单选题 A newborn has a large myelomeningocele. What nursing intervention is priority?

A、 1. Assess the anus for muscle tone
B、 2. Cover the area with a sterile, moist dressing
C、 3. Measure the occipital frontal circumference
D、 4. Place the newborn supine with the head of the bed elevated
下载APP答题
由4l***ce提供 分享 举报 纠错

相关试题

单选题 The nurse is caring for a 7 - year - old client diagnosed with nephrotic syndrome who will be discharged soon. Which statement by the parent indicates the need for further teaching?

A、1. "I'll provide a healthy diet without added salt for my child."
B、2. "I'll organize playdates to keep my child's spirits up during relapses."
C、3. "I'll restrict my child's fluids if I notice swelling or rapid weight gain."
D、4. "I'll test for protein in my child's urine every day."

单选题 The emergency department triage nurse is assessing 4 pediatric clients. Which client is a priority for further diagnostic workup and definitive care?

A、1. 1-year-old with ventriculoperitoneal shunt who has "lethargy" and pulse of 78/min
B、2. 3-year-old with history of meningocele who has unilateral ear pain and urinary incontinence
C、3. 6-year-old with muscular dystrophy who has "flu-like" symptoms and temperature of 100.4°F (38°C)
D、4. 8-year-old with history of cerebral palsy who has foot injury and spastic clonus

单选题 A nurse is caring for a child with acute glomerulonephritis. Frequent monitoring of which of the following is a priority?

A、1. Blood pressure
B、2. Hematuria
C、3. Intake and output
D、4. Peripheral edema

单选题 The nurse assesses a pediatric client who was diagnosed with diarrhea caused by Escherichia coli. The nurse is most concerned with which finding?

A、1. Blood - streaked stools
B、2. Client drank fruit juice
C、3. Dry mucous membranes
D、4. Petechiae noted on the trunk

单选题 A nurse is reviewing the laboratory values for a 3 - year - old client with nephrotic syndrome. The nurse interprets the results to most clearly reflect which physiologic process related to nephrotic syndrome? Click on the exhibit button for additional information. Laboratory results: Serum albumin: 2.0 g/dL (20 g/L) Serum total cholesterol: 275 mg/dL (7.1 mmol/L) Urinalysis, protein: 3+

A、1. Glomerular injury
B、2. Hepatic impairment
C、3. Inherited hypercholesterolemia
D、4. Malnutrition

单选题 A client diagnosed with acute glomerulonephritis has pitting edema in both lower extremities, blood pressure of 170/80 mm Hg, and proteinuria. When developing a plan of care for this client, the nurse should include which most accurate indicator of fluid loss or gain?

A、1. Blood pressure measurements
B、2. Daily weight measurements
C、3. Intake and output measurements
D、4. Severity of pitting edema

单选题 The nurse has assessed 4 children. Which finding requires immediate follow - up with the health care provider?

A、1. Child who had a surgical repair of hypospadias earlier today with no urinary output in the past two hours
B、2. Child who is awaiting a neurological consult for suspected absence seizures and is sleeping soundly
C、3. Child who returned from a bronchoscopy an hour ago and coughed up a scant amount of blood - tinged sputum
D、4. Child with gastroenteritis, serum sodium of 131 mEq/L (131 mmol/L), and temperature of 100 F (37.8 C)

单选题 The nurse is admitting a 4 - year - old diagnosed with Wilms tumor. The child is scheduled for a right nephrectomy in the morning. Which action is a priority in the preoperative care plan?

A、1. Assessment of the child’s emotional maturity level
B、2. Auscultating for adventitious breath sounds
C、3. Instructions not to palpate the abdomen
D、4. Monitoring blood pressure closely