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Exhibits

Which interventions are indicated to promote positive outcomes for the client? Select all that apply.

Acknowledge feelings of anxiety.

Weigh the client twice weekly.

Encourage exercise.

Provide family education on the condition.

Monitor trips to the restroom.

Allow for menu deviations.

Set precise mealtimes.

Answer and Explanation

Correct Answer : A,B,D,E,G

A. Acknowledge feelings of anxiety: The client's neurological assessment indicates agitation, and acknowledging this can help in addressing any underlying anxiety.
B. Weigh the client twice weekly: Given the client's low BMI and the mother's concern about her weight, regular monitoring is necessary.
C. Encourage exercise: While exercise is generally healthy, the client's current bradycardia and low BMI suggest that immediate physical exertion may not be advisable without medical
supervision.
D. Provide family education on the condition: The client's mother's concern and the client's defensiveness about her weight indicate a need for family education.
E. Monitor trips to the restroom: Monitoring is important to ensure the client is not engaging in behaviors that could further compromise her health, such as purging.
F. Allow for menu deviations is incorrect. Allowing menu deviations can enable the client to avoid certain foods, which reinforces disordered eating behaviors. Structured, balanced meals are essential for recovery.

G. Set precise mealtimes is correct because establishing structured mealtimes promotes consistency and reduces anxiety related to eating. This helps the client develop healthier eating patterns and decreases the urge to binge or purge.

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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. Determine the last time the client had a bowel movement. B. Inquire if the client has taken regularly scheduled medications. C. Ask if the client has an allergy to shellfish. D. Find out if the client can lie prone for the x-ray.

Correct Answer is C

Explanation

A. Determine the last time the client had a bowel movement: While bowel movements may affect imaging studies of the abdomen, knowing the timing of the last bowel movement is not directly related to the safety or effectiveness of an IV pyelogram.
B. Inquire if the client has taken regularly scheduled medications: While it's important to know about medications, especially if they might interfere with the test or need to be temporarily
discontinued, the presence of an allergy to shellfish is more critical for IV pyelogram preparation.
C. Ask if the client has an allergy to shellfish: IV pyelogram contrast dye contains iodine, and some clients may be allergic to iodine-containing substances, including shellfish. An allergic reaction to the contrast dye could lead to serious complications.
D. Find out if the client can lie prone for the x-ray: While positioning is important for imaging studies, it's not as critical as ensuring the client does not have an allergy to the contrast dye.

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Exhibits Which interventions are indicated to promote positive outcomes for the client? Select all that apply.

Nursing Test Bank

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

A client is scheduled for an IV pyelogram today. The nurse instructs the client that the x-ray visualizes the kidneys, ureters, and bladder. Which information is most important for the nurse to gather before the client goes for the x-ray?

Correct Answer is C

Explanation

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?

A client presents to the emergency department (ED reporting abdominal pain. The nurse observes the client's right cheek and eye are bruised and suspects possible domestic violence. Which approach is best for the nurse to use when interviewing the client?

When caring for a client with full-thickness burns to both lower extremities, what assessment finding(s) warrant immediate intervention by the nurse? Select all that apply.

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 parent of a child born with a myelomeningocele asks the nurse, "What did I do to deserve this?" Which response is most helpful?

The nurse is setting up the equipment to assist with a sigmoidoscopy while the practical nurse (PN) positions the client in a flat prone position. Which action should the nurse implement?

A client diagnosed with pancreatitis is reporting severe epigastric pain and intense nausea. After the nurse administers a narcotic analgesic and an antiemetic, the client insists on sitting up and leaning forward. Which action should the nurse implement?

Exhibits

Which interventions are indicated to promote positive outcomes for the client? Select all that apply.