    B.

    Toes moved in active range of motion

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    C.

    Sensation reported when soles of feet are touched

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    D.

    Capillary refill of < 3 seconds

    Quick Answer: 223

    Detailed Answer: 225

  • A 30-year-old male from Haiti is brought to the emergency department in sickle cell crisis. What is the best position for this client?

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    A.

    Side-lying with knees flexed

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    B.

    Knee-chest

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    C.

    High Fowler’s with knees flexed

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    D.

    Semi-Fowler’s with legs extended on the bed

    Quick Answer: 223

    Detailed Answer: 225

  • A 25-year-old male is admitted in sickle cell crisis. Which of the following interventions would be of highest priority for this client?

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    A.

    Taking hourly blood pressures with mechanical cuff

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    B.

    Encouraging fluid intake of at least 200mL per hour

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    C.

    Position in high Fowler’s with knee gatch raised

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    D.

    Administering Tylenol as ordered

    Quick Answer: 223

    Detailed Answer: 225

  • Which of the following foods would the nurse encourage the client in sickle cell crisis to eat?

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    A.

    Steak

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    B.

    Cottage cheese

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    C.

    Popsicle

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    D.

    Lima beans

    Quick Answer: 223

    Detailed Answer: 225

  • A newly admitted client has sickle cell crisis. He is complaining of pain in his feet and hands. The nurse’s assessment findings include a pulse oximetry of 92. Assuming that all the following interventions are ordered, which should be done first?

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    A.

    Adjust the room temperature

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    B.

    Give a bolus of IV fluids

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    C.

    Start O2

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    D.

    Administer meperidine (Demerol) 75mg IV push

    Quick Answer: 223

    Detailed Answer: 225

  • The nurse is instructing a client with iron-deficiency anemia. Which of the following meal plans would the nurse expect the client to select?

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    A.

    Roast beef, gelatin salad, green beans, and peach pie

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    B.

    Chicken salad sandwich, coleslaw, French fries, ice cream

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    C.

    Egg salad on wheat bread, carrot sticks, lettuce salad, raisin pie

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    D.

    Pork chop, creamed potatoes, corn, and coconut cake

    Quick Answer: 223

    Detailed Answer: 225

  • Clients with sickle cell anemia are taught to avoid activities that cause hypoxia and hypoxemia. Which of the following activities would the nurse recommend?

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    A.

    A family vacation in the Rocky Mountains

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    B.

    Chaperoning the local boys club on a snow-skiing trip

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    C.

    Traveling by airplane for business trips

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    D.

    A bus trip to the Museum of Natural History

    Quick Answer: 223

    Detailed Answer: 225

  • The nurse is conducting an admission assessment of a client with vitamin B12 deficiency. Which finding reinforces the diagnosis of B12 deficiency?

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    A.

    Enlarged spleen

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    B.

    Elevated blood pressure

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    C.

    Bradycardia

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    D.

    Beefy tongue

    Quick Answer: 223

    Detailed Answer: 225

  • The body part that would most likely display jaundice in the dark-skinned individual is the:

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    A.

    Conjunctiva of the eye

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    B.

    Soles of the feet

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    C.

    Roof of the mouth

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    D.

    Shins

    Quick Answer: 223

    Detailed Answer: 225

  • The nurse is conducting a physical assessment on a client with anemia. Which of the following clinical manifestations would be most indicative of the anemia?

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    A.

    BP 146/88

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    B.

    Respirations 28 shallow

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    C.

    Weight gain of 10 pounds in six months

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    D.

    Pink complexion

    Quick Answer: 223

    Detailed Answer: 226

  • The nurse is teaching the client with polycythemia vera about prevention of complications of the disease. Which of the following statements by the client indicates a need for further teaching?

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    A.

    “I will drink 500mL of fluid or less each day.”

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    B.

    “I will wear support hose.”

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    C.

    “I will check my blood pressure regularly.”

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    D.

    “I will report ankle edema.”

    Quick Answer: 223

    Detailed Answer: 226

  • A 33-year-old male is being evaluated for possible acute leukemia. Which of the following findings is most likely related to the diagnosis of leukemia?

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    A.

    The client collects stamps as a hobby.

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    B.

    The client recently lost his job as a postal worker.

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    C.

    The client had radiation for treatment of Hodgkin’s disease as a teenager.

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    D.

    The client’s brother had leukemia as a child.

    Quick Answer: 223

    Detailed Answer: 226

  • Where is the best site for examining for the presence of petechiae in an African American client?

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    A.

    The abdomen

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    B.

    The thorax

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    C.

    The earlobes

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    D.

    The soles of the feet

    Quick Answer: 223

    Detailed Answer: 226

  • The client is being evaluated for possible acute leukemia. Which inquiry by the nurse is most important?

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    A.

    “Have you noticed a change in sleeping habits recently?”

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    B.

    “Have you had a respiratory infection in the last six months?”

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    C.

    “Have you lost weight recently?”

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    D.

    “Have you noticed changes in your alertness?”

    Quick Answer: 223

    Detailed Answer: 226

  • Which of the following would be the priority nursing diagnosis for the adult client with acute leukemia?

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    A.

    Oral mucous membrane, altered related to chemo-therapy

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    B.

    Risk for injury related to thrombocytopenia

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    C.

    Fatigue related to the disease process

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    D.

    Interrupted family processes related to life-threatening illness of a family member

    Quick Answer: 223

    Detailed Answer: 226

  • A 21-year-old male with Hodgkin’s lymphoma is a senior at the local university. He is engaged to be married and is to begin a new job upon graduation. Which of the following diagnoses would be a priority for this client?

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    A.

    Sexual dysfunction related to radiation therapy

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    B.

    Anticipatory grieving related to terminal illness

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    C.

    Tissue integrity related to prolonged bed rest

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    D.

    Fatigue related to chemotherapy

    Quick Answer: 223

    Detailed Answer: 226

  • A client has autoimmune thrombocytopenic purpura. To determine the client’s response to treatment, the nurse would monitor:

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    A.

    Platelet count

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    B.

    White blood cell count

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    C.

    Potassium levels

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    D.

    Partial prothrombin time (PTT)

    Quick Answer: 223

    Detailed Answer: 226

  • The home health nurse is visiting a client with autoimmune thrombocytopenic purpura (ATP). The client’s platelet count currently is 80,000. It will be most important to teach the client and family about:

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    A.

    Bleeding precautions

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    B.

    Prevention of falls

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    C.

    Oxygen therapy

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    D.

    Conservation of energy

    Quick Answer: 223

    Detailed Answer: 226

  • The client has surgery for removal of a Prolactinoma. Which of the following interventions would be appropriate for this client?

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    A.

    Place the client in Trendelenburg position for postural drainage.

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    B.

    Encourage coughing and deep breathing every two hours.

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    C.

    Elevate the head of the bed 30°.

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    D.

    Encourage the Valsalva maneuver for bowel movements.

    Quick Answer: 223

    Detailed Answer: 226

  • The client with a history of diabetes insipidus is admitted with polyuria, polydipsia, and mental confusion. The priority intervention for this client is:

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    A.

    Measure the urinary output.

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    B.

    Check the vital signs.

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    C.

    Encourage increased fluid intake.

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    D.

    Weigh the client.

    Quick Answer: 223

    Detailed Answer: 227

  • A client with hemophilia has a nosebleed. Which nursing action is most appropriate to control the bleeding?

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    A.

    Place the client in a sitting position.

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    B.

    Administer acetaminophen (Tylenol).

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    C.

    Pinch the soft lower part of the nose.

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    D.

    Apply ice packs to the forehead.

    Quick Answer: 223

    Detailed Answer: 227

  • A client has had a unilateral adrenalectomy to remove a tumor. The most important measurement in the immediate post-operative period for the nurse to take is:

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    A.

    The blood pressure

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    B.

    The temperature

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    C.

    The urinary output

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    D.

    The specific gravity of the urine

    Quick Answer: 223

    Detailed Answer: 227

  • A client with Addison’s disease has been admitted with a history of nausea and vomiting for the past three days. The client is receiving IV glucocorticoids (Solu-Medrol). Which of the following interventions would the nurse implement?

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    A.

    Glucometer readings as ordered

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    B.

    Intake/output measurements

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    C.

    Evaluating the sodium and potassium levels

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    D.

    Daily weights

    Quick Answer: 223

    Detailed Answer: 227

  • A client had a total thyroidectomy yesterday. The client is complaining of tingling around the mouth and in the fingers and toes. What would the nurses’ next action be?

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    A.

    Obtain a crash cart.

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    B.

    Check the calcium level.

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    C.

    Assess the dressing for drainage.

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    D.

    Assess the blood pressure for hypertension.

    Quick Answer: 223

    Detailed Answer: 227

  • A 32-year-old mother of three is brought to the clinic. Her pulse is 52, there is a weight gain of 30 pounds in four months, and the client is wearing two sweaters. The client is diagnosed with hypothyroidism. Which of the following nursing diagnoses is of highest priority?

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    A.

    Impaired physical mobility related to decreased endurance

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    B.

    Hypothermia r/t decreased metabolic rate

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    C.

    Disturbed thought processes r/t interstitial edema

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    D.

    Decreased cardiac output r/t bradycardia

    Quick Answer: 223

    Detailed Answer: 227

  • The client presents to the clinic with a serum cholesterol of 275mg/dL and is placed on rosuvastatin (Crestor). Which instruction should be given to the client taking rosuvastatin (Crestor)?

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    A.

    Report muscle weakness to the physician.

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    B.

    Allow six months for the drug to take effect.

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    C.

    Take the medication with fruit juice.

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    D.

    Report difficulty sleeping.

    Quick Answer: 223

    Detailed Answer: 227

  • The client is admitted to the hospital with hypertensive crises. Diazoxide (Hyperstat) is ordered. During administration, the nurse should:

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    A.

    Utilize an infusion pump.

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    B.

    Check the blood glucose level.

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    C.

    Place the client in Trendelenburg position.

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    D.

    Cover the solution with foil.

    Quick Answer: 223

    Detailed Answer: 227

  • The six-month-old client with a ventral septal defect is receiving Digitalis for regulation of his heart rate. Which finding should be reported to the doctor?

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    A.

    Blood pressure of 126/80

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    B.

    Blood glucose of 110mg/dL

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    C.

    Heart rate of 60bpm

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    D.

    Respiratory rate of 30 per minute

    Quick Answer: 223

    Detailed Answer: 227

  • The client admitted with angina is given a prescription for nitroglycerine. The client should be instructed to:

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    A.

    Replenish his supply every three months.

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    B.

    Take one every 15 minutes if pain occurs.

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    C.

    Leave the medication in the brown bottle.

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    D.

    Crush the medication and take with water.

    Quick Answer: 223

    Detailed Answer: 228

  • The client is instructed regarding foods that are low in fat and cholesterol. Which diet selection is lowest in saturated fats?

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    A.

    Macaroni and cheese

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    B.

    Shrimp with rice

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    C.

    Turkey breast

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    D.

    Spaghetti with meat sauce

    Quick Answer: 223

    Detailed Answer: 228

  • The client is admitted with left-sided congestive heart failure. In assessing the client for edema, the nurse should check the:

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    A.

    Feet

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    B.

    Neck

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    C.

    Hands

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    D.

    Sacrum

    Quick Answer: 223

    Detailed Answer: 228

  • The nurse is checking the client’s central venous pressure. The nurse should place the zero of the manometer at the:

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    A.

    Phlebostatic axis

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    B.

