(Select all that apply.) A. Review the medications the client currently takes. B. Assess the AV fistula for a bruit. C. Calculate the client's hourly urine output. D. Measure the client's weight. E. Check serum electrolytes. F. Use the access site area for venipuncture., A nurse is planning postprocedure care for a client who received hemodialysis.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 ...Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who has early stage Alzheimer's disease and a new prescription for donepezil. The nurse should include which of the following statements when teaching the client about the medication? A. You should avoid taking over the counter acetaminophen while on donepezil. B. You should take this medication ... 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 …A 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.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. Oct 21, 2023 · Terms in this set (33) Ask the client when she last voided. A nurse is caring for a client who reports that her last menstrual period (LMP) began on July 8. Based on Nagele's rule, which of the following is the client's expected date of birth (EDB)? April 15. A nurse is reinforcing teaching about oxytocin with a client who is in the third ... 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 …A. Insert an indwelling urinary catheter. B. Inspect the mouth for signs of inhalation injuries. C. Administer IV pain medications. D. Draw blood for a complete blood cell (CBC) count. B. A nurse is caring for a client who experience a femur fracture 8 hours ago and now reports sudden onset dyspnea and severe chest pain.As previously discussed, palliative care is “patient and family-centered care that optimizes quality of life by anticipating, preventing, and treating suffering ...A nurse is caring for a client who is postoperative and is exhibiting signs of hemorrhagic shock. The nurse notifies the surgeon, who tells the nurse to continue to measure the client's vital signs every 15 min and to report back in 1 hr. Which of the following actions should the nurse take next? A. Document the provider's statement in the ...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.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–client relationship is an interaction between a nurse and "client" aimed at enhancing the well-being of the client, who may be an individual, a family, a group, or a ... broad influences on health care and …The 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.B. monitor the serum ammonia level. C. decrease the frequency of the lactulose dose. D. perform skin care in the perineal are. C. the client with cirrhosis of the liver asks the nurse why he has edema. the nurse would make which response to explain how edema results from pathophysiologic changes in cirrhosis.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 ...Oct 21, 2023 · The client weighs 40 kg(88lbs) and believes she is fat. Which of the following aspects of care should the nurse consider the first priority of care for this client? a- identify the client's nutritional status b- request a mental health consult c-plan a therapeutic diet for the client d- provide a structured environment for the client The nurse participating in a client care conference with other health team members is discussing the condition of a client with adult respiratory distress syndrome (ARDS). The primary health care provider states that because of fluid in the alveoli, surfactant production is falling.Study with Quizlet and memorize flashcards containing terms like A charge nurse is discussing the responsibility of nurses caring for clients who have Clostridium difficile infection. Which of the following information should the nurse include in the teaching? a. assign the client to a room with a negative airflow system b. use alcohol-based hand sanitizer when leaving the client's room c ... 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. Hemorrhagic strokes occur when bleeding occurs in the brain caused by the rupture of an aneurysm or arteriovenous malformation, hypertension and atherosclerosis, or trauma. A nurse is caring for a client who has aphasia following a stroke. A family member asks the nurse how she should communicate with the client. The 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 …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 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 ...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.A nurse caring for a pregnant client in labor observes that the fetal heart rate (FHR) is below 110 beats per minute. Which interventions should the nurse perform? Select all that apply. A. Assess client for underlying causes. B. Turn the client on her left side. C. Ignore questions from the client. D. Administer oxygen by mask. E.The nurse caring for a client diagnosed with cancer knows which of the following are true about cancer pain? Select all that apply. Typically chronic in nature and treated with long-term opioids Not necessarily experienced by all clients and a thorough pain assessment is key Associated with a high incidence of drug addiction due to the chronic ...The nurse 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.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 ...