A nurse is caring for a client.

Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a 68-year-old patient admitted with abdominal pain, nausea, and vomiting. The patient has an abdominal mass, and a bowel obstruction is suspected. The nurse auscultating the abdomen listens for which type of bowel sounds that are consistent with the patient's …Answer and Explanation The Correct Answer is DA nurse is caring for a client who has a newly inserted nasogastric tube. Which of the following actions should the nurse use to verify the initial placement of the tube? A. Obtain an x-ray. B. Auscultate injected air. C. Take a pH measurement of gastric aspirate. D. Identify the color of gastric contents.A nurse is caring for a client who has a leg cast and is returning demonstration on the proper use of crutches while climbing stairs. Identify the sequence the client should following when demonstrating crutch use. A) Shifts weight from the crutches to the unaffected leg. B) Places body weight on the crutches.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.

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 ...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. It follows that if a patient refuses care, care cannot be given. To do so would be to infringe patient autonomy and to contravene the principles of consent. It ...

The nurse is caring for a client with a central venous catheter (CVC) who reports feeling nauseated and chilled. The nurse notes that the CVC insertion site is red and inflamed and that the client has a temperature of 102 F (38.8 C). Which new prescription from the health care provider should the nurse implement first?

ATI Wound Care Posttest. 5.0 (2 reviews) A nurse is documenting data about a deep necrotic wound on a client's left buttock. The nurse observes a yellowish-tan, soft, stringy area of necrotic tissue formed in clumps and adhering firmly to the wound bed. Which of the following assessment findings should the nurse document?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. Hemorrhagic strokes occur when bleeding occurs in the brain caused by the rupture of an aneurysm or arteriovenous malformation, hypertension and atherosclerosis, or trauma. A nurse is caring for a client who has aphasia following a stroke. A family member asks the nurse how she should communicate with the client.clients move through the health care system in a cost‑effective and time‑efficient manner. to effectively coordinate client care, a nurse must have an ...

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.

Study with Quizlet and memorize flashcards containing terms like A client who is 21 weeks pregnant is scheduled for an amniocentesis today. The client informs the nurse that her bladder feels full. which is the nurse's best response?, 3. RhoGAM, The biophysical profile (BPP) is an ultrasound assessment of fetal status along with a non-stress test (NST). A score of 2/10 will prompt to nurse to ...

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 unitStudy 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 ...The nurse on a telemetry unit is caring for a 54-year-old male client, admitted with chest pain, who has an arteriovenous (AV) fistula in the left arm for hemodialysis secondary to chronic kidney disease. For each intervention, click to specify if the intervention is indicated or contraindicated for this client.The nurse is caring for a client with asthma who has been administered albuterol in order to promote bronchodilation and relieve shortness of breath. When giving this medication, the nurse has affected the client's autonomic nervous system by: Correct response: stimulating beta2-receptors.A nurse is caring for a client at 37 weeks gestation. The client has gestational diabetes that is not well controlled. The nurse understands that the client is at risk for which of …

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.When a client does not wish to share his feelings with the nurse, it is important for the nurse to convey a willingness to be available for the client. a nurse is caring for a client who is postop and is exhibiting signs of hemorrhagic shock. the nurse notifies the surgeon, who tells the nurse to continue to measure the client's vital signs ...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 …Study with Quizlet and memorize flashcards containing terms like A nurse is planning care for a client who practices Mormonism. What are spiritual rituals and observances a culturally competent nurse can be aware of?, A community health nurse is identifying barriers to health care in her client population. Identify six (6) barriers to health care in a disparaged population?, A nurse is caring ...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.

A nurse is caring for a client who is terminally ill and receiving nutritional support. The client's adult children disagree about continuing nutritional support. The dilemma is …

Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a client with trigeminal neuralgia (tic douloureux). The care plan for this client reflects the client's problem eating due to jaw pain. To assist the client in meeting the adequate nutritional needs, what should the nurse suggest? A) Take small meals of nutrient and calorie-dense food. B) Increase the ... Study with Quizlet and memorize flashcards containing terms like A nurse is planning care for a client who practices Mormonism. What are spiritual rituals and observances a culturally competent nurse can be aware of?, A community health nurse is identifying barriers to health care in her client population. Identify six (6) barriers to health care in a disparaged population?, A nurse is caring ...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 ...Study with Quizlet and memorize flashcards containing terms like A nurse has just received report on four (4) clients. How can the nurse use the prioritization principle ""Acute over Chronic"" to help decide which client to assess first? Provide an example, A nurse is caring for a client who has experienced a mild traumatic brain injury. Describe the manifestations of increased intracranial ...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.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. Clinical judgment A nurse is caring for a client who has been wheezing. The nurse asks an assistive personnel (AP) to use a stethoscope and listen to the client's lung sounds to determine if their wheezing has improved. This is an example of which of the following concepts? Delegation of the wrong task

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 has a serum sodium level of 150 mEq/L. Which of the following actions should the nurse take? a. Increase sodium in the client’s diet b. Administer hypotonic IV fluids to the client c. Restrict the client’s oral fluid intake d. Administer a beta blocker. A nurse is caring for client who has Cushing’s disease.

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 …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 prescription for 5 units of regular insulin and 10 units of NPH insulin to mix together and administer subcutaneously. Determine the correct order of steps for this procedure. Inject 10 units of air into the bottle of NPH insulin. Inject 5 units of air into the bottle of regular insulin.Some facilities use restraint flow sheets to document and record the use of restraints, the monitoring of the client, the care provided and the responses of the patient who is restrained or in seclusion. When these flow sheets are not used, the nurse must document all monitoring and care elements in the progress notes.The nurse caring for a group of client's on the cardiac floor, the nurse should immediately follow upon the client who is. A. receiving diltiazem for AFIB and has a decrease in systolic bp from 148 to 123mmhg. B. being treated for AFIB with an amiodarone drip analysis to have dysarthria.22 thg 1, 2021 ... Private Nurses help people with disabilities, chronic illness, or cognitive impairment to assist in keeping clients socially and physically ...Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client at home who is receiving parenteral nutrition. The nurse notes that the client has gained 6 pounds since last weeks visit. Which of the following assessments will the nurse prioritize as a result of this finding? A. ask about increased thirst B. Auscultate lungs and check for crackles C. Check ... Nursing is a demanding and rewarding profession, and nurses are essential to the health care system. As such, it’s important to understand the pay rate for nurses so you can make an informed decision about your career. Here’s what you need ...A nurse is caring for a client at 37 weeks gestation. The client has gestational diabetes that is not well controlled. The nurse understands that the client is at risk for which of …In some cases cancer can be considered a chronic disease, and with that the patient and their family will be hospitalized throughout their disease trajectory.

A nurse is reviewing the health care record of a client admitted to the psychiatric unit. The nurse notes that the admission nurse has documented that the client is experiencing anxiety as a result of a situational crisis. The nurse would determine that this type of crisis could be caused by: The death of a loved one.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.A 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 1 thg 1, 2023 ... NCLEX-RN Management of Care: Answering questions that involve assigning a patient to a float nurse. · Comments9.Instagram:https://instagram. taco bell cercalamp stores fort lauderdaleremote jobs hiring immediately miamifree gay massage videos clients move through the health care system in a cost‑effective and time‑efficient manner. to effectively coordinate client care, a nurse must have an ...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. zillow wilton manorsriver erriff gear a nurse isa caring for a client who has a central venous catheter and develops acute shortness of breath. which of the following actions should the nurse take first? asthma. a nurse is caring for a client who has hypertension and asks the nurse about a prescription for propranolol. the nurse should inform the client that this medication is ...Oct 21, 2023 · Terms in this set (33) Ask the client when she last voided. A nurse is caring for a client who reports that her last menstrual period (LMP) began on July 8. Based on Nagele's rule, which of the following is the client's expected date of birth (EDB)? April 15. A nurse is reinforcing teaching about oxytocin with a client who is in the third ... dog bather jobs A nurse caring for a client is using active listening skills. Which of the following actions should the nurse take? Use intermittent eye contact. A nurse accidently administers the wrong medication to a client, which results in a severe allergic reaction and prolongs the client's hospitalization. The nurse participating in a client care conference with other health team members is discussing the condition of a client with adult respiratory distress syndrome (ARDS). The primary health care provider states that because of fluid in the alveoli, surfactant production is falling.