    PMI

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    C.

    Erb’s point

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    D.

    Tail of Spence

    Quick Answer: 223

    Detailed Answer: 228

  • The physician orders lisinopril (Zestril) and furosemide (Lasix) to be administered concomitantly to the client with hypertension. The nurse should:

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    A.

    Question the order.

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    B.

    Administer the medications.

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    C.

    Administer separately.

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    D.

    Contact the pharmacy.

    Quick Answer: 223

    Detailed Answer: 228

  • The best method of evaluating the amount of peripheral edema is:

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    A.

    Weighing the client daily

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    B.

    Measuring the extremity

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    C.

    Measuring the intake and output

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    D.

    Checking for pitting

    Quick Answer: 223

    Detailed Answer: 228

  • A client with vaginal cancer is being treated with a radioactive vaginal implant. The client’s husband asks the nurse if he can spend the night with his wife. The nurse should explain that:

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    A.

    Overnight stays by family members is against hospital policy.

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    B.

    There is no need for him to stay because staffing is adequate.

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    C.

    His wife will rest much better knowing that he is at home.

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    D.

    Visitation is limited to 30 minutes when the implant is in place.

    Quick Answer: 223

    Detailed Answer: 228

  • The nurse is caring for a client hospitalized with a facial stroke. Which diet selection would be suited to the client?

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    A.

    Roast beef sandwich, potato chips, pickle spear, iced tea

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    B.

    Split pea soup, mashed potatoes, pudding, milk

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    C.

    Tomato soup, cheese toast, Jello, coffee

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    D.

    Hamburger, baked beans, fruit cup, iced tea

    Quick Answer: 223

    Detailed Answer: 228

  • The physician has prescribed Novalog insulin for a client with diabetes mellitus. Which statement indicates that the client knows when the peak action of the insulin occurs?

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    A.

    “I will make sure I eat breakfast within 10 minutes of taking my insulin.”

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    B.

    “I will need to carry candy or some form of sugar with me all the time.”

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    C.

    “I will eat a snack around three o’clock each afternoon.”

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    D.

    “I can save my dessert from supper for a bedtime snack.”

    Quick Answer: 223

    Detailed Answer: 229

  • The nurse is teaching basic infant care to a group of first-time parents. The nurse should explain that a sponge bath is recommended for the first two weeks of life because:

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    A.

    New parents need time to learn how to hold the baby.

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    B.

    The umbilical cord needs time to separate.

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    C.

    Newborn skin is easily traumatized by washing.

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    D.

    The chance of chilling the baby outweighs the benefits of bathing.

    Quick Answer: 223

    Detailed Answer: 229

  • A client with leukemia is receiving Trimetrexate. After reviewing the client’s chart, the physician orders Wellcovorin (leucovorin calcium). The rationale for administering leucovorin calcium to a client receiving Trimetrexate is to:

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    A.

    Treat iron-deficiency anemia caused by chemotherapeutic agents

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    B.

    Create a synergistic effect that shortens treatment time

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    C.

    Increase the number of circulating neutrophils

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    D.

    Reverse drug toxicity and prevent tissue damage

    Quick Answer: 223

    Detailed Answer: 229

  • A four-month-old is brought to the well-baby clinic for immunization. In addition to the DPT and polio vaccines, the baby should receive:

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    A.

    Hib titer

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    B.

    Mumps vaccine

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    C.

    Hepatitis B vaccine

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    D.

    MMR

    Quick Answer: 223

    Detailed Answer: 229

  • The physician has prescribed Nexium (esomeprazole) for a client with erosive gastritis. The nurse should administer the medication:

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    A.

    30 minutes before a meal

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    B.

    With each meal

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    C.

    In a single dose at bedtime

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    D.

    30 minutes after meals

    Quick Answer: 223

    Detailed Answer: 229

  • A client on the psychiatric unit is in an uncontrolled rage and is threatening other clients and staff. What is the most appropriate action for the nurse to take?

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    A.

    Call security for assistance and prepare to sedate the client.

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    B.

    Tell the client to calm down and ask him if he would like to play cards.

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    C.

    Tell the client that if he continues his behavior he will be punished.

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    D.

    Leave the client alone until he calms down.

    Quick Answer: 223

    Detailed Answer: 229

  • When the nurse checks the fundus of a client on the first postpartum day, she notes that the fundus is firm, is at the level of the umbilicus, and is displaced to the right. The next action the nurse should take is to:

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    A.

    Check the client for bladder distention.

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    B.

    Assess the blood pressure for hypotension.

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    C.

    Determine whether an oxytocic drug was given.

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    D.

    Check for the expulsion of small clots.

    Quick Answer: 223

    Detailed Answer: 229

  • A client is admitted to the hospital with a temperature of 99.8°F, complaints of blood-tinged hemoptysis, fatigue, and night sweats. The client’s symptoms are consistent with a diagnosis of:

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    A.

    Pneumonia

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    B.

    Reaction to antiviral medication

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    C.

    Tuberculosis

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    D.

    Superinfection due to low CD4 count

    Quick Answer: 223

    Detailed Answer: 229

  • The client is seen in the clinic for treatment of migraine headaches. The drug Imitrex (sumatriptan succinate) is prescribed for the client. Which of the following in the client’s history should be reported to the doctor?

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    A.

    Diabetes

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    B.

    Prinzmetal’s angina

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    C.

    Cancer

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    D.

    Cluster headaches

    Quick Answer: 223

    Detailed Answer: 229

  • The client with suspected meningitis is admitted to the unit. The doctor is performing an assessment to determine meningeal irritation and spinal nerve root inflammation. A positive Kernig’s sign is charted if the nurse notes:

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    A.

    Pain on flexion of the hip and knee

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    B.

    Nuchal rigidity on flexion of the neck

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    C.

    Pain when the head is turned to the left side

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    D.

    Dizziness when changing positions

    Quick Answer: 223

    Detailed Answer: 229

  • The client with Alzheimer’s disease is being assisted with activities of daily living when the nurse notes that the client uses her toothbrush to brush her hair. The nurse is aware that the client is exhibiting:

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    A.

    Agnosia

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    B.

    Apraxia

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    C.

    Anomia

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    D.

    Aphasia

    Quick Answer: 223

    Detailed Answer: 229

  • The client with dementia is experiencing confusion late in the afternoon and before bedtime. The nurse is aware that the client is experiencing what is known as:

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    A.

    Chronic fatigue syndrome

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    B.

    Normal aging

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    C.

    Sundowning

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    D.

    Delusions

    Quick Answer: 223

    Detailed Answer: 230

  • The client with confusion says to the nurse, “I haven’t had anything to eat all day long. When are they going to bring breakfast?” The nurse saw the client in the day room eating breakfast with other clients 30 minutes before this conversation. Which response would be best for the nurse to make?

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    A.

    “You know you had breakfast 30 minutes ago.”

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    B.

    “I am so sorry that they didn’t get you breakfast. I’ll report it to the charge nurse.”

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    C.

    “I’ll get you some juice and toast. Would you like something else?”

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    D.

    “You will have to wait a while; lunch will be here in a little while.”

    Quick Answer: 223

    Detailed Answer: 230

  • The doctor has prescribed Exelon (rivastigmine) for the client with Alzheimer’s disease. Which side effect is most often associated with this drug?

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    A.

    Urinary incontinence

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    B.

    Headaches

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    C.

    Confusion

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    D.

    Nausea

    Quick Answer: 223

    Detailed Answer: 230

  • A client is admitted to the labor and delivery unit in active labor. During examination, the nurse notes a papular lesion on the perineum. Which initial action is most appropriate?

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    A.

    Document the finding.

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    B.

    Report the finding to the doctor.

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    C.

    Prepare the client for a C-section.

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    D.

    Continue primary care as prescribed.

    Quick Answer: 223

    Detailed Answer: 230

  • A client with a diagnosis of HPV is at risk for which of the following?

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    A.

    Hodgkin’s lymphoma

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    B.

    Cervical cancer

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    C.

    Multiple myeloma

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    D.

    Ovarian cancer

    Quick Answer: 223

    Detailed Answer: 230

  • During the initial interview, the client reports that she has a lesion on the perineum. Further investigation reveals a small blister on the vulva that is painful to touch. The nurse is aware that the most likely source of the lesion is:

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    A.

    Syphilis

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    B.

    Herpes

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    C.

    Gonorrhea

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    D.

    Condylomata

    Quick Answer: 223

    Detailed Answer: 230

  • A client visiting a family planning clinic is suspected of having an STI. The best diagnostic test for treponema pallidum is:

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    A.

    Venereal Disease Research Lab (VDRL)

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    B.

    Rapid plasma reagin (RPR)

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    C.

    Fluorescent treponemal antibody (FTA)

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    D.

    Thayer-Martin culture (TMC)

    Quick Answer: 223

    Detailed Answer: 230

  • A 15-year-old primigravida is admitted with a tentative diagnosis of HELLP syndrome. Which laboratory finding is associated with HELLP syndrome?

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    A.

    Elevated blood glucose

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    B.

    Elevated platelet count

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    C.

    Elevated creatinine clearance

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    D.

    Elevated hepatic enzymes

    Quick Answer: 223

    Detailed Answer: 230

  • The nurse is assessing the deep tendon reflexes of a client with preeclampsia. Which method is used to elicit the biceps reflex?

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    A.

    The nurse places her thumb on the muscle inset in the antecubital space and taps the thumb briskly with the reflex hammer.

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    B.

    The nurse loosely suspends the client’s arm in an open hand while tapping the back of the client’s elbow.

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    C.

    The nurse instructs the client to dangle her legs as the nurse strikes the area below the patella with the blunt side of the reflex hammer.

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    D.

    The nurse instructs the client to place her arms loosely at her side as the nurse strikes the muscle insert just above the wrist.

    Quick Answer: 223

    Detailed Answer: 230

  • A primigravida with diabetes is admitted to the labor and delivery unit at 34 weeks gestation. Which doctor’s order should the nurse question?

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    A.

    Magnesium sulfate 4gm (25%) IV

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    B.

    Brethine 10mcg IV

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    C.

    Stadol 1mg IV push every 4 hours as needed prn for pain

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    D.

    Ancef 2gm IVPB every 6 hours

    Quick Answer: 223

    Detailed Answer: 230

  • A diabetic multigravida is scheduled for an amniocentesis at 32 weeks gestation to determine the L/S ratio and phosphatidyl glycerol level. The L/S ratio is 1:1 and the presence of phosphatidylglycerol is noted. The nurse’s assessment of this data is:

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    A.

    The infant is at low risk for congenital anomalies.

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    B.

    The infant is at high risk for intrauterine growth retardation.

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    C.

    The infant is at high risk for respiratory distress syndrome.

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    D.

    The infant is at high risk for birth trauma.

    Quick Answer: 223

    Detailed Answer: 231

  • Which observation in the newborn of a diabetic mother would require immediate nursing intervention?

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    A.

    Crying

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    B.

    Wakefulness

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    C.

    Jitteriness

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    D.

    Yawning

    Quick Answer: 223

    Detailed Answer: 231

  • The nurse caring for a client receiving intravenous magnesium sulfate must closely observe for side effects associated with drug therapy. An expected side effect of magnesium sulfate is:

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    A.

    Decreased urinary output

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    B.

    Hypersomnolence

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    C.

    Absence of knee jerk reflex

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    D.

    Decreased respiratory rate

    Quick Answer: 223

    Detailed Answer: 231

  • The client has elected to have epidural anesthesia to relieve labor pain. If the client experiences hypotension, the nurse would:

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    A.

