78.. An infant born at 36 weeks gestation weighs 4 lb 3 oz. (2062 g) and has Apgar scores of 7 and 9. Which nursing action will be performed on the infant’s admission to the nursery? (Select all that apply).

54. What information should a nurse include in the discharge plan when providing teaching to a client with Ménière’s disease?

79.  A 25-year-old G2P1 client, has come to the obstetric unit triage room at 32 weeks’ gestation reporting painless vaginal bleeding.  Which statement by the new nurse on the unit would require prompt intervening?

89.  A client has just delivered a healthy baby boy and is in the third stage of labor.  What are signs the nurse should watch for that suggest placenta separation? Select all that apply.

45. An accident victim comes to the emergency department with an open chest wound.  What action would the nurse implement next as it relates to the client’s wound?

84.  A client’s membranes rupture while her labor is being augmented with an oxytocin infusion. The nurse observes the fetal heart rate on the above fetal monitor strip. Which action should the nurse initiate next?

98.  A child with acute post streptococcal glomerulonephritis assessment findings indicates an increase diuresis.  The nurse explains to the parent that this most likely signals which response to treatment? 

61. A client recently experienced a Cerebrovascular accident with left-sided weakness.  The client has difficulty swallowing, especially when drinking juice.  Which interventions would be most appropriate for the nurse to implement during feeding? (Select all that apply)

22. An appropriate nursing intervention for risk reduction for a client following a colonoscopy exam should include which measure?  (Select all that apply)

44. A nurse is caring for an adult client with extensive burns on the anterior chest, abdomen, and the genitalia.  How would the nurse document the burn size using the rule of nines?