NUR 202 / NUR202 RN VATI 2019 - FROM QUESTION 90

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90. A nurse is caring for a client who has a chest tube and notes continuous bubbling in the water-seal chamber. Which of the following actions should the nurse take? a. turn down the wall suction ... b. observe the system for an air leak c. obtain a prescription to discontinue the chest tube d. empty the drainage from the collection chamber 91. A nurse is planning care for a newly admitted adolescent client who has bacterial meningitis. Which of the following instructions is appropriate for the nurse to include in the plan of care? a. assist the client to a supine position b. recommend prophylactic acyclovir c. initiate droplet precautions for the client d. perform a Glasgow coma scale every 24 hr 92. a nurse is caring for a child who has infectious mononucleosis. Which of the following findings are associated with this diagnosis? a. koplik spots b. splenomegaly c. malaise d. sore throat e. vertigo 93. a nurse is caring for a client who has a new prescription for chlorpromazine by IM injection. Which of the following is an appropriate nursing action? a. administer chlorpromazine with a loop diuretic b. check orthostatic blood pressure 1 hr after administration c. administer once daily 30 min before breakfast d. check weekly calcium levels 94. 95. a nurse is planning care for a child who is unresponsive and has increased intracranial pressure. Which of the following actions should the nurse take? a. schedule routine oral suctioning b. pad the side rails of the bed [Show More]

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