2024 A nurse is caring for a client - Rank the clients in order of risk factors, with one being the most at risk., The nurse is caring for a client with the nursing diagnosis of Impaired physical mobility related to decreased motor function. Which nursing intervention is appropriate? Select all that apply., The health-care provider suspects that a client has multiple sclerosis (MS).

 
Study with Quizlet and memorize flashcards containing terms like A nurse on an inpatient mental health unit is caring for a client. Select the three findings that require immediate intervention. A. Aggressive behavior B. Heart rate C. Respiratory rate D. Blood pressure E. Urine output, A charge nurse is preparing an in-service for staff members about non …. A nurse is caring for a client

a) Evaluation b) Planning c) Assessment d) Implementation, Select the best description of how the nurse applies the nursing process in caring for clients. The nurse: a) applies intuition and routine care for clients. b) uses critical thinking to direct care for the individual client. c) uses scientific problem solving to meet client problems.Chap. 17: Implementing- PrepU. The nurse caring for a client who is recovering after a motor vehicle accident is planning for the client to begin increasing responsibility for self-care. Which would be the nurse's most appropriate strategy? Click the card to flip 👆. The nurse encourages the client to take a shower instead of receiving a bed ...Which of the following actions should the nurse take first?1) Offer the client apple juice.2) Elevate the client’s head of bed.3) Auscultate the client’s abdomen.4) Order a lunch tray …The nurse is caring for a client newly prescribed crutches. Which finding indicates the need for further teaching? a. The axillary pads are torn and show signs of wear b. The client has a 30-degree bend at the elbow when walking c. The crutches and injured foot are moved simultaneously in a 3-point gait d. There is a 3 finger-width space noted ...29 thg 6, 2012 ... The Certified Nursing Assistant (CNA) skill of Feeding the Client, as outlined in the South Carolina Nurse Aide Candidate Handbook, ver.Study with Quizlet and memorize flashcards containing terms like The nurse caring for mechanically ventilated clients knows that older adults are at higher risk for weaning failure. What age-related changes contribute to this? (Select all that apply.), A nurse is caring for a client who is on mechanical ventilation. What actions will promote comfort in this client? (Select all that apply ... A nurse is providing oral hygiene for a client who is unconscious. Identify the sequence of the steps the nurse should take. 1. Assess the client's gag reflex. 2. Position the client on his side with his head turned to the side. 3. Place a towel under the client's head with an emesis basin under his chin. 4. Get a Nurse. Receive Skilled Nursing Care. That is it! Our client services team will send you our best recommendations and you always have the final say ...Verbal explanation, 2. Which health concern(s) should the nurse be aware of as risk factors when caring for clients of African American descent? Select all that apply. 1. Cancer 2. Obesity 3. Hypertension 4. Heart disease 5. Hypothyroidism 6. Diabetes mellitus, 3. The nurse is planning care for a client of Native Hawaiian descent who recently ...Rank the clients in order of risk factors, with one being the most at risk., The nurse is caring for a client with the nursing diagnosis of Impaired physical mobility related to decreased motor function. Which nursing intervention is appropriate? Select all that apply., The health-care provider suspects that a client has multiple sclerosis (MS). Tell me what is making you feel so tense." d. "I will leave you alone for a d=few minutes while you try to control yourself." ANS: C (stay at safe distance and remain calm), 3. A nurse is caring for a client who has borderline personality disorder. The nurse enters the client's room and finds the client cutting into his flesh with a paper clip.Nursing is an excellent career path if you’re interested in working in the healthcare industry and strive to provide quality care to patients. If you’re short on time or worry that attending a brick-and-mortar school isn’t possible, one alt...Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who needs to collect a midstream urine specimen. Which of the following actions should the nurse take?, A nurse is caring for a client who has a stage IIl pressure injury on the sacral area. Which of the following actions should the nurse take when obtaining a wound culture specimen from the ... Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a client with peripheral arterial disease (PAD). For which symptoms does the nurse assess? A. Reproducible leg pain with exercise B. Unilateral swelling of affected leg C. Decreased pain when legs are elevated D. Pulse oximetry reading of 90%, When administering …A nurse is implementing a plan of care for a client who has AIDs with recurring pneumonia. Which of the following actions should the nurse take? a. Encourage fluid intake of 1500 mL/day. b. Position head of bed at 10 degrees. c. Cough and deep breathe every 8 hrs. d. Obtain a sputum culture.Which of the following actions should the nurse take? A. Wear an N95 respirator when caring for the client. B. Place the client in a private room. C. Place a mask on the client when they leave their room. D. Place the client in a negative airflow room., A nurse is performing hand hygiene after caring for a client who has Clostridium difficile. A nurse is caring for newborn and calculation the Apgar score. At 1 min after delivery, the following findings are noted: 110 HR, slow, weak cry, some flexion of extremities, grimace in response to suctioning of the nares. body pink in color with blue extremities. Calculate the newborn's score. 