1. A nurse is planning care for an adolescent following repair of Meckel diverticulum. Which of the
following action should the nurse include in the plan of care?
A. Maintain an NG tube for decompression
B. Initiate
...
1. A nurse is planning care for an adolescent following repair of Meckel diverticulum. Which of the
following action should the nurse include in the plan of care?
A. Maintain an NG tube for decompression
B. Initiate long-term antibiotic therapy
C. Administer total parental nutrition
D. Teach the client about ostomy care
2. A nurse is admitting a child who has acute epiglottitis. Which of the following actions should the
nurse take?
A. Check oxygen saturation every four hours
B. Obtain a throat culture
C. Assist the child into supine position
D. Initiate droplet isolation precaution
3. A nurse is reviewing the medical record of a 24-month-old child who has acute lymphocytic leukemia.
Which of the following actions should the nurse take?
A. Initiate bleeding precautions
B. Place the child in knee chest position
C. Obtain a rectal temperature every four hour
D. Play viscous lidocaine to the oral mucosa
4. A nurse is creating a plan of care for an adolescent who has muscular dystrophy. Which of the
following intervention should the nurse include in the plan?
A. Recommend the adolescent use a wheelchair to prevent stress on the lower extremities
B. Avoid influenza and pneumococcal vaccine for 24 months
C. Encourage the adolescent to perform incentive spirometer to maintain lung capacity
D. Initiate a referral for chest physiotherapy every 4 hours
5. A nurse caring for a 3-month-old infant who has heart failure and is receiving Furosemide. Which of
the following findings is the nurse’s priority?
A. Sunken anterior fontanelle
B. Heart rate 162/min
C. Potassium 5.1mEq/L
D. Negative dolls eye reflect
6. A nurse is planning care for an adolescent who has sickle cell anemia. Which of the following
immunization should the nurse include in the plan?
A. pneumococcal conjugate (PCV13)
B. Rotavirus
C. Measles mumps and rubella (MMR)
D. Respiratory syncytial virus (RSV)
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 Chamberlain College Of Nursing (100 Correct Q & A.png)
