The nurse is caring for a child admitted with diabetic ketoacidosis. Which clinical manifestation would the nurse most likely assess in this child?
A) Pale and moist skin
B) Red lips and fruity odor to breath
C) Hyperactive and restless behavior
D) Slow pulse and elevated blood pressure
Ans: B
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When conducting a telephone follow-up of all clients who are 2 weeks postpartum, the nurse would expect clients to describe their uterine and vaginal discharge as:
a. bright red c. pinkish brown b. nonexistent d. yellowish white
The nurse suspects that an older patient has been physically abused. What must be included in the medical workup for this patient?
1. Pelvic examination 2. Toxicological screening 3. Complete blood count and blood chemistries 4. Complete visual examination with clothing removed
For the past three evenings, shortly after their arrival in the hospital unit, the parents of a 14-year-old patient begin to argue about the cost of the hospitalization and the time required to come to the hospital
Your patient begins to cry and complain about her abdominal pain. The nurse assesses that the patient is assuming the role of: 1. caretaker. 2. martyr. 3. blocker. 4. scapegoat.
Select the situation that describes the safest administration of oxytocin induction and cervical ripening agents
a. Concurrent use of oxytocin and dinoprostone (Cervidil) b. Misoprostol (Cytotec) 25 mcg, followed in 4 hours by oxytocin induction in vaginal birth after cesarean section (VBAC) client c. Dinoprostone (Cervidil) 10 mg in place for 12 hours followed by oxytocin induction in 1 hour d. Maximum dose of dinoprostone (Prepidil) 2 mg/24 hr followed in 4 hours by oxytocin induction