2024 A nurse is caring for a client - 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

 
Oct 21, 2023 · Study with Quizlet and memorize flashcards containing terms like A nurse in an emergency department is caring for a client who has anaphylaxis following a bee sting. Which of the following actions should the nurse take first?, A nurse in the emergency department is assessing a client who has internal injuries from a car crash. The client is disoriented to time and place, diaphoretic, and his ... . A nurse is caring for a client

A nurse is administering aspirin 81 mg PO daily to a client who has a history of myocardial infarction. The medication is scheduled for 0800. Which of the following scenarios demonstrates proper use of one of the Ten Right of Medication Administration? The nurse documents the aspirin was given at 0825. A nurse is caring for a client who has COPD.A nurse is caring for a client diagnosed with rheumatoid arthritis (RA). Which assessment finding does the nurse expect to assess? 1. Asymmetrical pain in the large weight …A nurse is caring for a client who had a myocardial infarction 5 days ago. The client has a sudden onset of shortness of breath and begins coughing frothy, pink sputum. The nurse auscultates loud, bubbly sounds on inspiration. Which of the following adventitious breath sounds should the nurse document? A.Study with Quizlet and memorize flashcards containing terms like A 16-year-old girl is seen in an emergency department following a rape. The management of a rape victim should be directed primarily toward:, Place the three phases of intimate partner violence in the order in which they occur. Use all options., The nurse is talking to a client who is a survivor of intimate partner violence. The ...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 is assessing the anterior chest of a client. Which of the following findings should the nurse report to the provider? A. The point of maximal impulse (PMI) located at the fifth intercostal space B. Symmetrical chest movements during inhalation and expiration C. Absent visible pulsations in the area of the point of maximal ...The nurse is caring for a client with a nasogastric tube who is receiving intermittent tube feedings by gravity every 4 hours. The nurse aspirates 75 mL of residual prior to the next feeding. What action should the nurse take next? Return the residual and begin the feeding.Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a client with diabetes mellitus who is scheduled to have a right below-knee amputation. The nurse assesses which factors that can put this client at risk for amputation? Select all that apply. 1.Psoriasis 2.Bony deformity 3.Limited joint mobility 4.Peripheral neuropathy …Get a Nurse. Receive Skilled Nursing Care. That is it! Our client services team will send you our best recommendations and you always have the final say ...The client exhibits signs of autonomic hyperreflexia. What does the nurse recall is the most common cause of this response? 1. hemodynamic changes related to tilt table positioning 2. deteriorating myelin sheath 3. distended large intestine 4. crushed spinal cord, The nurse is caring for a client with a spinal cord injury who has paraplegia. A nurse is caring for a client who had a myocardial infarction 5 days ago. The client has a sudden onset of shortness of breath and begins coughing frothy, pink sputum. The nurse auscultates loud, bubbly sounds on inspiration. Which of the following adventitious breath sounds should the nurse document? A.A nurse is caring for a client. Questions and Solutions (A number of Decisions) 1. A nurse is caring for a client who has sustained burns over 37% of …A. uterine cancer. B. cervical cancer. C. ovarian cysts. D.fibroids. B. Cervical cancer. the nurse should inform the client that a pap test is used to screen for cervical cancer. A nurse is planning on education program for a group of high school teachers who will be taking students on a hike. Which of the following information should the nurse ...A nurse in an emergency department is caring for a client who had a seizure and became unresponsive after stating she had a sudden, severe headache and vomiting. The client's vital signs are as follows: blood pressure of 198/110 mm Hg, pulse of 82/min, respirations of 24/min, and a temperature of 38.2° C (100.8° F).Instructing the client to tilt head forward when swallowing. A nurse is caring for a child who is on a clear liquid diet. At lunch, the child consumed 1/2 cup of juice, 3 oz gelatin, 1 oz of an ice pop, and 20 mL ginger ale. How many mL should the nurse record as the child's fluid intake?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.It is a frequent negative side effect of chemotherapy for cancer. Due to the increased danger of infection and further swelling posed by placing needles into the afflicted area, …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 Prolonged active phase of labor, A nurse ... The nursing process is the essential core of practice for the registered nurse to deliver holistic, patient-focused care. It involves collecting and analyzing data about the client's health status, clinical judgment, care plan, goals, and evaluation. Learn more about the five core areas of the nursing process and how they apply to different types of nurses and clients.Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a client 48 hours after their burn injury. Which treatment will the nurse anticipate to reduce the client's risk of mortality remove burned tissue intubation topic anitmicrobial ointment, The nurse cares for a client with extensive burn injuries.A nurse caring for a client with a respiratory condition notices the client's breathing pattern is getting more irregular and the rate has greatly increased from 18 to 32 breaths per minute. The nurse notes that this client's vital signs are assessed once every shift, but believes the assessment should be done more frequently. ...Place the client in seclusion for safety. 4. Remain with the client to provide support. 5. Administer a prescribed antipsychotic medication. 6. Administer a prescribed intramuscular (IM) antiparkinsonian medication. 1,2,4,6. The nurse in the mental health clinic hears a client yelling and threatening to hurt his sister.Asset based long term care is one option for paying for nursing home care costs. Learn how asset-based long term care works to decide if it's right for you. Calculators Helpful Guides Compare Rates Lender Reviews Calculators Helpful Guides ...Chap. 17: Implementing- PrepU. The nurse caring for a client who is recovering after a motor vehicle accident is planning for the client to begin increasing responsibility for self-care. Which would be the nurse's most appropriate strategy? Click the card to flip 👆. The nurse encourages the client to take a shower instead of receiving a bed ...Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who has been off the unit for physical therapy for the past hour notes that the infusion pump for the clients TPN is turned off. The client tells the nurse that the battery went dead while she was in physical therapy. The nurse should recognize the client's right to refuse the treatments and inform the client of this right. The nurse should advocate for the client and offer to contact the provider for the client. 55. A nurse is caring for an older adult client who has dementia and requires acute care for a respiratory infection.RNA and Protein Synthesis Quiz. A nurse is caring for a client who is comatose. The client has a living will that declines the use of artificial enteral nutrition as a life …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 ...The role of a nurse is to give healthcare services to communities, families and individuals through communication, decision making, teaching and management of care services. As a decision maker, the nurse uses critical thinking skills to co...A nurse in an emergency department is caring for a client who had a seizure and became unresponsive after stating she had a sudden, severe headache and vomiting. The client's vital signs are as follows: blood pressure of 198/110 mm Hg, pulse of 82/min, respirations of 24/min, and a temperature of 38.2° C (100.8° F).The nurse is caring for a client following an amniocentesis procedure. The nurse reviews the client's chart and notices that the client's blood type is O negative. Which does the nurse anticipate administering? The biophysical profile (BPP) is an ultrasound assessment of fetal status along with a non-stress test (NST). A score of 2/10 will ...Which statement by the nurse would be therapeutic?, Apraxia The nurse is caring for a client with long-term Alzheimer's disease (AD). Which are some of the behavioral manifestations the nurse should expect to observe? Select all that apply., "My husband always brings me flowers and apologizes after he hits me. A client is being seen at the ...Study with Quizlet and memorize flashcards containing terms like A nurse is assessing the anterior chest of a client. Which of the following findings should the nurse report to the provider? A. The point of maximal impulse (PMI) located at the fifth intercostal space B. Symmetrical chest movements during inhalation and expiration C. Absent visible pulsations in the area of the point of maximal ...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.Instructing the client to tilt head forward when swallowing. A nurse is caring for a child who is on a clear liquid diet. At lunch, the child consumed 1/2 cup of juice, 3 oz gelatin, 1 oz of an ice pop, and 20 mL ginger ale. How many mL should the nurse record as the child's fluid intake? Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a client hospitalized with acute exacerbation of chronic obstructive pulmonary disease. Which findings would the nurse expect to note on assessment of this client? Select all that apply. 1.A low arterial PCo2 level 2.A hyperinflated chest noted on the chest x-ray 3.Decreased …Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a client hospitalized with acute exacerbation of chronic obstructive pulmonary disease. Which findings would the nurse expect to note on assessment of this client? Select all that apply. 1.A low arterial PCo2 level 2.A hyperinflated chest noted on the chest x-ray 3.Decreased …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. The nurse is caring for a client with a fresh application of a plaster leg cast. The nurse should plan to prevent the development of compartment syndrome by which action? 