    Place her in Trendelenburg position.

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    B.

    Decrease the rate of IV infusion.

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    C.

    Administer oxygen per nasal cannula.

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    D.

    Increase the rate of the IV infusion.

    Quick Answer: 223

    Detailed Answer: 231

  • A client has cancer of the pancreas. The nurse should be most concerned about which nursing diagnosis?

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    A.

    Alteration in nutrition

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    B.

    Alteration in bowel elimination

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    C.

    Alteration in skin integrity

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    D.

    Ineffective individual coping

    Quick Answer: 223

    Detailed Answer: 231

  • The nurse is caring for a client with uremic frost. The nurse is aware that uremic frost is often seen in clients with:

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    A.

    Severe anemia

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    B.

    Arteriosclerosis

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    C.

    Liver failure

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    D.

    Parathyroid disorder

    Quick Answer: 223

    Detailed Answer: 231

  • The client arrives in the emergency department after a motor vehicle accident. Nursing assessment findings include BP 80/34, pulse rate 120, and respirations 20. Which is the client’s most appropriate priority nursing diagnosis?

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    A.

    Alteration in cerebral tissue perfusion

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    B.

    Fluid volume deficit

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    C.

    Ineffective airway clearance

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    D.

    Alteration in sensory perception

    Quick Answer: 223

    Detailed Answer: 231

  • The home health nurse is visiting an 18-year-old with osteogenesis imperfecta. Which information obtained on the visit would cause the most concern? The client:

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    A.

    Likes to play football

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    B.

    Drinks carbonated drinks

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    C.

    Has two sisters

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    D.

    Is taking acetaminophen for pain

    Quick Answer: 223

    Detailed Answer: 231

  • The nurse working the organ transplant unit is caring for a client with a white blood cell count of 450. During evening visitation, a visitor brings a basket of fruit. What action should the nurse take?

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    A.

    Allow the client to keep the fruit.

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    B.

    Place the fruit next to the bed for easy access by the client.

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    C.

    Offer to wash the fruit for the client.

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    D.

    Ask the family members to take the fruit home.

    Quick Answer: 223

    Detailed Answer: 231

  • The nurse is caring for the client following a laryngectomy when suddenly the client becomes nonresponsive and pale, with a BP of 90/40. The initial nurse’s action should be to:

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    A.

    Place the client in Trendelenburg position.

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    B.

    Increase the infusion of normal saline.

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    C.

    Administer atropine intravenously.

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    D.

    Move the emergency cart to the bedside.

    Quick Answer: 223

    Detailed Answer: 231

  • The client admitted two days earlier with a lung resection accidentally pulls out the chest tube. Which action by the nurse indicates understanding of the management of chest tubes?

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    A.

    Order a chest x-ray.

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    B.

    Reinsert the tube.

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    C.

    Cover the insertion site with a Vaseline gauze.

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    D.

    Call the doctor.

    Quick Answer: 223

    Detailed Answer: 231

  • A client being treated with sodium warfarin (Coumadin) has a Protime of 120 seconds. Which intervention would be most important to include in the nursing care plan?

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    A.

    Assess for signs of abnormal bleeding.

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    B.

    Anticipate an increase in the Coumadin dosage.

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    C.

    Instruct the client regarding the drug therapy.

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    D.

    Increase the frequency of neurological assessments.

    Quick Answer: 223

    Detailed Answer: 231

  • Which selection would provide the most calcium for the client who is four months pregnant?

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    A.

    A granola bar

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    B.

    A bran muffin

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    C.

    A cup of yogurt

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    D.

    A glass of fruit juice

    Quick Answer: 223

    Detailed Answer: 232

  • The client with preeclampsia is admitted to the unit with an order for magnesium sulfate. Which action by the nurse indicates the understanding of magnesium toxicity?

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    A.

    The nurse performs a vaginal exam every 30 minutes.

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    B.

    The nurse places a padded tongue blade at the bedside.

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    C.

    The nurse inserts a Foley catheter.

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    D.

    The nurse darkens the room.

    Quick Answer: 223

    Detailed Answer: 232

  • The best size cathlon for administration of a blood transfusion to a six-year-old is:

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    A.

    18 gauge

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    B.

    19 gauge

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    C.

    22 gauge

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    D.

    20 gauge

    Quick Answer: 223

    Detailed Answer: 232

  • A client is admitted to the unit two hours after an explosion causes burns to the face. The nurse would be most concerned with the client developing which of the following?

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    A.

    Hypovolemia

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    B.

    Laryngeal edema

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    C.

    Hypernatremia

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    D.

    Hyperkalemia

    Quick Answer: 223

    Detailed Answer: 232

  • The client has recently been diagnosed with diabetes. Which of the following indicates understanding of the management of diabetes?

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    A.

    The client selects a balanced diet from the menu.

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    B.

    The client can tell the nurse the normal blood glucose level.

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    C.

    The client asks for brochures on the subject of diabetes.

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    D.

    The client demonstrates correct insulin injection technique.

    Quick Answer: 223

    Detailed Answer: 232

  • The client is admitted following cast application for a fractured ulna. Which finding should be reported to the doctor?

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    A.

    Pain at the site

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    B.

    Warm fingers

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    C.

    Pulses rapid

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    D.

    Paresthesia of the fingers

    Quick Answer: 223

    Detailed Answer: 232

  • The client with AIDS should be taught to:

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    A.

    Avoid warm climates.

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    B.

    Refrain from taking herbals.

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    C.

    Avoid exercising.

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    D.

    Report any changes in skin color.

    Quick Answer: 223

    Detailed Answer: 232

  • Which action by the healthcare worker indicates a need for further teaching?

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    A.

    The nursing assistant ambulates the elderly client using a gait belt.

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    B.

    The nurse wears goggles while performing a veno-puncture.

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    C.

    The nurse washes his hands after changing a dressing.

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    D.

    The nurse wears gloves to monitor the IV infusion rate.

    Quick Answer: 223

    Detailed Answer: 232

  • The client is having electroconvulsive therapy for treatment of severe depression. Prior to the ECT, the nurse should:

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    A.

    Apply a tourniquet to the client’s arm.

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    B.

    Administer an anticonvulsant medication.

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    C.

    Ask the client if he is allergic to shellfish.

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    D.

    Apply a blood pressure cuff to the arm.

    Quick Answer: 223

    Detailed Answer: 232

  • The five-year-old is being tested for enterobiasis (pinworms). Which symptom is associated with enterobiasis?

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    A.

    Rectal itching

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    B.

    Nausea

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    C.

    Oral ulcerations

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    D.

    Scalp itching

    Quick Answer: 223

    Detailed Answer: 232

  • The nurse is teaching the mother regarding treatment for pedicalosis capitis. Which instruction should be given regarding the medication?

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    A.

    Treatment is not recommended for children less than 10 years of age.

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    B.

    Bed linens should be washed in hot water.

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    C.

    Medication therapy will continue for one year.

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    D.

    Intravenous antibiotic therapy will be ordered.

    Quick Answer: 223

    Detailed Answer: 232

  • The registered nurse is making assignments for the day. Which client should be assigned to the pregnant nurse?

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    A.

    The client with HIV

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    B.

    The client with a radium implant for cervical cancer

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    C.

    The client with RSV (respiratory synctial virus)

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    D.

    The client with cytomegalovirus

    Quick Answer: 223

    Detailed Answer: 232

  • The nurse is planning room assignments for the day. Which client should be assigned to a private room if only one is available?

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    A.

    The client with methicillin resistant-staphylococcus aureas (MRSA)

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    B.

    The client with diabetes

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    C.

    The client with pancreatitis

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    D.

    The client with Addison’s disease

    Quick Answer: 223

    Detailed Answer: 232

  • The doctor accidentally cuts the bowel during surgery. As a result of this action, the client develops an infection and suffers brain damage. The doctor can be charged with:

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    A.

    Negligence

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    B.

    Tort

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    C.

    Assault

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    D.

    Malpractice

    Quick Answer: 223

    Detailed Answer: 233

  • Which assignment should not be performed by the nursing assistant?

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    A.

    Feeding the client

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    B.

    Bathing the client

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    C.

    Obtaining a stool

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    D.

    Administering a fleet enema

    Quick Answer: 223

    Detailed Answer: 233

  • The mother calls the clinic to report that her newborn has a rash on his forehead and face. Which action is most appropriate?

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    A.

    Tell the mother to wash the face with soap and apply powder.

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    B.

    Tell her that 30% of newborns have a rash that will go away by one month of life.

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    C.

    Report the rash to the doctor immediately.

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    D.

    Ask the mother if anyone else in the family has had a rash in the last six months.

    Quick Answer: 223

    Detailed Answer: 233

  • Which nurse should not be assigned to care for the client with a radium implant for vaginal cancer?

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    A.

    The LPN who is six months postpartum

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    B.

    The RN who is pregnant

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    C.

    The RN who is allergic to iodine

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    D.

    The RN with a three-year-old at home

    Quick Answer: 223

    Detailed Answer: 233

  • Which information should be reported to the state Board of Nursing?

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    A.

    The facility fails to provide literature in both Spanish and English.

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    B.

    The narcotic count has been incorrect on the unit for the past three days.

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    C.

    The client fails to receive an itemized account of his bills and services received during his hospital stay.

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    D.

    The nursing assistant assigned to the client with hepatitis fails to feed the client and give the bath.

    Quick Answer: 223

    Detailed Answer: 233

  • The nurse is suspected of charting medication administration that he did not give. After talking to the nurse, the charge nurse should:

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    A.

    Call the Board of Nursing.

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    B.

    File a formal reprimand.

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    C.

    Terminate the nurse.

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    D.

    Charge the nurse with a tort.

    Quick Answer: 223

    Detailed Answer: 233

  • The home health nurse is planning for the day’s visits. Which client should be seen first?

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    A.

    The 78-year-old who had a gastrectomy three weeks ago and has a PEG tube

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    B.

    The five-month-old discharged one week ago with pneumonia who is being treated with amoxicillin liquid suspension

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    C.

    The 50-year-old with MRSA being treated with Vancomycin via a PICC line

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    D.

    The 30-year-old with an exacerbation of multiple sclerosis being treated with cortisone via a centrally placed venous catheter

    Quick Answer: 223

    Detailed Answer: 233

  • The emergency room is flooded with clients injured in a tornado. Which clients can be assigned to share a room in the emergency department during the disaster?

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    A.

    A client having auditory hallucinations and the client with ulcerative colitis

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    B.

    The client who is pregnant and the client with a broken arm

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    C.

    A child who is cyanotic with severe dypsnea and a client with a frontal head injury

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    D.

    The client who arrives with a large puncture wound to the abdomen and the client with chest pain

    Quick Answer: 223

    Detailed Answer: 233

  • Before administering eardrops to a toddler, the nurse should recognize that it is essential to consider which of the following?

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    A.

    The age of the child

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    B.

    The child’s weight

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    C.

    The developmental level of the child

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    D.

    The IQ of the child

    Quick Answer: 223

    Detailed Answer: 233

  • The nurse is discussing meal planning with the mother of a two-year-old. Which of the following statements, if made by the mother, would require a need for further instruction?

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    A.

    “It is okay to give my child white grape juice for breakfast.”

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    B.

    “My child can have a grilled cheese sandwich for lunch.”

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    C.

    “We are going on a camping trip this weekend, and I have bought hot dogs to grill for his lunch.”

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    D.

    “For a snack, my child can have ice cream.”

