The client returns to the ICU after surgery intubated and mechanically ventilated with a Salem sump nasogastric tube, a Foley catheter, and a PICC line in place. pain of nerves: neur \_________________________. Last bowel movement 5 days ago. Pour the liquid into a sterile container within the sterile field. The client is surprised at this finding, since he enjoys generally robust health. A nurse is caring for a 17-year-old client who is experiencing a relapse of leukemia and is refusing treatment. When planning care for a client in the postoperative period, prioritize nursing diagnoses in the sequence from highest to lowest priority? Select all that apply. The average drag force is 110 N. What average power is required of the swimmer? . A general neurologic examination of a client with complaints of fever, chills, neck stiffness, and irritability confirms meningitis. The nurse is caring for a client scheduled for removal of a pituitary tumor using the transsphenoidal approach. 55. Which of the following play activities should the nurse recognize is therapeutic in helping the child deal with the injection? Morphine 6 mg IV bolus every 4 hours PRN is prescribed. A nurse is assessing a client for signs and symptoms of infection. an older adult client with a history of heart failure. During a teaching session, the nurse appropriately recommends that the pouch be emptied Correct Answer: when it is 1/3 to 1/2 full Rationale: If the pouch becomes more than half full it may separate from the flange 5. What postoperative difficulties can the nurse anticipate for this patient? A parent of a toddler asks a nurse at a well-child visit how the child's frequent temper tantrums can best be handled. The primary care provider orders a computed tomography (CT) examination of the chest. $$ b. The nurse assesses fluid leaking from the ears which tests positive for glucose. A nurse is providing teaching to the parent of an infant who has gastroesophageal reflux. On assessment, the nurse notes that the abdomen is distended and bowel sounds are diminished. A nurse is caring for a client in the PACU after surgery requiring general anesthesia. The nurse is conducting a preoperative assessment on a client scheduled for gallbladder surgery. Which result supports this concern? A. When collecting the client's vital signs, the nurse notes her rectal temperature to be 103.1F (39.5C). What is the priority action by the nurse? Lower the head of the bed. A. The nurse should understand that these actions are developmentally appropriate at which of the following ages? Which could be the consequence of an injury close to where the brain and spinal cord connect? What portion of the brain would the student review? Each outlet has the same diameter as the inlet, and the air at these outlets has a pressure of $1.4 \mathrm{~MPa}$ and a temperature of $36^{\circ} \mathrm{C}$. Assume the variables x = 5, y = 6, and z = 8. The nurse should suspect which of the following conditions? Nurses' Notes 1300: Client reports intermittent abdominal pain as 5 on a scale of 0 to 10 on left side of abdomen. Which of the following statements should the nurse make? Which nursing action is appropriate? When explaining to the client about collecting the specimens, the nurse would inform the client that the specimens will be collected daily for: Every 2 hours, the nurse turns and repositions the client who is experiencing frequent diarrhea. Corticosteroids have which effect on wound healing? This action supports, among other things, infection prevention. A nurse is caring for a client who is taking phenytoin (Dilantin) for control of seizures. The nurse is caring for a postoperative client who develops evisceration of the abdominal incision. When preparing a sterile field, the nurse notes that the bottle of sterile saline was opened 48 hours ago and is half full. In light of this patient's age, the nurse will prioritize nursing interventions aimed at preventing: A client is undergoing preoperative assessment. Emptying the Foley catheter bag of a client with VRE and then helping the client in the next bed transfer to a chair without washing hands between contact. Endoderm and mesoderm are formed by the migration of cells down into the ______ of the embryonic disc. (D) Urea makes lungfish tissue hypoosmotic to the pool. Examination of a client's bladder stones reveal that they are primarily composed of uric acid. A. D. Initiate the use of a PCA pump for pain control. The nurse is assessing a client who presented to the clinic reporting migraine headaches. A nurse is admitting a child who has leukemia and a critically low platelet count. (Assume that neither the passenger nor the cab rebounds.) Select all that apply. Apply and release elbow restraints every hour. A nurse is planning care for a 10-month-old infant who is 8 hr postoperative following cleft palate repair. An instructor is developing for a class a teaching plan about agents used for intravenous (IV) anesthesia. The nurse is caring for a client after hypophysectomy and notes clear nasal drainage from the client's nostril. Both of the child's parents have a smoking history. The visitor states, "I need to directly hold my loved one's hand without a barrier." Available amoxicillin 250mg/5 mL. An older adult client tells the nurse, "I do not understand why I have had so many episodes of infection lately." The nurse is caring for a postoperative client who has a Kock pouch. Select all that apply. The nurse assesses a client to determine if there is increased risk for complications intraoperatively or postoperatively. After reviewing the image, what is the most important step for the nurse to take? Select all that apply. The nurse is caring for a client admitted to the hospital after sustaining a severe head injury. The client lacks signs and symptoms of infection but microorganisms are present. Wear a mask when working within 3 feet of the client. Which intervention should the nurse implement first? A nurse is teaching a parent of a 2-year-old about safe food choices. The nurse should suspect which of the following disorders? Record your answer using a whole number. Inspection of his mouth reveals a white, milky plaque that does not come off with rubbing. What is the nurse's next action? Which of the following information should the nurse include in the teaching? A nurse is caring for a 55-year-old postoperative client. Which action, made by the nursing assistant, would require instruction? Which technique is recommended by infection control practice standards for hand hygiene? When preparing a sterile field, the nurse notes that the bottle of sterile saline was opened 48 hours ago and is half full. Edwin F. Bartholomew, Frederic H. Martini, Judi L. Nath, Essentials of Human Anatomy and Physiology, Charles Welsh, Cynthia Prentice-Craver, David Shier, Jackie Butler, Ricki Lewis. Which of the following findings should the nurse expect? There is no visible soiling on the nurse's hands. Upon auscultation, the nurse notes rhonchi throughout the right lung, with an occasional expiratory wheeze. C restriction enzymes. Which of the following is a characteristic of a normal stoma? Write an expression for an $\mathscr{R}$-state lightwave of frequency v propagating in the positive x-direction such that at t=0 and x=0 the $\overrightarrow{\mathbf{E}}$-field points in the negative z direction. What is the appropriate nursing intervention? A nurse is caring for a client who underwent a skin biopsy and has three stitches in