7

Children who have cystic fibrosis metabolize antibiotics more rapidly and require
yu yu yu yu yu yu yu yu yu yu

higherdoses of antibiotics to help fight aggressive infections such as Burkholderia cepacia.

yu u
y yu yu yu yu yu yu yu yu yu yu yu

36. A nurse is caring for a newborn immediately after delivery. Which of

yu yu yu yu yu yu yu yu yu yu yu

thefollowing interventions should the nurse implement to prevent heat loss

yu y
u yu yu yu yu yu yu yu yu yu

byconduction?
yu y
u

Use a protective cover on the scale when weighing the infant.

yu yu yu yu yu yu yu yu yu yu

Heat loss by conduction is a loss of heat between the newborn’s skin and the coolersurface
yu yu yu yu yu yu yu yu yu yu yu yu yu yu yu yu

beneath it.
yu yu

37. A nurse is caring for a client who had abdominal surgery 24 hr ago. Which
yu yu yu yu yu yu yu yu yu yu yu yu yu yu

ofthe following actions is the nurse’s priority?

yu y
u yu yu yu yu yu yu

Assist with deep breathing and coughing.

yu yu yu yu yu

The priority action the nurse should take when using the airway, breathing,
yu yu yu yu yu yu yu yu yu yu yu

circulation approach to client care is to assist the client with deep breathing and
yu u
y yu yu yu yu yu yu yu yu yu yu yu yu

coughing, whichreduces the risk of postop pneumonia.

yu yu u
y yu yu yu yu yu

38. A nurse in an outpatient mental health clinic is caring for four clients.
yu yu yu yu yu yu yu yu yu yu yu yu

The nurse should recognize that which of the following clients is effectively
yu y
u yu yu yu yu yu yu yu yu yu yu

usingsublimation as a defense mechanism?

yu y
u yu yu yu yu

A client who channels their energy into a new hobby following the loss of their job.
yu yu yu yu yu yu yu yu yu yu yu yu yu yu yu

Channeling negative feelings over the loss of their job into a new hobby is using thedefense
yu yu yu yu yu yu yu yu yu yu yu yu yu yu yu yu yu

mechanism of sublimation.
yu yu yu

39 .A nurse is assessing f or correct placement of a client’s NG feeding tube

yu yu yu yu yu yu yu yu yu yu yu yu yu

prior to administering a bolus feeding. Which of the following actions should the
yu y
u yu yu yu yu yu yu yu yu yu yu yu

nursetake?
yu y
u

Aspirate contents from the tube and verify the pH level.

yu yu yu yu yu yu yu yu yu

The nurse should verify that the pH level of the client’s gastric aspirate is less than 5
yu yu yu yu yu yu yu yu yu yu yu yu yu yu yu yu

todetermine proper placement.

yu yu yu yu

40 .An antepartum nurse is caring for four clients. For which of the
yu yu yu yu yu yu yu yu yu yu yu

followingclients should the nurse initiate seizure precautions?

yu y
u yu yu yu yu yu yu

A client who is at 33 weeks gestation and has severe gestational hypertension. The
yu yu yu yu yu yu yu yu yu yu yu yu yu

nurse should initiate seizure precautions for a client who has severe gestational
yu yu yu yu yu yu yu yu yu yu yu yu

because extremely elevated blood pressure in an antepartum client can trigger

yu yu yu yu yu yu yu yu yu yu yu

seizureactivity. The nurse should provide the client with a quiet, darkened
yu u
y yu yu yu yu yu yu yu yu yu yu

environment, placesuction equipment and oxygen at the bedside, and position the call
yu yu u
y yu yu yu yu yu yu yu yu yu yu

light within the client’s reach.

yu yu yu yu yu