    Quick Answer: 223

    Detailed Answer: 233

  • A client with AIDS has a viral load of 200 copies per ml. The nurse should interpret this finding as:

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    A.

    The client is at risk for opportunistic diseases.

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    B.

    The client is no longer communicable.

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    C.

    The client’s viral load is extremely low so he is relatively free of circulating virus.

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    D.

    The client’s T-cell count is extremely low.

    Quick Answer: 223

    Detailed Answer: 233

  • The client has an order for sliding scale insulin at 1900 hours and Lantus insulin at the same hour. The nurse should:

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    A.

    Administer the two medications together.

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    B.

    Administer the medications in two injections.

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    C.

    Draw up the Lantus insulin and then the regular insulin and administer them together.

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    D.

    Contact the doctor because these medications should not be given to the same client.

    Quick Answer: 223

    Detailed Answer: 234

  • A priority nursing diagnosis for a child being admitted from surgery following a tonsillectomy is:

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    A.

    Altered nutrition

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    B.

    Impaired communication

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    C.

    Risk for injury/aspiration

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    D.

    Altered urinary elimination

    Quick Answer: 223

    Detailed Answer: 234

  • What would the nurse expect the admitting assessment to reveal in a client with glomerulonephritis?

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    A.

    Hypertension

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    B.

    Lassitude

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    C.

    Fatigue

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    D.

    Vomiting and diarrhea

    Quick Answer: 223

    Detailed Answer: 234

  • Which action is contraindicated in the client with epiglottis?

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    A.

    Ambulation

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    B.

    Oral airway assessment using a tongue blade

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    C.

    Placing a blood pressure cuff on the arm

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    D.

    Checking the deep tendon reflexes.

    Quick Answer: 223

    Detailed Answer: 234

  • A 25-year-old client with a goiter is admitted to the unit. What would the nurse expect the admitting assessment to reveal?

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    A.

    Slow pulse

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    B.

    Anorexia

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    C.

    Bulging eyes

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    D.

    Weight gain

    Quick Answer: 223

    Detailed Answer: 234

  • Which of the following foods, if selected by the mother with a child with celiac, would indicate her understanding of the dietary instructions?

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    A.

    Whole-wheat toast

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    B.

    Angel hair pasta

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    C.

    Reuben on rye

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    D.

    Rice cereal

    Quick Answer: 223

    Detailed Answer: 234

  • The first action that the nurse should take if she finds the client has an O2 saturation of 68% is:

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    A.

    Elevate the head.

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    B.

    Recheck the O2 saturation in 30 minutes.

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    C.

    Apply oxygen by mask.

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    D.

    Assess the heart rate.

    Quick Answer: 223

    Detailed Answer: 234

  • Which observation would the nurse expect to make after an amniotomy?

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    A.

    Dark yellow amniotic fluid

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    B.

    Clear amniotic fluid

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    C.

    Greenish amniotic fluid

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    D.

    Red amniotic fluid

    Quick Answer: 223

    Detailed Answer: 234

  • The client taking Glyburide (Diabeta) should be cautioned to:

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    A.

    Avoid eating sweets.

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    B.

    Report changes in urinary pattern.

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    C.

    Allow three hours for onset.

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    D.

    Check the glucose daily.

    Quick Answer: 223

    Detailed Answer: 234

  • The obstetric client’s fetal heart rate is 80–90 during the contractions. The first action the nurse should take is:

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    A.

    Reposition the monitor.

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    B.

    Turn the client to her left side.

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    C.

    Ask the client to ambulate.

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    D.

    Prepare the client for delivery.

    Quick Answer: 223

    Detailed Answer: 234

  • Arterial ulcers are best described as ulcers that:

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    A.

    Are smooth in texture

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    B.

    Have irregular borders

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    C.

    Are cool to touch

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    D.

    Are painful to touch

    Quick Answer: 223

    Detailed Answer: 234

  • A vaginal exam reveals a footling breech presentation. The nurse should take which of the following actions at this time?

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    A.

    Anticipate the need for a Caesarean section.

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    B.

    Apply an internal fetal monitor.

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    C.

    Place the client in Genu Pectoral position.

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    D.

    Perform an ultrasound.

    Quick Answer: 223

    Detailed Answer: 234

  • A vaginal exam reveals that the cervix is 4cm dilated, with intact membranes and a fetal heart tone rate of 160–170bpm. The nurse decides to apply an external fetal monitor. The rationale for this implementation is:

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    A.

    The cervix is closed.

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    B.

    The membranes are still intact.

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    C.

    The fetal heart tones are within normal limits.

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    D.

    The contractions are intense enough for insertion of an internal monitor.

    Quick Answer: 223

    Detailed Answer: 234

  • The following are all nursing diagnoses appropriate for a gravida 1 para 0 in labor. Which one would be most appropriate for the primagravida as she completes the early phase of labor?

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    A.

    Impaired gas exchange related to hyperventilation

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    B.

    Alteration in placental perfusion related to maternal position

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    C.

    Impaired physical mobility related to fetal-monitoring equipment

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    D.

    Potential fluid volume deficit related to decreased fluid intake

    Quick Answer: 223

    Detailed Answer: 235

  • As the client reaches 6cm dilation, the nurse notes late decelerations on the fetal monitor. What is the most likely explanation of this pattern?

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    A.

    The baby is sleeping.

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    B.

    The umbilical cord is compressed.

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    C.

    There is head compression.

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    D.

    There is uteroplacental insufficiency.

    Quick Answer: 223

    Detailed Answer: 235

  • The nurse notes variable decelerations on the fetal monitor strip. The most appropriate initial action would be to:

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    A.

    Notify her doctor.

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    B.

    Start an IV.

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    C.

    Reposition the client.

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    D.

    Readjust the monitor.

    Quick Answer: 223

    Detailed Answer: 235

  • Which of the following is a characteristic of an ominous periodic change in the fetal heart rate?

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    A.

    A fetal heart rate of 120–130bpm

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    B.

    A baseline variability of 6–10bpm

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    C.

    Accelerations in FHR with fetal movement

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    D.

    A recurrent rate of 90–100bpm at the end of the contractions

    Quick Answer: 223

    Detailed Answer: 235

  • The rationale for inserting a French catheter every hour for the client with epidural anesthesia is:

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    A.

    The bladder fills more rapidly because of the medication used for the epidural.

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    B.

    Her level of consciousness is such that she is in a trancelike state.

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    C.

    The sensation of the bladder filling is diminished or lost.

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    D.

    She is embarrassed to ask for the bedpan that frequently.

    Quick Answer: 223

    Detailed Answer: 235

  • A client in the family planning clinic asks the nurse about the most likely time for her to conceive. The nurse explains that conception is most likely to occur when:

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    A.

    Estrogen levels are low

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    B.

    Lutenizing hormone is high

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    C.

    The endometrial lining is thin

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    D.

    The progesterone level is low

    Quick Answer: 223

    Detailed Answer: 235

  • A client tells the nurse that she plans to use the rhythm method of birth control. The nurse is aware that the success of the rhythm method depends on the:

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    A.

    Age of the client

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    B.

    Frequency of intercourse

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    C.

    Regularity of the menses

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    D.

    Range of the client’s temperature

    Quick Answer: 223

    Detailed Answer: 235

  • A client with diabetes asks the nurse for advice regarding methods of birth control. Which method of birth control is most suitable for the client with diabetes?

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    A.

    Intrauterine device

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    B.

    Oral contraceptives

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    C.

    Diaphragm

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    D.

    Contraceptive sponge

    Quick Answer: 223

    Detailed Answer: 235

  • The doctor suspects that the client has an ectopic pregnancy. Which symptom is consistent with a diagnosis of a ruptured ectopic pregnancy?

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    A.

    Painless vaginal bleeding

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    B.

    Abdominal cramping

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    C.

    Throbbing pain in the upper quadrant

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    D.

    Sudden, stabbing pain in the lower quadrant

    Quick Answer: 223

    Detailed Answer: 235

  • The nurse is teaching a pregnant client about nutritional needs during pregnancy. Which menu selection will best meet the nutritional needs of the pregnant client?

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    A.

    Hamburger patty, green beans, French fries, and iced tea

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    B.

    Roast beef sandwich, potato chips, baked beans, and cola

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    C.

    Baked chicken, fruit cup, potato salad, coleslaw, yogurt, and iced tea

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    D.

    Fish sandwich, gelatin with fruit, and coffee

    Quick Answer: 223

    Detailed Answer: 236

  • The client with hyperemesis gravidarum is at risk for developing:

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    A.

    Respiratory alkalosis without dehydration

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    B.

    Metabolic acidosis with dehydration

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    C.

    Respiratory acidosis without dehydration

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    D.

    Metabolic alkalosis with dehydration

    Quick Answer: 223

    Detailed Answer: 236

  • A client tells the doctor that she is about 20 weeks pregnant. The most definitive sign of pregnancy is:

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    A.

    Elevated human chorionic gonadatropin

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    B.

    The presence of fetal heart tones

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    C.

    Uterine enlargement

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    D.

    Breast enlargement and tenderness

    Quick Answer: 223

    Detailed Answer: 236

  • The nurse is caring for a neonate whose mother is diabetic. The nurse will expect the neonate to be:

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    A.

    Hypoglycemic, small for gestational age

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    B.

    Hyperglycemic, large for gestational age

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    C.

    Hypoglycemic, large for gestational age

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    D.

    Hyperglycemic, small for gestational age

    Quick Answer: 223

    Detailed Answer: 236

  • Which of the following instructions should be included in the nurse’s teaching regarding oral contraceptives?

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    A.

    Weight gain should be reported to the physician.

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    B.

    An alternate method of birth control is needed when taking antibiotics.

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    C.

    If the client misses one or more pills, two pills should be taken per day for one week.

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    D.

    Changes in the menstrual flow should be reported to the physician.

    Quick Answer: 223

    Detailed Answer: 236

  • The nurse is discussing breastfeeding with a postpartum client. Breastfeeding is contraindicated in the postpartum client with:

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    A.

    Diabetes

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    B.

    HIV

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    C.

    Hypertension

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    D.

    Thyroid disease

    Quick Answer: 224

    Detailed Answer: 236

  • A client is admitted to the labor and delivery unit complaining of vaginal bleeding with very little discomfort. The nurse’s first action should be to:

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    A.

    Assess the fetal heart tones.

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    B.

    Check for cervical dilation.

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    C.

    Check for firmness of the uterus.

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    D.

    Obtain a detailed history.

    Quick Answer: 224

    Detailed Answer: 236

  • A client telephones the emergency room stating that she thinks that she is in labor. The nurse should tell the client that labor has probably begun when:

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    A.

    Her contractions are two minutes apart.

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    B.

    She has back pain and a bloody discharge.

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    C.

    She experiences abdominal pain and frequent urination.

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    D.

    Her contractions are five minutes apart.

    Quick Answer: 224

    Detailed Answer: 236

  • The nurse is teaching a group of prenatal clients about the effects of cigarette smoke on fetal development. Which characteristic is associated with babies born to mothers who smoked during pregnancy?

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    A.

    Low birth weight

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    B.

    Large for gestational age

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    C.

    Preterm birth, but appropriate size for gestation

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    D.

    Growth retardation in weight and length

    Quick Answer: 224

    Detailed Answer: 237

  • The physician has ordered an injection of RhoGam for the postpartum client whose blood type is A negative but whose baby is O positive. To provide postpartum prophylaxis, RhoGam should be administered:

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    A.

