The nurse is measuring the weight of 9-year-old Jasmine during her well-child checkup. Jasmine weighed 9.5 pounds at birth. She weighs 86 pounds now
In noting normal patterns of weight gain, the nurse recognizes that for her age and birth weight, Jasmine is:
A) slightly underweight.
B) slightly overweight.
C) significantly overweight.
D) significantly underweight.
B
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The nurse has received an order to administer IV gamma globulin to a patient admitted with severe combined immunodeficiency disease (SCID). What is the optimal dosage of IV gamma globulin that this patient should receive?
A) 25 to 50 mg/kg of body weight B) Dose is determined by the patient's response C) 500 to 1000 mg/kg of body weight D) 60 to 90 mg/kg of body weight
The first two postpartum assessments following the delivery of twins have been within normal limits. During the third assessment, the nurse finds that the fundus is "boggy" and the lochial flow has increased
The nurse expresses several large clots with moderate fundal massage. The fundus becomes firmer with the fundal massage. Which action should the nurse take next? a. Administer oxytocin (Pitocin) according to p.r.n. order. b. Notify the physician because the client needs surgery. c. Notify the physician because the site of the bleeding must be located. d. Reapply perineal pad, and tell the client to hold her thighs together tightly.
When a client is admitted to the ED with tension pneumothorax and mediastinal shift following an automobile accident, the nurse would know that the client would exhibit
a. a sucking chest wound. b. bradycardia. c. mediastinal flutter. d. severe hypotension.
A client in the second trimester of pregnancy is seen in the health care clinic. The client tells the nurse that she is a hostess at a local restaurant and is on her feet most of the day
She states that she has frequent low back pains and ankle edema by the end of the day. The nurse provides in-structions to the woman about measures to relieve the discomfort. Which of the following state-ments, made by the client, indicates an understanding of how to relieve these discomforts? 1. "When I get home I should lie on my left side, with my feet in a dorsiflexed posi-tion." 2. "I should soak in a tub bath of hot water when I get home and then perform pel-vic tilt exercises." 3. "When I get home I should lie on my right side, with my feet elevated on a pil-low, and put a heating pad on my back." 4. "When I get home I should lie on the floor, with my legs elevated onto a couch, and turn my hips and knees at right angles."