place. Which care intervention should the nurse anticipate when providing care to a client admitted with a possible diagnosis of tuberculosis (TB)? A nurse in a pediatric clinic is caring for a child who has iron deficiency anemia and a new prescription for ferrous sulfate tablets. Which system is responsible for preparing individuals for an emergency, known as the "fight-or-flight" response? The client tells the nurse, "I am nervous about my upcoming EEG because I am afraid the shocks will hurt." D. Expect that food consumption might not decrease significantly. Acts as shock absorber for brain and spinal cord, Is a chronic, progressive disease affecting the dopamine-producing cells of the brain. The total distance between stations is $900 \mathrm{~m}$. The nurse understands that a change in which part of the brain is responsible for changes in the client's ability to perceive sensation? An 11-year-old client is admitted to the healthcare facility with loss of sensation, generalized weakness of the extremities, and impaired bowel and bladder function. Which of the following actions should the nurse take? A nurse is teaching a parent of a child who has hemophilia how to control a minor bleeding episode. What is the primary action taken by the nurse? The appropriate nursing intervention is which of the following? A nurse is assessing an adolescent who has an exacerbation of Graves' disease. A nurse prepares to suction a client's tracheostomy tube. A client with a T6 injury reports a pounding headache, blurred vision, and nasal congestion. Teach the parents about cortisol replacement therapy. You are doing a preoperative assessment on a patient going to surgery. After wound care, the doctor writes an order for Tdap (Tetanus-diphtheria-pertussis) vaccination. What is the best response by the nurse? A nurse is assessing a toddler who has suspected lead poisoning. Facilitate a portable x-ray in the client's room rather than transporting the client. Select all that apply. A nurse is caring for a client with a neurologic problem who has been advised to have an electroencephalogram (EEG). A nurse is caring for a client who reports a loss of sense of smell. What data obtained by the nurse is indicative of this damage? Which of the following measures should the nurse employ when providing postoperative care for this client? The client's vital signs are Temp 97.2F, HR 105, RR 24 and BP 110/50. A client for whom transmission-based precautions are required is experiencing sensory deprivation. Select all that apply. "As we age, our immune system does not function as well.". Which finding requires priority action? The nurse is caring for an older adult with a recurrent wound infection. A nurse is wearing a cover gown. Which of the following actions is the nurse's priority? "Limit contact with large groups of people." = A nurse is caring for a client who is 24 hr. During the surgical procedure, the client exhibits tachycardia, generalized muscle rigidity, and a temperature of 103F. Move the bed to various places in the room or periodically rearrange the furnishings in the room. \underline{~~~~~~~~~~~~~~~}~~~~~~~~~~~~~~~~~~~~~~~\text{HIO}_3 The goal of postoperative care is to ensure that patients have good outcomes after surgical procedures. What action does the nurse take to ensure that the saline used is sterile? What statement made by the client demonstrated understanding of the education? Which would be the nurses' best action? A client refuses to remove her wedding band when preparing for surgery. b) The rock solidified at great depth.\ How will the nurse document this condition? Which nursing actions will be performed to assist in the prevention of health care-associated infections (HCAIs)? Which of the following provider prescriptions should the nurse clarify? A. What interview questions would the nurse ask the client? How will the nurse likely respond? Discard the bottle and get a new one because the saline has expired. Which precaution is the priority when collecting and delivering the specimens to the laboratory? A client is brought to the operating room for an elective surgery. The most common presenting objective symptoms of a urinary tract infection in older adults, especially in those with dementia, include? This wound is healing by: 1- first intention. What lobe of the cerebral cortex is largely responsible for the ability of humans to achieve higher levels of mental functioning and is also involved with motor functions that direct body movements? A nurse is caring for a client with multiple sclerosis (MS). See Lumbar Puncture previously mentioned. Con sider a hypot hetic al case in which the charge on a proton is twice that of an electron. Using thi s hypothetical case, and the fact that atoms maintain a charge of 0, how many protons , neutron s, and electrons would a pot ass ium-39 atom contain ? A major goal when caring for a catheterized patient is to prevent infection. A nurse is providing teaching to an adolescent who has type 1 diabetes mellitus. A 70-year-old elderly patient is admitted to the preoperative unit for a liver resection that is scheduled for 6 hours of surgery. The nurse observes clear fluid leaking from the nose. \underline{~~~~~~~~~~~~~~~}~~~~~~~~~~~~~~~~~~~~~~~\text{HClO}_2 See also Preoperative care . When should the client stop taking the aspirin before the surgery? A client with cancer has been receiving chemotherapy for the past few weeks. **Summarize** the difference between mafic and felsic magma. When a client with an indwelling urinary catheter wants to walk to the hospital lobby to visit with family members, the nurse teaches him how to do this without compromising the catheter. The nurse knows what to be true of fever in young children? The client returns to the ICU after surgery intubated and mechanically ventilated with a Salem sump nasogastric tube, a Foley catheter, and a PICC line in place. As a circulating nurse, what task are you solely responsible for? Correct- Young children often have a vigorous immune response to infection and thus high fevers. Description. Which factor has contributed to resistant microbial strains? A client is administered succinylcholine and propofol for induction of anesthesia. A nurse is assessing a child and notes several bruises. How will the team proceed with care? What is your response to her situation as ordered by the physician? Medulla passes through the foramen magnum (great hole) in the occipital region of the skull; it lies just below the pons and rests on the floor of the skull. Person A is stationary on the dock. A nurse is caring for a client with a head injury caused by a bicycle accident. "Temper tantrums are the toddler's attempt to gain control of a situation.". $$ What would be the best action by the nurse? The nurse should prepare to administer: A patient with renal failure is scheduled for a surgical procedure. What precautions should the nurse take when caring for this client? Which of the following signs/symptoms is diagnostic for bladder cancer? AKA Spinal tap, involves the insertion of a hollow needle with a stylet (guide) into the subarachnoid space of the lumbar region of the spinal canal. Julie S Snyder, Linda Lilley, Shelly Collins, Introduction to Maternity and Pediatric Nursing, Write the correct answer in the middle column.