Reference no: EM132889916
Problem 1: A nurse is caring for a client who is postoperative following placement of a halo vest to manage a cervical vertebral fracture. Which of the following actions should the nurse take?
a. Tighten the screws on the halo device one quarter turn every 48 hr
b. Encourage flexion and extension of the neck
c. Reposition the client using a turning sheet
d. Asses the pin sites for an infection once every other day
Problem 2: A nurse is caring for a 1 year old infant who has GERD. Which of the following actions should the nurse take to promote sleep for the infant?
a. Place the infant in surprise position to sleep
b. Place the infant in a left lateral position'
c. Offer feedings just before bedtime
d. Provide the infant with a bottle of milk at bedtime
Problem 3: A nurse is assessing a toddler who has a history of lead poisoning. Which of the following actions should the nurse take?
a. Obtain a stool specimen for lead levels
b. Initiate a low iron diet for lead absorption
c. Perform development testing for delays
d. Inspect the skin for discoloration
Problem 4: A nurse is collecting data from a toddler who weighs 25 kg (44ib) and has a full thickness burn to 10% of his body. Which of the following findings should the nurse report to the provider?
a. Respiratory rate 25/min
b. Bowl sounds 20/min
c. Increased restlessness
d. Urinary output 35mL//hr