1.Elevating the limb and applying ice to the affected leg 2.Elevating the limb and covering it with bath blankets 3.Keeping the leg horizontal and applying ice to the affected leg 4.Placing the leg in a slightly dependent ... Set realistic limits on the client's behavior. A nurse is caring for a client who has a history of substance use disorder and was involuntarily admitted to a mental health facility. When the nurse attempts to administer oral lorazepam, the client refuses to take the medication and becomes physically aggressive.Science Medicine Obstetrics ADN 205- OB Test 2 A nurse is caring for a client during the first trimester of pregnancy. After reviewing the client's blood work, the nurse notices she does not have immunity to rubella. Which of the following times should the nurse understand is recommended for rubella immunization? a.) shortly after giving birthThe nurse–client relationship is an interaction between a nurse and "client" aimed at enhancing the well-being of the client, who may be an individual, a family, a group, or a ... broad influences on health care and …As previously discussed, palliative care is “patient and family-centered care that optimizes quality of life by anticipating, preventing, and treating suffering ...The client exhibits signs of autonomic hyperreflexia. What does the nurse recall is the most common cause of this response? 1. hemodynamic changes related to tilt table positioning 2. deteriorating myelin sheath 3. distended large intestine 4. crushed spinal cord, The nurse is caring for a client with a spinal cord injury who has paraplegia. A nurse is caring for an elderly client with constipation. What are three (3) complications to monitor for during care of this client? Complications of constipation include: Fecal impaction. Development of hemorrhoids or rectal fissures. Bradycardia, hypotension, and syncope associated with the Valsalva maneuver (occurs with straining/bearing ...Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client at the prenatal clinic who is at 38 weeks gestation with heavy, red vaginal bleeding without contractions that started spontaneously. She is in no distress and states that she can "feel the baby moving". The nurse should explain to the client that …Oct 22, 2023 · The nurse should explain to the client that the stat ultrasound the provider prescribed will determine 1. fetal lung maturity 2. location of the placenta 3. fetal viability 4. biparietal diameter, A nurse is caring for a client in the prenatal clinic with a possible ectopic pregnancy at 8 weeks of gestation. Study with Quizlet and memorize flashcards containing terms like A nurse is collecting data for a client who has brittle hair. Which of the following should the nurse determine about the client's nutritional intake?, A nurse is caring for client who reports having daily constipatiin. Which of the following information should the nurse provide to the client …The nurse should recognize the client's right to refuse the treatments and inform the client of this right. The nurse should advocate for the client and offer to contact the provider for the client. 55. A nurse is caring for an older adult client who has dementia and requires acute care for a respiratory infection.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 …A nurse is caring for a client on a medical-surgical unit. Vital Signs Nurses' Notes Medication Administration Record Vital Signs 1230: Temperature 98.9˚F (37.2˚C) Heart Rate 70 /min Respiratory Rate 18 /min Blood Pressure 130/90 mm Hg Oxygen Saturation 99% on room air Pain score 0/10 1330: Temperature 99.9˚F (37.8˚C) Heart Rate 52 /minThe nurse on the coronary unit is caring for a client with known coronary artery disease who is being treated with cholestyramine and hydrochlorothiazide. What action should the nurse take? a.Call the physician and ask for confirmation of the prescription b.Make sure that the drugs are given at least 2 hours apart c.Give the client an antacid ...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.Long-term care insurance can be helpful if you need to enter a nursing home or another facility. We review Genworth's policies, riders, features and more. Long-term care, which generally includes services like home care, assisted living and...The nurse caring for a client diagnosed with cancer knows which of the following are true about cancer pain? Select all that apply. Typically chronic in nature and treated with long-term opioids Not necessarily experienced by all clients and a thorough pain assessment is key Associated with a high incidence of drug addiction due to the chronic ...A nurse is caring for a client diagnosed with rheumatoid arthritis (RA). Which assessment finding does the nurse expect to assess? 1. Asymmetrical pain in the large weight …Which of the following actions should the nurse take? A. Wear an N95 respirator when caring for the client. B. Place the client in a private room. C. Place a mask on the client when they leave their room. D. Place the client in a negative airflow room., A nurse is performing hand hygiene after caring for a client who has Clostridium difficile.Sanction. Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who has an image of another client on her cell phone. The client states, "We have become friends while being in the hospital." What should be the nurses response?, A nurse is caring for a client who asks, "Can you take a picture of my cast ...A nurse is caring for a client. Questions and Solutions (A number of Decisions) 1. A nurse is caring for a client who has sustained burns over 37% of complete physique floor space. The client's voice has change into hoarse, a brassy cough has developed, and the client is drooling.the development of the nursing care plan. The RN takes responsibility and ... When does a Nurse's Duty to a Patient Begin and End. Note: For the complete list ...the nurse is caring for a client who begins to experience seizure activity while in bed. which action by the nurse is