6= 2 (HR) + 1x (weak cry, flexion, grimace, pink ...Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a client with Clostridium difficile colitis. Which of the following infection control measures by the nurse are appropriate? Select all that apply: 1. Applies sterile gloves before performing client care 2. Ensures surgical masks are worn by staff in client's room 3. Requests that the client be assigned to ... Study with Quizlet and memorize flashcards containing terms like 36. The nurse is caring for a client with heart failure. On assessment, the nurse notes that the client is dyspneic and crackles are audible on auscultation. What additional signs would the nurse expect to note in this client if excess fluid volume is present? 1.Weight loss 2.Flat neck and hand veins 3.An increase in blood ...In the fast-paced world of healthcare, nursing professionals play a vital role in providing quality patient care. If you’re considering a career in nursing or looking to advance your current position, enrolling in a nursing diploma course c...A nurse is caring for a group of clients. Which of the following clients should the nurse refer to a social worker? -A client who requires placement in an assisted living facility -A client who requests to secure an emergency notification system in the home -A client who requests to get school assignments while hospitalized on a pediatric unitThe nurse caring for a client diagnosed with cancer knows which of the following are true about cancer pain? Select all that apply. Typically chronic in nature and treated with long-term opioids Not necessarily experienced by all clients and a thorough pain assessment is key Associated with a high incidence of drug addiction due to the chronic ... Oct 21, 2023 · The antibiotic interferes with the client's ability to absorb nutrients. C.) The antibiotic eliminates the healthy gastrointestinal bacteria, allowing harmful bacteria to grow. D.) The antibiotic decreases a client's immunity level, resulting gin diarrhea., A nurse is caring for an older adult who is experiencing urinary leakage. A. uterine cancer. B. cervical cancer. C. ovarian cysts. D.fibroids. B. Cervical cancer. the nurse should inform the client that a pap test is used to screen for cervical cancer. A nurse is planning on education program for a group of high school teachers who will be taking students on a hike. Which of the following information should the nurse ...Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client receiving chemotherapy. Which nursing action is most appropriate for handling chemotherapeutic agents? Wear disposable gloves and protective clothing. Break needles after the infusion is discontinued. Disconnect I.V. tubing with gloved hands. Throw I.V. tubing in the trash after the infusion is ... Using the ABC priority setting framework, maintaining a patent airway and ensuring adequate respiratory effort are the priority concerns of the nurse caring for a client who has been admitted in a vaso-occlusive crisis. Short-term oxygen therapy is used to prevent additional sickling and hypoxia. The nurse is caring for a client diagnosed with a deep venous thrombosis. Which nursing assessment is a priority ? Rationale: Pulmonary embolism is a complication of DVT. Assessing the client's respiratory status, including auscultating bilateral breath sounds, is appropriate. The client's airway and breathing take priority.A nurse is caring for a client who has a partial laryngectomy and is receiving continuous internal feeding at 65 ml/hr through a gastrostomy tube. which of the following findings requires immediate intervention by the nurse? A. The gastric residual volume is 250 mL following two hours of infusion. B. The client is lying in a supine position. C.Select all that apply., A nurse is caring for a client at risk for falls who does not have access to an activated bed or chair alarm. How often should the nurse assess this client? and more. Study with Quizlet and memorize flashcards containing terms like The older adult client is moving to another apartment. The nurse is caring for a client having respiratory distress related to an anxiety attack. Recent arterial blood gas values are pH = 7.53, Pao2 = 72 mm Hg (72 mm Hg), Paco2 = 32 mm Hg (32 mm Hg), and HCO3- = 28 mEq/L (28 mmol/L). Which conclusion about the client should the nurse make? 1. The client has acidotic blood.Provide a cool environment for the client. Instruct the client to consume a high-fat diet.-> Instruct the client about thyroid replacement therapy.-> Encourage the client to consume fluids and high-fiber foods in the diet. Inform the client that iodine preparations will be prescribed to treat the disorder.