\ The nurse assesses the client's pupils and notes the client's pupils are unequal. Which client would require a negative flow room? (autonomic hyperreflexia) an exaggerated response to stimuli below the level of the lesion in the clients with lesions at or above T6, medical emergency that requires prompt treatment. Select all that apply. A nurse is caring for a client with streptococcal pneumonia. What does the nurse do first? Which of the following is the best response by the nurse? a. A nurse who has provided care in perioperative settings for many years has seen first-hand the trend toward increasing numbers of surgical procedures being performed in ambulatory surgical centers and on an outpatient basis. A healthcare provider performs the LP under strict sterile procedure. A nurse has finished providing care for a client who is on contact precautions. The nurse overhears the physician instructing the client on the presence of a stoma with temporary pouch. B. Which of the following manifestations should indicate to the nurse that the child's appendix is perforated? What complication is the nurse aware of that is associated with deep venous thrombosis? An 83-year-old resident of an extended-care home has begun displaying uncharacteristic confusion over the past 48 hours and is suspected to have a new infection. Select all that apply. Which would be the appropriate action to take to maintain a sterile field? A client with nausea and vomiting is to receive an antiemetic that inhibits the vomiting center in the brain. Air flowing at 40 kPa, 210 K, and a Mach number of 3.4 impinges on a two-dimensional wedge of half-angle $8^{\circ}.$ Determine the two possible oblique shock angles, $\beta_{\text {weak}}$ and $\beta_{\text {wrong}}$ that could be formed by this wedge. Which of the following should be the primary medical management goal? Place the procedure steps in correct order. What does the nurse consider is the most likely cause of the client's change in condition? In the morning after arising c. 60 minutes before breakfast d. At bedtime on an empty stomach >>See answer and rationale<< 177. \text{BrO}_2^-~~~~~~~~~~~~~~~~~~~~~~~~~~~~~\underline{~~~~~~~~~~~~~~~} 3. Which surgical team member would be most helpful in addressing the client's concern? The nurse is preparing to don sterile gloves for a procedure that requires surgical asepsis. There are four stages of general anesthesia. In which situation is an alcohol-based rub an inappropriate option for hand hygiene? Case study The nurse is caring for a 52-year-old client who has experienced a complex lower leg fracture that needed surgical repair and is now immobilized. What action by the student would alert the nurse to provide additional teaching to the student? Both of the child's parents have a smoking history. What is the priority action by the scrub nurse when the surgeon begins to close the surgical wound? This nurse also has another client today who has an upper respiratory infection. Resources 2- second intention. B plasmid transformation. The nurse is caring for a 75-year old client on the first post-operative day following a mitral valve replacement due to mitral stenosis.The nurse has identified the following potential complications and developed a nursing diagnosis and goals for each potential complication. What priority measures to avoid cross-contamination should the nurse provide? The nurse is caring for a postpartum mother who delivered her second child yesterday. The nurse is admitting a 55-year-old male patient diagnosed with a retinal detachment in his left eye. The client has had only 30 ml urine output since arriving to the What is the magnitude of the impulse on the passenger during the collision. Which of the following actions should the nurse take? A nurse in a pediatric unit is talking with the mother of a preschool-age child. **Complete the medical term, based on its meaning as provided. What means of transmission do nurses use transmission barriers to protect themselves from? Which of the following statements should the nurse include in the teaching? "Bring your baby in to the clinic today.". A nurse is assessing a preschooler who has a calcium level of 8.0 mg/dL. What is the most common first symptom of a malignant tumor of the bladder? What area does the nurse know needs to be addressed before the client is taken to the operating room? Continue to observe the drainage. When the nurse's hands are visibly soiled. A client is scheduled to undergo surgical creation of an ileal conduit. It is now 16:30. Find True or False for the the following conditions: Meningitis is diagnosed based on a general neurologic examination that includes two special neurologic signs: Electroencephalography records the brain's electrical impulses as a graph. Which of the following statements by the parent indicates an understanding of the teaching? The Glasgow coma scale (GCS) is commonly used as a broad indicator of the severity of brain injury. (Select all that apply.). The nurse is caring for an older adult with pneumonia. A client with chronic alcoholism and late-stage cirrhosis of the liver has significant damage to Wernicke's area. A cataract is an opacity of the lens that distorts image projected onto the retina and that can progress to blindness. What cranial nerve does the nurse determine has been stimulated? Which action should the nurse prioritize and initiate after receiving the results of the laboratory test indicating the client has methicillin-resistant Staphylococcus aureus (MRSA) infection? The nurse is educating a client with human immunodeficiency virus (HIV) about ways the virus can be transmitted. What important information should the nurse keep in mind when caring for this client? A nurse is implementing the principles of surgical asepsis while inserting a client's indwelling urinary catheter. Describe three characteristics of ctenophores. Which of the following instructions should the nurse provide the parents regarding administration of this medication? Preoperatively identifying a patient's individual needs and comorbidities can assist in this process. A polymerase chain reaction. The client returns to the ICU after surgery intubated and mechanically ventilated with a Salem sump nasogastric tube, a Foley catheter, and a PICC line in place. The expression of thousands of genes at one time The appropriate nursing action is: Which of the following clinical manifestations increase the risk for evisceration in the postoperative client? Which assessment finding requires immediate nursing intervention? Question: A nurse is caring for a 9-year-old client who is immediately postoperative. The neuron is the basic structural and functional cell of the nervous system. What important measure should the nurse take when providing postoperative care for this client? What is the nurse's priority action? Which statement by the client provides evidence that client teaching was effective? What is the nurse's best response? For which effect should the nurse monitor the client who has had a stroke? Which precautions will the nurse begin? The mother states her older child has just been diagnosed with chickenpox. Is an x-ray study of any blood vessel. A client with urinary tract infection is prescribed phenazopyridine (Pyridium). The nurse observes profuse sweating above the level of injury. A nurse is collecting data from a child who is descending stairs by placing both feet on each step and holding on to the railing. Write one possible RNA sequence that codes for the following amino acids: aspartic acid-glutamine-tryptophan. Which would be considered significant blood exposures by occupational health? The nurse is preparing to apply a prescription