Exhibits

What can the nurse do to help the parents to decrease their anxiety? Select all that apply.

Find a comfortable area that the parents can wait that is close to the procedure area

Provide the parents with ideas about how to make their child feel better after the procedure

Tell the parents that the procedure is 100% effective and safe

Limit visitation as long as the parents are anxious

Do not give any specifics on the amount of time the procedure will take

Answer and Explanation

Correct Answer : A,B

A. Comfortable waiting areas can help parents feel more at ease during their child's procedure, as proximity may provide a sense of reassurance.
B. Information on post-procedure care can empower parents to take an active role in their child's recovery, which can be comforting.
C. It is unethical and incorrect to guarantee that any medical procedure is 100% effective and safe; complications can arise, and setting realistic expectations is crucial.
D. Limiting visitation can increase anxiety as it separates parents from their child, which can be distressing for both the child and the parents.
E. Providing a general timeframe for the procedure can help manage expectations and reduce anxiety, rather than leaving the parents to worry about an indefinite wait.

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Correct Answer is ["A","B","C","E","F"]

Explanation

A. Measuring the child's height and weight is essential to ensure appropriate dosing of medications and to assess the child's growth and development.
B. Documenting lying, sitting, and standing blood pressures can help detect orthostatic hypotension, which may be a concern during or after the procedure.
C. Locating and marking the pedal pulses is important for assessing the vascular status of the lower extremities, especially since the catheterization involves accessing a blood vessel.
D. Performing a mini mental exam on the child is not typically part of the pre-cardiac catheterization assessment for a 3-year-old.
E. Obtaining a history of allergic reactions is crucial to prevent any potential allergic response to medications or materials used during the catheterization.
F. Determining when the child last ate is necessary because the child will need to fast for a certain period before the procedure to reduce the risk of aspiration.

A. Promote full diaphragmatic excursion by massaging the back. B. Note areas of atelectasis on the daily chest x-rays. C. Assist to a chair the day after surgery when the condition is stable. D. Provide ice or oral liquids when the client passes flatus.

Correct Answer is A

Explanation

A. Promoting full diaphragmatic excursion by massaging the back helps to facilitate deep breathing and lung expansion, which is essential for preventing respiratory complications such as atelectasis and pneumonia after surgery.
B. Noting areas of atelectasis on daily chest x-rays is important for assessing respiratory status, but it is a monitoring intervention rather than a preventive intervention.
C. Assisting the client to a chair the day after surgery when the condition is stable promotes early mobility and prevents complications such as deep vein thrombosis, but it may not directly
address respiratory complications.
D. Providing ice or oral liquids when the client passes flatus may be part of the postoperative care plan, but it does not directly address respiratory complications. It's more related to bowel function and hydration status.

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Exhibits What can the nurse do to help the parents to decrease their anxiety? Select all that apply.

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Naxlex Comprehensive Predictor Exams

Exhibits Based on the results of the echocardiogram, the physician has decided to repair the ventricular septal via cardiac catheterization. What should the nurse's focused assessment include before the cardiac catheterization? Select all that apply.

Correct Answer is ["A","B","C","E","F"]

Explanation

The nurse is caring for an older adult client who is admitted to the surgical unit following a partial gastrectomy. In addition to frequent position changes, which postoperative intervention is most beneficial for the nurse to perform in preventing respiratory complications?

Correct Answer is A

Explanation

A client arrives for an annual physical exam and reports having calf pain. The client's health history reveals peripheral arterial disease. Which question should the nurse ask the client about expected findings related to chronic arterial symptoms?

The nurse notes that a client with depression has been more withdrawn and noncommunicative during the past two weeks. Which Intervention is most important to include in the updated plan of care for this client?

A client who recently received a prescription for ramelteon to treat sleep deprivation reports experiencing several side effects since taking the drug. Which side effect should the nurse report to the healthcare provider?

When admitting a client with a diagnosis of transient ischemic attack (TIA, which intervention is most important for the nurse to include in this client's plan of care?

The nurse is completing an admission assessment on an older adult client with dehydration, failure to thrive, and who is immobile. The nurse reports to the healthcare provider that the client's right calf is red and swollen. The nurse should suspect which probable cause of these findings?

A client is being discharged home after being treated for heart failure (HF. Which instruction should the nurse include in this client's discharge teaching plan?

The nurse is developing a plan of care for a client who reports chest pain on exertion and who is newly diagnosed with cardiovascular disease. Which outcome should the nurse include in the plan of care for this client?

Which needle should the nurse use to administer IV fluids via a client's implanted port?

Exhibits

What can the nurse do to help the parents to decrease their anxiety? Select all that apply.