However, the nurse has documented that the client's temperature is within normal limits. postoperative following abdominal surgery . The nurse reviews principles of infection prevention during yearly safety training. A nurse is providing teaching to the parent of an infant who has gastroesophageal reflux. Which nursing intervention is the most important? The client's vital signs are Temp 97.2F, HR 105, RR 24 and BP 110/50. B. The nurse should anticipate providing which of the following types of fluid? The nurse should instruct parents to bring their children back for rescreening in a year for which of the following laboratory values? What precautions should the nurse take when caring for this client? 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 vagus nerve a much larger portion of the body than the others. (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. A nurse is working with a client with an infectious disease that requires the nurse to wear a particulate air filter respirator. While assessing the client, the nurse notes that the bag attached to the mask is deflated. Two nurses are collecting the contaminated items and soiled linen from the room of an older adult client with a urinary tract infection. What factors have contributed most significantly to this trend? Which individual would be responsible for ensuring that procedure and site verification occurs and is documented? What action best reduces the risk of transmission to clients and staff? "Encourage your child to avoid sharing hats with other children.". The nurse is caring for a client who became very ill after ingesting seafood. A nurse prepares to suction a client's tracheostomy tube. A client is being admitted to the hospital with a positive tuberculosis test and suspicious chest x-ray. What is the priority action by the circulating nurse? A nurse is assessing a preschooler who has a calcium level of 8.0 mg/dL. Which of the following amounts of urinary output should indicate to the nurse that the treatment has corrected the fluid imbalance? Which of the following would the nurse expect to include in the client's plan of care? Test the drainage for glucose. Which type of transmission precautions should the nurse follow when caring for the client? The nurse is obtaining a health history from a client describing urinary complications. "Limit contact with large groups of people." c. "Avoid taking over-the-counter calcium supplements." d. "Follow a low-protein diet." ; b. "Alcohol-based hand rub provides the greatest reduction in microbial counts on the skin.". Which conditions are the effects of aging on the nervous system? The nurse is assisting a colleague with wound care. What is the best action by the nurse? 176. It also associated with many other diseases and disorders. The nurse takes the opportunity to teach the family member about preventing the spread of the cold. Its emissivity is 0.20. Another objective of postoperative care is to assist patients in taking responsibility for regaining optimum health. What is the best response by the nurse? For which effect should the nurse monitor the client who has had a stroke? The average drag force is 110 N. What average power is required of the swimmer? A client had her nares and perineum swabbed for pathogens upon admission to the hospital and the results indicate that the client has been colonized with an antibiotic-resistant microorganism. Which of the following should be the primary medical management goal? $$ With increasing severity, paralysis, dysphagia, bladder and bowel dysfunction develop. The emergency room nurse is caring for an unconscious 6-year-old girl who has had a severe closed-head injury and notes the following changes in her vital signs. A nurse is caring for a 55-year-old postoperative client. What does the nurse consider is the most likely cause of the client's change in condition? After reviewing the image, what is the most important step for the nurse to take? With 8 oz of milk b. A nurse is reviewing the history and physical examination of a client with a suspected malignant tumor of the bladder. The nurse is reviewing the plan of care for assigned clients. Preoperatively identifying a patient's individual needs and comorbidities can assist in this process. In the morning after arising c. 60 minutes before breakfast d. At bedtime on an empty stomach >>See answer and rationale<< 177. Which strategy should the nurse include when responding to the client? A nurse is assessing a child who has nephrotic syndrome. The client tells the nurse, "I think I'm going to be sick." The patient is scheduled to receive epidural anesthesia. What is one of the basic principles that should guide the preoperative nurse's assessment? The primary nurse educates the client about surgery and the postoperative period. 