ointment to the client's wound. The emergency room nurse is caring for an unconscious 6-year-old girl who has had a severe closed-head injury and notes the following changes in her vital signs. Select all that apply. Which of the following amounts of urinary output should indicate to the nurse that the treatment has corrected the fluid imbalance? The compressed air enters this $2.5-\mathrm{cm}$ diameter fitting at $1.6 \mathrm{~MPa}$ and $40^{\circ} \mathrm{C}$ with a velocity of $50 \mathrm{~m} / \mathrm{s}$. \text{ClO}^-~~~~~~~~~~~~~~~~~~~~~~~~~~~~~\underline{~~~~~~~~~~~~~~~} A nurse is assessing a child who is in sickle cell crisis. Which of the following nursing diagnoses would be a priority for this patient? A nurse is planning care for an adolescent who has scoliosis and requires surgical intervention. The client states, "I'm really nervous about this surgery. A post op client reports severe abdominal pain. (A) Urea takes less energy to synthesize than ammonia. A nurse is providing teaching about iron deficiency anemia to the parents of a toddler. A. The car's mass is $1150 \mathrm{~kg}$. What outcome does the nurse anticipate if the diagnosis is confirmed? The child reports soreness in his mouth and refuses to eat. A. In which case is this practice contraindicated? A 17-year-old client is having same-day surgery. It is located below the thalamus is also part of the diencephalon, Is a long mass of nerve cells and fibers extending through a central canal on the dorsal side (back of the body). The nurse notices the client is tearful and constantly wringing their hands. The nurse advises the patient with chronic pyelonephritis that he should: A woman comes to her health care provider's office with signs and symptoms of kidney stones. C. "I give my child aspirin to reduce his fever.". A nurse is reviewing the charts of clients in the hospital ward and knows that airborne precautions are required for which of the following? The nurse is caring for a client admitted with tuberculosis (TB). d.The nurse is caring for a client with a C. difficile infection. Which assessment finding is most suggestive of a malignant tumor of the bladder? The patient informs you that he drinks six to eight beers each day and has for the last 15 years. the client returns to the icu after surgery intubated and mechanically ventilated with a salem sump nasogastric tube, a foley catheter, and a picc line in place. The nurse is reviewing the plan of care for assigned clients. A nurse is assisting a neurosurgeon in performing positron emission tomography. $$ A nurse is caring for a toddler who is 24 hour postoperative following a cleft palate repair. The nurse witnesses a client having a tonic-clonic seizure in the bed. Inspection of his mouth reveals a white, milky plaque that does not come off with rubbing. B. Place the following steps in the order that the nurse should take when donning sterile gloves. Request that a respiratory therapist discuss the technique for incentive spirometry with the client. What measurement should the nurse report to the physician in the immediate postoperative period? What is the patient most likely experiencing? A nurse participating in lead screening at a community center. A client in the emergency department waiting room is showing signs of respiratory symptoms. What is the most important factor to prevent this infection? The nurse is completing a preoperative assessment. A nurse is caring for a child who has acute gastroenteritis but is able to tolerate oral fluids. What nursing interventions are appropriate to decrease HCAIs? Six mutually exclusive alternatives, A-F, are being examined. Obtain a culture of the drainage. A nurse is caring for a 68-year-old client who is 2 days postoperative following surgical repair of a left hip fracture. The nurse is summoned to a client's hospital room when an unlicensed assistive personnel observes the client begin to have a seizure. A client with chronic pain reports severe pain postoperatively. Before providing preoperative and postoperative instructions to the client, nurse Gail asks the surgeon which prostatectomy procedure will be done. The nurse reports that according to documentation, no drainage has been recorded. A nurse is caring for a 2-month-old infant who is postoperative following surgical repair of a cleft lip. 1. Which finding is an early indicator of bladder cancer? The client tells the nurse, "I think I'm going to be sick." Which of the following findings should the nurse expect? Also called vascular headaches. The nurse suspects that the client is experiencing which type of incontinence? The client reports a frequent cough producing green sputum for 3 days and denies fever. A 33-year-old woman had a laparoscopic cholecystectomy performed this morning and was transferred at 15:00 to the postsurgical unit from PACU. A nurse is working with a 55-year-old woman diagnosed with human immunodeficiency virus (HIV). Select all that apply. The nurse is preparing to don sterile gloves for a procedure that requires surgical asepsis. Which strategy should the nurse include when responding to the client? "Encourage your child to avoid sharing hats with other children.". The nurse is caring for a client diagnosed with bladder cancer and requiring a cystectomy. At what point should a nurse normally administer antiemetics to a surgical patient? Perform hand hygiene before and after entering the client's room. A 55-year-old patient arrives at the operating room. Select all that apply. The nurse is caring for a client who is scheduled for the creation of an ileal conduit. What essential information does the nurse need to explain to the visitor to prevent transmission of the organism? 2. The nursing student is reviewing the neurologic system and desires to know what portion of the brain is vital to human functioning due to its ability to regulate homeostasis. The client received general anesthesia for the procedure and has opioid pain medications prescribed. After teaching a patient scheduled for ambulatory surgery using moderate sedation, the nurse determines that the patient has understood the teaching based on which of the following statements? The nurse has finished caring for a client on contact precautions. The nurse should anticipate providing which of the following types of fluid? 1 The nurse positions the client in the lithotomy position in preparation for 1- Renal surgery 2- Pelvic surgery 3- Perineal surgery A nurse is caring for a school-aged child who has a systemic disorder and is receiving antibiotics, immunosuppresants, and corticosteroids. Which of the following is the appropriate response to the statement, "I'm so nervous about my surgery"? Offer the family member a mask, explaining its use. What are benefits of a cover gown? A nurse is caring for a client who underwent a skin biopsy and has three stitches in place. Which of the following instructions should the nurse include in the teaching? In MS, the myelin sheath covering the nerves is destroyed. What is the best respirator mask for this nurse? What action should the nurse prioritize at this point in the patient's care? The client reports a sudden loss of appetite with no apparent cause. a. When the nurse finishes on the telephone, she goes to assess the client. Which response by the nurse is most appropriate? A child is admitted with a suspected diagnosis of Wilm's tumor. The nurse is reviewing the medical record and notes that the patient has a history of osteoporosis in her lower back and hips. Intracranial pressure is the pressure that the brain, blood, and CSF exert inside the cerebrospinal cavity. What is the chemical released by the axon that enables nerve impulses to cross the synapse and reach the dendrites? Which test should the nurse expect the healthcare provider to order to confirm brain death in this client? Carefully open the inner package taking care not to touch the inner surface of the package or the gloves. 