6-year-old child.

Vomited 3 times in the past 24 hr. Irritable behavior for the past 24 hr. The respiratory infection started 3 days ago.

Brudzinski's and Kernig's signs are positive.

Vital Signs.

Respiratory rate 28/min.

Pulse rate 120/min.

BP 108/64 mm Hg. Pain level of 6 on a scale from 0 to 10. Medication Administration Record.

Vancomycin 300 mg IV q 6 hr following blood cultures.

Acetaminophen 240 mg PO q 6 hr PRN fever.

A nurse is planning care for a child during admission to the facility.

Which of the following actions should the nurse take first?

Obtain a prescription for pain medication.

Initiate seizure precautions.

Collect blood cultures.

Transport the child to obtain a CT scan.

Answer and Explanation

The Correct Answer is B

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Correct Answer is D

No explanation

A. The client has a decreased energy level. B. The client requests a second opinion. C. The client wants to talk about the diagnosis with the nursing staff. D. The client makes funeral arrangements.

Correct Answer is D

Explanation

Explanation: Making funeral arrangements is an indication of hopelessness because it shows that the client has given up on the possibility of recovery or improvement. A decreased energy level, requesting a second opinion, and wanting to talk about the diagnosis are not necessarily signs of hopelessness, but rather normal reactions to a terminal illness.

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Naxlex Comprehensive Predictor Exams

A charge nurse is observing a newly licensed nurse provide care for a client who is postoperative. The newly licensed nurse tells the client that she will insert a urinary catheter if the client will not void. Which of the following torts should the charge nurse identify as having occurred?

Correct Answer is D

A nurse is caring for a client who has a recent diagnosis of a terminal illness. The nurse should identify which of the following as an indication of hopelessness?

Correct Answer is D

Explanation

A nurse is providing discharge teaching to a client following a total gastrectomy.The nurse should instruct the client about which of the following medications?

A nurse is caring for a child who has terminal cancer. Which of the following responses by the child's school-age brother should the nurse expect?

A nurse is caring for a client who states he recently purchased lavender oil to use when he gets the flu.The nurse should recognize which of the following findings as a potential contraindication for using lavender?

A nurse is creating a plan of care for a client who has paranoid personality disorder and refuses to take their medication. Which of the following interventions should the nurse include in the plan?

A nurse in a family health clinic is caring for a client who requests information regarding the correct use of condoms. Which of the following statements should the nurse make?

A nurse in an acute mental health care facility is prioritizing care for multiple clients.Which of the following clients should the nurse see first?

A nurse is caring for a client who has diabetes mellitus and is receiving long-acting daily insulin for blood glucose management.The nurse should anticipate administering which of the following types of insulin?

A school nurse is teaching a parent about absence seizures.Which of the following information should the nurse include?