5. The nurse is planning care for a client during the acute phase of a sickle cell vaso-occlusive crisis. Which of the following actions would be most appropriate?
A)Fluid restriction 1000cc per day
B)Ambulate in hallway 4 times a day
C)Administer analgesic therapy as ordered
D)Encourage increased caloric intake
The correct answer is C: Administer analgesic therapy as ordered
The main general objectives in the treatment of a sickle cell crisis is bed rest, hydration, electrolyte replacement, analgesics for pain, blood replacement and antibiotics to treat any existing infection.
6. While working with an obese adolescent, it is important for the nurse to recognize that obesity in adolescents is most often associated with what other behavior?
A)Sexual promiscuity
B)Poor body image
C)Dropping out of school
D)Drug experimentation
The correct answer is B: Poor body image
As the adolescent gains weight, there is a lessening sense of self esteem and poor body image.
7. A nurse and client are talking about the client's progress toward understanding his behavior under stress. This is typical of which phase in the therapeutic relationship?
A)Pre-interaction
B)Orientation
C)Working
D)Termination
The correct answer is C: Working
During the working phase alternative behaviors and techniques are explored. The nurse and the client discuss the meaning behind the behavior.
8. A nurse is eating in the hospital cafeteria when a toddler at a nearby table chokes on a piece of food and appears slightly blue. The appropriate initial action should be to
A)Begin mouth to mouth resuscitation
B)Give the child water to help in swallowing
C)Perform 5 abdominal thrusts
D)Call for the emergency response team
The correct answer is C: Perform 5 abdominal thrusts
At this age, the most effective way to clear the airway of food is to perform abdominal thrusts.
9. The emergency room nurse admits a child who experienced a seizure at school. The father comments that this is the first occurrence, and denies any family history of epilepsy. What is the best response by the nurse?
A)"Do not worry. Epilepsy can be treated with medications."
B)"The seizure may or may not mean your child has epilepsy."
C)"Since this was the first convulsion, it may not happen again."
D)"Long term treatment will prevent future seizures."
The correct answer is B: "The seizure may or may not mean your child has epilepsy."
There are many possible causes for a childhood seizure. These include fever, central nervous system conditions, trauma, metabolic alterations and idiopathic (unknown).
10. A nurse admits a 3 week-old infant to the special care nursery with a diagnosis of bronchopulmonary dysplasia. As the nurse reviews the birth history, which data would be most consistent with this diagnosis?
75 items MS Random Questions with Answers and Rationale
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