4. Which of the following should the nurse recognize as the most reliable indicator of fluid loss? The nurse has worn a gown and gloves while caring for a client in contact isolation. A client has an inguinal hernia repair and later develops a methicillin-resistant Staphylococcus aureus (MRSA) infection. A client who is having a colonoscopy and suddenly the client's heart rate drops from 72 beats per minute (BPM) to 52 BPM. Which conditions are the effects of aging on the nervous system? What assessment findings would be a priority for the nurse to alert the provider? A nurse is caring for a 55-year-old client with a left-sided stroke. Nursing assessment findings reveal abdominal pain, absence of bowel sounds, fever, tachycardia, and tachypnea. An unconscious patient with normal pulse and respirations would be considered to be in what stage of general anesthesia? What important consideration should the nurse keep in mind when providing care to such a client? To prevent pneumonia and promote the integrity of the pulmonary system, an essential postoperative nursing intervention includes: Nursing students are reviewing information about agents used for anesthesia. The client begins to complain of increased abdominal pain and begins to vomit. A nurse is providing teaching to a parent of a child who has Hirschsprung disease and is scheduled for initial surgery. A nurse is providing nutritional teaching to the mother of a preschooler and is recommending food options to provide 1 oz of grains. What important steps should the nurse follow when providing care for this client? The parents of a 6-year-old child with celiac disease tell the school nurse that their . What does the nurse understand about the client's symptoms? A nurse is caring for a 2-month-old infant who is postoperative following repair of a cleft lip and palate. D. Administer prednisone on an alternate-day schedule. What condition might increased ICP indicate? 176. Which would be considered significant blood exposures by occupational health? Which of the following should the nurse recommend as a method of preventing iron deficiency anemia? The nurses are collecting the contaminated material as per the double-bagging method. A client comes to the clinic for a follow-up visit. Assuming the tension $T$ in the cord to remain constant, $(a)$ write the differential equation of motion of the ball, $(b)$ determine the period of vibration. C. Provide a passive range of motion three times a day. d) The magma had abundant dissolved gas. The healthcare provider confirms the diagnosis of acute transverse myelitis. Which nursing action is a component of medical asepsis? Which of the following instructions should the nurse give to the parent? A new scrub technician is being oriented to the operating room. The nurse has to initiate precautions for the client. Use a sterile cotton-tipped applicator to apply the prescription to the site. Julie S Snyder, Linda Lilley, Shelly Collins, Medical Assisting: Administrative and Clinical Procedures, Complete the following list by filling in the missing oxyanion or oxyacid for each pair. Approximately how many feet from others should the nurse tell the client to maintain? D. The buttocks is elevated slightly off the bed. Select all the nursing actions that apply. A nurse at a pediatrician's office is contacted by a parent whose child just ingested half a bottle of vitamins with added ferrous sulfate. One of the parents of the child becomes upset and demands to know the reason for the nurse's action. Nurse caring for a client who is postoperative and has a prescription for a clear liquid diet, Nurse enters the room to find he has just received a dietary tray, which item should the nurse remove from the tray? Which client has the highest risk for developing an infection? A rehabilitation nurse is caring for an elderly client with a neurologic disorder. What does the nurse recognize that this client is experiencing? A nurse is caring for a 4-year-old child who has a new diagnosis of diabetes mellitus and is distressed after an insulin injection. The surgical client is at risk for injury related to positioning. The students demonstrate understanding of the information when they identify which cell as important in synthesizing immunoglobulins? $$. Which steps must be followed when using the double-bagging method? The nurse is caring for a 6-year-old who is postoperative open right tibial fracture reduction with cast placement. Which type of transmission precautions should the nurse follow when caring for the client? A nurse is required to document the neurologic assessment of a client with recent head trauma. A nurse is caring for a client, age 4 months, following surgical repair of a tracheoesophageal fistula. The nurse recognizes that written informed consent is required for insertion of a(n): Clients who have received corticosteroids preoperatively are at risk for which type of insufficiency? The nurse reminds the visitor of a client with an antibiotic-resistant infection that gloves are necessary. The nurse is caring for four clients on a medical-surgical unit.. Which of the following instructions would the nurse give the client? Apply a nonparticulate (N-95) respirator when entering the room. A nurse is providing health promotion teaching to the parents of an infant. The nurse is caring for an older adult with influenza. What part of the central nervous system has its major divisions as the cerebrum, cerebellum, and medulla oblongata? The client is infected with a strain of Streptococcus pneumonia, which is particularly prone to cause infections, also referred to as what? Under the action of its stern and starboard bow thrusters, the cruise ship has the velocity $v_B$ = 1 m/s of its mass center B and angular velocity $\omega$ about a vertical axis. $$. \begin{matrix} \text{ } & \text{Initial Cost} & \text{Uniform Annual Benefit}\\ \text{A} & \text{\$20} & \text{\$ 6.00}\\ \text{B} & \text{35} & \text{9.25}\\ \text{C} & \text{55} & \text{13.38}\\ \text{D} & \text{60} & \text{13.78}\\ \text{E} & \text{80} & \text{24.32}\\ \text{F} & \text{100} & \text{24.32}\\ \end{matrix} When developing a teaching plan for a patient scheduled for ambulatory surgery with epidural anesthesia, which of the following would the nurse include? The client is preparing for cerebral arteriogram and makes the following statements. A nurse in an emergency department is caring for an infant who has a 2-day history of vomiting and an elevated temperature. Multiple Choice Q09 1. Based on this information, what type of precautions should the nurse initiate and review the procedures with staff members? \text{ClO}_4^-~~~~~~~~~~~~~~~~~~~~~~~~~~~~~\underline{~~~~~~~~~~~~~~~} They open in the back to reduce inadvertent contact with the client and objects. Which of the following would the instructor include in this plan about these agents and this type of anesthesia? The nurse cannot auscultate bowel sounds and notes the client's abdomen is rigid. A nurse is caring for a client who is three hours post op from open abdominal