contraindicated? A. loosening restrictive clothing B. restraining the clients limbs C. removing the pillow and raising padded side rails D. positioning the client to the side, if possible, with the head flexed forwardThe nurse is caring for a client with a health care associated infection caused by methicillin-resistant Staphylococcus aureus. Contact precautions are prescribed for the client. The nurse prepares to irrigate the wound and apply a new dressing. Which protective interventions should the nurse use to perform this procedure? Select all that apply. Get a Nurse. Receive Skilled Nursing Care. That is it! Our client services team will send you our best recommendations and you always have the final say ...A nurse is caring for a client who is about to undergo orthopedic surgery. The client will be receiving epidural analgesia prior to the surgery for pain management. The nurse should understand that who is responsible for inserting the catheter into the client's epidural space? A) Anesthesiologist B) Orthopedic surgeon C) Nursing assistant D) NurseObtain a 12-lead ECG. Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who is in the oliguric phase of acute kidney injury. Which of the following actions should the nurse take?, A nurse is caring for a client who is receiving hemodialysis.A nurse is caring for a client who is at 36 weeks of gestation with suspected placenta previa. The nurse should monitor the client for. 1. a large amount of bright red vaginal bleeding without pain. 2. severe abdominal pain with increasing fundal height. 3. abdominal pain with minimal red vaginal bleeding.F. Use the access site area for venipuncture., A nurse is planning postprocedure care for a client who received hemodialysis. Which of the following interventions should the nurse include in the plan of care? (Select all that apply.) A. Check BUN and serum creatinine. B. Administer medications the nurse withheld prior to dialysis. C. The nurse is caring for a client who was just admitted to the hospital with a diagnosis of a fractured right hip sustained from a fall 5 hours earlier. The nurse develops a plan of care for the client and includes interventions related to monitoring for signs of fat embolism. Which findings should be listed in the care plan as a sign/symptom of ...Chap. 17: Implementing- PrepU. The nurse caring for a client who is recovering after a motor vehicle accident is planning for the client to begin increasing responsibility for self-care. Which would be the nurse's most appropriate strategy? Click the card to flip 👆. The nurse encourages the client to take a shower instead of receiving a bed ...Study with Quizlet and memorize flashcards containing terms like a nurse is preparing to administer a drug to a client. In which of the following sections of a drug handbook should the nurse look to determine if the drug has more than one use?, A nurse is reviewing a drug handbook prior to administering a drug to a client who has kidney disease. The …Get a Nurse. Receive Skilled Nursing Care. That is it! Our client services team will send you our best recommendations and you always have the final say ...A nurse is caring for a client who is 28 weeks gestation, and is experiencing pre-term labor. Which medication should the nurse administer? A. Nifedipine- tocolytic. Amphotericin B is an antifungal medication used to treat fungal infections, however, it …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. Study with Quizlet and memorize flashcards containing terms like A client with a diagnosis of diabetic ketoacidosis (DKA) is being treated in the emergency department. Which findings would the nurse expect to note as confirming this diagnosis? Select all that apply. 1. Increase in pH 2. Comatose state 3. Deep, rapid breathing 4. Decreased urine output 5. …A nurse is caring for an elderly client with constipation. What are three (3) complications to monitor for during care of this client? Complications of constipation include: Fecal impaction. Development of hemorrhoids or rectal fissures. Bradycardia, hypotension, and syncope associated with the Valsalva maneuver (occurs with straining/bearing ...A nurse is caring for a group of clients. Which of the following clients should the nurse refer to a social worker? -A client who requires placement in an assisted living facility -A client who requests to secure an emergency notification system in the home -A client who requests to get school assignments while hospitalized on a pediatric unitThe nurse is caring for a client with heart failure. On assessment, the nurse notes that the client is dyspneic (difficulty in breathing), and crackles are audible on auscultation. What additional manifestations would the nurse expect to note in this client if …Use Doppler ultrasound to identify the pulses. A nurse in the rehabilitation unit is caring for an older adult client who is in cardiac rehabilitation following an MI. The nurse's plan of care calls for the client to walk for 10 minutes 3 times a day. The client questions the relationship between walking and heart function. Study with Quizlet and memorize flashcards containing terms like The nursing student is assigned to care for a client with a diagnosis of acute kidney injury (AKI), diuretic phase. The nursing instructor asks the student about the primary goal of the treatment plan for this client. Which goal, if stated by the nursing student, indicates an adequate understanding …A good nurse can be described as someone who makes patients feel comfortable and who is also adequately able to attend to the care needs of her patients. Good nurses are detailed-oriented and critical thinkers. However, they are also compas...