Rationale for Kaplan Maternity/Gynecological Nursing C
The nurse cares for the client six hours after a vaginal delivery and assists the client to
perform perineal care. Fifteen minutes later the nurse notes that the perineal pad i
9. How many mL of oxytocin (Pitocin) should the nurse draw up in the syringe to inject into the
1000 mL bag of normal saline?
Rationale HCP prescribed 10 units in 1,000 mL of NS. Vial contains 10units/
Healthy Newborn Rationale
4. Upon inspection of the umbilical cord, which finding should the nurse report to the
A) The cord is covered with Wharton's jelly. INCORRECT - This is a normal finding.
Cleft Lip and Cleft Palate Rationale
2. Which assessment technique will determine if the infant has a cleft palate?
A. Insert a gloved finger and palpate the top of the infants mouth. CORRECT
The palate is the roof of the
2. What techniques should the nurse use to assess for respiratory distress?
A. Place a pulse oximeter on a big toe of the babys foot. The nurse should use a
pulse oximeter to measure the infants oxygen saturation leve
Psychosocial assessment across the life span
The nurse is preparing a plan of care for a client who is a Jehovah's Witness. The
client has been told that surgery is necessary. The nurse considers the client's
ADHD HESI Case Study
1. What information is important for the registered nurse to obtain about Joes
Explanation of previous accidents Asking the client to elaborate on his comment
by describing his accidents will help the RN be
Depression CS Rationale
1. What question should the nurse ask as a priority nursing assessment?
a. A. What is the voice saying to you? The nurse must assess the content of the
auditory hallucinations for the presence of command hal
Alcoholism HESI Case Study
7. What are the priority nursing diagnoses that should be addressed within 72
hours of admission?
Ineffective denial The clients denial is a defense mechanism that reduces
anxiety, but in considering nursing pro
Week 6 Exemplar Questions
Chemical and other Dependencies/Substance Use Disorder
What are the antecedents to late-onset alcohol abuse? (Select all that apply)
Retirement Environmental condition that leads to alcohol abuse
Running head: OUTCOMES PAPER
Samuel T. Hendricks
Nightingale College: NUR 240
February 21, 2016
Demonstrate culturally competent, client-centered nursing care while understanding the
chronic and mental health needs and co
Neurocognitive disorder due to Alzheimers disease Case Study Rationale
5. What is the best response to Mr. Caudill by the nurse?
A. Hang in there, I will be done shortly. This does not address the clients
concerns and using jargon
Brain Attack (Stroke) Rationales
13. Which nursing diagnosis has the highest priority?
A. Drooling CORRECT According to Maslows Hierarchy of Needs,
physiological needs should be addressed first. Therefore, Mrs. Jacksons
Sensory Function Rationale
1. Which action should the RN take first?
a. Determine visual acuity Arcus sensilis is commonly seen in the
elderly due to lipid accumulations but it does not affect vision.
b. Assess the clients retinal
You are caring for Susannah, a 29-year-old who has been diagnosed
with dissociative identity disorder. She was recently hospitalized after
coming to the emergency room with deep cuts on her
Running head: BENCHMARK CASE STUDY
Benchmark Case Study
Nightingale College: NUR 240
April 10, 2016
BENCHMARK CASE STUDY
This semester has been very valuable for the many experiences that I have had
throughout the clinica
Seizure Disorder Rationale
5. Which response by the nurse is correct?
A. Auras occur when you are physically and physiologically exhausted
INCORRECT An aura is not dependent on the client being physically or