    Within 72 hours of delivery

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    B.

    Within one week of delivery

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    C.

    Within two weeks of delivery

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    D.

    Within one month of delivery

    Quick Answer: 224

    Detailed Answer: 237

  • After the physician performs an amniotomy, the nurse’s first action should be to assess the:

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    A.

    Degree of cervical dilation

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    B.

    Fetal heart tones

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    C.

    Client’s vital signs

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    D.

    Client’s level of discomfort

    Quick Answer: 224

    Detailed Answer: 237

  • A client is admitted to the labor and delivery unit. The nurse performs a vaginal exam and determines that the client’s cervix is 5cm dilated with 75% effacement. Based on the nurse’s assessment, the client is in which phase of labor?

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    A.

    Active

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    B.

    Latent

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    C.

    Transition

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    D.

    Early

    Quick Answer: 224

    Detailed Answer: 237

  • A newborn with narcotic abstinence syndrome is admitted to the nursery. Nursing care of the newborn should include:

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    A.

    Teaching the mother to provide tactile stimulation

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    B.

    Wrapping the newborn snugly in a blanket

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    C.

    Placing the newborn in the infant seat

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    D.

    Initiating an early infant-stimulation program

    Quick Answer: 224

    Detailed Answer: 237

  • A client elects to have epidural anesthesia to relieve the discomfort of labor. Following the initiation of epidural anesthesia, the nurse should give priority to:

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    A.

    Checking for cervical dilation

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    B.

    Placing the client in a supine position

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    C.

    Checking the client’s blood pressure

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    D.

    Obtaining a fetal heart rate

    Quick Answer: 224

    Detailed Answer: 237

  • The nurse is aware that the best way to prevent post-operative wound infection in the surgical client is to:

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    A.

    Administer a prescribed antibiotic.

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    B.

    Wash her hands for two minutes before care.

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    C.

    Wear a mask when providing care.

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    D.

    Ask the client to cover her mouth when she coughs.

    Quick Answer: 224

    Detailed Answer: 237

  • The elderly client is admitted to the emergency room. Which symptom is the client with a fractured hip most likely to exhibit?

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    A.

    Pain

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    B.

    Disalignment

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    C.

    Cool extremity

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    D.

    Absence of pedal pulses

    Quick Answer: 224

    Detailed Answer: 237

  • The nurse knows that a 60-year-old female client’s susceptibility to osteoporosis is most likely related to:

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    A.

    Lack of exercise

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    B.

    Hormonal disturbances

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    C.

    Lack of calcium

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    D.

    Genetic predisposition

    Quick Answer: 224

    Detailed Answer: 237

  • A two-year-old is admitted for repair of a fractured femur and is placed in Bryant’s traction. Which finding by the nurse indicates that the traction is working properly?

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    A.

    The infant no longer complains of pain.

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    B.

    The buttocks are 15° off the bed.

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    C.

    The legs are suspended in the traction.

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    D.

    The pins are secured within the pulley.

    Quick Answer: 224

    Detailed Answer: 238

  • Which statement is true regarding balanced skeletal traction? Balanced skeletal traction:

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    A.

    Uses a Steinman pin

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    B.

    Requires that both legs be secured

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    C.

    Utilizes Kirschner wires

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    D.

    Is used primarily to heal the fractured hips

    Quick Answer: 224

    Detailed Answer: 238

  • The client is admitted for an open reduction internal fixation of a fractured hip. Immediately following surgery, the nurse should give priority to assessing the:

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    A.

    Serum collection (Davol) drain

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    B.

    Client’s pain

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    C.

    Nutritional status

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    D.

    Immobilizer

    Quick Answer: 224

    Detailed Answer: 238

  • Which statement made by the family member caring for the client with a percutaneous gastrostomy tube indicates understanding of the nurse’s teaching?

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    A.

    “I must flush the tube with water after feedings and clamp the tube.”

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    B.

    “I must check placement four times per day.”

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    C.

    “I will report to the doctor any signs of indigestion.”

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    D.

    “If my father is unable to swallow, I will discontinue the feeding and call the clinic.”

    Quick Answer: 224

    Detailed Answer: 238

  • The nurse is assessing the client with a total knee replacement two hours post-operative. Which information requires notification of the doctor?

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    A.

    Scant bleeding on the dressing

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    B.

    Low-grade temperature

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    C.

    Hemoglobin of 7gm

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    D.

    The urinary output has been 120ml during the last hour

    Quick Answer: 224

    Detailed Answer: 238

  • The nurse is caring for the client with a five-year-old diagnosis of plumbism. Which information in the health history is most likely related to the development of plumbism?

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    A.

    The client has traveled out of the country in the last six months.

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    B.

    The client’s parents are skilled stained-glass artists.

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    C.

    The client lives in a house built in 1990.

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    D.

    The client has several brothers and sisters.

    Quick Answer: 224

    Detailed Answer: 238

  • A client with a total hip replacement requires special equipment. Which equipment would assist the client with a total hip replacement with activities of daily living?

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    A.

    High-seat commode

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    B.

    Recliner

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    C.

    TENS unit

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    D.

    Abduction pillow

    Quick Answer: 224

    Detailed Answer: 238

  • An elderly client with an abdominal surgery is admitted to the unit following surgery. In anticipation of complications of anesthesia and narcotic administration, the nurse should:

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    A.

    Administer oxygen via nasal cannula.

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    B.

    Have narcan (naloxane) available.

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    C.

    Prepare to administer blood products.

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    D.

    Prepare to do cardioresuscitation.

    Quick Answer: 224

    Detailed Answer: 238

  • Which roommate would be most suitable for the six-year-old male with a fractured femur in Russell’s traction?

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    A.

    16-year-old female with scoliosis

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    B.

    12-year-old male with a fractured femur

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    C.

    10-year-old male with sarcoma

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    D.

    6-year-old male with osteomylitis

    Quick Answer: 224

    Detailed Answer: 239

  • A client with osteoarthritis has a prescription for Celebrex (celecoxib). Which instruction should be included in the discharge teaching?

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    A.

    Take the medication with milk.

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    B.

    Report chest pain.

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    C.

    Remain upright after taking for 30 minutes.

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    D.

    Allow six weeks for optimal effects.

    Quick Answer: 224

    Detailed Answer: 239

  • A client with a fractured tibia has a plaster-of-Paris cast applied to immobilize the fracture. Which action by the nurse indicates understanding of a plaster-of-Paris cast? The nurse:

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    A.

    Handles the cast with the fingertips

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    B.

    Petals the cast

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    C.

    Dries the cast with a hair dryer

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    D.

    Allows 24 hours before bearing weight

    Quick Answer: 224

    Detailed Answer: 239

  • The teenager with a fiberglass cast asks the nurse if it will be okay to allow his friends to autograph his cast. Which response would be best?

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    A.

    “It will be alright for your friends to autograph the cast.”

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    B.

    “Because the cast is made of plaster, autographing can weaken the cast.”

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    C.

    “If they don’t use chalk to autograph, it is okay.”

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    D.

    “Autographing or writing on the cast in any form will harm the cast.”

    Quick Answer: 224

    Detailed Answer: 239

  • The nurse is assigned to care for the client with a Steinman pin. During pin care, she notes that the LPN uses sterile gloves and Q-tips to clean the pin. Which action should the nurse take at this time?

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    A.

    Assisting the LPN with opening sterile packages and peroxide

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    B.

    Telling the LPN that clean gloves are allowed

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    C.

    Telling the LPN that the registered nurse should perform pin care

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    D.

    Asking the LPN to clean the weights and pulleys with peroxide

    Quick Answer: 224

    Detailed Answer: 239

  • A child with scoliosis has a spica cast applied. Which action specific to the spica cast should be taken?

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    A.

    Check the bowel sounds.

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    B.

    Assess the blood pressure.

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    C.

    Offer pain medication.

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    D.

    Check for swelling.

    Quick Answer: 224

    Detailed Answer: 239

  • The client with a cervical fracture is placed in traction. Which type of traction will be utilized at the time of discharge?

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    A.

    Russell’s traction

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    B.

    Buck’s traction

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    C.

    Halo traction

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    D.

    Crutchfield tong traction

    Quick Answer: 224

    Detailed Answer: 239

  • A client with a total knee replacement has a CPM (continuous passive motion device) applied during the post-operative period. Which statement made by the nurse indicates understanding of the CPM machine?

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    A.

    “Use of the CPM will permit the client to ambulate during the therapy.”

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    B.

    “The CPM machine controls should be positioned distal to the site.”

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    C.

    “If the client complains of pain during the therapy, I will turn off the machine and call the doctor.”

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    D.

    “Use of the CPM machine will alleviate the need for physical therapy after the client is discharged.”

    Quick Answer: 224

    Detailed Answer: 239

  • A client with a fractured hip is being taught correct use of the walker. The nurse is aware that the correct use of the walker is achieved if the:

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    A.

    Palms rest lightly on the handles

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    B.

    Elbows are flexed 0°

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    C.

    Client walks to the front of the walker

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    D.

    Client carries the walker

    Quick Answer: 224

    Detailed Answer: 240

  • When assessing a laboring client, the nurse finds a prolapsed cord. The nurse should:

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    A.

    Attempt to replace the cord.

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    B.

    Place the client on her left side.

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    C.

    Elevate the client’s hips.

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    D.

    Cover the cord with a dry, sterile gauze.

    Quick Answer: 224

    Detailed Answer: 240

  • The nurse is caring for a 30-year-old male admitted with a stab wound. While in the emergency room, a chest tube is inserted. Which of the following explains the primary rationale for insertion of chest tubes?

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    A.

    The tube will allow for equalization of the lung expansion.

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    B.

    Chest tubes serve as a method of draining blood and serous fluid and assist in reinflating the lungs.

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    C.

    Chest tubes relieve pain associated with a collapsed lung.

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    D.

    Chest tubes assist with cardiac function by stabilizing lung expansion.

    Quick Answer: 224

    Detailed Answer: 240

  • A client who delivered this morning tells the nurse that she plans to breastfeed her baby. The nurse is aware that successful breastfeeding is most dependent on the:

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    A.

    Mother’s educational level

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    B.

    Infant’s birth weight

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    C.

    Size of the mother’s breast

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    D.

    Mother’s desire to breastfeed

    Quick Answer: 224

    Detailed Answer: 240

  • The nurse is monitoring the progress of a client in labor. Which finding should be reported to the physician immediately?

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    A.

    The presence of scant bloody discharge

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    B.

    Frequent urination

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    C.

    The presence of green-tinged amniotic fluid

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    D.

    Moderate uterine contractions

    Quick Answer: 224

    Detailed Answer: 240

  • The nurse is measuring the duration of the client’s contractions. Which statement is true regarding the measurement of the duration of contractions?

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    A.

    Duration is measured by timing from the beginning of one contraction to the beginning of the next contraction.

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    B.

    Duration is measured by timing from the end of one contraction to the beginning of the next contraction.

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    C.

    Duration is measured by timing from the beginning of one contraction to the end of the same contraction.

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    D.

    Duration is measured by timing from the peak of one contraction to the end of the same contraction.

    Quick Answer: 224

    Detailed Answer: 240

  • The physician has ordered an intravenous infusion of Pitocin for the induction of labor. When caring for the obstetric client receiving intravenous Pitocin, the nurse should monitor for:

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    A.

    Maternal hypoglycemia

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    B.

    Fetal bradycardia

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    C.

    Maternal hyperreflexia

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    D.

