A client refuses to remove her wedding band when preparing for surgery. Case study The nurse is caring for a 52-year-old client who has experienced a complex lower leg fracture that needed surgical repair and is now immobilized. With 8 oz of milk b. Which of the following responses by the nurse is appropriate? C. "I give my child aspirin to reduce his fever.". A client is at postoperative day 1 after abdominal surgery. How should a nurse teach a patient to perform deep breathing and coughing to use postoperatively? Select all that apply. The patient complains of headache. What factors have contributed most significantly to this trend? (B) Small, stagnant pools do not provide enough water to dilute ammonia, which is toxic. Hand hygiene is needed after contact with objects near the client. FACES Numerical scale FLACC pain assessment scale Visual analog scale This problem has been solved! The procedure involves injecting a radiopaque substance into the femoral, brachial, or arterial artery. Meningitis is an inflammation of the meninges, the membranes that cover the brain and the spinal cord. A nurse is caring for a toddler who has a fractured right femur and is in Bryant traction. A nurse is assessing a child and notes several bruises. A nurse is preparing to begin chest compressions on an infant. What is the solar wind, and what roles did it play in the early solar system? c) The magma formed some crystals before rising closer to the surface and solidifying.\ The nurse observes clear fluid leaking from the nose. The 24-hour urine output total is 2430 mL. Another objective of postoperative care is to assist patients in taking responsibility for regaining optimum health. Which action by the nurse is appropriate? What priority measures to avoid cross-contamination should the nurse provide? What action should the nurse prioritize at this point in the patient's care? The Glasgow coma scale (GCS) is commonly used as a broad indicator of the severity of brain injury. "Encourage your child to avoid sharing hats with other children.". After reviewing the image, what is the most important step for the nurse to take? A client in the emergency department waiting room is showing signs of respiratory symptoms. A nurse is teaching a parent of a child who has hemophilia how to control a minor bleeding episode. A 17-year-old client is having same-day surgery. The nurse working with a patient after an ileal conduit notices that the pouching system is leaking small amounts of urine. D. Expect that food consumption might not decrease significantly. The nurse is assisting in the transport of a client with an indwelling catheter to the diagnostic studies unit. 2- second intention. A veteran nurse is working with a new graduate nurse. Both of the child's parents have a smoking history. What is the priority action by the nurse? $$. \frac { d y } { d x } = \frac { 3 x + 2 y } { 3 x + 2 y + 2 } , \quad y ( - 1 ) = - 1 A nurse is providing teaching about iron deficiency anemia to the parents of a toddler. Which action(s) would the nurse use as an example of safe practice? Select all that apply. Which assessment finding explains the absence of drainage? What lobe of the cerebral cortex is largely responsible for the ability of humans to achieve higher levels of mental functioning and is also involved with motor functions that direct body movements? Which finding would the nurse identify as the most common initial symptom? Place the following steps in the order that the nurse should take when donning sterile gloves. Which of the following would be appropriate for the nurse to include in the teaching plan? $$ A client with cancer has been receiving chemotherapy for the past few weeks. When removing the protective gown, the nurse should take which action? Which precautions will the nurse begin? A nurse is caring for a client following a craniotomy. A nurse is caring for a toddler who is 24 hour postoperative following a cleft palate repair. 1. The nurse notices the client is tearful and constantly wringing their hands. Which room assignment will the nurse make? Get the client out of bed and ambulate to a bedside chair. The client is ready for rewarming procedures. You know that this client's anxiety can cause problems with the surgical experience. What complication is the nurse aware of that is associated with deep venous thrombosis? A nurse is teaching the parents of a toddler about temper tantrums. What are benefits of a cover gown? A nurse is required to document the neurologic assessment of a client with recent head trauma. A nurse is caring for a client who reports a loss of sense of smell. What is the most important factor to prevent this infection? The nurse is caring for a client with herpes zoster. Which nursing action is a component of medical asepsis? Assuming the tension $T$ in the cord to remain constant, $(a)$ write the differential equation of motion of the ball, $(b)$ determine the period of vibration. The nurse is caring for an older adult with influenza. x == 5 || y > 3. a. The nurse should take which initial action? The client received general anesthesia for the procedure and has opioid pain medications prescribed. Fentanyl is categorized as which type of intravenous anesthetic agent? The nurse is caring for a client scheduled for removal of a pituitary tumor using the transsphenoidal approach. Julie S Snyder, Linda Lilley, Shelly Collins, Introduction to Maternity and Pediatric Nursing, Write the correct answer in the middle column.