21. The parents bring their one-year-old child with a ventricular…

Question Answered step-by-step 21. The parents bring their one-year-old child with a ventricular… 21. The parents bring their one-year-old child with a ventricular septal defect (VSD) to the clinic for a well child visit. Which assessment finding should the nurse report to the healthcare provider immediately?A. Respirations of 26 beaths/minute at restB. Expected weight and growth curve for an infant. C. 2+ pitting edema in the extremities D. Heart rate of 105 beats/min 22. The nurse is managing 4 clients in the intensive care unit who are mechanically ventilated. After performing a quick visual assessment, the nurse should prioritize care for the client who is exhibiting which finding?A. High pressure alarm sounds when client is coughingB. Diminished breath sounds in the right posterior baseC. Restrained and restless with a low volume alarm soundingD. An audible voice when client is trying to communicate  23. A client with cirrhosis of the liver is having numerous, liquid, incontinent stools, and continues to be confused. In reviewing the client’s laboratory studies, the nurse identifies an elevated serum ammonia level. Based on this finding, which prescription is most important for this client to receive?A. IV human albuminB. LactuloseC. FurosemideD. Loperamide  24. A woman at 12-weeks gestation comes to the clinic for her first prenatal visit. After completing a health history, the nurse should also discuss which issue about pregnancy at this initial visit?a. Cultural practices related to childbearingb. Concerns about parentingc. knowledge about labor and deliveryd. complications associated with childbirth 25. The nurse identifies an electrolyte imbalance, shortness of breath and a weight gain of 4.4 lbs (2kg) in 24 hours in a client with progressive heart disease. Which intervention should the nurse include in the plan of care? A. Document abdominal girthB. Monitor daily sodium intakeC. Measure ankle circumferenceD. Auscultate for irregular heart rate 26. A client with a swollen right toe receives a prescription for colchicine to treat the present symptoms of gout and a prescription for allopurinol to control future attacks. What information is most important for the nurse to teach the client?A. watch for thin hairB. Expect anorexiaC. Anticipate feverD. Report diarrhea 27. The nurse is caring for a client after a thoracentesis that drained 50 mL of clear fluid from the left lung. Which assessment finding should the nurse report to the healthcare provider immediately?A. Serosanguinous drainage from the chest tubeB. Dullness bilaterally on percussionC. Mediastinal shift to the rightD. Diminished breath sounds in the left lower lobe  28. The nurse is assisting the healthcare provider with a thoracentesis for a client who has emphysema. Which equipment should the nurse have at the bedside in the event the procedure is ineffective?A. Chest tube insertion trayB. Intubation trayC. Crash cartD. Ventilator  29. The client who is admitted for primary hypothyroidism has early signs of myxedema coma. In assessing the client, in which sequence should the nurse complete these actions? (Rank the first action at the top with the remainder in descending order.)A. Observe breathing patternsB. Assess blood pressureC. Measure body temperatureD. Palpate for pedal edema  30. When preparing to administer an intravenous medication through a client’s triple lumen central venous catheter, the nurse observes that there are no continuous intravenous fluids infusing. What action should the nurse take?A. Initiate an infusion of 0.9% normal saline solutionB. Prepare saline flush in a three mL syringeC. Position the client’s head facing away from the siteD. Aspirate for the presence of a blood return 31. The nurse observes a client prepare meal in the kitchen of a rehabilitation facility prior to discharge. Which behaviors indicate the client understands how to maintain balance safety? (Select all that apply)A. Leans forward to pull a pan from a high shelf. B. bends from the waist to pick trach off the floor. C. Locks knees while preparing food on the counter.D. Brings a heavy can close to body before liftingE. Widens stance while working near the sink.  Health Science Science Nursing Share QuestionEmailCopy link Comments (0)