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 medicatioA nurse is providing oral hygiene for a client who is unconscious. Identify the sequence of the steps the nurse should take. 1. Assess the client's gag reflex. 2. Position the client on his side with his head turned to the side. 3. Place a towel under the client's head with an emesis basin under his chin. 4. Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a client with Clostridium difficile colitis. Which of the following infection control measures by the nurse are appropriate? Select all that apply: 1. Applies sterile gloves before performing client care 2. Ensures surgical masks are worn by staff in client's room 3. Requests that …Study with Quizlet and memorize flashcards containing terms like A nurse caring for a client who has a new prescription for atenolol. For which of the following adverse effects should the nurse monitor the client?, A nurse is caring for a client who has hypertension and is to start taking atenolol. The nurse should instruct the client to monitor for which of …A nurse is caring for a client, papa john's general manager salary, gasbuddy burley idaho

A nursing care plan for preeclampsia involves monitoring vital signs, weight, urine output and state of consciousness, assessing deep tendon reflexes and symptoms of headache or epigastric pain, as well as providing treatment as prescribed,.... A nurse is caring for a client

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A nurse is caring for a client who has borderline personality disorder. The nurse enters the client's room and finds the client cutting into his flesh with a paper clip. After providing first aid, which of the following actions should the nurse take first?A nurse is caring for a client who has an order for a 24-hr urine collection. Which of the following actions should the nurse take? 1. discard first voiding 2. keep urine in a single container at room temp 3. discard last voiding 4. ask client to urinate in toilet, stop midstream, then finish urinating into containerA nurse is caring for a client who is experiencing cycloplegia following the administration of atropine eye drops during an eye examination. Which of the following findings should the nurse expect as a result of cycloplegia? a. Blurred Vision Assessment findings of cycloplegia include blurred vision because focusing for near vision is impaired.22 thg 8, 2016 ... The critically ill patient should receive comfort and provided privacy in a highly technological environment. In collaboration with other health ...Study with Quizlet and memorize flashcards containing terms like The nurse should institute which interventions for a client diagnosed with Clostridium difficile? Select all that apply. 1. Wear a mask if within 3 feet of the client. 2. Place a mask on the client when client is outside the room. 3. Wear gloves and gown while in the room caring for the …Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who is scheduled for a thoracentesis. Prior to the procedure, which of the following actions should the nurse take? A. Position the client in an upright position, leaning over the bedside table. B. Explain the procedure to the client. C. Obtain ABGs from the client. D. Administer benzocaine spray to ... 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 Prolonged active phase of labor, A nurse ... The antibiotic interferes with the client's ability to absorb nutrients. C.) The antibiotic eliminates the healthy gastrointestinal bacteria, allowing harmful bacteria to grow. D.) The antibiotic decreases a client's immunity level, resulting gin diarrhea., A nurse is caring for an older adult who is experiencing urinary leakage.6 thg 4, 2022 ... ... patient care before you, as a nurse, can effectively move forward. Nursing example: As you take your patient's vitals, note if any ...The nurse is caring for a client with a fresh application of a plaster leg cast. The nurse should plan to prevent the development of compartment syndrome by which action? 1.Elevating the limb and applying ice to the affected leg 2.Elevating the limb and covering it with bath blankets 3.Keeping the leg horizontal and applying ice to the affected leg …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?Instructing the client to tilt head forward when swallowing. A nurse is caring for a child who is on a clear liquid diet. At lunch, the child consumed 1/2 cup of juice, 3 oz gelatin, 1 oz of an ice pop, and 20 mL ginger ale. How many mL should the nurse record as the child's fluid intake? Colostrum provides your newborn with a good source of protein. Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who requests additional information about nutritional intake during breastfeeding. Which of the following statements should the nurse make?, A nurse is caring for a client who is in …The nurse is caring for a client diagnosed with a deep venous thrombosis. Which nursing assessment is a priority ? Rationale: Pulmonary embolism is a complication of DVT. Assessing the client's respiratory status, including auscultating bilateral breath sounds, is appropriate. The client's airway and breathing take priority.Nursing is one of the most rewarding careers around. The role involves assisting doctors care for patients and providing treatment. There are many routes nurses can take, including specializing in various fields of medicine.Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who needs to collect a midstream urine specimen. Which of the following actions should the nurse take?, A nurse is caring for a client who has a stage IIl pressure injury on the sacral area. Which of the following actions should the nurse take when obtaining a wound culture specimen from the ... ATI Module:Intro to Pharmacology. A nurse is caring for a client who was prescribed an antidepressant based on its ability to prevent the reuptake of neurotransmitters. The nurse should identify that which of the following terms describes why this drug was prescribed for the client? The nurse should identify that the mechanism of action of a ...Chapter 17 - Respiratory Diagnostic Procedures. A nurse is caring for a client who is scheduled for a thoracentesis. Prior to the procedure, which of the following actions should the nurse take? A. Position the client in an upright position, leaning over the bedside table. B. Explain the procedure to the client.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 A nurse is caring for a client who is scheduled for a thoracentesis. Prior to the procedure, which of the following actions should the nurse take? A. Position the client in an upright position, leaning over the bedside table. B. Explain the procedure to the client. C. Obtain ABGs from the client. D. Administer benzocaine spray to ... The nurse is assigned to care for four clients on the medical-surgical unit. Which client should the nurse see first on the shift assessment? A client admitted with pneumonia with a fever of 100° F (37.8°C) and some diaphoresis A client with congestive heart failure with clear lung sounds on the previous shift A client with new-onset of shortness of breath (SOB) and a history of pulmonary ...Chapter 31: Hygiene. The acute care nurse is preparing to bathe a client and notices that the client is wearing a regular hospital gown and has continuous intravenous (IV) fluids infusing. Which action by the nurse is most appropriate? Thread the IV bag and tubing though the arm of the regular gown, then replace it with a snap-arm gown at the ...Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who has a dysfunctional gastrointestinal tract and requires enteral feeding. Which of the following should the nurse administer to the client? A. Modular B. Elemental C. Polymeric D. Specialty, A nurse is providing teaching about risk for aspiration with a …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 following? 1. Delivering a large for gestational age newborn 2. Delivering a small for gestational age newborn 3. Placenta previa 4.Some of the psychomotor skills that nurses used when caring for a client receiving TPN include the nurse's application of sterile asepsis techniques, changing the tubings and the total parenteral nutrition feeding bags and bottles, the maintenance of the site of insertion of the total parenteral nutrition catheter, and manipulating and ...Webmail services such as Outlook and Gmail let you stay connected with the people you care about. They make it easy to communicate with clients and coworkers. Many email providers offer their services for free. Here’s what to do when using ...Study with Quizlet and memorize flashcards containing terms like A nurse is assessing the anterior chest of a client. Which of the following findings should the nurse report to the provider? A. The point of maximal impulse (PMI) located at the fifth intercostal space B. Symmetrical chest movements during inhalation and expiration C. Absent visible pulsations in the area of the point of maximal ... The client exhibits signs of autonomic hyperreflexia. What does the nurse recall is the most common cause of this response? 1. hemodynamic changes related to tilt table positioning 2. deteriorating myelin sheath 3. distended large intestine 4. crushed spinal cord, The nurse is caring for a client with a spinal cord injury who has paraplegia.Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who recently started alteplase therapy. The nurse should monitor the client for which of the following adverse effects? a. bronchodilation b. headache c. edema d. hypertension, A nurse in an emergency department is assessing a client who has been taking warfarin …As a registered nurse, you will be responsible for creating a plan of care based on each patient's needs and health goals. A nursing care plan is a formal process that includes six components: assessment, diagnosis, expected outcomes, interventions, rationale, and evaluation. ( (Helen Ballantyne, "Developing nursing care plans," Nursing ...A. uterine cancer. B. cervical cancer. C. ovarian cysts. D.fibroids. B. Cervical cancer. the nurse should inform the client that a pap test is used to screen for cervical cancer. A nurse is planning on education program for a group of high school teachers who will be taking students on a hike. Which of the following information should the nurse ...Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a client 48 hours after their burn injury. Which treatment will the nurse anticipate to reduce the client's risk of mortality remove burned tissue intubation topic anitmicrobial ointment, The nurse cares for a client with extensive burn injuries. The nurse is caring for a client who is scheduled for surgery. The client is concerned about the surgical procedure. Which action should alleviate the client's fears and misconceptions about surgery? 