Week 3 HESI/ EAQs Flashcards
If a staff member is unable to reach the client’s parents, what guidelines will determine the staff’s ability to provide needed care?
A minor child can give permission and consent for care and is then considered emancipated.
Emergency care may be provided after a reasonable attempt to reach the parents has been made.
Since the sister has responsibility for the client, she can give informed consent for needed procedures.
A minor child can assent to care, which is considered equivalent to an adult giving informed consent for care.
Emergency care may be provided after a reasonable attempt to reach the parents has been made.
Since the client’s parents are divorced, which parent should the nurse try to contact first?
The parent from whose house the sister assumed care of the client (physical custody).
The parent in whose home the client lives the majority of the time (physical custody).
The parent who has been assigned legal custody by the court.
Both parents must be contacted, even if they do not share joint legal custody of the client.
The parent who has been assigned legal custody by the court.
Creptius is a _________ sound that occurs at the fracture site.
grating
The client has an open fracture. What is a priority nursing intervention?
Administer oral pain medication hourly.
Apply heat to the affected area.
Cover the wound loosely with a sterile dressing.
Discuss the post op ambulation schedule with the client.
Cover the wound loosely with a sterile dressing.
The PN and RN team leader identify that a priority nursing problem is “risk for peripheral neurovascular compromise.” Which lab value would be of most concern for the nurse?
WBC of 11,500/mcL (11.5 x 109/L).
Hemoglobin of 9.5 g/dl (95 g/L).
Platelet count of 200 x 103/mcL (200 x 109/L).
Reticulocyte count of 2% (0.02 proportion of 1.0).
Hemoglobin of 9.5 g/dl (95 g/L).
This is a low value. A low hemoglobin will not provide sufficient oxygen for tissue repair.
The nurse monitors the client’s lab values. Which change in serum lab values would most likely indicate the onset of osteomyelitis?
Decreased hemoglobin (Hgb).
Decreased white blood cells (WBC).
Increased erythrocyte sedimentation rate (ESR).
Increased creatine phosphokinase (CPK).
Increased erythrocyte sedimentation rate (ESR).
Which action taken by the nurse is effective for pain management when caring for a child with severe trauma due to an accidental fire who has been given oral oxycodone as part of treatment without pain relief?
Replace the drug with morphine.
Prolong the action of the oxycodone medication.
Add a nonsteroidal antiinflammatory drug.
Administer a midazolam–acetaminophen combination.
Administer a midazolam–acetaminophen combination.
Which scale is the nurse employing to assess pain in a 9-year-old child using a Hispanic version numeric scale with pain intensity ratings of 0 to 100?
Oucher Pain Scale
Numeric rating scale
Adolescent Pediatric Pain Tool
Pain Indicator for Communicatively Impaired Children
Oucher Pain Scale
Which is an important consideration in managing postoperative pain for an 8-year-old child experiencing severe pain with multiple fractures and other trauma resulting from a motor vehicle injury?
Give only an opioid analgesic at this time.
Plan a preventive schedule of pain medication around the clock.
Increase the dosage of analgesic until the child is adequately sedated.
Give the child a clock and explain when the child can have pain medications.
Plan a preventive schedule of pain medication around the clock.
Fractures heal in children in ________ than they do in adults.
less time
Which nursing intervention is included in the plan of care for a child with a newly fiberglass-casted left arm?
Elevating the extremity
Exposing the cast to air until dry
Placing the extremity on a plastic pillow
Engaging in quiet activities with the use of muscles
Elevating the extremity
Which condition would the nurse suspect in a child with acute abdominal pain that is screaming and drawing the knees toward the chest and has a palpable, sausage-shaped mass in the upper right quadrant of the abdomen?
Hiatal hernia
Intussusception
Zollinger-Ellison syndrome
Hypertrophic pyloric stenosis
Intussusception
A child has just returned from surgery in a hip spica cast. Which is the priority nursing intervention?
Elevate the head of the bed.
Check circulation.
Turn the child to the right side.
Offer sips of water.
Check circulation.
Which condition would the nurse suspect in a patient with nonpainful bloody stools that are dark red with mucus and look like currant jelly?
Giardiasis
Ascariasis
Meckel diverticulum
Hirschsprung disease
Meckel diverticulum
Burns covering ________ of the body surface area are often accompanied by systemic effects that can be severe.
10% to 20%