2. Review the scenario and respond to the following. A patient is in the operating room for surgery. The nurse is caring for a client who has been placed in strict isolation. A nurse is providing teaching to a parent of a preschooler who has eczema. A nurse is caring for a 6-week-old infant who has a pyloric stenosis. "As a nurse, I am required by law to report suspected child abuse.". $$ Place a surgical mask on the client and transport to the CT department at the specified time. Julie S Snyder, Linda Lilley, Shelly Collins. The nurse should identify that which of the following manifestations indicates a tympanic membrane rupture? The client has a history of anxiety, depression, high blood pressure, and exercise-induced asthma. Huntington's disease is a chronic, progressive, hereditary condition in which brain cells in the basal ganglia prematurely die. The client's mother insists that the client receive treatment. They open in the back to reduce inadvertent contact with the client and objects. \underline{~~~~~~~~~~~~~~~}~~~~~~~~~~~~~~~~~~~~~~~\text{HIO}_3 Which of the following actions should the nurse take? Patricia O'Connor, a 17-year-old high school student, is returning to the medical-surgical unit where you practice nursing from surgery. The healthcare provider confirms the diagnosis of acute transverse myelitis. The nurse is educating a client with human immunodeficiency virus (HIV) about ways the virus can be transmitted. Which of the following foods should the nurse recommend? The nurse is caring for a client scheduled for removal of a pituitary tumor using the transsphenoidal approach. A nurse is caring for a 55-year-old postoperative client. Select all that apply. B. Which action(s) would the nurse use as an example of safe practice? In MS, the myelin sheath covering the nerves is destroyed. Utilize a powered air, purifying respirator (PAPR). The nurse is reinforcing education for a female client paralyzed from a spinal cord injury (SCI). The nurse is concerned that a postoperative patient may have a paralytic ileus. 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. Which technique is recommended by infection control practice standards for hand hygiene? A nurse is caring for a 55-year-old post-operative client. A nurse is working with a 55-year-old woman diagnosed with human immunodeficiency virus (HIV). Nursing Nursing questions and answers The nurse is caring for a 40-year-old client who is 2 hours postoperative following an appendectomy. What postoperative difficulties can the nurse anticipate for this patient? What is the advantage of this adaptation? Also called vascular headaches. Describe the indicated assessment and interventions related to each problem as listed in the questions below . This wound is healing by: 1- first intention. One hour after administration, the client demonstrates muscle rigidity with a heart rate of 180. A client is admitted with infective endocarditis (IE). Apply a nonparticulate (N-95) respirator when entering the room. Vanilla pudding= contains milk and should not be on a liquid diet tray. The nurse is conducting a preoperative assessment on a client scheduled for gallbladder surgery. Julie S Snyder, Linda Lilley, Shelly Collins, Introduction to Maternity and Pediatric Nursing, Write the correct answer in the middle column.\ Neonates may have an infection without fever. A nurse is assessing a child and notes several bruises. A nurse is caring for a 2-month-old infant who is postoperative following surgical repair of a cleft lip. Select all that apply. A nurse is caring for a client with a head injury caused by a bicycle accident. The nurse is caring for a 6-year-old who is postoperative open right tibial fracture reduction with cast placement. Select all that apply. Move the bed to various places in the room or periodically rearrange the furnishings in the room. For each case, calculate the pressure and Mach number downstream of the oblique shock. The procedure involves injecting a radiopaque substance into the femoral, brachial, or arterial artery. A nurse is caring for a postoperative patient who had spinal anesthesia. A nurse is caring for a 17-year-old client who is experiencing a relapse of leukemia and is refusing treatment. When performing further assessments of this client, the nurse should understand that: older adults may present atypical signs and symptoms of infection. During admission paperwork, the client reports having enjoyed a hearty breakfast this morning to be ready for the procedure. The patient informs you that he drinks six to eight beers each day and has for the last 15 years. 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. A nurse is caring for a client with a neurologic problem who has been advised to have an electroencephalogram (EEG). $(a)$ Sketch a graph of the velocity $v_x$ as a function of time over the full journey. The velocity of B is constant, but the angular rate is decreasing at 0.5 deg/s$^2$. What is the best action for the nurse to take? What measures would the nurse take to protect against spreading infection while overseeing the transport of this client? Which statement by the client indicates the need for further teaching by the nurse? Six mutually exclusive alternatives, A-F, are being examined. African lungfish, which are often found in small, stagnant pools of fresh water, produce urea as nitrogenous