Patient Data

Exhibits

Review H and P, nurse's note, flow sheet, and prescriptions.

Complete the diagram by dragging from the choices area to specify which condition the client is most likely experiencing, two actions the nurse should take to address that condition, and two parameters the nurse should monitor to assess the client's progress.

Answer and Explanation

The Correct Answer is []

In an infant, a bulging fontanel is a classic sign of increased intracranial pressure. The fontanel, or soft spot on the top of the skull, can bulge when there is a buildup of pressure inside the skull, often due to conditions like hydrocephalus or complications with a ventriculoperitoneal shunt.

Preparing for a CT scan is crucial for diagnosing underlying causes of increased intracranial pressure, which could be related to shunt issues or other intracranial abnormalities.

Implementing seizure precautions ensures safety and readiness for possible seizures due to elevated intracranial pressure.

Monitoring pupil size helps assess neurological status and detect signs of increased intracranial pressure.

Tracking heart rate helps in identifying changes that may indicate deterioration in the infant’s condition related to increased intracranial pressure.

Nursing Test Bank

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Correct Answer is ["A","E"]

Explanation

A. Involve your mother in the decision-making process: Involving the client in decision-making can help maintain their sense of autonomy and dignity, and it can also alleviate some of the caregiver’s stress by sharing responsibilities and ensuring the client's preferences are considered.

B. Helping your mother should be easier than raising a child: Caregiving for an elderly parent can be just as challenging, if not more so, than raising a child. Comparing caregiving responsibilities to raising children may invalidate the caregiver’s feelings and experiences.

C. You made a promise to your mother that you need to keep: While promises can be important, emphasizing this can add additional pressure on the caregiver. Instead, focusing on practical support strategies and self-care might be more helpful.

D. Saying "no" to things involving the care of your mother is a selfish action: Caregivers need to set boundaries and prioritize their own well-being. Saying "no" when needed is essential to prevent burnout and maintain effective caregiving.

E. It is okay not to love or like your mother when you are caring for her: Acknowledging that it's normal to have complex emotions while caregiving can help the daughter understand that her feelings are valid and that seeking support or expressing her feelings is a healthy part of caregiving.

A. Ensure placement of the nasogastric tube with an abdominal x-ray. B. Use sterile water for gastric lavage. C. Offer a pacifier for non-nutritive sucking. D. Speak to the healthcare provider about instituting physical therapy.

Correct Answer is C

Explanation

A. Ensuring the correct placement of the nasogastric tube with an abdominal x-ray is important for treatment but does not address the infant's developmental needs.

B. Using sterile water for gastric lavage may be necessary for stomach decompression but does not directly support the infant's growth and development.

C. Offering a pacifier for non-nutritive sucking provides comfort and helps maintain the infant’s sucking reflex, which is crucial for feeding and oral development.

D. Physical therapy is not relevant for a 2-month-old infant with hypertrophic pyloric stenosis and does not address immediate developmental needs.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is ["A","E"]

Explanation

Correct Answer is C

Explanation

A client newly diagnosed with diabetes mellitus suddenly becomes confused and weak. Which intervention(s) should the nurse implement? Select all that apply.

A parent brings their 2-month-old infant to the clinic to receive the recommended primary vaccines. Which instruction should the nurse provide the parent about care of the infant after the injections?

The nurse is admitting a client from the postanesthesia unit to the postoperative surgical care unit. Which prescription should the nurse implement first?

Patient Data Exhibits The nurse reviews the prescriptions and assessment data. Click to indicate which interventions could help reduce symptoms if added to the plan of care. Each row must have one response option selected.

A client arrives at a hurricane disaster medical area seeking treatment for diarrhea, Which source of contamination should the nurse consider when interviewing the client about exposure?

Exhibits The nurse educates the client about living with benign prostate hyperplasia (BPH). Select the 3 areas of teaching that should be included when providing education to the client with symptomatic benign prostate hyperplasia.

A client taking clopidogrel reports the onset of diarrhea. Which nursing action should the nurse implement first?