Question

358. The medical surgical nursing unit is short staffed for the shin for the shift and a registered nurse (RN) from the pediatrie unit has been floated to the nursing unit. Which client should the nurse assign to the float nurse? A. A 32 year old client newly diagnose with diabetes who needs dietary and medication teaching B. A 56 year old client newly admitted with Guillain-Barre syndrome who has severe leg weakness C. An 88 year old client with dementia who will be transferred to a skilled nursing faculty during the shift D. A 59 year old client who will be returning from surgery following transurethral resection of the prostate 359. A client has experienced a near-drowning event in salt water. The nurse anticipates that the client may experience which complication of this trauma? A. Heart block B. Renal failure C. Pulmonary edema D. Respiratory alkalosis 360. The nurse suspects that hepatotoxcity is developing in a dark-skinned client who is on an antibiotic. In what area of the body should the nurse assess for jaundice? A. Palms of the hands or soles of the feet B. Hard palate of oral cavity C. Sclera D. Conjustivae 361. A client who is 20 weeks' gestation is concerned about how to tell her 3 year old son about her pregnancy. Which statement by the nurse would be best when counseling this client? A. "If he is not pleased with the news of the new baby, you should tell him that you are disappointed in him." B. "Tell him that the he is going to have a lot of responsibilities in helping care for the baby."

Answer 1

358, A 32-year-old client newly diagnosed with diabetes who needs dietary and medication teaching.
It can be difficult for the float nurse to handle admissions, shifting and complex medical and surgical situation cases in a short duration of time. the case that is to be given for the float nurse should be easier and standardized to follow. patient with diabetes and teaching plan is easy for them to handle with a short period. newly admitted patients need followup with new treatment that can be handled with the unit nurse when the patient returned from surgery may need medication trip that should be better cared for by the unit-specific nurse.
359, c, Pulmonary edema
Aspiration of saltwater can be hypertonic to plasma cause pulmonary edema, the amount of aspirated seawater during drowning body lack of oxygen can damage oxygen in the lung and brain.
360, b, Hard palate of the oral cavity
Yello skin color in jaundice can be seen in the sclera, normal urine color, the yellow-brown pigment in palms, soles and nasolabial folds. Yellowish discoloration in sclera due to carotene pigmentation can not be differentiated from jaundice, for the dark and light-skinned color patients it can be easy to identify the skin differentiate during jaundice inspecting a posterior portion of the hard palate with light it can show the difference from jaundice.
361, b, Tell him that he is going to have a lot of responsibility in helping care for the baby.
The arrival of the new baby makes many changes for old siblings. discussing the baby arrives at the child during pregnancy provides more responsibility, motivation and behavior changes for the sibling.