GCC 251 - 275

What information should the nurse give a new mother regarding the introduction of solid foods for her infant?

• Solid foods should not be given until the extrusion reflex disappears, at 8-10 months of age.
• Solid foods should be introduced one at a time, with 4- to 7-day intervals.
• Solid foods can be mixed in a bottle or infant feeder to make feeding easier.
• Solid foods should begin with fruits and vegetables.

The LPN is preparing to administer an injection of vitamin K to the newborn. The nurse should administer the injection in the:

• Rectus femoris muscle
• Vastus lateralis muscle
• Deltoid muscle
• Dorsogluteal muscle

Immediately following the removal of a chest tube, the nurse would:

• Order a chest x-ray
• Take the blood pressure
• Cover the insertion site with a Vaseline gauze
• Ask the client to perform the Valsalva maneuver

When planning to teach an adolescent female patient about PID, which of the following statements should the nurse include?

• Good hygiene practices prevent the development of PID.
• The use of hormonal contraceptives decreases the risk of PID.
• PID can lead to long-term complications of the reproductive tract.
• Infants born to adolescents with PID are at risk for birth defects.

The nurse is preparing a client for a lumbar puncture. Which is the appropriate position for the client?

• Prone with a pillow under the abdomen.
• Side-lying.
• Side-lying with chin to chest and knees pulled up to chest.
• Side-lying in semi-Fowler's position.

A client is admitted with a Ewing's sarcoma. Which symptoms would be expected due to this tumor's location?

• Hemiplegia
• Aphasia
• Nausea
• Bone pain

Which parameter should the nurse monitor frequently while a patient receives pentamidine isethionate?

• Heart rate
• Electrolyte levels
• Blood sugar levels
• CBC

Which of the following instructions should be included in the nurse's teaching regarding oral contraceptives?

• Weight gain should be reported to the physician.
• An alternate method of birth control is needed when taking antibiotics.
• If the client misses one or more pills, two pills should be taken per day for 1 week.
• Changes in the menstrual flow should be reported to the physician.

The nurse is monitoring a client admitted with an overdose of Phenobarbital (phenobarbital). The nurse should carefully observe the client for signs of:

• Hyperthermia
• Decreased respirations
• Increased blood pressure
• Dysuria

The nurse cares for a client who has a continuous passive motion (CPM) machine in place after a total knee replacement. The physician writes orders for the degree of flexion and hours per day of CPM use. Which intervention should the nurse perform?

• Turn off the CPM machine when the client is eating.
• Check the flexion settings every morning.
• Educate the family on how to change the degree of flexion.
• Increase the degree of flexion per the client's tolerance.