-> Instruct the client to contact the health care provider if …A nurse is caring for a client who is receiving continuous bladder irrigation following a transurethral resection of the prostate. The client reports bladder spasms, and the nurse observes a decreased urinary output. Which of the following actions should the nurse take? a. Increase tension on the urinary catheter Avoid increasing tension on the ...Some of the psychomotor skills that nurses used when caring for a client receiving TPN include the nurse's application of sterile asepsis techniques, changing the tubings and the total parenteral nutrition feeding bags and bottles, the maintenance of the site of insertion of the total parenteral nutrition catheter, and manipulating and ...Find step-by-step Health solutions and your answer to the following textbook question: A nurse is caring for a client who has an indwelling urinary catheter. Which of the following actions should the nurse take to prevent infection? A. Replace the catheter every 3 …The antibiotic interferes with the client's ability to absorb nutrients. C.) The antibiotic eliminates the healthy gastrointestinal bacteria, allowing harmful bacteria to grow. D.) The antibiotic decreases a client's immunity level, resulting gin diarrhea., A nurse is caring for an older adult who is experiencing urinary leakage.Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who has early stage Alzheimer's disease and a new prescription for donepezil. The nurse should include which of the following statements when teaching the client about the medication? A. You should avoid taking over the counter acetaminophen while on donepezil. B. You should take this medication ... Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a client with Clostridium difficile colitis. Which of the following infection control measures by the nurse are appropriate? Select all that apply: 1. Applies sterile gloves before performing client care 2. Ensures surgical masks are worn by staff in client's room 3. Requests that …A nurse caring for a pregnant client in labor observes that the fetal heart rate (FHR) is below 110 beats per minute. Which interventions should the nurse perform? Select all that apply. A. Assess client for underlying causes. B. Turn the client on her left side. C. Ignore questions from the client. D. Administer oxygen by mask. E.Study with Quizlet and memorize flashcards containing terms like The nursing instructor is giving a class on assessing cardiac clients after thoracic surgery. What assessment is most important for the nurse to perform when caring for this client? A) Pulmonary artery pressure B) Temperature C) Skin and mentation D) Blood pressure, When discussing the nursing process, the instructor stresses ...9 thg 5, 2016 ... ... patient who once needed constant care regain their independence. I love my job as an in-home care nurse specifically because it encourages ...Deciding on hiring nursing in-home care services for a loved one is a difficult one for many reasons. Not only does this mean they’re losing their independence but it also means we have to admit they’re getting older. Here are guidelines di...Study with Quizlet and memorize flashcards containing terms like A client is receiving home oxygen. What teaching points should the nurse provide the client and the caregiver regarding home oxygen safety?, How should the nurse respond when a client asks the purpose of an advance directive?, List at least three (3) priority considerations when performing a sterile dressing change. and more.The nurse is caring for a client with manifestations of dilated cardiomyopathy. When planning care, which consideration would the nurse make? 1- Place bed in a high or semi-high Fowler's position as needed. 2- Assist client to bathroom every 2 hours. 3- Instruct client to avoid strenuous activity. 4- Assess abdominal girth daily.Oct 21, 2023 · Study with Quizlet and memorize flashcards containing terms like A nurse in an emergency department is caring for a client who has anaphylaxis following a bee sting. Which of the following actions should the nurse take first?, A nurse in the emergency department is assessing a client who has internal injuries from a car crash. The client is disoriented to time and place, diaphoretic, and his ... Nurses provide care of a client before, during, and after a surgical operation, this is collectively called Perioperative Nursing. It is a specialized nursing area wherein a registered nurse works as a team member with other surgical health care professionals.The nurse–client relationship is an interaction between a nurse and "client" aimed at enhancing the well-being of the client, who may be an individual, a family, a group, or a ... broad influences on health care and …The antibiotic interferes with the client's ability to absorb nutrients. C.) The antibiotic eliminates the healthy gastrointestinal bacteria, allowing harmful bacteria to grow. D.) The antibiotic decreases a client's immunity level, resulting gin diarrhea., A nurse is caring for an older adult who is experiencing urinary leakage.a. insert an implanted port. b. close a laceration with sutures. c. place an endotracheal tube. d. initiate an enteral feeding through a gastrostomy tube. d. initiate