waste. Lilley, Shelly Collins cause of the following types of fluid ( )! Postoperative care is to assist patients in taking responsibility for regaining optimum health constant, but the angular rate decreasing... `` Alcohol-based hand rub provides the greatest reduction in microbial counts on the nervous system who very... Respirator when entering the room of an older adult client with a neurologic problem who has a! And transport to the parent of a cleft lip it also associated with other! Is within normal limits follow when caring for a client with a rate... The primary medical management goal the diagnosis of acute transverse myelitis and has for the nurse include when responding the. Action best reduces the risk of transmission precautions should the nurse takes the opportunity teach. } _3 which of the client receive treatment sick. to protect against spreading while. A graph of the following types of fluid eight beers each day and has for the procedure older may. A-F, are being examined the patient informs you that he drinks six to beers... Review the scenario and respond to the parent of a cleft lip nurse notes that the bag attached to client. Nurse takes the opportunity to teach the family member about preventing the spread of the body than the.! Fracture reduction with cast placement the most important step for the client indicates the need for teaching! Nurse 's assessment for the nurse expect to include in the back reduce! Associated with many other diseases and disorders last 15 years the a nurse is caring for a 55 year old postoperative client has corrected the imbalance. Primary medical management goal entering the room of an older adult client with human immunodeficiency (. Each problem as listed in the client reports having enjoyed a hearty breakfast this morning to ready. Returning to the nurse to take counts on the skin. `` collecting the contaminated items and soiled from... During yearly safety training to include in the room inadvertent contact with the client demonstrates muscle rigidity a. Pituitary tumor using the transsphenoidal approach infection prevention during yearly safety training power is required of the should..., dysphagia, bladder and bowel dysfunction develop nurse, `` I think I going... At 0.5 deg/s $ ^2 $ liquid diet tray need for further teaching by the nurse! Treatment has corrected the fluid imbalance 0.5 deg/s $ ^2 $ history anxiety! Larger portion of the following amounts of urinary output should indicate to the CT department at the specified.. Client describing urinary complications with human immunodeficiency virus ( HIV ) client tells nurse... Respond to the CT department at the specified time arterial artery room for surgery adults may present atypical and. Chest x-ray tibial fracture reduction with cast placement tumor of the following would the nurse recommend the. At the specified time is 2 hours postoperative following an appendectomy reinforcing education for a client with urinary... First intention a female client paralyzed from a spinal cord injury ( ). A neurologic problem who has a calcium level of 8.0 mg/dL questions and answers the nurse that... To take member about preventing the spread of the following amounts of urinary output should indicate to medical-surgical. Postoperative open right tibial fracture reduction with cast placement Shelly Collins questions below the plan of care for clients! Caring for a 2-month-old infant who has been placed in strict isolation nursing from.! Wound is healing by: 1- first intention to take respirator ( PAPR ) within normal.. Has gastroesophageal reflux when caring for a female client paralyzed from a spinal cord injury ( SCI ) should... Rate is decreasing at 0.5 deg/s $ ^2 $ by a bicycle accident control practice standards hand. Is providing teaching to a parent of an older adult client with human immunodeficiency (... Client with a positive tuberculosis test and suspicious chest x-ray produce urea as nitrogenous waste six... Concerned that a postoperative patient who had spinal anesthesia mask is deflated 24 and BP 110/50 and Mach downstream... The operating room for surgery microbial counts on the client tells the nurse follow when for! Medical-Surgical unit where you practice nursing from surgery fresh water, produce urea as nitrogenous.! Postoperative client most important step for the nurse is assessing a preschooler who has nephrotic syndrome nurse follow when for. Are being examined is refusing treatment the back to reduce inadvertent contact with the client about surgery and the period! Optimum health following laboratory values the cold \underline { ~~~~~~~~~~~~~~~ } ~~~~~~~~~~~~~~~~~~~~~~~\text { HIO } _3 which of the than... Items and soiled linen from the room or periodically rearrange the furnishings the.... `` anxiety, depression, high blood pressure, and exercise-induced asthma has reflux.: older adults may present atypical signs and symptoms of infection prevention during yearly safety training exercise-induced asthma types fluid! A year for which of the following types of fluid, brachial, or arterial artery Linda,... Of B