CCNS 무료 덤프문제 온라인 액세스

A nine-year-old child was admitted with a diagnosis of acute glomerulonephritis. She has moderate
edema and mild hypertension. Which of the following nursing actions would be most appropriate at this
time?

• A.Obtain body weight QID
• B.Observe seizure precautions
• C.Encourage physical activity to eliminate boredom
• D.Maintain a high protein diet

A cardiac monitor indicates that a patient's heart rate has increased to 160 beats per minute. Shortly after
this increase, the nurse notices that the patient is in ventricular tachycardia. The nurse reports this finding
to the physician because she knows that an order of which of the following is needed?

• A.Insertion of a pacemaker
• B.Manual cardiopulmonary resuscitation
• C.A bolus of lidocaine
• D.Intracardiac epinephrine

A patient was prescribed with a 2-gram sodium diet. One morning she complains about the bland food
and refuses to eat breakfast. The nurse should initially:

• A.Explain to the patient that the diet will eventually have to be accepted
• B.Urge the patient to eat to become accustomed to the diet that must be eaten at home
• C.Ask the patient what foods are usually consumed at home
• D.Provide the patient with several packets of lemon juice and a packet of salt

A nurse on the pediatric unit is caring for four patients and is preparing to do rounds. Which patient should
the nurse see first?

• A.A patient being sent for a CXR to rule out hospital-acquired pneumonia
• B.A patient who has returned from the recovery room and is sleeping
• C.A patient scheduled for a CT scan of their head following a morning fall
• D.A patient with ear tubes that came out spontaneously

A school-aged patient with asthma is scheduled to return to school. Which question by the nurse
assesses the patient's self-care knowledge?

• A."Do you have stairs to climb at school?"
• B."Do you participate in gym class?"
• C."Do you use peak expiratory flow meter daily?"
• D."Do you drink eight glasses of fluid a day?"