    Fetal movement

    Quick Answer: 224

    Detailed Answer: 240

  • A client with diabetes visits the prenatal clinic at 28 weeks gestation. Which statement is true regarding insulin needs during pregnancy?

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    A.

    Insulin requirements moderate as the pregnancy progresses.

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    B.

    A decreased need for insulin occurs during the second trimester.

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    C.

    Elevations in human chorionic gonadotrophin decrease the need for insulin.

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    D.

    Fetal development depends on adequate insulin regulation.

    Quick Answer: 224

    Detailed Answer: 240

  • A client in the prenatal clinic is assessed to have a blood pressure of 180/96. The nurse should give priority to:

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    A.

    Providing a calm environment

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    B.

    Obtaining a diet history

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    C.

    Administering an analgesic

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    D.

    Assessing fetal heart tones

    Quick Answer: 224

    Detailed Answer: 240

  • A primigravida, age 42, is six weeks pregnant. Based on the client’s age, her infant is at risk for:

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    A.

    Down syndrome

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    B.

    Respiratory distress syndrome

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    C.

    Turner’s syndrome

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    D.

    Pathological jaundice

    Quick Answer: 224

    Detailed Answer: 241

  • A client with a missed abortion at 29 weeks gestation is admitted to the hospital. The client will most likely be treated with:

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    A.

    Magnesium sulfate

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    B.

    Calcium gluconate

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    C.

    Dinoprostone (Prostin E.)

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    D.

    Bromocrystine (Parlodel)

    Quick Answer: 224

    Detailed Answer: 241

  • A client with preeclampsia has been receiving an infusion containing magnesium sulfate for a blood pressure that is 160/80; deep tendon reflexes are 1 plus, and the urinary output for the past hour is 100mL. The nurse should:

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    A.

    Continue the infusion of magnesium sulfate while monitoring the client’s blood pressure.

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    B.

    Stop the infusion of magnesium sulfate and contact the physician.

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    C.

    Slow the infusion rate and turn the client on her left side.

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    D.

    Administer calcium gluconate IV push and continue to monitor the blood pressure.

    Quick Answer: 224

    Detailed Answer: 241

  • Which statement made by the nurse describes the inheritance pattern of autosomal recessive disorders?

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    A.

    An affected newborn has unaffected parents.

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    B.

    An affected newborn has one affected parent.

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    C.

    Affected parents have a one in four chance of passing on the defective gene.

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    D.

    Affected parents have unaffected children who are carriers.

    Quick Answer: 224

    Detailed Answer: 241

  • A pregnant client, age 32, asks the nurse why her doctor has recommended a serum alpha fetoprotein. The nurse should explain that the doctor has recommended the test:

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    A.

    Because it is a state law

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    B.

    To detect cardiovascular defects

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    C.

    Because of her age

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    D.

    To detect neurological defects

    Quick Answer: 224

    Detailed Answer: 241

  • A client with hypothyroidism asks the nurse if she will still need to take thyroid medication during the pregnancy. The nurse’s response is based on the knowledge that:

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    A.

    There is no need to take thyroid medication because the fetus’s thyroid produces a thyroid-stimulating hormone.

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    B.

    Regulation of thyroid medication is more difficult because the thyroid gland increases in size during pregnancy.

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    C.

    It is more difficult to maintain thyroid regulation during pregnancy due to a slowing of metabolism.

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    D.

    Fetal growth is arrested if thyroid medication is continued during pregnancy.

    Quick Answer: 224

    Detailed Answer: 241

  • The nurse is responsible for performing a neonatal assessment on a full-term infant. At one minute, the nurse could expect to find:

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    A.

    An apical pulse of 100

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    B.

    An absence of tonus

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    C.

    Cyanosis of the feet and hands

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    D.

    Jaundice of the skin and sclera

    Quick Answer: 224

    Detailed Answer: 241

  • A client with sickle cell anemia is admitted to the labor and delivery unit during the first phase of labor. The nurse should anticipate the client’s need for:

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    A.

    Supplemental oxygen

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    B.

    Fluid restriction

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    C.

    Blood transfusion

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    D.

    Delivery by Caesarean section

    Quick Answer: 224

    Detailed Answer: 241

  • A client with diabetes has an order for ultrasonography. Preparation for an ultrasound includes:

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    A.

    Increasing fluid intake

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    B.

    Limiting ambulation

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    C.

    Administering an enema

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    D.

    Withholding food for eight hours

    Quick Answer: 224

    Detailed Answer: 241

  • An infant who weighs 8 pounds at birth would be expected to weigh how many pounds at one year?

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    A.

    14 pounds

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    B.

    16 pounds

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    C.

    18 pounds

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    D.

    24 pounds

    Quick Answer: 224

    Detailed Answer: 241

  • A pregnant client with a history of alcohol addiction is scheduled for a nonstress test. The nonstress test:

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    A.

    Determines the lung maturity of the fetus

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    B.

    Measures the activity of the fetus

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    C.

    Shows the effect of contractions on the fetal heart rate

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    D.

    Measures the neurological well-being of the fetus

    Quick Answer: 224

    Detailed Answer: 242

  • A full-term male has hypospadias. Which statement describes hypospadias?

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    A.

    The urethral opening is absent

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    B.

    The urethra opens on the top side of the penis

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    C.

    The urethral opening is enlarged

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    D.

    The urethra opens on the under side of the penis

    Quick Answer: 224

    Detailed Answer: 242

  • A gravida III para II is admitted to the labor unit. Vaginal exam reveals that the client’s cervix is 8cm dilated, with complete effacement. The priority nursing diagnosis at this time is:

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    A.

    Alteration in coping related to pain

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    B.

    Potential for injury related to precipitate delivery

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    C.

    Alteration in elimination related to anesthesia

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    D.

    Potential for fluid volume deficit related to NPO status

    Quick Answer: 224

    Detailed Answer: 242

  • The client with varicella will most likely have an order for which category of medication?

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    A.

    Antibiotics

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    B.

    Antipyretics

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    C.

    Antivirals

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    D.

    Anticoagulants

    Quick Answer: 224

    Detailed Answer: 242

  • A client is admitted complaining of chest pain. Which of the following drug orders should the nurse question?

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    A.

    Nitroglycerin

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    B.

    Ampicillin

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    C.

    Propranolol

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    D.

    Verapamil

    Quick Answer: 224

    Detailed Answer: 242

  • Which of the following instructions should be included in the teaching for the client with rheumatoid arthritis?

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    A.

    Avoid exercise because it fatigues the joints.

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    B.

    Take prescribed anti-inflammatory medications with meals.

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    C.

    Alternate hot and cold packs to affected joints.

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    D.

    Avoid weight-bearing activity.

    Quick Answer: 224

    Detailed Answer: 242

  • A client with acute pancreatitis is experiencing severe abdominal pain. Which of the following orders should be questioned by the nurse?

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    A.

    Meperidine 100mg IM m 4 hours PRN pain

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    B.

    Mylanta 30 ccs m 4 hours via NG

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    C.

    Cimetadine 300mg PO m.i.d.

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    D.

    Morphine 8mg IM m 4 hours PRN pain

    Quick Answer: 224

    Detailed Answer: 242

  • The client is admitted to the chemical dependence unit with an order for continuous observation. The nurse is aware that the doctor has ordered continuous observation because:

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    A.

    Hallucinogenic drugs create both stimulant and depressant effects.

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    B.

    Hallucinogenic drugs induce a state of altered perception.

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    C.

    Hallucinogenic drugs produce severe respiratory depression.

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    D.

    Hallucinogenic drugs induce rapid physical dependence.

    Quick Answer: 224

    Detailed Answer: 242

  • A client with a history of abusing barbiturates abruptly stops taking the medication. The nurse should give priority to assessing the client for:

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    A.

    Depression and suicidal ideation

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    B.

    Tachycardia and diarrhea

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    C.

    Muscle cramping and abdominal pain

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    D.

    Tachycardia and euphoric mood

    Quick Answer: 224

    Detailed Answer: 242

  • During the assessment of a laboring client, the nurse notes that the FHT are loudest in the upper-right quadrant. The infant is most likely in which position?

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    A.

    Right breech presentation

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    B.

    Right occipital anterior presentation

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    C.

    Left sacral anterior presentation

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    D.

    Left occipital transverse presentation

    Quick Answer: 224

    Detailed Answer: 243

  • The primary physiological alteration in the development of asthma is:

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    A.

    Bronchiolar inflammation and dyspnea

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    B.

    Hypersecretion of abnormally viscous mucus

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    C.

    Infectious processes causing mucosal edema

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    D.

    Spasm of bronchiolar smooth muscle

    Quick Answer: 224

    Detailed Answer: 243

  • A client with mania is unable to finish her dinner. To help her maintain sufficient nourishment, the nurse should:

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    A.

    Serve high-calorie foods she can carry with her.

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    B.

    Encourage her appetite by sending out for her favorite foods.

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    C.

    Serve her small, attractively arranged portions.

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    D.

    Allow her in the unit kitchen for extra food whenever she pleases.

    Quick Answer: 224

    Detailed Answer: 243

  • To maintain Bryant’s traction, the nurse must make certain that the child’s:

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    A.

    Hips are resting on the bed, with the legs suspended at a right angle to the bed

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    B.

    Hips are slightly elevated above the bed and the legs are suspended at a right angle to the bed

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    C.

    Hips are elevated above the level of the body on a pillow and the legs are suspended parallel to the bed

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    D.

    Hips and legs are flat on the bed, with the traction positioned at the foot of the bed

    Quick Answer: 224

    Detailed Answer: 243

  • Which action by the nurse indicates understanding of herpes zoster?

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    A.

    The nurse covers the lesions with a sterile dressing.

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    B.

    The nurse wears gloves when providing care.

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    C.

    The nurse administers a prescribed antibiotic.

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    D.

    The nurse administers oxygen.

    Quick Answer: 224

    Detailed Answer: 243

  • There is an order for a trough to be drawn on the client receiving Vancomycin. The nurse is aware that he should contact the lab for them to collect the blood:

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    A.

    15 minutes after the infusion

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    B.

    30 minutes before the fourth infusion

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    C.

    One hour after the infusion

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    D.

    Two hours after the infusion

    Quick Answer: 224

    Detailed Answer: 243

  • The client using a diaphragm should be instructed to:

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    A.

    Refrain from keeping the diaphragm in longer than four hours

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    B.

    Keep the diaphragm in a cool location

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    C.

    Have the diaphragm resized if she gains five pounds

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    D.

    Have the diaphragm resized if she has any surgery

    Quick Answer: 224

    Detailed Answer: 243

  • The nurse is providing postpartum teaching for a mother planning to breastfeed her infant. Which of the client’s statements indicates the need for additional teaching?

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    A.

    “I’m wearing a support bra.”

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    B.

    “I’m expressing milk from my breast.”

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    C.

    “I’m drinking four glasses of fluid during a 24-hour period.”

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    D.

    “While I’m in the shower, I’ll allow the water to run over my breasts.”

    Quick Answer: 224

    Detailed Answer: 243

  • Damage to the VII cranial nerve results in:

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    A.

    Facial pain

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    B.

    Absence of ability to smell

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    C.

    Absence of eye movement

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    D.

    Tinnitus

    Quick Answer: 224

    Detailed Answer: 243

  • A client is receiving Pyridium (phenazopyridine hydrochloride) for a urinary tract infection. The client should be taught that the medication may:

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    A.

    Cause diarrhea

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    B.

    Change the color of her urine

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    C.

    Cause mental confusion

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    D.