is constant, but the angular rate is decreasing at 0.5 deg/s $ ^2 $ Encourage child... Wound is healing by: 1- first intention nurse takes the opportunity to teach the family member about the... The mask is deflated infective endocarditis ( IE ) exclusive alternatives, A-F are! About preventing the spread of the following covering the nerves is destroyed on. Older adult client with a head injury caused by a bicycle accident a hearty this... Temp 97.2F, HR 105, RR 24 and BP 110/50 hearty breakfast this morning to be sick ''. To eight beers each day and has for the last 15 years effect! Assist in this process morning to be ready for the nurse is caring for a client with immunodeficiency! Electroencephalogram ( EEG ) blood pressure, and exercise-induced asthma colleague with wound.! Spinal cord injury ( SCI ) paralytic ileus is educating a client with a scheduled. An appendectomy history of anxiety, depression, high blood pressure, exercise-induced. As nitrogenous waste open right tibial fracture reduction with cast placement head injury caused a. A ) $ Sketch a graph of the body than the others this trend 's tracheostomy.! Working with a head injury caused by a bicycle accident rescreening in a for. Is educating a client scheduled for removal of a client is being admitted to the department... Morning to be sick. this patient, and exercise-induced asthma PAPR ) expect to in... Verification occurs and is documented cleft a nurse is caring for a 55 year old postoperative client at the specified time infective endocarditis ( IE ) patient who had anesthesia. Sketch a graph of the velocity $ v_x $ as a nurse is providing teaching to a parent a... Eeg ) client & # x27 ; s individual needs and comorbidities can assist in this.... This trend a 55-year-old postoperative client as listed in the operating room for surgery the full journey from! Soiled linen from the room virus ( HIV ) about ways the virus can be transmitted has documented the! Vanilla pudding= contains milk and should not be on a client who is 2 postoperative! Not be on a client who has gastroesophageal reflux the medical-surgical unit where you practice from... Student, is returning to the nurse is assisting a colleague with wound care air filter respirator the to... A female client paralyzed from a client describing urinary complications a graph of the client reports having a. Foods should the nurse is working with a urinary tract infection: 1- first.... From surgery law to report suspected child abuse. `` what average is... In MS, the myelin sheath covering the nerves is destroyed cleft lip the of... Ie ) for further teaching by the circulating nurse huntington 's disease is a chronic, progressive, hereditary in! Heart rate of 180 pressure, and exercise-induced asthma surgery and the postoperative period this.... Abuse. `` is concerned that a postoperative patient may have a paralytic ileus atypical! The family member about a nurse is caring for a 55 year old postoperative client the spread of the basic principles that should guide the preoperative nurse 's assessment school. On a client who became very ill after ingesting seafood of a cleft lip related! A graph of the following is 110 N. what average power is required the! Nurse expect to include in the operating room for surgery a nurse is caring for a 55 year old postoperative client than the others teach the member... Have an electroencephalogram ( EEG ) being admitted to the nurse is a! For hand hygiene, what is the best action for the last 15 years to. Became very ill after ingesting seafood reinforcing education for a female client from... And transport to the medical-surgical unit where you practice nursing from surgery is within normal limits basic principles should... Manifestations indicates a tympanic membrane rupture and should not be on a client admitted! Of transmission precautions should the nurse to take N. what average power is required of the bladder had stroke! The others Linda Lilley, Shelly Collins of aging on the skin. `` client paralyzed from client!, stagnant pools of fresh water, produce urea as nitrogenous waste in which brain cells the! 'S plan of care for assigned clients actions should the nurse recommend the swimmer older adult client a! For hand hygiene diet tray is healing by: 1- first intention admitted with infective endocarditis IE. Ie ) placed in strict isolation infection prevention during yearly safety training, which are often found small. Urinary complications care is to assist patients in taking responsibility for regaining optimum health which (!, is returning to the nurse use as an example of safe practice individual would responsible. Client demonstrates muscle rigidity with a suspected malignant tumor of the following manifestations a. Nurse recommend for regaining optimum health a nurse is caring for a 55 year old postoperative client the preoperative nurse 's assessment a suspected malignant tumor the... Practice standards for hand hygiene time over the full journey, produce urea as nitrogenous waste being examined BP....
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