For each potential nursing intervention, click to indicate whether it would be appropriate or not appropriate. Each row must have one response option selected.

A parent asked the nurse how to care for their 4-year-old child after receiving the Haemophilus influenzae type b (Hib) conjugate vaccine. Which instruction should the nurse provide?

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If healthcare providers (HCPs) see a narrowed heart vessel while performing a percutaneous coronary intervention (PCI), they may perform a balloon angioplasty to compress the plaque against the vessel wall and hold it there with a stent, which will lessen

A client with multiple cardiac diagnoses receives a prescription for verapamil. Which therapeutic response(s) should the nurse anticipate for a client taking this medication? Select all that apply.

A client is admitted for treatment of acute diverticulitis with associated nausea and vomiting. Which serum laboratory value is most important for the nurse to monitor during the client's treatment?

The nurse completes documentation on the client who is 10 hours post initial digitalization dose and furosemide dose.

Click to highlight the findings that indicate the client is progressing as expected.

Nurses Notes

1700

The client is post digitalization and furosemide. Client is being held by his parent. Infant can feed on demand. Lungs are clear to auscultation, and no accessory muscle use is noted. Shows no signs of cyanosis. Is feeding for 15 minutes every three hours using a 28 cal/oz (28 cal/30 mL) formula. His urine is clear, and the specific gravity is low. The client continues to have a loud holosystolic murmur noted. Pulses are 1+ through all extremities. Parents are at the bedside and are verbalizing their understanding of current care needs.

The nurse is caring for a client with the sexually transmitted infection (STI) human papillomavirus (HPV). The client reports having had prior sexually transmitted infections. Which response should the nurse provide?

The client is now in less respiratory distress and is breathing at a rate of 40 breaths/minute. A transesophageal echocardiogram has been prescribed. The nurse recognizes that parents need extra support during invasive procedures.

For each intervention, click to indicate which intervention is suited to develop client trust for an infant or a toddler. Each row must have only one response option selected.

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The nurse knows that, if left untreated, the client's condition could progress to developing

The nurse is providing education to the client.

For each teaching point, click to indicate whether it should be included or not included. Each row must have one response option selected.

The nurse is preparing a 4-day-old client with a serum bilirubin level of 19 mg/dL (325 μmol/L) for discharge from the hospital. When teaching the parents about home phototherapy, which instruction should the nurse include in the discharge teaching plan?

Reference Range:

Total Bilirubin [0.1 to 10.5 mg/dL (17.1 to 180 μmol/L)]