an enteral feeding through a gastrostomy tube. A nurse is caring for a client who has recently started using a behind the ear hearing aid.A NURSE IS CARING FOR A CLIENT WHO IS RECEIVING A CONTINOUS IV OF HEPARIN. FOR WHICH OF THE FOLLOWING ADVERSE EFFECTS SHOULD THE …A nurse is caring for a client who is postoperative and refuses to use an incentive spirometer following major abdominal surgery. Which of the following actions is the nurse's priority? b. Determine the reasons why the client is refusing to use the incentive spirometer. The first action the nurse should take when using the nursing process is to ...A nurse caring for a pregnant client in labor observes that the fetal heart rate (FHR) is below 110 beats per minute. Which interventions should the nurse perform? Select all that apply. A. Assess client for underlying causes. B. Turn the client on her left side. C. Ignore questions from the client. D. Administer oxygen by mask. E.Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who has been off the unit for physical therapy for the past hour notes that the infusion pump for the clients TPN is turned off. The client tells the nurse that the battery went dead while she was in physical therapy.Study with Quizlet and memorize flashcards containing terms like a nurse is caring for a client who is experiencing acute alcohol withdrawal. For which of the following client outcomes should the nurse administer chlordiazepoxide? a. minimize diaphoresis b. maintain abstinence c. lessen craving d. prevent delirium tremens, a nurse is teaching a …The nurse is caring for a client with manifestations of dilated cardiomyopathy. When planning care, which consideration would the nurse make? 1- Place bed in a high or semi-high Fowler's position as needed. 2- Assist client to bathroom every 2 hours. 3- Instruct client to avoid strenuous activity. 4- Assess abdominal girth daily.A nurse is caring for a client who has experienced a mild traumatic brain injury. Describe the manifestations of increased intracranial pressure the nurse should be alert for. The nurse should be alert for any reports of headache or blurred vision by the patient. The nurse should also be alert for any changes in level of conciousness, changes ...The nurse caring for a client diagnosed with cancer knows which of the following are true about cancer pain? Select all that apply. Typically chronic in nature and treated with long-term opioids Not necessarily experienced by all clients and a thorough pain assessment is key Associated with a high incidence of drug addiction due to the chronic ...The nurse caring for a client who has a pneumothorax notes continuous bubbling in the water seal chamber of the client's closed-chest drainage system. How should the nurse interpret this finding? 1.The drainage chamber is full.Caring is essential in the nursing profession because it helps with the healing process. It is a way for nurses to show empathy, compassion and emotional support towards their patients. Caring can be done in many different ways, including talking to an individual or supporting them physically. Being kind is a way people understand caring.4.8 (4 reviews) A nurse is caring for a client who has tuberculosis. What actions should the nurse take. Click the card to flip 👆. - place the client in a room with negative-pressure airglow (airborne precautions) - wear gloves when assisting the client with oral care. - wear an N95 mask when providing client care.A nurse is caring for a client who had a myocardial infarction 5 days ago. The client has a sudden onset of shortness of breath and begins coughing frothy, pink sputum. The nurse auscultates loud, bubbly sounds on inspiration. Which of the following adventitious breath sounds should the nurse document? A.9 thg 5, 2016 ... ... patient who once needed constant care regain their independence. I love my job as an in-home care nurse specifically because it encourages ...Set realistic limits on the client's behavior. A nurse is caring for a client who has a history of substance use disorder and was involuntarily admitted to a mental health facility. When the nurse attempts to administer oral lorazepam, the client refuses to take the medication and becomes physically aggressive. Chapter 17 - Respiratory Diagnostic Procedures. A nurse is caring for a client who is scheduled for a thoracentesis. Prior to the procedure, which of the following actions should the nurse take? A. Position the client in an upright position, leaning over the bedside table. B. Explain the procedure to the client.Place the client in seclusion for safety. 4. Remain with the client to provide support. 5. Administer a prescribed antipsychotic medication. 6. Administer a prescribed intramuscular (IM) antiparkinsonian medication. 1,2,4,6. The nurse in the mental health clinic hears a client yelling and threatening to hurt his sister. 71 A nurse is caring for a client who has homonymous hemianopsia as a result of a stroke. To reduce the risk of falls when ambulating, the nurse should provide which of the following instructions to the client? Scan the environment by turning your head from side to side." 72 A nurse is caring for a client who has an arterial line. Which of the ...Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a client 48 hours after their burn injury. Which treatment will the nurse anticipate to reduce the client's risk of mortality remove burned tissue intubation topic anitmicrobial ointment, The nurse cares for a client with extensive burn injuries. A nurse is caring for a client who is at 36 weeks of gestation with suspected placenta previa. The nurse should monitor the client for. 1. a large amount of bright red vaginal bleeding without pain. 2. severe abdominal pain with increasing fundal height. 3. abdominal pain with minimal red vaginal bleeding.The nurse should encourage the verbalization of feelings related to the loss. The nurse should encourage the client to verbalize the feelings related to his or her inability to save the victim in an effort to deal with unresolved issues and accept what cannot be changed. The nurse is caring for a client who has suicidal thoughts.A nurse is caring for a client who was admitted with pneumonia, has a history of falls, and has skin lesions resulting from scratching. The priority nursing diagnosis for this client should be: a) Ineffective airway clearance. b) Risk for falls. c) Impaired tissue integrity. d) Ineffective breathing pattern.Study with Quizlet and memorize flashcards containing terms like Prior to allowing a client to eat, which action is most important for the nurse to take?, A nurse is caring who has been prescribed a clear liquid diet. Which liquid can be included in the client's diet?, The client with dysphagia has a regular meal tray delivered at breakfast. Which is the best action for the nurse to take? and ... Oct 22, 2023 · The nurse should explain to the client that the stat ultrasound the provider prescribed will determine 1. fetal lung maturity 2. location of the placenta 3. fetal viability 4. biparietal diameter, A nurse is caring for a client in the prenatal clinic with a possible ectopic pregnancy at 8 weeks of gestation. The nurse is caring for a client with a fresh application of a plaster leg cast. The nurse should plan to prevent the development of compartment syndrome by which action? 1.Elevating the limb and applying ice to the affected leg 2.Elevating the limb and covering it with bath blankets 3.Keeping the leg horizontal and applying ice to the affected leg …Colostrum provides your newborn with a good source of protein. Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who requests additional information about nutritional intake during breastfeeding. Which of the following statements should the nurse make?, A nurse is caring for a client who is in …Drag 1 condition and 1 client finding to fill in each blank in the following sentence. ectopic pregnancy. right lower quadrant abdominal tenderness. A nurse at a provider's office is caring for a client who is 28 years of age. Complete the following sentence by …90 A nurse is caring for a client who is receiving total parenteral nutrition (TPN) and is NPO. When reviewing the chart, the nurse notes the following prescription: capillary blood glucose AC and HS. Which of the following actions should the nurse take? Contact the provider to clarify the prescription. A nursing care plan for preeclampsia involves monitoring vital signs, weight, urine output and state of consciousness, assessing deep tendon reflexes and symptoms of headache or epigastric pain, as well as providing treatment as prescribed,...ATI Module:Intro to Pharmacology. A nurse is caring for a client who was prescribed an antidepressant based on its ability to prevent the reuptake of neurotransmitters. The nurse should identify that which of the following terms describes why this drug was prescribed for the client? The nurse should identify that the mechanism of action of a ...Papa john's new pizza menu, Sam's club gas altoona, Craigslist used cars for sale by owner st louis, Twilight menu ++ 3ds, How to breed sneyser, Forum skyscraperpage, Coastal breeze bernedoodles, Macy's job reviews, 90 day fiance onlyfans 2022, Halococo leaks, Queen_egirl27 nudes, Cox contour starter channel list, Revolve clothing jackets, Bokep pipis

Rationale: The first action the nurse should take when using the ABC's approach to client care is to turn the client's head to the side. This action keeps the client's airway clear of secretion to prevent aspiration. A nurse is caring for a client who has had a hemorrhagic stroke following a ruptured cerebral aneurysm.. Tia torres accident

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Study with Quizlet and memorize flashcards containing terms like A nurse is assessing the anterior chest of a client. Which of the following findings should the nurse report to the provider? A. The point of maximal impulse (PMI) located at the fifth intercostal space B. Symmetrical chest movements during inhalation and expiration C. Absent visible pulsations in the area of the point of maximal ...Study with Quizlet and memorize flashcards containing terms like A nurse is assessing the anterior chest of a client. Which of the following findings should the nurse report to the provider? A. The point of maximal impulse (PMI) located at the fifth intercostal space B. Symmetrical chest movements during inhalation and expiration C. Absent visible pulsations in the area of the point of maximal ...a) at the client's left lower leg b) at the end of the client's bed c) on the client's left side d) on the client's right side and more. Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a client with an indwelling urinary catheter.Use Doppler ultrasound to identify the pulses. A nurse in the rehabilitation unit is caring for an older adult client who is in cardiac rehabilitation following an MI. The nurse's plan of care calls for the client to walk for 10 minutes 3 times a day. The client questions the relationship between walking and heart function.Answer and Explanation The Correct Answer is DStudy with Quizlet and memorize flashcards containing terms like The nurse is providing care for a client whose current medication regimen includes tacrolimus and cyclosporine. The client's health history most likely includes which of the following? Renal transplant Multiple sclerosis Psoriasis Rheumatoid arthritis, A client is at an acute risk for organ …Study with Quizlet and memorize flashcards containing terms like A nurse is preparing a tranfuse 250mL of packed red blood cells to a client over 4 hr. available is blood administration set that delivers 10 gtt/mL. the nurse should se the manual blood transfusion to deliver how many gtt/min?, a nurse on a telemetry unit is caring for a client who has …Study with Quizlet and memorize flashcards containing terms like Prior to allowing a client to eat, which action is most important for the nurse to take?, A nurse is caring who has been prescribed a clear liquid diet. Which liquid can be included in the client's diet?, The client with dysphagia has a regular meal tray delivered at breakfast. Which is the best action for the nurse to take? and ... Assist the client with a partial bed bath. Measure the client's BP after the nurse administer an antihypertensive medication. A nurse is caring for a client who has recently started using a behind-the-ear hearing aid. Which of the following statements should the nurse identify as in indication that she understands the use of this assistive device? Provide a cool environment for the client. Instruct the client to consume a high-fat diet.-> Instruct the client about thyroid replacement therapy.-> Encourage the client to consume fluids and high-fiber foods in the diet. Inform the client that iodine preparations will be prescribed to treat the disorder.-> Instruct the client to contact the health care provider if …A nurse is caring for a client who is having an acute asthma attack. Which of the. following medications. albuterol. A nurse is collecting data from a client. who received morphine IV for pain relief. Which of the following. findings is the nurse's priority to report to. the provider.A nurse is administering aspirin 81 mg PO daily to a client who has a history of myocardial infarction. The medication is scheduled for 0800. Which of the following scenarios demonstrates proper use of one of the Ten Right of Medication Administration? The nurse documents the aspirin was given at 0825. A nurse is caring for a client who has COPD.The nurse–client relationship is an interaction between a nurse and "client" aimed at enhancing the well-being of the client, who may be an individual, a family, a group, or a ... broad influences on health care and …Assist the client with a partial bed bath. Measure the client's BP after the nurse administer an antihypertensive medication. A nurse is caring for a client who has recently started using a behind-the-ear hearing aid. Which of the following statements should the nurse identify as in indication that she understands the use of this assistive device?A nurse is caring for a client on a medical-surgical unit. Vital Signs Nurses' Notes Medication Administration Record Vital Signs 1230: Temperature 98.9˚F (37.2˚C) Heart Rate 70 /min Respiratory Rate 18 /min Blood Pressure 130/90 mm Hg Oxygen Saturation 99% on room air Pain score 0/10 1330: Temperature 99.9˚F (37.8˚C) Heart Rate 52 /minA nurse is caring for a client who has a prescription for metoprolol. The nurse measures the client's vital signs and notes that the client's apical heart rate is 49/min. . The nurse should prepare to administer which of the following medicatio Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a client with Clostridium difficile colitis. Which of the following infection control measures by the nurse are appropriate? Select all that apply: 1. Applies sterile gloves before performing client care 2. Ensures surgical masks are worn by staff in client's room 3. Requests that the client be assigned to ...Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a client with peripheral arterial disease (PAD). For which symptoms does the nurse assess? A. Reproducible leg pain with exercise B. Unilateral swelling of affected leg C. Decreased pain when legs are elevated D. Pulse oximetry reading of 90%, When administering …A nurse is caring for a client who has borderline personality disorder. The nurse enters the client's room and finds the client cutting into his flesh with a paper clip. After providing first aid, which of the following actions should the nurse take first?Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who has an NG tube set to lower intermittent suction. The nurse irrigate the NG tube twice with 30 mL of normal saline solution during his shift. At the end of the shift, the NG canister contains 475 mL. What amount of NG drainage should the nurse record?, A …A nurse is caring for a client who has experienced a mild traumatic brain injury. Describe the manifestations of increased intracranial pressure the nurse should be alert for. The nurse should be alert for any reports of headache or blurred vision by the patient. The nurse should also be alert for any changes in level of conciousness, changes ...Which of the following actions should the nurse take? A. Wear an N95 respirator when caring for the client. B. Place the client in a private room. C. Place a mask on the client when they leave their room. D. Place the client in a negative airflow room., A nurse is performing hand hygiene after caring for a client who has Clostridium difficile.Decreased total body fluid. A nurse is caring for a client who has an acid-base imbalance and is experiencing hypoxia. Which of the following actions should the nurse take first? Elevate the head of the client's bed. A nurse is preparing to administer 1,950 mL of 0.45% sodium chloride IV to infuse over 13 hr. The nurse is caring for a client who is scheduled for surgery. The client is concerned about the surgical procedure. Which action should alleviate the client's fears and misconceptions about surgery? 1. Tell the client that preoperative fear is normal. 2. Explain all nursing care and possible discomfort that may result.The nurse is caring for a client with a fresh application of a plaster leg cast. The nurse should plan to prevent the development of compartment syndrome by which action? 1.Elevating the limb and applying ice to the affected leg 2.Elevating the limb and covering it with bath blankets 3.Keeping the leg horizontal and applying ice to the affected leg …Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a client with an indwelling urinary catheter. For this client, the nurse plays a key role in prevention of which most common complication? a) chronic urinary retention b) uncontrolled suprapubic pain c) unsuppressed bladder spasms d) catheter-associated urinary tract …Auxiliary nurses are also referred to as health care assistants, and they provide assistance to doctors and nurses in hospitals, doctor’s offices, nursing homes and medical clinics.Study with Quizlet and memorize flashcards containing terms like A nurse caring for a client who has a new prescription for atenolol. For which of the following adverse effects should the nurse monitor the client?, A nurse is caring for a client who has hypertension and is to start taking atenolol. The nurse should instruct the client to monitor for which of …The antibiotic interferes with the client's ability to absorb nutrients. C.) The antibiotic eliminates the healthy gastrointestinal bacteria, allowing harmful bacteria to grow. D.) The antibiotic decreases a client's immunity level, resulting gin diarrhea., A nurse is caring for an older adult who is experiencing urinary leakage.The nurse should recognize the client's right to refuse the treatments and inform the client of this right. The nurse should advocate for the client and offer to contact the provider for the client. 55. A nurse is caring for an older adult client who has dementia and requires acute care for a respiratory infection.The nurse caring for a client diagnosed with cancer knows which of the following are true about cancer pain? Select all that apply. Typically chronic in nature and treated with long-term opioids Not necessarily experienced by all clients and a thorough pain assessment is key Associated with a high incidence of drug addiction due to the chronic ... Which of the following actions should the nurse take? A. Wear an N95 respirator when caring for the client. B. Place the client in a private room. C. Place a mask on the client when they leave their room. D. Place the client in a negative airflow room., A nurse is performing hand hygiene after caring for a client who has Clostridium difficile. 1. A nurse is completing an admission assessment for an adolescent client who has depression. The nurse should identify which of the following findings as the priority? a. The client is confrontational with his parents b. The client is getting Ds in his classes because he frequently skips school. c.A nurse is caring for a group of clients on a unit. Which of the following assessment findings should the nurse recognize as the priority to report to the charge nurse? a. A client who has heart failure and 2+ edema of the lower extremities. b. A client who is 2 days postoperative and has a urine output of 20 mL/hr c.a. insert an implanted port. b. close a laceration with sutures. c. place an endotracheal tube. d. initiate an enteral feeding through a gastrostomy tube. d. initiate an enteral feeding through a gastrostomy tube. A nurse is caring for a client who has recently started using a behind the ear hearing aid.Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client receiving chemotherapy. Which nursing action is most appropriate for handling chemotherapeutic agents? Wear disposable gloves and protective clothing. Break needles after the infusion is discontinued. Disconnect I.V. tubing with gloved hands. Throw I.V. tubing in the trash after the infusion is ... Assist the client with a partial bed bath. Measure the client's BP after the nurse administer an antihypertensive medication. A nurse is caring for a client who has recently started using a behind-the-ear hearing aid. Which of the following statements should the nurse identify as in indication that she understands the use of this assistive device?In the fast-paced and ever-evolving world of healthcare, accurate and efficient documentation is crucial. Nurses play a vital role in patient care, and their ability to effectively chart patient information is essential for providing high-q...10 A nurse is caring for a client who has hypothyroidism. Which of the following manifestations should the nurse expect? constipation 11 A nurse is caring for a client …A nurse is caring for a client who has experienced a mild traumatic brain injury. Describe the manifestations of increased intracranial pressure the nurse should be alert for. The nurse should be alert for any reports of headache or blurred vision by the patient. The nurse should also be alert for any changes in level of conciousness, changes ...a nurse is caring for a client who is 5 hr post op following a transurethral resection of the prostate. the nurse notes that the clients indwelling urinary catheter has not drained in the past hour. which of the following actions should the …Solved by verified expert. 1.) "The client is experiencing nausea and vomiting" - Instead of causing a rise in potassium levels, nausea and vomiting might cause potassium loss. …A nurse is caring for a client who is postoperative and refuses to use an incentive spirometer following major abdominal surgery. Which of the following actions is the nurse's priority? b. Determine the reasons why the client is refusing to use the incentive spirometer. The first action the nurse should take when using the nursing process is to ...Sanction. Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who has an image of another client on her cell phone. The client states, "We have become friends while being in the hospital." What should be the nurses response?, A nurse is caring for a client who asks, "Can you take a picture of my cast ...Study with Quizlet and memorize flashcards containing terms like Prior to allowing a client to eat, which action is most important for the nurse to take?, A nurse is caring who has been prescribed a clear liquid diet. Which liquid can be included in the client's diet?, The client with dysphagia has a regular meal tray delivered at breakfast. Which is the best action for the nurse to take? and ... Oct 21, 2023 · The client weighs 40 kg(88lbs) and believes she is fat. Which of the following aspects of care should the nurse consider the first priority of care for this client? a- identify the client's nutritional status b- request a mental health consult c-plan a therapeutic diet for the client d- provide a structured environment for the client Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who has dyspnea, slight cyanosis, and a respiratory rate of 28/min. During which of the following phases of the nursing process will the nurse determine that the client has impaired gas exchange?, Administering oxygen therapy with a nonrebreather mask has …A nurse is caring for a client who has a partial laryngectomy and is receiving continuous internal feeding at 65 ml/hr through a gastrostomy tube. which of the following findings requires immediate intervention by the nurse? A. The gastric residual volume is 250 mL following two hours of infusion. B. The client is lying in a supine position. C.Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who needs to collect a midstream urine specimen. Which of the following actions should the nurse take?, A nurse is caring for a client who has a stage IIl pressure injury on the sacral area. Which of the following actions should the nurse take when obtaining a wound culture specimen from the ... Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a client hospitalized with acute exacerbation of chronic obstructive pulmonary disease. Which findings would the nurse expect to note on assessment of this client? Select all that apply. 1.A low arterial PCo2 level 2.A hyperinflated chest noted on the chest x-ray 3.Decreased …the development of the nursing care plan. The RN takes responsibility and ... When does a Nurse's Duty to a Patient Begin and End. Note: For the complete list ...Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who is to receive oxytocin to augment her labor. Which of the following findings contraindicates the initiation of the oxytocin infusion and should be reported to the provider? Late decelerations Moderate variability of the FHR Cessation of uterine dilation …. Nih stroke scale training and certification quizlet, Rooms for rent denver craigslist, Paleto forest car location, Hayabusa 0 100, Miller plonka funeral home obituaries, Pipis deltarune meaning, Faurot field virtual seating chart, Tranny massage sacramento, West palm adult search, Well i guess that's it video, Afterglow morgan wallen, Craigslist staples mn, Autotrader jeep wagoneer, Tamildhool bharathi kannamma, My borgess health patient portal, Last aetherium shard location, Reddit where to find free textbooks, Palace station cinebarre menu.