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Quiz 3 : Nursing Care Of The Client With Special Needs

20 Questions  I  By PNweekend
Quiz 3 : Nursing care of the client with special needs
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Question Excerpt

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1.  A nurse is caring for a postpartum client. At 4 hours postpartum, the client's temperature is 102o F (38.9oC). The appropriate nursing action would be to:
A.
B.
C.
D.
2.  Preterm newborns are at risk for developing respiratory distress syndrome (RDS) The nurse monitors for clinical signs associated with RDS, knowing that these signs include:
A.
B.
C.
D.
3.  The nurse is preparing to care for a newborn who is receiving phototherapy. Choose the measures that would be implemented. (Select all that apply)
A.
B.
C.
D.
E.
4.  A client asks a nurse why her newborn baby needs an injection of Vitamin K. The nurse makes which statement to the client:
A.
B.
C.
D.
5.  A nurse is preparing a list of self-care instructions for a postpartum client who has been diagnosed with mastitis.  Choose the instructions that would be included on the list (Select all that apply)
A.
B.
C.
D.
E.
6.  When performing a postpartum assessment on a client, the LPN notes clots in the lochia. The LPN examines the clots and notes they are larger than 1 cm. Which of the following nursing actions is appropriate?
A.
B.
C.
D.
7.  A nurse in the delivery room is assisting with the delivery of a newborn. The nurse prepares to prevent heat loss in the newborn due to conduction by:
A.
B.
C.
D.
8.  A nurse in the newborn nursery receives a telephone call to prepare for the admission of an infant born at 43 weeks gestation with Apgar scores of 1 and 4. When planning for the admission of this infant, the nurse's highest priority should be:
A.
B.
C.
D.
9.  A nurse administers erythromycin ointment (0.5%) to the newborn's eyes, and the mother asks the nurse why this is done. The nurse tells the client that this is routinely done to:
A.
B.
C.
D.
10.  A nurse notes that the 4-hour postpartum client has cool, clammy skin and that she is restless and excessively thirsty. The nurse immediately notifies the registered nurse and then:
A.
B.
C.
D.
11.  A nurse is assigned to assist with caring for a neonate born to a mother with AIDS. The nurse understands that which of the following should be included in the plan of care?
A.
B.
C.
D.
12.  A nurse is required to apply ice packs to a client who has had a vaginal delivery. Which of the following interventions should the nurse perform to ensure the client gets the optimum benefit from the procedure?
A.
B.
C.
D.
13.  After episiotomy and the delivery of a newborn, the nurse performs a perineal check on the mother. The nurse notes a trickle of bright red blood coming from the perineum. The nurse checks the fundus and notes that it is firm. The nurse determines that:
A.
B.
C.
D.
14.  A male neonate has just been circumcised. The nurse would expect the surgical site to appear:
A.
B.
C.
D.
15.  A mother of a newborn calls the clinic and reports to the nurse that when she was cleansing the newborn's umbilical cord, the cord was moist and discharge was noted. The appropriate nursing instruction to the mother is which of the following?
A.
B.
C.
D.
16.  Match the following anthropomorphic measurements of a term newborn in the left column with their appropriate value on the right. 1. Head circumference                          a. 30 - 33 cm 2. Chest circumference                         b. 33 - 37 cm 3. Weight                                             c. 2500 - 4000 gm 4. Length                                             d. 45-55 cm1. _____   2. _____   3. _____  4.  _____
17.  A 27-week gestation infant is in the neonatal intensive care unit with respiratory distress. Which nursing intervention is essential for preventing retinopathy of prematurity (ROP)?
A.
B.
C.
D.
18.  A client in the postpartum unit complains of sudden sharp chest pain. The nurse notes that the  client is tachycardic and the respiratory rate is elevated. The nurse suspects a pulmonary embolism. The initial nursing action would be which of the following?
A.
B.
C.
D.
19.  A concerned client tells the nurse that her husband, who was so excited about the baby before its birth, is apparently happy but seems to be afraid of caring for the baby. What suggestions should the nurse give the client's husband to help resolve the issue?  
A.
B.
C.
D.
20.                A nurse is providing instructions to the mother following delivery regarding care of the episiotomy site to prevent infection. Which statement by the mother indicates a need for further instructions?
A.
B.
C.
D.
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