Question

1. A nurse is providing teaching to the parents of a newborn who has been circumcised. Which of the following instructions should the nurse include in the teaching?

1. “Remove yellow exudate around the genetal.”
2. “Wrap sterile gauze around the genetals if bleeding occurs.”
3. “Use soap to cleanse the site.”
4. “Apply petroleum jelly to the glans with diaper changes.”

2. A nurse is developing a care plan for a client who is in Buck’s traction and is scheduled for surgery for a fractured femur of the right leg. Which of the following interventions should the nurse delegate to an assistive personnel?

1. Remind the client to use the incentive spirometer.
2. Ask the client to describe her pain.
3. Observe the position of the suspended weight.
4. Check the client’s pedal pulse on the right leg.

3. A nurse is assessing the growth and development of a 3-year-old child. Which of the following questions should the nurse ask the parent to determine if the child is exhibiting tupical developmental expectations?

1. “Can your child catch and throw a small ball?”
2. “can your child ride a tricycle?”
3. “Can your child name five colors?”
4. “Can your child draw a stick figure?”

4. A nurse is caring for a newborn whose mother was taking methadone during her pregnancy. Which of the following findings indicate the newborn is experiencing withdrawal?

1. Bradycardia
2. Acrocyanosis
3. Hypertonicity
4. Bulging fontanels

5. A charge nurse is admitting four clients to an acute care unit. Which of the following clients should the nurse place near the nurses’ station?

1. A client who is on fluid restriction
2. A client who is in Buck’s traction
3. A client who has orthostatic hypotension
4. A client who has an open wound

Answer 1

1.B and c.apply presure with sterile gauze if bleeding occurs at the site .was the area with soap and water to prevent infections.

2.B and C.patient will have severe pain so it should be assessed in frequent intervels .weight of the tractionalso should be checked for alignment.

3.A and .can your child catch and trow a smal ball and ride a tricycle.this age group children are able to do these things at normal stage.

4.acrocyanosis

5.A.fracture patient should be kept near to the nurse room for observing traction and other complications.