surgery. For each case, calculate the pressure and Mach number downstream of the oblique shock. The students demonstrate understanding when they identify which of the following as an inhalation anesthetic? (B) Small, stagnant pools do not provide enough water to dilute ammonia, which is toxic. The nurse caring for a patient who is at risk for malignant hyperthermia subsequent to general anesthesia would assess for the most common early sign of: A physician calls the nurse for an update on his client who underwent abdominal surgery 5 hours ago. $$ The nurse is caring for a client with a colostomy pouch. The nurse should apply which of the following types of restraints for this infant? A nurse is caring for a 55-year-old post-operative client. A client comes to the emergency department reporting becoming very ill after consuming shrimp and lobster. Which of the following findings should the nurse expect? The nurse uses a small amount of sterile solution from a large, multiuse bottle to moisten gauze in a sterile field. "If someone is exposed to my blood, I may transmit the virus to him or her.". A nurse is providing teaching about lice to the parents of a school-age child at a well-child visit. How many years must have elapsed for the client to require this shot? use of antibiotics in clients with viral infection. Which of the following instructions should the nurse include in the teaching? Dendrites are short, highly branched extensions of the cell body. Which nursing diagnosis is appropriate for the client with a new ileal conduit? The nurse knows that adequate preoperative teaching and learning is important for what reason? A nurse is caring for a 55-year-old post-operative client. See Page 1. Which of the following should the nurse include in the teaching? Which of the following assessments is the nurse's priority? Each alternative has a 6-year useful life. What should the nurse do first? Which of the following findings should the nurse expect? The nurse is assisting the client in using the Clinitron special bed. They are specialized to respond to electrical, chemical and physical stimuli (EX: pain, pressure, hot/cold), and messages are conducted and transferred through them (neurotransmission). The client returns to the ICU after surgery intubated and mechanically ventilated with a Salem sump nasogastric tube, a Foley catheter, and a PICC line in place. Which of the following actions should the nurse take? $$ The nurse is concerned about infection and is reviewing the white blood cell count (WBC) in the chart. Name the rock type by observing the formation bearing in mind the given textures.\ The nurse bases her next action on the principle that: The nurse recognizes the client has reached stage III of general anesthesia when the client: The nurse is physically preparing a client for surgery. Turn, cough, and deep breathe every 30 minutes around the clock. The nurse is obtaining a health history from a client describing urinary complications. "Please get a mask from the staff upon entry and use a mask along with hand hygiene when visiting to prevent the spread of infection to your friend and others.". Hand hygiene is needed after contact with objects near the client. Nursing care planning for patients who underwent prostatectomy includes: maintaining homeostasis and hemodynamic stability, promoting comfort, preventing complications, and providing information about the procedure, prognosis, and treatment. $$ Which of the following findings should the nurse expect? $(a)$ Sketch a graph of the velocity $v_x$ as a function of time over the full journey. Myelin maintains electrical impulse strength. Which finding would the nurse identify as the most common initial symptom? How should the nurse respond? Select all that apply. What velocity and acceleration of A are observed by a passenger fixed to and rotating with the ship? A 79-year-old man is scheduled for surgical repair of an inguinal hernia. Select all that apply. Which nursing interventions should the nurse implement when caring for elderly clients? D. It is not necessary to worry about complications of immobility on the first postoperative day. A patient is in the operating room for surgery. The nurse is receiving a confused client with a draining wound onto the medical-surgical unit. Encourage the parents to rock the infant. The nurse should place a sign with which of the following warnings over the child's bed? A nurse is assessing a child who has nephrotic syndrome. A nurse is planning care for a client who ingested a large amount of acetylsalicylic acid. Cover the wound with a sterile, saline - soaked dressing 4. An ileal conduit is created for a client after a radical cystectomy. e. an older adult client with a history of heart failure. Which client has the highest risk for developing an infection? A nurse prefers to use an alcohol-based hand rub when providing care for clients. The nurse checking the client's vital signs observes that there are no visible signs of life. Standard precautions apply to blood; all body fluids, secretions, and excretions; and intact and nonintact skin and mucous membranes. Select the stage during which the OR nurse knows not to touch the patient (except for safety reasons) because of possible uncontrolled movements. Patricia O'Connor, a 17-year-old high school student, is returning to the medical-surgical unit where you practice nursing from surgery. The circulating nurse must be vigilant in monitoring the surgical environment. The nurse expects informed consent to be obtained for insertion of: The nurse recognizes that the older adult is at risk for surgical complications due to: The nurse recognizes older adults require lower doses of anesthetic agents due to: The client asks the nurse about ways to control pain other than taking pain medication. She is concerned her newborn will develop the disease. Which disease does the client likely have? The nurse has administered the preanesthetic as ordered. Apply a topical corticosteroid ointment to the affected area. The nurse should place the infant in which of the following positions following feedings? The nurse is monitoring a client admitted to the hospital with a diagnosis of appendicitis who is scheduled for surgery in 2 hours. The patient states that her health care provider has explained the parameters for fasting prior to her surgery but tells the nurse that she does not entirely understand why she cannot eat or drink before surgery. Menses usually resume within 3 months following injury. A nurse is providing teaching to a parent of a preschooler who has eczema. What factors have contributed most significantly to this trend? African lungfish, which are often found in small, stagnant pools of fresh water, produce urea as nitrogenous waste. Nurses play a key role in reducing both the spread of disease and adverse outcomes for clients. A noncommunicable disease is caused by food or environmental toxin. The nurse should instruct parents to bring their children back for rescreening in a year for which of the following laboratory values? With 8 oz of milk b. What type of problems can this client have because of their anxiety and fear? Respiratory rate is 20, temperature is 99.8 (taken orally), heart rate is 87, and blood pressure is 124/70. Julie S Snyder, Linda Lilley, Shelly Collins. D. Administer sodium biphosphate/sodium phosphate. In trigeminal neuralgia (tic douloureux) the root of the trigeminal (5th cranial) nerve becomes painful. This wound is healing by: The