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Related Flashcards
Cards In This Set
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Which of the following messages should the
nurse return FIRST? |
A mother reports that the “soft spot” on the head of her four-day-old infant feels slightly elevated
when the baby sleeps -->fontanelle should feel soft and flat; fullness or bulging indicates increased intracranial pressure |
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A six-month-old is brought to the clinic for a well-baby check-up. During the exam, the nurse should
expect to assess which of the following? |
Sitting with support
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A 48-year-old man with an endotracheal tube needs suctioning. Which of the following statements is an accurate description of how the nurse should perform the procedure?
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Insert the suction catheter until resistance is met, then withdraw it slightly. Apply suction intermittently as the catheter is withdrawn
-->correct–insert suction catheter until resistance is met without applying suction, withdraw 0.4-0.8
in (1-2 cm), apply intermittent suction with twirling motion |
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The prenatal client at eight-weeks gestation has a positive VDRL. In preparing the teaching plan,
which of the following would be MOST appropriate for the nurse to include? |
Instructing the client on the importance of taking the penicillin for the prescribed time.
correct–physical, vitally important to complete all the penicillin
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The nurse cares for a newborn infant with fetal alcohol syndrome. The nurse would expect to see
which of the following physical characteristics? |
An infant with a small head circumference, low birth weight, and undeveloped cheekbones.
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The physician orders hydromorphone hydrochloride (Dilaudid) 15 mg IM for a 56-year-old woman. Side effects of this medication that the nurse should observe the patient for include
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Hypotension and respiratory depression.
correct–narcotic analgesic used for moderate to severe pain, monitor vital signs frequently
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