    Cause changes in taste

    Quick Answer: 224

    Detailed Answer: 244

  • Which of the following tests should be performed before beginning a prescription of Accutane?

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    A.

    Check the calcium level.

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    B.

    Perform a pregnancy test.

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    C.

    Monitor apical pulse.

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    D.

    Obtain a creatinine level.

    Quick Answer: 224

    Detailed Answer: 244

  • A client with AIDS is taking Zovirax (acyclovir). Which nursing intervention is most critical during the administration of acyclovir?

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    A.

    Limit the client’s activity.

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    B.

    Encourage a high-carbohydrate diet.

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    C.

    Use an incentive spirometer to improve respiratory function.

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    D.

    Encourage fluids.

    Quick Answer: 224

    Detailed Answer: 244

  • A client is admitted for an CAT scan. The nurse should question the client regarding:

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    A.

    Pregnancy

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    B.

    A titanium hip replacement

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    C.

    Allergies to antibiotics

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    D.

    Inability to move his feet

    Quick Answer: 224

    Detailed Answer: 244

  • The nurse is caring for the client receiving Amphotericin B. Which of the following indicates that the client has experienced toxicity to this drug?

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    A.

    Changes in vision

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    B.

    Nausea

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    C.

    Urinary frequency

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    D.

    Changes in skin color

    Quick Answer: 224

    Detailed Answer: 244

  • The nurse should visit which of the following clients first?

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    A.

    The client with diabetes with a blood glucose of 95mg/dL

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    B.

    The client with hypertension being maintained on Lisinopril

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    C.

    The client with chest pain and a history of angina

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    D.

    The client with Raynaud’s disease

    Quick Answer: 224

    Detailed Answer: 244

  • A client with cystic fibrosis is taking pancreatic enzymes. The nurse should administer this medication:

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    A.

    Once per day in the morning

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    B.

    Three times per day with meals

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    C.

    Once per day at bedtime

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    D.

    Four times per day

    Quick Answer: 224

    Detailed Answer: 244

  • Cataracts result in opacity of the crystalline lens. Which of the following best explains the functions of the lens?

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    A.

    The lens controls stimulation of the retina.

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    B.

    The lens orchestrates eye movement.

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    C.

    The lens focuses light rays on the retina.

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    D.

    The lens magnifies small objects.

    Quick Answer: 224

    Detailed Answer: 244

  • A client who has glaucoma is to have miotic eyedrops instilled in both eyes. The nurse knows that the purpose of the medication is to:

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    A.

    Anesthetize the cornea

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    B.

    Dilate the pupils

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    C.

    Constrict the pupils

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    D.

    Paralyze the muscles of accommodation

    Quick Answer: 224

    Detailed Answer: 244

  • A client with a severe corneal ulcer has an order for Gentamicin gtt. q 4 hours and Neomycin 1 gtt q 4 hours. Which of the following schedules should be used when administering the drops?

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    A.

    Allow five minutes between the two medications.

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    B.

    The medications may be used together.

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    C.

    The medications should be separated by a cycloplegic drug.

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    D.

    The medications should not be used in the same client.

    Quick Answer: 224

    Detailed Answer: 244

  • The client with color blindness will most likely have problems distinguishing which of the following colors?

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    A.

    Orange

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    B.

    Violet

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    C.

    Red

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    D.

    White

    Quick Answer: 224

    Detailed Answer: 244

  • The client with a pacemaker should be taught to:

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    A.

    Report ankle edema

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    B.

    Check his blood pressure daily

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    C.

    Refrain from using a microwave oven

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    D.

    Monitor his pulse rate

    Quick Answer: 224

    Detailed Answer: 245

  • The client with enuresis is being taught regarding bladder retraining. The nurse should advise the client to refrain from drinking after:

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    A.

    1900

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    B.

    1200

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    C.

    1000

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    D.

    0700

    Quick Answer: 224

    Detailed Answer: 245

  • Which of the following diet instructions should be given to the client with recurring urinary tract infections?

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    A.

    Increase intake of meats.

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    B.

    Avoid citrus fruits.

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    C.

    Perform pericare with hydrogen peroxide.

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    D.

    Drink a glass of cranberry juice every day.

    Quick Answer: 224

    Detailed Answer: 245

  • The physician has prescribed NPH insulin for a client with diabetes mellitus. Which statement indicates that the client knows when the peak action of the insulin occurs?

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    A.

    “I will make sure I eat breakfast within two hours of taking my insulin.”

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    B.

    “I will need to carry candy or some form of sugar with me all the time.”

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    C.

    “I will eat a snack around three o’clock each afternoon.”

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    D.

    “I can save my dessert from supper for a bedtime snack.”

    Quick Answer: 224

    Detailed Answer: 245

  • A client with pneumacystis carinii pneumonia is receiving Methotrexate. The rationale for administering leucovorin calcium to a client receiving Methotrexate is to:

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    A.

    Treat anemia

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    B.

    Create a synergistic effect

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    C.

    Increase the number of white blood cells

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    D.

    Reverse drug toxicity

    Quick Answer: 224

    Detailed Answer: 245

  • A client tells the nurse that she is allergic to eggs, dogs, rabbits, and chicken feathers. Which order should the nurse question?

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    A.

    TB skin test

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    B.

    Rubella vaccine

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    C.

    ELISA test

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    D.

    Chest x-ray

    Quick Answer: 224

    Detailed Answer: 245

  • The physician has prescribed ranitidine (Zantac) for a client with erosive gastritis. The nurse should administer the medication:

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    A.

    30 minutes before meals

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    B.

    With each meal

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    C.

    In a single dose at bedtime

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    D.

    60 minutes after meals

    Quick Answer: 224

    Detailed Answer: 245

  • A temporary colostomy is performed on the client with colon cancer. The nurse is aware that the proximal end of a double barrel colostomy:

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    A.

    Is the opening on the client’s left side

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    B.

    Is the opening on the distal end on the client’s left side

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    C.

    Is the opening on the client’s right side

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    D.

    Is the opening on the distal right side

    Quick Answer: 224

    Detailed Answer: 245

  • While assessing the postpartal client, the nurse notes that the fundus is displaced to the right. Based on this finding, the nurse should:

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    A.

    Ask the client to void.

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    B.

    Assess the blood pressure for hypotension.

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    C.

    Administer oxytocin.

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    D.

    Check for vaginal bleeding.

    Quick Answer: 224

    Detailed Answer: 245

  • The physician has ordered an MRI for a client with an orthopedic ailment. An MRI should not be done if the client has:

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    A.

    The need for oxygen therapy

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    B.

    A history of claustrophobia

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    C.

    A permanent pacemaker

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    D.

    Sensory deafness

    Quick Answer: 224

    Detailed Answer: 246

  • A six-month-old client is placed on strict bed rest following a hernia repair. Which toy is best suited to the client?

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    A.

    Colorful crib mobile

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    B.

    Hand-held electronic games

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    C.

    Cars in a plastic container

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    D.

    30-piece jigsaw puzzle

    Quick Answer: 224

    Detailed Answer: 246

  • The nurse is preparing to discharge a client with a long history of polio. The nurse should tell the client that:

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    A.

    Taking a hot bath will decrease stiffness and spasticity.

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    B.

    A schedule of strenuous exercise will improve muscle strength.

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    C.

    Rest periods should be scheduled throughout the day.

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    D.

    Visual disturbances can be corrected with prescription glasses.

    Quick Answer: 224

    Detailed Answer: 246

  • A client on the postpartum unit has a proctoepisiotomy. The nurse should anticipate administering which medication?

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    A.

    Dulcolax suppository

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    B.

    Docusate sodium (Colace)

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    C.

    Methyergonovine maleate (Methergine)

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    D.

    Bromocriptine sulfate (Parlodel)

    Quick Answer: 224

    Detailed Answer: 246

  • A client with pancreatic cancer has an infusion of TPN (Total Parenteral Nutrition). The doctor has ordered for sliding-scale insulin. The most likely explanation for this order is:

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    A.

    Total Parenteral Nutrition leads to negative nitrogen balance and elevated glucose levels.

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    B.

    Total Parenteral Nutrition cannot be managed with oral hypoglycemics.

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    C.

    Total Parenteral Nutrition is a high-glucose solution that often elevates the blood glucose levels.

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    D.

    Total Parenteral Nutrition leads to further pancreatic disease.

    Quick Answer: 224

    Detailed Answer: 246

  • An adolescent primigravida who is 10 weeks pregnant attends the antepartal clinic for a first check-up. To develop a teaching plan, the nurse should initially assess:

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    A.

    The client’s knowledge of the signs of preterm labor

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    B.

    The client’s feelings about the pregnancy

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    C.

    Whether the client was using a method of birth control

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    D.

    The client’s thought about future children

    Quick Answer: 224

    Detailed Answer: 246

  • An obstetric client is admitted with dehydration. Which IV fluid would be most appropriate for the client?

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    A.

    .45 normal saline

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    B.

    Dextrose 1% in water

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    C.

    Lactated Ringer’s

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    D.

    Dextrose 5% in .45 normal saline

    Quick Answer: 224

    Detailed Answer: 246

  • The physician has ordered a thyroid scan to confirm the diagnosis of a goiter. Before the procedure, the nurse should:

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    A.

    Assess the client for allergies.

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    B.

    Bolus the client with IV fluid.

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    C.

    Tell the client he will be asleep.

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    D.

    Insert a urinary catheter.

    Quick Answer: 224

    Detailed Answer: 246

  • The physician has ordered an injection of RhoGam for a client with blood type A negative. The nurse understands that RhoGam is given to:

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    A.

    Provide immunity against Rh isoenzymes

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    B.

    Prevent the formation of Rh antibodies

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    C.

    Eliminate circulating Rh antibodies

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    D.

    Convert the Rh factor from negative to positive

    Quick Answer: 224

    Detailed Answer: 246

  • The nurse is caring for a client admitted to the emergency room after a fall. X-rays reveal that the client has several fractured bones in the foot. Which treatment should the nurse anticipate for the fractured foot?

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    A.

    Application of a short inclusive spica cast

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    B.

    Stabilization with a plaster-of-Paris cast

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    C.

    Surgery with Kirschner wire implantation

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    D.

    A gauze dressing only

    Quick Answer: 224

    Detailed Answer: 246

  • A client with bladder cancer is being treated with iridium seed implants. The nurse’s discharge teaching should include telling the client to:

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    A.

    Strain his urine

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    B.

    Increase his fluid intake

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    C.

    Report urinary frequency

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    D.

    Avoid prolonged sitting

    Quick Answer: 224

    Detailed Answer: 247

  • Following a heart transplant, a client is started on medication to prevent organ rejection. Which category of medication prevents the formation of antibodies against the new organ?

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    A.

    Antivirals

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    B.

    Antibiotics

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    C.

    Immunosuppressants

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    D.

    Analgesics

    Quick Answer: 224

    Detailed Answer: 247

  • The nurse is preparing a client for cataract surgery. The nurse is aware that the procedure will use:

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    A.

    Mydriatics to facilitate removal

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    B.

    Miotic medications such as Timoptic

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    C.

    A laser to smooth and reshape the lens

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    D.

    Silicone oil injections into the eyeball

    Quick Answer: 224

    Detailed Answer: 247

  • A client with Alzheimer’s disease is awaiting placement in a skilled nursing facility. Which long-term plans would be most therapeutic for the client?

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    A.

    Placing mirrors in several locations in the home

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    B.

    Placing a picture of herself in her bedroom

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    C.