1. Tell the client that preoperative fear is normal. 2. Explain all nursing care and possible discomfort that may result.Select all that apply. 1. Keep the cast and extremity elevated. 2. The cast needs to be kept clean and dry. 3. Allow the wet cast 24 to 72 hours to dry. The nurse is caring for a client who has just had rotator cuff repair. The client asks the nurse how soon he can resume his tai chi classes.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 …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) Evaluation b) Planning c) Assessment d) Implementation, Select the best description of how the nurse applies the nursing process in caring for clients. The nurse: a) applies intuition and routine care for clients. b) uses critical thinking to direct care for the individual client. c) uses scientific problem solving to meet client problems.Study with Quizlet and memorize flashcards containing terms like Which cast care instructions should the nurse provide to a client who just had a plaster cast applied to the right forearm? Select all that apply. a. Keep the cast clean and dry b. Allow the cast 24 to 72 hours to dry c. Keep the cast and extremity elevated d. Expect tingling and numbness …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 Prolonged active phase of labor, A nurse ...A nurse is caring for a client. Questions and Solutions (A number of Decisions) 1. A nurse is caring for a client who has sustained burns over 37% of …Nurses provide care of a client before, during, and after a surgical operation, this is collectively called Perioperative Nursing. It is a specialized nursing area wherein …Use Doppler ultrasound to identify the pulses. A nurse in the rehabilitation unit is caring for an older adult client who is in cardiac rehabilitation following an MI. The nurse's plan of care calls for the client to walk for 10 minutes 3 times a day. The client questions the relationship between walking and heart function.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 ...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 ...Study with Quizlet and memorize flashcards containing terms like A client is receiving home oxygen. What teaching points should the nurse provide the client and the caregiver regarding home oxygen safety?, How should the nurse respond when a client asks the purpose of an advance directive?, List at least three (3) priority considerations when performing a sterile dressing change. and more.Study with Quizlet and memorize flashcards containing terms like Prior to allowing a client to eat, which action is most important for the nurse to take?, A nurse is caring who has been prescribed a clear liquid diet. Which liquid can be included in the client's diet?, The client with dysphagia has a regular meal tray delivered at breakfast. Which is the best action for the nurse to take? and ...A nurse is providing oral hygiene for a client who is unconscious. Identify the sequence of the steps the nurse should take. 1. Assess the client's gag reflex. 2. Position the client on his side with his head turned to the side. 3. Place a towel under the client's head with an emesis basin under his chin. 4.A nurse in an emergency department is caring for a client who had a seizure and became unresponsive after stating she had a sudden, severe headache and vomiting. The client's vital signs are as follows: blood pressure of 198/110 mm Hg, pulse of 82/min, respirations of 24/min, and a temperature of 38.2° C (100.8° F).The antibiotic interferes with the client's ability to absorb nutrients. C.) The antibiotic eliminates the healthy gastrointestinal bacteria, allowing harmful bacteria to grow. D.) The antibiotic decreases a client's immunity level, resulting gin diarrhea., A nurse is caring for an older adult who is experiencing urinary leakage.A 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 medicatioStudy 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 ...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.The nurse on the coronary unit is caring for a client with known coronary artery disease who is being treated with cholestyramine and hydrochlorothiazide. What action should the nurse take? a.Call the physician and ask for confirmation of the prescription b.Make sure that the drugs are given at least 2 hours apart c.Give the client an antacid ...Study with Quizlet and memorize flashcards containing terms like A nurse is assessing the anterior chest of a client. Which of the following findings should the nurse report to the provider? A. The point of maximal impulse (PMI) located at the fifth intercostal space B. Symmetrical chest movements during inhalation and expiration C. Absent visible pulsations in the area of the point of maximal ... Many factors contribute to the cost of nursing home care. Some of these include the services provided, location and length of care. The following guidelines will help you understand the various pricing and care plans for nursing homes.6 thg 4, 2022 ... ... patient care before you, as a nurse, can effectively move forward. Nursing example: As you take your patient's vitals, note if any ...Which of the following actions should the nurse take? A. Wear an N95 respirator when caring for the client. B. Place the client in a private room. C. Place a mask on the client when they leave their room. D. Place the client in a negative airflow room., A nurse is performing hand hygiene after caring for a client who has Clostridium difficile.. Mobile home trailer for sale craigslist, neutral hydroflask whole foods