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 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 needs to collect a midstream urine specimen. Which of the following actions should the nurse take?, A nurse is caring for a client who has a stage IIl pressure injury on the sacral area. Which of the following actions should the nurse take when obtaining a wound culture specimen from the ...Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client receiving chemotherapy. Which nursing action is most appropriate for handling chemotherapeutic agents? Wear disposable gloves and protective clothing. Break needles after the infusion is discontinued. Disconnect I.V. tubing with gloved hands. Throw I.V. tubing in the trash after the infusion is ... 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 …Study with Quizlet and memorize flashcards containing terms like a nurse is caring for a client who is experiencing acute alcohol withdrawal. For which of the following client outcomes should the nurse administer chlordiazepoxide? a. minimize diaphoresis b. maintain abstinence c. lessen craving d. prevent delirium tremens, a nurse is teaching a …the 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 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. Hemorrhagic strokes occur when bleeding occurs in the brain caused by the rupture of an aneurysm or arteriovenous malformation, hypertension and atherosclerosis, or trauma. A nurse is caring for a client who has aphasia following a stroke. A family member asks the nurse how she should communicate with the client. Obtain 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 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).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 …Hemorrhagic strokes occur when bleeding occurs in the brain caused by the rupture of an aneurysm or arteriovenous malformation, hypertension and atherosclerosis, or trauma. A nurse is caring for a client who has aphasia following a stroke. A family member asks the nurse how she should communicate with the client.The 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. Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a client with trigeminal neuralgia (tic douloureux). The care plan for this client reflects the client's problem eating due to jaw pain. To assist the client in meeting the adequate nutritional needs, what should the nurse suggest? A) Take small meals of nutrient and calorie-dense food. B) Increase the ... Study with Quizlet and memorize flashcards containing terms like A client is at risk for developing hypocalcemia. The nurse determines which signs are associated with this electrolyte disturbance? Select all that apply., The nurse is caring for a client with a nasogastric tube in place for gastric decompression. The primary health care provider …Study with Quizlet and memorize flashcards containing terms like A client has died, and the nurse asks a family member about the funeral arrangements. The family member refuses to discuss the issue. Which is the appropriate nursing action?, The nurse is preparing to care for a dying client and several family members are at the client's bedside.15. A nurse is caring for a client who has returned to the recovery unit following a craniotomy. The nurse can safely place the client in which of the position? Trendelenburg position. Fowler’s position with the head leaning on the left side. Semi-fowlers position with the head in a midline position. Supine position with the neck flexed.Home care nurses are committed to high-quality patient care outcomes and many have experience working for aged care providers. Hiring a private nurse is ...Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a client with Clostridium difficile colitis. Which of the following infection control measures by the nurse are appropriate? Select all that apply: 1. Applies sterile gloves before performing client care 2. Ensures surgical masks are worn by staff in client's room 3. Requests that the client be assigned to ...Study with Quizlet and memorize flashcards containing terms like 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.Caring is essential in the nursing profession because it helps with the healing process. It is a way for nurses to show empathy, compassion and emotional support towards their patients. Caring can be done in many different ways, including talking to an individual or supporting them physically. Being kind is a way people understand caring.a nurse is caring for a client who has major depressive disorder. which of the following should the nurse identify as a risk factor for depression? (select all that apply.) a) male sex b) history of chronic bronchitis c) recent death in client's family d) family history of depression e) personal history of panic disorder.In the fast-paced and ever-evolving world of healthcare, accurate and efficient documentation is crucial. Nurses play a vital role in patient care, and their ability to effectively chart patient information is essential for providing high-q...Study with Quizlet and memorize flashcards containing terms like A nurse is assessing the anterior chest of a client. Which of the following findings should the nurse report to the provider? A. The point of maximal impulse (PMI) located at the fifth intercostal space B. Symmetrical chest movements during inhalation and expiration C. Absent visible pulsations in the area of the point of maximal ... Study with Quizlet and memorize flashcards containing terms like A charge nurse is discussing the responsibility of nurses caring for clients who have Clostridium difficile infection. Which of the following information should the nurse include in the teaching? a. assign the client to a room with a negative airflow system b. use alcohol-based hand sanitizer when leaving the client's room c ... Decreased total body fluid. A nurse is caring for a client who has an acid-base imbalance and is experiencing hypoxia. Which of the following actions should the nurse take first? Elevate the head of the client's bed. A nurse is preparing to administer 1,950 mL of 0.45% sodium chloride IV to infuse over 13 hr.A nurse is caring for a client who has heavy drainage from a moist red wound that is bleeding. Which of the following types of dressings should the nurse select to help promote hemostasis? Alginate [DEF: Alginate dressings help establish hemostasis while providing a moist environment for healing and absorption of exudate.