1. The nurse is caring for a pre-adolescent client in skeletal
Dunlop traction. Which
nursing intervention is appropriate for this child?
A) Make certain the child is maintained in correct body alignment.
B) Be sure
...
1. The nurse is caring for a pre-adolescent client in skeletal
Dunlop traction. Which
nursing intervention is appropriate for this child?
A) Make certain the child is maintained in correct body alignment.
B) Be sure the traction weights touch the end of the bed.
C) Adjust the head and foot of the bed for the child's comfort
D) Release the traction for 15-20 minutes every 6 hours PRN.
The correct answer is A: Make certain the child is maintained in
correct body alignment.
2. The nurse is assessing a healthy child at the 2 year check up.
Which of the following
should the nurse report immediately to the health care provider?
A) Height and weight percentiles vary widely
B) Growth pattern appears to have slowed
C) Recumbent and standing height are different
D) Short term weight changes are uneven
The correct answer is A: Height and weight percentiles vary
widely
3. The parents of a 2 year-old child report that he has been
holding his breath whenever
he has temper tantrums. What is the best action by the nurse?
A) Teach the parents how to perform cardiopulmonary
resuscitation
B) Recommend that the parents give in when he holds his breath
to prevent anoxia
C) Advise the parents to ignore breath holding because breathing
will begin as a reflex
D) Instruct the parents on how to reason with the child about
possible harmful effects
The correct answer is C: Advise the parents to ignore breath
holding because breathing
will begin as a reflex
4. The nurse is assessing a client in the emergency room. Which
statement suggests that
the problem is acute angina?
A) "My pain is deep in my chest behind my sternum."
B) "When I sit up the pain gets worse."
C) "As I take a deep breath the pain gets worse."
D) "The pain is right here in my stomach area."
The correct answer is A: "My pain is deep in my chest behind my
sternum."
.
5. The nurse is assessing the mental status of a client admitted
with possible organic brain
disorder. Which of these questions will best assess the function of
the client's recentmemory?
[Show More]
