90. A nurse is caring for a client who has a chest tube and notes continuous bubbling in the water-seal
chamber. Which of the following actions should the nurse take?
a. turn down the wall suction
b. observe the syste
...
90. A nurse is caring for a client who has a chest tube and notes continuous bubbling in the water-seal
chamber. Which of the following actions should the nurse take?
a. turn down the wall suction
b. observe the system for an air leak
c. obtain a prescription to discontinue the chest tube
d. empty the drainage from the collection chamber
91. A nurse is planning care for a newly admitted adolescent client who has bacterial meningitis. Which
of the following instructions is appropriate for the nurse to include in the plan of care?
a. assist the client to a supine position
b. recommend prophylactic acyclovir
c. initiate droplet precautions for the client
d. perform a Glasgow coma scale every 24 hr
92. a nurse is caring for a child who has infectious mononucleosis. Which of the following findings are
associated with this diagnosis?
a. koplik spots
b. splenomegaly
c. malaise
d. sore throat
e. vertigo
93. a nurse is caring for a client who has a new prescription for chlorpromazine by IM injection. Which of
the following is an appropriate nursing action?
a. administer chlorpromazine with a loop diuretic
b. check orthostatic blood pressure 1 hr after administration
c. administer once daily 30 min before breakfast
d. check weekly calcium levels
94.
95. a nurse is planning care for a child who is unresponsive and has increased intracranial pressure.
Which of the following actions should the nurse take?
a. schedule routine oral suctioning
b. pad the side rails of the bed
c. obtain isolation supplies
d. place the child in Trendelenburg position
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