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? Decreased total body fluid. A nurse is caring for a client who has an acid-base imbalance and is experiencing hypoxia. Which of the following actions should the nurse take first? Elevate the head of the client's bed. A nurse is preparing to administer 1,950 mL of 0.45% sodium chloride IV to infuse over 13 hr. Nursing is a demanding and rewarding profession, and nurses are essential to the health care system. As such, it’s important to understand the pay rate for nurses so you can make an informed decision about your career. Here’s what you need ...According to “A Dictionary of Nursing” cited on Encyclopedia.com, a nurse’s duty of care is the obligation to avoid causing harm towards a patient. If a nurse falls short of expected obligations, she may be charged with negligence.The nurse is caring for a client with manifestations of dilated cardiomyopathy. When planning care, which consideration would the nurse make? 1- Place bed in a high or semi-high Fowler's position as needed. 2- Assist client to bathroom every 2 hours. 3- Instruct client to avoid strenuous activity. 4- Assess abdominal girth daily.Decreased total body fluid. A nurse is caring for a client who has an acid-base imbalance and is experiencing hypoxia. Which of the following actions should the nurse take first? Elevate the head of the client's bed. A nurse is preparing to administer 1,950 mL of 0.45% sodium chloride IV to infuse over 13 hr.Oct 21, 2023 · The antibiotic interferes with the client's ability to absorb nutrients. C.) The antibiotic eliminates the healthy gastrointestinal bacteria, allowing harmful bacteria to grow. D.) The antibiotic decreases a client's immunity level, resulting gin diarrhea., A nurse is caring for an older adult who is experiencing urinary leakage. 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.A nurse is caring for a client who requires total assistance with mobility. When using the Mobility Assessment Tool (MAT), which of the following pieces of equipment should the nurse use to transfer the client? Mechanical lift A nurse is caring for a client who requires maximum assistance to transfer from the bed to a chair.Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who has been off the unit for physical therapy for the past hour notes that the infusion pump for the clients TPN is turned off. The client tells the nurse that the battery went dead while she was in physical therapy. Study with Quizlet and memorize flashcards containing terms like A client has died, and the nurse asks a family member about the funeral arrangements. The family member refuses to discuss the issue. Which is the appropriate nursing action?, The nurse is preparing to care for a dying client and several family members are at the client's bedside.A nurse is caring for a client in the manic phase of bipolar disorder. Identify three (3) clinical manifestations associated with this phase of the bipolar disorder. Bipolar - Manic Phase: Labile mood with euphoria. Agitation and irritability. Restlessness. Dislike of interference and intolerance of criticism. Increase in talking and activity.Study with Quizlet and memorize flashcards containing terms like 36. The nurse is caring for a client with heart failure. On assessment, the nurse notes that the client is dyspneic and crackles are audible on auscultation. What additional signs would the nurse expect to note in this client if excess fluid volume is present? 1.Weight loss 2.Flat neck and hand veins 3.An increase in blood ...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...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 ...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 prescribed isosorbide mononitrate (Imdur) for chronic stable angina and develops reflex tachycardia. Which of the following medications should the nurse expect to administer? a. furosemide (Lasix) b. captopril (Capoten) c. ranolazine (Ranexa) d. metoprolol (Lopressor)A nurse is caring for a client who was in a motor-vehicle crash 2 days ago and sustained fractures to his tibia, ulna, and several ribs. The client is disoriented to time and place, has a SaO2 of 87%, and the nurse notes generalized petechiae on the client's skin.The 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 …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? 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 diagnosed with rheumatoid arthritis (RA). Which assessment finding does the nurse expect to assess? 1. Asymmetrical pain in the large weight …The nurse should recognize the client's right to refuse the treatments and inform the client of this right. The nurse should advocate for the client and offer to contact the provider for the client. 