A nurse in a pediatric clinic is assessing a toddler at a well-child checkup. After reviewing the child's current medical record, which of the following interventions should the nurse expect the provider to prescribe? (Click on the "Exhibit" button for additional information about the client. There are three tabs that contain separate categories of data.)

Antibiotic therapy

Protective environment

Blood transfusion

Iron supplementation

Answer and Explanation

The Correct Answer is D

A. Antibiotic therapy. This is incorrect because there is no indication of an infection. The WBC count is within the normal range, and there are no symptoms suggestive of a bacterial infection.
B. Protective environment. This is incorrect because a protective environment is used for immunocompromised clients, such as those undergoing chemotherapy or with severe neutropenia, which is not the case here.
C. Blood transfusion. This is incorrect because although the hemoglobin level is low (8.1 g/dL), it is not critically low enough to require a transfusion. Instead, iron supplementation is the preferred treatment.
D. Iron supplementation. This is correct because the child’s hemoglobin and hematocrit levels indicate mild anemia, likely due to excessive cow’s milk intake, which can lead to iron deficiency anemia in toddlers. Iron supplementation will help correct the deficiency.

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Correct Answer is B

Explanation

A. Identifying past coping skills is important but is not the priority in a crisis situation where the client's safety is at risk.
B. Ensuring the client’s immediate safety is the priority because they may still be in danger from the abusive partner. Crisis intervention focuses first on protecting the client from further harm.
C. Identifying support systems is beneficial for long-term recovery but does not take precedence over ensuring the client’s immediate safety.
D. Encouraging expression of feelings is therapeutic, but the priority is to remove the client from immediate harm before addressing emotional needs.

A. "How are things going at your job?" B. "Why do you think this is happening to you?" C. "You must he feeling very frightened right now." D. "Maybe you should think more positively."

Correct Answer is C

Explanation

A. "How are things going at your job?" This response redirects the conversation rather than addressing the client's emotional state.
B. "Why do you think this is happening to you?" This question may come across as challenging or blaming, which is not therapeutic.
C. "You must be feeling very frightened right now." This response validates the client's emotions, showing empathy and encouraging further expression of feelings.
D. "Maybe you should think more positively." This dismisses the client's distress and does not provide therapeutic support.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is implementing crisis intervention for a client following an incident of partner violence. Which of the following is the priority action for the nurse to take?

Correct Answer is B

Explanation

A nurse is speaking with a client during a counseling session who states, "I feel like I am sliding off a cliff." Which of the following responses should the nurse make?

Correct Answer is C

Explanation

A nurse is caring for a client in the emergency department. Exhibits Complete the following sentence by using the list of options. The nurse should prepare to administer dropdown and dropdown

A nurse is providing teaching to a group of clients about complementary and alternative therapies using herbs. Which of the following client statements indicates an understanding of the teaching?

A nurse is assessing a client who has a sliding hiatal hernia. Which of the following findings should the nurse expect?

A nurse is caring for a client following a seizure. Which of the following actions should the nurse take?

A nurse is assessing an older adult client. Which of the following statements indicates that the client is at a risk for being socially isolated?

A nurse at a health department is providing anticipatory guidance to the parent of a 1-month-old infant. The nurse should inform the parent that the infant should receive which of the following immunizations at the age of 2 months?

A nurse is assessing a client who is taking losartan. Which of the following findings should the nurse identify as an adverse effect of this medication?

A nurse is inserting a short peripheral IV catheter for a client who requires IV fluids. Which of the following actions should the nurse take?