    Placing simple signs to indicate the location of the bedroom, bathroom, and so on

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    D.

    Alternating healthcare workers to prevent boredom

    Quick Answer: 224

    Detailed Answer: 247

  • A client with an abdominal cholecystectomy returns from surgery with a Jackson-Pratt drain. The chief purpose of the Jackson-Pratt drain is to:

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    A.

    Prevent the need for dressing changes

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    B.

    Reduce edema at the incision

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    C.

    Provide for wound drainage

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    D.

    Keep the common bile duct open

    Quick Answer: 224

    Detailed Answer: 247

  • The nurse is performing an initial assessment of a newborn Caucasian male delivered at 32 weeks gestation. The nurse can expect to find the presence of:

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    A.

    Mongolian spots

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    B.

    Scrotal rugae

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    C.

    Head lag

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    D.

    Polyhydramnios

    Quick Answer: 224

    Detailed Answer: 247

  • The nurse is caring for a client admitted with multiple trauma. Fractures include the pelvis, femur, and ulna. Which finding should be reported to the physician immediately?

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    A.

    Hematuria

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    B.

    Muscle spasms

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    C.

    Dizziness

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    D.

    Nausea

    Quick Answer: 224

    Detailed Answer: 247

  • A client is brought to the emergency room by the police. He is combative and yells, “I have to get out of here. They are trying to kill me.” Which assessment is most likely correct in relation to this statement?

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    A.

    The client is experiencing an auditory hallucination.

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    B.

    The client is having a delusion of grandeur.

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    C.

    The client is experiencing paranoid delusions.

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    D.

    The client is intoxicated.

    Quick Answer: 224

    Detailed Answer: 247

  • The nurse is preparing to suction the client with a tracheotomy. The nurse notes a previously used bottle of normal saline on the client’s bedside table. There is no label to indicate the date or time of initial use. The nurse should:

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    A.

    Lip the bottle and use a pack of sterile 4×4 for the dressing.

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    B.

    Obtain a new bottle and label it with the date and time of first use.

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    C.

    Ask the ward secretary when the solution was requested.

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    D.

    Label the existing bottle with the current date and time.

    Quick Answer: 224

    Detailed Answer: 247

  • An infant’s Apgar score is 9 at five minutes. The nurse is aware that the most likely cause for the deduction of one point is:

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    A.

    The baby is hypothermic.

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    B.

    The baby is experiencing bradycardia.

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    C.

    The baby’s hands and feet are blue.

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    D.

    The baby is lethargic.

    Quick Answer: 224

    Detailed Answer: 247

  • The primary reason for rapid continuous rewarming of the area affected by frostbite is to:

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    A.

    Lessen the amount of cellular damage

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    B.

    Prevent the formation of blisters

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    C.

    Promote movement

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    D.

    Prevent pain and discomfort

    Quick Answer: 224

    Detailed Answer: 248

  • A client recently started on hemodialysis wants to know how the dialysis will take the place of his kidneys. The nurse’s response is based on the knowledge that hemodialysis works by:

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    A.

    Passing water through a dialyzing membrane

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    B.

    Eliminating plasma proteins from the blood

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    C.

    Lowering the pH by removing nonvolatile acids

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    D.

    Filtering waste through a dialyzing membrane

    Quick Answer: 224

    Detailed Answer: 248

  • During a home visit, a client with AIDS tells the nurse that he has been exposed to measles. Which action by the nurse is most appropriate?

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    A.

    Administer an antibiotic.

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    B.

    Contact the physician for an order for immune globulin.

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    C.

    Administer an antiviral.

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    D.

    Tell the client that he should remain in isolation for two weeks.

    Quick Answer: 224

    Detailed Answer: 248

  • A client hospitalized with MRSA is placed on contact precautions. Which statement is true regarding precautions for infections spread by contact?

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    A.

    The client should be placed in a room with negative pressure.

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    B.

    Infection requires close contact; therefore, the door may remain open.

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    C.

    Transmission is highly likely, so the client should wear a mask at all times.

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    D.

    Infection requires skin-to-skin contact and is prevented by hand washing, gloves, and a gown.

    Quick Answer: 224

    Detailed Answer: 248

  • A client who is admitted with an above-the-knee amputation tells the nurse that his foot hurts and itches. Which response by the nurse indicates understanding of phantom limb pain?

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    A.

    “The pain will go away in a few days.”

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    B.

    “The pain is due to peripheral nervous system interruptions. I will get you some pain medication.”

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    C.

    “The pain is psychological because your foot is no longer there.”

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    D.

    “The pain and itching are due to the infection you had before the surgery.”

    Quick Answer: 224

    Detailed Answer: 248

    Quick Answer: 224

    Detailed Answer: 248

  • A client with cancer of the pancreas has undergone a Whipple procedure. The nurse is aware that during the Whipple procedure, the doctor will remove the:

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    A.

    Head of the pancreas

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    B.

    Proximal third section of the small intestines

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    C.

    Stomach and duodenum

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    D.

    Esophagus and jejunum

    Quick Answer: 224

    Detailed Answer: 248

  • The physician has ordered a minimal-bacteria diet for a client with neutropenia. The client should be taught to avoid eating:

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    A.

    Fruits

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    B.

    Salt

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    C.

    Pepper

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    D.

    Ketchup

    Quick Answer: 224

    Detailed Answer: 248

  • A client is discharged home with a prescription for Coumadin (sodium warfarin). The client should be instructed to:

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    A.

    Have a Protime done monthly.

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    B.

    Eat more fruits and vegetables.

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    C.

    Drink more liquids.

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    D.

    Avoid crowds.

    Quick Answer: 224

    Detailed Answer: 248

  • The nurse is assisting the physician with removal of a central venous catheter. To facilitate removal, the nurse should instruct the client to:

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    A.

    Perform the Valsalva maneuver as the catheter is advanced

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    B.

    Turn his head to the left side and hyperextend the neck

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    C.

    Take slow, deep breaths as the catheter is removed

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    D.

    Turn his head to the right while maintaining a sniffing position

    Quick Answer: 224

    Detailed Answer: 248

  • A client has an order for streptokinase. Before administering the medication, the nurse should assess the client for:

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    A.

    Allergies to pineapples and bananas

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    B.

    A history of streptococcal infections

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    C.

    Prior therapy with phenytoin

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    D.

    A history of alcohol abuse

    Quick Answer: 224

    Detailed Answer: 249

  • The nurse is providing discharge teaching for the client with leukemia. The client should be told to avoid:

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    A.

    Using oil- or cream-based soaps

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    B.

    Flossing between the teeth

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    C.

    The intake of salt

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    D.

    Using an electric razor

    Quick Answer: 224

    Detailed Answer: 249

  • The nurse is changing the ties of the client with a tracheotomy. The safest method of changing the tracheotomy ties is to:

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    A.

    Apply the new tie before removing the old one.

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    B.

    Have a helper present.

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    C.

    Hold the tracheotomy with the nondominant hand while removing the old tie.

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    D.

    Ask the doctor to suture the tracheostomy in place.

    Quick Answer: 224

    Detailed Answer: 249

  • The nurse is monitoring a client following a lung resection. The hourly output from the chest tube was 300mL. The nurse should give priority to:

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    A.

    Turning the client to the left side

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    B.

    Milking the tube to ensure patency

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    C.

    Slowing the intravenous infusion

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    D.

    Notifying the physician

    Quick Answer: 224

    Detailed Answer: 249

  • The infant is admitted to the unit with tetralogy of Fallot. The nurse would anticipate an order for which medication?

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    A.

    Digoxin

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    B.

    Epinephrine

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    C.

    Aminophyline

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    D.

    Atropine

    Quick Answer: 224

    Detailed Answer: 249

  • The nurse is educating the lady’s club in self-breast exam. The nurse is aware that most malignant breast masses occur in the Tail of Spence. On the diagram, place an X on the Tail of Spence.

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    Quick Answer: 224

    Detailed Answer: 249

  • The toddler is admitted with a cardiac anomaly. The nurse is aware that the infant with a ventricular septal defect will:

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    A.

    Tire easily

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    B.

    Grow normally

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    C.

    Need more calories

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    D.

    Be more susceptible to viral infections

    Quick Answer: 224

    Detailed Answer: 249

  • The nurse is monitoring a client with a history of stillborn infants. The nurse is aware that a nonstress test can be ordered for this client to:

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    A.

    Determine lung maturity

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    B.

    Measure the fetal activity

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    C.

    Show the effect of contractions on fetal heart rate

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    D.

    Measure the well-being of the fetus

    Quick Answer: 224

    Detailed Answer: 250

  • The nurse is evaluating the client who was admitted eight hours ago for induction of labor. The following graph is noted on the monitor. Which action should be taken first by the nurse?

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    A.

    Instruct the client to push.

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    B.

    Perform a vaginal exam.

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    C.

    Turn off the Pitocin infusion.

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    D.

    Place the client in a semi-Fowler’s position.

    Quick Answer: 224

    Detailed Answer: 250

  • The nurse notes the following on the ECG monitor. The nurse would evaluate the cardiac arrhythmia as:

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    A.

    Atrial flutter

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    B.

    A sinus rhythm

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    C.

    Ventricular tachycardia

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    D.

    Atrial fibrillation

    Quick Answer: 224

    Detailed Answer: 250

  • A client with clotting disorder has an order to continue Lovenox (enoxaparin) injections after discharge. The nurse should teach the client that Lovenox injections should:

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    A.

    Be injected into the deltoid muscle

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    B.

    Be injected into the abdomen

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    C.

    Aspirate after the injection

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    D.

    Clear the air from the syringe before injections

    Quick Answer: 224

    Detailed Answer: 250

  • The nurse has a preop order to administer Valium (diazepam) 10mg and Phenergan (promethazine) 25mg. The correct method of administering these medications is to:

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    A.

    Administer the medications together in one syringe

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    B.

    Administer the medication separately

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    C.

    Administer the Valium, wait five minutes, and then inject the Phenergan

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    D.

    Question the order because they cannot be given at the same time

    Quick Answer: 224

    Detailed Answer: 250

  • A client with frequent urinary tract infections asks the nurse how she can prevent the reoccurrence. The nurse should teach the client to:

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    A.

    Douche after intercourse

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    B.

    Void every three hours

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    C.

    Obtain a urinalysis monthly

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    D.

    Wipe from back to front after voiding

    Quick Answer: 224

    Detailed Answer: 250

  • Which task should be assigned to the nursing assistant?

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    A.

    Placing the client in seclusion

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    B.

    Emptying the Foley catheter of the preeclamptic client

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    C.

    Feeding the client with dementia

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    D.

    Ambulating the client with a fractured hip

    Quick Answer: 224

    Detailed Answer: 250

  • The client has recently returned from having a thyroidectomy. The nurse should keep which of the following at the bedside?

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    A.

    A tracheotomy set

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    B.

    A padded tongue blade

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    C.

    An endotracheal tube

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    D.

    An airway

    Quick Answer: 224

    Detailed Answer: 250

  • The physician has ordered a histoplasmosis test for the elderly client. The nurse is aware that histoplasmosis is transmitted to humans by:

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    A.

    Cats

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    B.

    Dogs

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    C.

    Turtles

    When assessing an 18 month old the nurse notes a characteristic protruding abdomen which of the following would explain the rationale for this finding quizlet?

    D.

    Birds

    Quick Answer: 224

    Detailed Answer: 250

    • assessing month nurse notes characteristic protruding abdomen explain rationale finding quizlet

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