The nurse is caring for an infant following the surgical repair of an atrial septal defect. Which nursing interventions are appropriate for this infant? (Select All that Apply.)

Maintain a thermoneutral environment

Accurately measure all intake and output

Provide for several periods of uninterrupted rest

Incentive spirometer 10 times every hour

Encourage periods of bonding

Answer and Explanation

Correct Answer : A,B,C,E

A. Maintain a thermoneutral environment: Helps prevent temperature fluctuations that can stress the heart post-surgery.
B. Accurately measure all intake and output: Ensures fluid balance is carefully monitored to prevent fluid overload or dehydration.
C. Provide for several periods of uninterrupted rest: Reduces metabolic demand, aiding in recovery and healing.
D. Incentive spirometer 10 times every hour: Inappropriate for infants following cardiac surgery, as they are unable to effectively use an incentive spirometer.
E. Encourage periods of bonding: Supports emotional well-being and aids in the infant's overall recovery and development.

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Correct Answer is A

Explanation

A. Dysmenorrhea that is unresponsive to NSAIDs. Endometriosis often causes severe pelvic pain that does not improve with NSAIDs, distinguishing it from typical menstrual cramps.
B. A history of pelvic inflammatory disease (PID). PID is not directly associated with endometriosis and typically presents differently.
C. Abdominal bloating starting several days before menses. While bloating can occur with endometriosis, it is not a definitive symptom for diagnosis.
D. An atypical Papanicolaou smear at her last clinic visit. An atypical Pap smear is more related to cervical abnormalities, not endometriosis.

A. Use physical restraints during severe outbursts to ensure safety. B. Assign daily chores that are challenging to encourage discipline. C. Encourage solitary play to reduce social stressors. D. Put into practice consistent consequences for rule-breaking behavior.

Correct Answer is D

Explanation

A. Use physical restraints during severe outbursts to ensure safety: Restraints should only be used as a last resort and are not an effective or ethical primary strategy for managing behavior in children with ODD.
B. Assign daily chores that are challenging to encourage discipline: Assigning overly challenging chores may lead to frustration and non-compliance, exacerbating behavioral issues rather than helping.
C. Encourage solitary play to reduce social stressors: Isolating the child may worsen feelings of exclusion and does not address the need for social skills development and appropriate behavior in social contexts.
D. Put into practice consistent consequences for rule-breaking behavior: Consistency in consequences helps the child understand boundaries and the importance of following rules, which is crucial for managing behavior in ODD.

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The nurse is caring for an infant following the surgical repair of an atrial septal defect. Which nursing interventions are appropriate for this infant? (Select All that Apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse in a clinic is interviewing a client who has a possible diagnosis of endometriosis. Which of the following findings in the client's history should the nurse recognize as consistent with a diagnosis of endometriosis?

Correct Answer is A

Explanation

A 9-year-old client with oppositional defiant disorder (ODD) has been referred to a child psychologist due to frequent outbursts and defiant behavior at home and school. Which of the following interventions should the nurse prioritize to help manage the child's behavior effectively?

Correct Answer is D

Explanation

A nurse in an acute pediatric unit is assessing a 5-year-old child following an asthma event. The child's caregiver expects the child to use an inhaler without supervision. The nurse can apply which of the following interventions as protective factors for the child? (Select All that Apply.)

A nurse is assessing the fundus of a postpartum patient one day after delivery and notes that the fundus is soft and spongy. Which is the first nursing intervention to preform?

The nurse is caring for a client who is being admitted to the hospital with a neurocognitive disease due to Alzheimer's disease. Which action by the nurse is the priority?

Which assessment findings would alert the nurse to an infant or child in heart failure? (Select All that Apply.)

The nurse knows that which of the following is not a cause of mastitis?

A nurse on a postpartum unit is giving discharge instructions to a client whose newborn had a circumcision with a Plastibell technique. Which of the following client statements indicates an understanding of her son's circumcision care? (Select All that Apply.)

After educating a client on use of a diaphragm for contraception, which statement made by the client demonstrates an understanding of the teaching provided?

The following newborns are three-hours old and are sleeping. The registered nurse should notify the provider about which newborn?