50- Which of the following should the nurse expect to note as a frequent complication for a child with congenital heart disease A. Susceptibility to respiratory infection B. Bleeding tendencies C. Frequent vomiting and diarrhea D. Seizure disorder
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- 50- Which of the following should the nurse expect to note as a frequent complication for a child with congenital heart disease! A. Susceptibility to respiratory infection B. Bleeding tendencies C. Frequent vomiting and diarrhea D. Seizure disorder 51-When positioning the neonate with an unrepaired myelomeningocele, which of the following positions would be most appropriate ? a. supine the hip at 90 degree flexion b. right side-lying position with knees flexed c. prone with hips in abduction d. semi-fowler's position with chest and abdomen elevated1. A pregnant client, gravida 1 para 0, comes to the labor and delivery area stating that she thinks she is in labor. She reports short, somewhat irregular contractions occurring in the lower portion of the abdomen that seem to lessen when she walks. Her estimated date of delivery is tomorrow. a. Is the client experiencing true labor? Why or why not? b. What information would be most important for the nurse to explain to the client about labor? 2, 3, 4 2. A postpartum client who is breastfeeding calls the clinic because her breasts have become quite tender. She is 4 days postpartum and is told to come to the clinic for evaluation. At the clinic, assessment reveals that her breasts are shiny and red, hard, and very warm to the touch. Her nipples are intact and her temperature is slightly elevated. The newborn has been feeding well and appears satisfied after breastfeeding. a. What would the nurse explain as the underlying condition occurring? b. What measures would be important for the…Which of the following would be the priority nursing diagnosis for a client with an ectopic pregnancy ? * A. Risk for infection О В. B. Pain. C. Knowledge Deficit. O D. anticipatory Griveing. O O O
- 49- Which of the following health teachings regarding sickle cell crisis should be included by the nurse! A. it results from altered metabolism and dehydration B. tissue hypoxia and vascular occlusion cause the primary problems C. increased bilirubin levels will cause hypertension D. there are decreased clotting factors with an increase in white blood cells 50- Which of the following should the nurse expect to note as a frequent complication for a child with congenital heart disease! A. Susceptibility to respiratory infection B. Bleeding tendencies C. Frequent vomiting and diarrhea D. Seizure disorder1. To palpate for presence of inguinal hernia in a male client, the nurse needs to instruct the client to: a.Take a deep breath and hold for a moment b.Bear down or cough out c.Flex the hips and knee d.Exhale forcibly and hold for a moment 2. A client has just had an inguinal herniorrhaphy. Which of the following instructions would be MOST appropriate to include in his discharge plan? a.Maintain a high Fowler’s position while resting. b.Turning, coughing and deep breathing every 2 hours. c.Applying a truss before the client ambulates. d.Applying an ice bag to the scrotum. 3. Mr. Diaz a 50-year-old taxi driver was admitted to the medical- surgical unit with rectal bleeding and severe rectal pain. He was diagnosed with hemorrhoids for which he will be treated medically. This treatment will MOST likely include which of the following? a.A high fiber diet. b.A drink of one glass of water with each meal. c.A daily laxative regimen d.A well-balanced diet with cooked vegetables and fruits.…1. A nurse is assessing a client who is at 37 weeks of gestation. Which of the followingstatement by the client requires immediate intervention by the nurse?A. “It burns when I urinate.”B. “My feet are really swollen today.”C. “I didn’t have lunch today, but I have breakfasted this morning.”D. “I have been seeing spot this morning.”
- 2. The nurse has just completed emergency delivery of a term infant. What is the priority nursing concern at this time? a. Controlling hemorrhage in the mother b. Removing the afterbirth C C c. Keeping the infant warm d. Cutting the umbilical cordF. Weighing the client daily at the same time and in the same clothes. 5. Molly, with suspected rheumatic fever, is admitted to the pediatric unit. When obtaining the child's history, the nurse considers which information to be most important? A A fever that started 3 days ago B. Lack of interest in food C. A recent episode of pharyngitis D. Vomiting for 2 days62 Possible reasons for an emergency caesarean delivery, except: A. Maternal hemorrhage B. Accelerations and decelerations can both occur during labor C. Placenta abruption (the placenta peels away from the wall of your uterus) D. Uterine rupture (your uterus tears along a previous C-section scar 63 Preoperative Assessment of patient for CS delivery A. Assess the woman about past surgeries. secondary illnesses, allergies to foods or drugs, reaction to anesthesia, and medications that could increase any surgical risk. B. An obese woman with poor nutritional status is at risk for a slow wound healing. C. The general medication history of the woman must also be assessed because there are drugs that could increase the surgical risk by interfering with the effects of anesthesia. D. To prevent fluid and electrolyte imbalance, intravenous fluid replacement is initiated preoperatively and postoperatively. E. A woman with lower than normal blood volume might feel the effects of surgery more…
- The nurse is caring for a toddler with large, unrepaired ventricular septal defect and heart failure. Which assessment findings should the nurse expect? A. Hypotension B. Tachycardia 45) @ She 46) Am to I U 9 В states that when she kisses her baby, the intants skin taste saltv. 2 C. Pulse oximetry reading within defined limits. D. Blood pressure variance across extremities #3 L 54 $ R 07 2⁰ % 5 T 6 are Y & U in * 00 ( -O Tics PASSI3. A nurse is counseling a pregnant woman wh considering her options for giving birth. She is unsure if sh wants to give 1 birth in a hospital setting. a. What other option can the nurse discuss with this client? b. What the advantages?1. What are some complications to observe for and how to assess for them on a Ceserean section baby? 2. What might the nurse need to teach the mother about after having a Ceserean section? 3. What are 4 nursing Diagnoses for this Patient/Family?