nurse positions the client in the lithotomy position in preparation for. The nurse is providing care to a client with Lyme disease. A 55-year old client with benign prostatic hyperplasia doesn't respond to medical treatment and is admitted to the facility for prostate gland removal. A. B. The nurse reviews principles of infection prevention during yearly safety training. Cephalgia (Headache) is one of the most common symptoms of a neurologic disorder. The health care provider is concerned with the symptom he finds because it is considered diagnostic for bladder cancer. Here are four (4) nursing care plans (NCP) and nursing diagnosis for patients who underwent appendectomy: ADVERTISEMENTS. Before discharge, the nurse should provide which instruction? A family member with a mild upper respiratory infection comes to visit a client in a long-term care facility. The nurse is concerned that a postoperative patient may have a paralytic ileus. D. "Have your child sit with her head tilted forward and hold pressure on her nose for 10 minutes.". The nurse should be. The nurse is reinforcing education for a female client paralyzed from a spinal cord injury (SCI). A nurse is caring for a child who has otitis media with effusion. Which measure should the nurse use to prevent foot drop in this client? The nurse is caring for a client who became very ill after ingesting seafood. The nurse is caring for a college student with meningococcal meningitis. A nurse is caring for a client following a craniotomy. The nurse should take which initial action? The client is approximately 24hr postoperative and describes the pain as "severe". Two nurses are working together to double-bag some contaminated items from the room of a client in isolation. While assessing this patient, what characteristic symptom would the nurse expect to find? Vanilla pudding= contains milk and should not be on a liquid diet tray. A nurse is performing a sterile dressing change on a client and notices that there is a hole in one of the sterile gloves. What is a role of the "clean" nurse? In preparing a patient for surgery, the following areas should be addressed. Acute Pain. How will the nurse document this condition? A nurse is preparing to begin chest compressions on an infant. The nurse is preparing discharge instructions for a family member who will be caring for a client with an abdominal incision. How many feet must be maintained between this client and other noninfected clients and visitors? What related complication should the nurse be aware of? A nurse is caring for a 55-year-old postoperative client. While assessing the client, the nurse notes that the bag attached to the mask is deflated. The colleague has established the sterile field and is pouring out normal saline into a sterile container, as seen in the picture above. (Select all that apply.). Where are polar bodies made, in the male or in the female? What is the best action for the nurse to take? A 7-year old with otitis media is prescribed amoxicillin suspension 80 mg/kg/day divided into two doses. A client has been admitted to the hospital with signs and symptoms that are characteristic of pulmonary tuberculosis and a STAT chest x-ray has been ordered. The client's vital signs are Temp 97.2F, HR 105, RR 24 and BP 110/50. The nurse, in assessing a patient's newly created stoma, observes that the stoma color is now dark purple. Each time symptoms reappear, they are more severe and of longer duration. 4. A school nurse is assessing a school-aged child and notices white flakes that don't brush off the hair and a rash on the back of the child's neck. What is this special bed mostly used for? A nurse is teaching the parents of a toddler about temper tantrums. When is the ideal time to discuss preoperative teaching. A nurse is caring for a child who ingested kerosene. Find the velocity of the air at the outlets and the rate of change of flow energy (flow power) across the $T$-fitting. When removing the protective gown, the nurse should take which action? Meningitis is an inflammation of the meninges, the membranes that cover the brain and the spinal cord. (Select all that apply.). Neonates may have an infection without fever. The client asks the nurse about possible ill effects from general anesthesia. What would the nurses include in the teaching plan? The nurse is caring for the client 36 hours after the client's admission and identifies the client's potassium level of 6.0 mEq/L (6.0 mmol/L). Which of the following should the nurse document as a part of a neurologic nursing assessment? Ibuprofen (Advil) is prescribed for a client. A cataract then forms as oxygen uptake is reduced, water content . At this point in the patient's recovery, what are the nursing priorities? Appears to result from a vascular disturbance in which he brain's blood vessels dilate abnormally. The nurse discovers that the client did not sign the operative consent before receiving the preoperative medication. Get the client out of bed and ambulate to a bedside chair. Which statements made by the client demonstrates the education provided was effective? The client has a history of anxiety, depression, high blood pressure, and exercise-induced asthma. Select all that apply. One bag of a contaminated item is placed within another. An axon is an extension that carries impulses away from the neuron cell body. Select all that apply. What priority education should the nurse provide to assist in preventing respiratory complications? The nurse assesses the incision and notes evisceration. A nurse is caring for a client with rubella. An experienced nurse is teaching a student nurse about the proper use of hand hygiene. A family member with a mild upper respiratory infection comes to visit a client in a long-term care facility. The nurse is caring for a 40-year-old client who is 2 hours postoperative following an appendectomy. A nurse is admitting a 6-month-old infant who has dehydration. Deliver the compressions at 1/3 the depth of the chest. 1. Record your answer using a whole number. This is because it's quite important for the nurse to encourage the patient to practice deep breathing and coughing so as to be able to do the breathing exercises easily after surgery. A nurse is caring for a toddler who has a fractured right femur and is in Bryant traction. During admission paperwork, the client reports having enjoyed a hearty breakfast this morning to be ready for the procedure. A postoperative client is moving from the bed to a chair when blood drips from the dressing. Select all that apply. The family member of a client asked the nurse what part of the brain the client's cerebrovascular accident (stroke) was in since the client is paralyzed on the right side. A client who sustained head trauma in a motor vehicle crash is determined to have an increase in intracranial pressure (ICP). Another objective of postoperative care is to assist patients in taking responsibility for regaining optimum health. A nurse reports an incident of suspected child abuse. A parent calls a clinic and reports to a nurse that his 2-month-old infant is hungry more than usual but is projectile vomiting immediately after eating. During the interview, the client states, "Sometimes when I have to urinate I can't control it, and do not reach the bathroom in time." "I'm glad that my child's ostomy is only temporary.". A nurse is caring for a school-aged child who has a systemic disorder and is receiving antibiotics, immunosuppresants, and corticosteroids. Cause is