55. A nurse is caring for an older adult client who has dementia and requires acute care for a respiratory infection.The nurse is caring for a client with manifestations of dilated cardiomyopathy. When planning care, which consideration would the nurse make? 1- Place bed in a high or semi-high Fowler's position as needed. 2- Assist client to bathroom every 2 hours. 3- Instruct client to avoid strenuous activity. 4- Assess abdominal girth daily.Solved by verified expert. Caring for an adolescent with autism involves tailored communication and family engagement. Effective communication, sensory …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 is postoperative and is exhibiting signs of hemorrhagic shock. The nurse notifies the surgeon, who tells the nurse to continue to measure the client's vital signs every 15 min and to report back in 1 hr. Which of the following actions should the nurse take next? A. Document the provider's statement in the ...A nurse is caring for a client
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. The nurse participating in a client care conference with other health team members is discussing the condition of a client with adult respiratory distress syndrome (ARDS). The primary health care provider states that because of fluid in the alveoli, surfactant production is falling.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 is caring for a client who is prescribed isosorbide mononitrate (Imdur) for chronic stable angina and develops reflex tachycardia. Which of the following medications should the nurse expect to administer? a. furosemide (Lasix) b. captopril (Capoten) c. ranolazine (Ranexa) d. metoprolol (Lopressor)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.Study with Quizlet and memorize flashcards containing terms like 1 .The nurse caring for a client with terminal illness observes that the client is unresponsive and in the final detachment stage of dying. Basic human needs are a priority for the dying person. What is the highest priority for nursing care at this time? A) Emotional needs B) Physical needs C) Spiritual needs D) Social needs, 2 ... 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 The nurse is caring for a client with Clostridium difficile colitis. Which of the following infection control measures by the nurse are appropriate? Select all that apply: 1. Applies sterile gloves before performing client care 2. Ensures surgical masks are worn by staff in client's room 3. Requests that the client be assigned to ...Nursing is an excellent career path if you’re interested in working in the healthcare industry and strive to provide quality care to patients. If you’re short on time or worry that attending a brick-and-mortar school isn’t possible, one alt...Which of the following actions should the nurse take? A. Wear an N95 respirator when caring for the client. B. Place the client in a private room. C. Place a mask on the client when they leave their room. D. Place the client in a negative airflow room., A nurse is performing hand hygiene after caring for a client who has Clostridium difficile.A nurse is 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 Rights of Medication Administration? The nurse documents that the aspirin was given at 0825. A nurse id preparing to administer a ...A 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.Tell me what is making you feel so tense." d. "I will leave you alone for a d=few minutes while you try to control yourself." ANS: C (stay at safe distance and remain calm), 3. A nurse is caring for a client who has borderline personality disorder. The nurse enters the client's room and finds the client cutting into his flesh with a paper clip. 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 …A nurse is caring for a client who is experiencing expressive aphasia and right hemiparesis following a stroke. Which of the following actions by the nurse best …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 ...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 ...1. A nurse is completing an admission assessment for an adolescent client who has depression. The nurse should identify which of the following findings as the priority? a. The client is confrontational with his parents b. The client is getting Ds in his classes because he frequently skips school. c.4.8 (4 reviews) A nurse is caring for a client who has tuberculosis. What actions should the nurse take. Click the card to flip 👆. - place the client in a room with negative-pressure airglow (airborne precautions) - wear gloves when assisting the client with oral care. - wear an N95 mask when providing client care.The 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. A. clamp each lumen. B. place the client in an upright position. C. put on sterile gloves. D. flush each lumen with 10 milliliters normal saline. A. clamp each lumen. The nurse is caring for a client who has an implanted port central venous access device (CVAD) and needs to have an intravenous (IV) solution infused.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 ... If you’re interested in pursuing a trusted, compassionate career in health care, you might be wondering “what do I need to become a nurse?” Though not necessarily as time consuming as becoming a doctor, becoming a nurse does require specifi...The 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 …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 ...