1 :

2100, 1 week ago:

Client presents to the emergency department with reports of flank pain as 9 on a scale of 0 to 10, nausea, and blood in the urine. The provider ordered a CT scan of the abdomen. Awaitin results.

2400:

Client passed kidney stone. Stone sent to laboratory for analysis. Client discharged to home and instructed to follow up with urology in 1 week.

Today, 1 week later:

Client informed of ways to prevent kidney stones from reoccurring.

2200, 1 week ago:

CT without contrast: 3-mm non-obstructing stone visualized in the left proxima ureter

Which of the following client statements indicate an understanding of the teaching? Select all that apply.

Answer Options

Hint : πŸ’‘Think about oxalate handling and how diet influences it.

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2 :

1 day ago:
Parent and newborn bonding. Newborn is exclusively breastfeeding. Parent reports having difficulty with keeping the newborn awake during feedings. Breastfeeding observed. Newborn fell asleep after feeding on one breast.

Today:
Parent requests assistance during breastfeeding. Newborn is awake and alert, feeding well for 15 min on left breast. The parent states, "Breastfeeding is important to me, but my nipples are sore, and I can't tell if my baby is getting enough. Should I maybe give a bottle until my milk comes in? "

Today
Plan to discharge parent and newborn to home today. Follow with pediatrician within 48 hr for weight check. Parent to have consultation with lactation consultant prior to discharge

Which of the following actions should the nurse take to promote successful breastfeeding? Select all that apply.

Answer Options

Hint : πŸ”ŽPrioritize a deep latch and effective positioning.

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3 :

Day 1:

Temperature 37.8Β°C (100Β°F)

Heart rate 70/min

Respiratory rate 18/min

Blood pressure 120/70 mm Hg

Oxygen saturation 96% on room air

Day 2: 

Temperature 37.2Β°C (99Β°F)

Heart rate 80/min

Respiratory rate 24/min

Blood pressure 126/74 mm Hg

Oxygen saturation 95% on room air

Day 1:

Sodium 148 mEq/L (16 to 145 mEq/L)
Potassium 5 mEq/L (3.5 mEq/L to 5 mEq/L) 
BUN 22 mg/dL (10 mg/dL to 20mg/dL) 
Creatinine 0.8 mg/dL (0.5 mg/dL to 1 mg/dL) 
Hgb 18 g/dL (12 g/dL to 16 g/dL) 
Hct 48% (37% to 47%)

Day 2:

Sodium 140 mEq/L (136 to 145 mEq/L) 
Potassium 3.8 mEq/L (3.5 mEq/L to 5 mEq/L) 
BUN 20 mg/dL (10 mg/dL to 20 mg/dL) 
Creatinine 0.8 mg/dL (0.5 mg/dL to 1 mg/dL) 
Hgb 17 g/dL (12 g/dL to 16 g/dL) Hct 47% (37% to 47%)

Day 1:

Client has a past medical history of cirrhosis. Client reports recent insomnia. Client is alert to person, place, and situation. Reports no pain. Heart rate regular. Radial pulse +3 bilateral. Chest rounded. Respirations even and nonlabored. Lungs clear anterior and posterior. Abdomen firm, round, and distended. Reports last bowel movement was 1 day ago. Abdominal girth 60 cm (24 in). Capillary refill less than 3 seconds. Turgor without tenting. +2 edema bilateral lower extremities.

Day 2:

Client reports feeling better after receiving therapies. Heart rate regular. Respirations even and nonlabored. Scattered crackles bilateral bases. Abdominal girth 66 cm (26 in).

Day 1:

Furosemide 40 mg IV twice daily Measure abdominal girth daily. Monitor vital signs every 4 hr. Restrict fluids to 1,500 mL/day. Repeat CBC and electrolytes in morning.

Use the words from the choices below to fill in each blank in the following sentence. The nurse should identify that the client is at greatest risk for developingand.

Hint : πŸ§ͺAssociate loop diuretics with potassium shifts.

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4 :

Day 1:

Temperature 36.7Β°C (98Β°F)

Heart rate 90/min

Respiratory rate 20/min

Blood pressure 126/74 mm Hg

SaO2, 98% on room air

Day 2:

Temperature 37.2Β°C (98.9Β°F)

Heart rate 110/min

Respiratory rate 20/min

Blood pressure 100/70 mm Hg

SaO2 96% on room air

Day 1:

Client is 1 day postoperative following gastric bypass surgery. Client has tolerated full liquids and will advance to solids today. Client is ambulating in hallway and reporting passing of flats.

Client is alert to person, place, time, and situation. Heart rate regular. Respirations even and nonlabored. Scattered rhonchi auscultated to bilateral lower anterior lung fields. Abdomen soft and rounded, and nondistended. Bowel sounds active in all 4 quadrants. Bladder nondistended; continent. Urine output of 50 mL/hr. Skin warm, dry, and intact.

Day 2:

Client is up to chair and reports abdominal cramping nausea after eating lunch. Discoloration of skin noted. Skin cool to touch with perspiration noted. Vital signs obtained.

Select the 4 actions the nurse should plan to take to address the client's current condition.

Answer Options

Hint : 🧭Reduce osmolar load entering the small intestine after meals.

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5 :

Hint : 🌟Capitalize on the newborn’s early alert period for first latch.

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6 :

Hint : πŸ”’Recall the BMI thresholds for adult categories.

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7 :

Week 1:

Client is seen for a postoperative appointment following gastric bypass surgery. Client is tolerating eating and continues to follow and progress the postoperative diet client is currently consuming full liquids and tolerating well with no adverse effects reported.

Week 5:

Client returns to the clinic. Client was doing well with eating until the last 2 days. Client is now experiencing a lack of appetite. They are struggling to intake enough fluids and have not been able to keep down prescribed supplements due to intermittent vomiting throughout the day without correlation to their meals. Client reports having multiple liquid stools throughout the day. Client weighs themselves weekly and has lost more weight than usual this week.

Use the words from the choices below to fill in each blank in the following sentence. The potential complications the nurse should assess the client for first areand

Hint : 🚰Prioritize fluid status in persistent GI losses.

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8 :

Hint : πŸ§ͺLink A1c to RBC lifespan when estimating timeframe.

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9 :

Hint : βš–οΈThink about how volume restoration shows up objectively.

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10 :

Hint : 🧭Think about promoting aspiration safety while supporting oral–feeding skills.

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Total Questions: 10

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