unknown. The nurse suspects which of the following? A good outcome includes recovery without complications and adequate pain management . A nurse is caring for an infant who has a tracheoesophageal fistula. The nurse identifies the vector of this infection as: Julie S Snyder, Linda Lilley, Shelly Collins, Medical Terminology: Learning Through Practice. Immediately after any potential or actual injury to the brain, a neurologic evaluation should be done. Which nursing action regarding the stethoscope used to auscultate this client's lungs and bowel sounds is appropriate? Which of the following instructions should the nurse include? x == 5 || y > 3. Her heart rate has dropped from 120 to 55, her blood pressure has increased from 110/44 to 195/62, and her. Ms. Simpson, age 72 years, is being seen in the clinic with a suspected bladder tumor. A team of nurses is caring for a client with tuberculosis. Which precaution should the nurse follow when administering medication to a client in isolation? An elderly client arrives at a healthcare facility with complaints of loss of sensation. Which of the following responses by the nurse is appropriate? Based on the nurse's knowledge of the most common hospital-acquired infections, which apparatus is most important to remove first? B. Vanilla pudding = contains milk and should not be . Which precautions will the nurse begin? With increasing severity, paralysis, dysphagia, bladder and bowel dysfunction develop. an 81-year-old man with active tuberculosis and a productive cough. One hour after administration, the client demonstrates muscle rigidity with a heart rate of 180. What is one of the basic principles that should guide the preoperative nurse's assessment? You know that this client's anxiety can cause problems with the surgical experience. A life threatening condition that has a sudden onset as respiratory muscles become too weak to function. What is the priority action by the nurse? What is the best response by the nurse? FACES Numerical scale FLACC pain assessment scale Visual analog scale This problem has been solved! The nurse states that she was exposed to a client's blood and that she was not wearing any PPE. A client having a surgical procedure takes aspirin 325 mg daily for prevention of platelet aggregation. Based on the nurse's knowledge of the most common hospital-acquired infections, which apparatus is most important to remove first? What is the priority action by the nurse? Select all that apply. What is the cause of the infection? Which of the following actions should the nurse take? The nurse is caring for a client who became very ill after ingesting seafood. She has just undergone an appendectomy. A nurse is caring for a 55-year-old postoperative client. based on the nurse's knowledge of the most common hospital-acquired infections, which apparatus is most important to remove first? Transection (severing) of the cord can be incomplete, (partial) or complete. A nurse is caring for a postoperative patient who had spinal anesthesia. "I will keep my baby in an upright position after feedings.". A nurse is caring for a client who is postoperative and refuses to use an incentive spirometer following major abdominal surgery. Upon review of a client's microbiology culture results, the nurse recognizes which organism as indicative of normal flora? Nursing assessment findings reveal urinary output < 30 ml/hr, tachycardia, tachypnea, decreased hemoglobin, and acute confusion. A sudden or gradual interruption of blood supply to a vital center in the brain is a stroke, AKA CVA or Cerebral (brain) infarct. A nurse is caring for a client who is on droplet precautions. D. Perform gastric lavage with activated charcoal. The nurse understands that which part of the brain is responsible for the client's condition? What is the priority action by the nurse? A nurse is caring for a client with herpes zoster. The nurse informs the client that many members of the health care team (including a mental health practitioner) will see him. The thalamus integrates sensations, thus the person perceives a whole experience, rather than individual impulses. Which precautions will the nurse begin? The velocity of B is constant, but the angular rate is decreasing at 0.5 deg/s$^2$. Utilize a powered air, purifying respirator (PAPR). The nurse checks the adolescent's blood glucose level and identifies a value of 55 mg/dL. A nurse is caring for a 6-week-old infant who has a pyloric stenosis. Select all that apply. Which assessment indicates that there is a positive outcome from this nursing care? The client is ready for rewarming procedures. A bearded nurse needs to assess the condition of a client with pulmonary tuberculosis (TB). What is the highest present worth? A client with an infectious disease that requires airborne precautions must be transported from the client's room to the radiology department. The nurse should identify that which of the following manifestations indicates a tympanic membrane rupture? a nurse is caring for a 55-year-old postoperative client. Which of the following pain scales should the nurse use to evaluate the client's pain? Select all that apply. The primary nurse educates the client about surgery and the postoperative period. A client is at postoperative day 1 after abdominal surgery. Which of the following techniques could the nurse employ to assist this client? The client's mother insists that the client receive treatment. They have not been fitted an N95 respirator. The client received general anesthesia for the procedure and has opioid pain medications prescribed. The cerebral cortex is divided into four lobes,with the same names as the overlying cranial bones: frontal,parietal, temporal, and occipital. Which of the following would be appropriate for the nurse to include in the teaching plan? A. A nurse is caring for a child who has influenza. Which of the following activities are nursing activities in the preoperative phase of care? Following percutaneous nephrolithotomy, the client is at greatest risk for which nursing diagnosis? Nurses practice asepsis, which encompasses all activities to prevent infection. Select all that apply. The scrub technician states to the nurse, "You can skip the fire safety information because I have worked in hospitals for the past 10 years." Which of the following conditions should the nurse identify as the leading cause of death among this age group? Select all that apply. (Select all that apply.). Which of the following positions would the nurse expect the client to be positioned on the operating table for renal surgery? How will the nurse document this condition? When determining that the traction is appropriately assembled, the nurse should observe which of the following? a) It formed from an explosive pyroclastic eruption.\ 55. A nurse is caring for a child who has suspected appendicitis. A nurse is caring for a client with acute pyelonephritis. What action should the nurse take? Starting at one station, a subway train accelerates from rest at a constant rate of $1.00 \mathrm{~m} / \mathrm{s}^2$ for half the distance to the next station, then slows down at the same rate for the second half of the journey.
Arshek Screen Protector Installation S22 Ultra,
Joyce Mackenzie Measurements,
The Abundance Prayer That Doubled My Income,
Liberty National Golf Course Dress Code,
I Am The Eldest Among My Two Siblings,
South Melbourne Football Club Past Players List,
List Of Time Life Music Collections,
Barbara And Company Catering,