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 …a nurse is caring for a client who has a prescription for alprazolam. for which of the following adverse effects should the nurse monitor? SATA. -tolerance. -anxiety. -sedation. -respiratory depression. a nurse is caring for a client who has been taking alprazolam for an extended period of time to treat anxiety. the nurse should identify that ...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. A nurse is caring for a client who is postoperative and refuses to use an incentive spirometer following major abdominal surgery. Which of the following actions is the nurse's priority? b. Determine the reasons why the client is refusing to use the incentive spirometer. The first action the nurse should take when using the nursing process is to ...a nurse is caring for a client who is 5 hr post op following a transurethral resection of the prostate. the nurse notes that the clients indwelling urinary catheter has not drained in the past hour. which of the following actions should the …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 ...a. insert an implanted port. b. close a laceration with sutures. c. place an endotracheal tube. d. initiate an enteral feeding through a gastrostomy tube. d. initiate an enteral feeding through a gastrostomy tube. A nurse is caring for a client who has recently started using a behind the ear hearing aid.A nurse is caring for a client who is receiving dextrose in 5% water with 20 mEq of potassium chloride at 75 mL/hr. The provider has prescribed 1 g ceftriaxone IV. When preparing to administer this medication by intermittent IV bolus, which of the following actions should the nurse take first?Study with Quizlet and memorize flashcards containing terms like 36. The nurse is caring for a client with heart failure. On assessment, the nurse notes that the client is dyspneic and crackles are audible on auscultation. What additional signs would the nurse expect to note in this client if excess fluid volume is present? 1.Weight loss 2.Flat neck and hand veins 3.An increase in blood ...A nurse is caring for a client with bronchogenic carcinoma. Which nursing diagnosis takes highest priority? You selected: Disturbed body image related to changes in body functions Incorrect Correct response: Ineffective airway clearance related to obstruction by a tumor or secretions Explanation: Maintaining a patent airway is the first concern in a client with a condition that may compromise ...A nurse is caring for a client who has a peripheral venous ulcer. Which of the following actions should the nurse take? (Select all that apply) a. Instruct the client to apply warm heat for pain. b. Instruct the client to sit with their legs uncrossed. c. Encourage the client to avoid tobacco products.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. 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).A client who has difficulty breathing should call emergency services and seek immediate care. The client will need to be treated with epinephrine and an antihistamine, such as diphenhydramine, to treat an anaphylactic reaction. Pharmacology Made Easy 4.0 Infection Test Learn with flashcards, games, and more — for free.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 …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 ...Study with Quizlet and memorize flashcards containing terms like A client who is 21 weeks pregnant is scheduled for an amniocentesis today. The client informs the nurse that her bladder feels full. which is the nurse's best response?, 3. RhoGAM, The biophysical profile (BPP) is an ultrasound assessment of fetal status along with a non-stress test (NST). A score of 2/10 will prompt to nurse to ...4.8 (4 reviews) A nurse is caring for a client who has tuberculosis. What actions should the nurse take. Click the card to flip 👆. - place the client in a room with negative-pressure airglow (airborne precautions) - wear gloves when assisting the client with oral care. - wear an N95 mask when providing client care.Drag 1 condition and 1 client finding to fill in each blank in the following sentence. ectopic pregnancy. right lower quadrant abdominal tenderness. A nurse at a provider's office is caring for a client who is 28 years of age. Complete the following sentence by …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. A. clamp each lumen. B. place the client in an upright position. C. put on sterile gloves. D. flush each lumen with 10 milliliters normal saline. A. clamp each lumen. The nurse is caring for a client who has an implanted port central venous access device (CVAD) and needs to have an intravenous (IV) solution infused. A nurse is caring for a client who has a serum sodium level of 150 mEq/L. Which of the following actions should the nurse take? a. Increase sodium in the client’s diet b. Administer hypotonic IV fluids to the client c. Restrict the client’s oral fluid intake d. Administer a beta blocker. A nurse is caring for client who has Cushing’s disease.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.A nurse would expect to note which interventions in the plan of care for a client with hypothyroidism? Select all that apply. 1. Provide a cool environment for the client. 2. Instruct the client to consume a high-fat diet. 3. Instruct the client about thyroid replacement therapy. 4. Encourage the client to consume fluids and high-fiber foods in ...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 ... . Stihl fs 56 head replacement