The nurse performs an assessment of a client who is receiving magnesium sulfate for preeclampsia and is being assessed hourly. The client has urinary output of 30 mL/hr., respiratory rate of 14 breaths per minute, and absent patellar reflexes. What is the nurse’s next intervention?
A nurse is assessing a 7-year-old boy and notes bruises in v…
A nurse is assessing a 7-year-old boy and notes bruises in various stages of healing along with several small round burn marks on the child’s body. When the boy’s mother is questioned, she states “He’s so careless, falls all the time and plays with matches.” Which action by the nurse is appropriate?
The nurse is teaching a group of nursing students about hear…
The nurse is teaching a group of nursing students about heart defects with decreased pulmonary blood flow. Which of the following are defects with decreased pulmonary blood flow?
The nurse is caring for a client in labor whose membranes sp…
The nurse is caring for a client in labor whose membranes spontaneously rupture. The amniotic fluid is a pale yellow color. The priority nursing action is to:
The nurse is taking a health history from an adolescent with…
The nurse is taking a health history from an adolescent with hemophilia. The nurse should ask the client if they are experiencing any signs and symptoms of which of the following chronic conditions?
During the physical exam at the first prenatal visit, a vagi…
During the physical exam at the first prenatal visit, a vaginal exam is performed. What sign of pregnancy does the healthcare provider (HCP) look for during the internal vaginal exam?
A parent of an 8-month-old infant tells the nurse the baby r…
A parent of an 8-month-old infant tells the nurse the baby recently met his grandparents for the first time, but then says, “He cried and screamed the whole time!” What is the best response by the nurse?
A child with thalassemia is receiving long-term blood transf…
A child with thalassemia is receiving long-term blood transfusion therapy for the treatment of this disorder. Chelation therapy is prescribed as a result of too much iron from the transfusions. Which medication should the nurse anticipate to be prescribed?
A nurse is caring for a 5-year-old client who is postoperati…
A nurse is caring for a 5-year-old client who is postoperative tonsillectomy. Which of the following assessments would lead the nurse to suspect early hemorrhage?
The nurse is performing a newborn assessment and notes caput…
The nurse is performing a newborn assessment and notes caput succedaneum. Which of the following best describes this condition?