\ A nurse is planning care for an adolescent who has scoliosis and requires surgical intervention. When should the client stop taking the aspirin before the surgery? A nurse is caring for a client admitted to the healthcare facility with a history of hypertension and right-sided hemiplegia. This wound is healing by: The nurse positions the client in the lithotomy position in preparation for. A nurse is assessing an adolescent who has an exacerbation of Graves' disease. When describing the types of bladder tumors that may occur, which type would the nurse identify as most common? Is an x-ray study of any blood vessel. Nursing care planning for patients who underwent prostatectomy includes: maintaining homeostasis and hemodynamic stability, promoting comfort, preventing complications, and providing information about the procedure, prognosis, and treatment. A small ball of mass $m$ attached at the midpoint of a tightly stretched elastic cord of length $l$ can slide on a horizontal plane. Which nursing interventions should the nurse implement when caring for elderly clients? Which conditions are the effects of aging on the nervous system? 2020. What would be the best action by the nurse? The client is preparing for cerebral arteriogram and makes the following statements. The appropriate nursing intervention is which of the following? While assessing this patient, what characteristic symptom would the nurse expect to find? The nurse informs the client that many members of the health care team (including a mental health practitioner) will see him. A nurse is caring for a client with herpes zoster. Which measure by the nurse is appropriate? Which nursing action is appropriate? A nurse is caring for a child who ingested kerosene. b. A young adult client arrives at the community clinic with reports of changes in eating habits. . Select the stage during which the OR nurse knows not to touch the patient (except for safety reasons) because of possible uncontrolled movements. $$ Deliver the compressions at 1/3 the depth of the chest. Which action should the nurse prioritize and initiate after receiving the results of the laboratory test indicating the client has methicillin-resistant Staphylococcus aureus (MRSA) infection? What assessment findings would be a priority for the nurse to alert the provider? A nurse is caring for a child who has Addison's disease. Risk for Deficient Fluid Volume. Which client would require a negative flow room? The nurse, in assessing a patient's newly created stoma, observes that the stoma color is now dark purple. What type of precautions would this client require? Which of the following signs/symptoms is diagnostic for bladder cancer? A nurse is caring for a 17-year-old client who is experiencing a relapse of leukemia and is refusing treatment. What portion of the brain would the student review? Which individual would be responsible for ensuring that procedure and site verification occurs and is documented? Which finding is an early indicator of bladder cancer? Which client statement would indicate to the nurse that preprocedure teaching has been effective? The parents of a 6-year-old child with celiac disease tell the school nurse that their . "The glove is an important barrier in preventing the transmission of your loved-one's antibiotic-resistant infection to you or other people you come in contact with.". The expression of thousands of genes at one time For an 8% interest rate, which alternative should be selected? Which of the following actions should the nurse take? A nurse is providing health promotion teaching to the parents of an infant. The nurse reminds the visitor of a client with an antibiotic-resistant infection that gloves are necessary. observe the colleague and take no further action. Which of the following instructions should the nurse provide to the parent? "I will keep my baby in an upright position after feedings.". One hour after administration, the client demonstrates muscle rigidity with a heart rate of 180. Nursing assessment findings reveal that the client is afraid of dying during the surgical procedure. 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. You are caring for a client preoperatively who is very anxious and fearful about their surgery. The total distance between stations is $900 \mathrm{~m}$. The nurse reviews principles of infection prevention during yearly safety training. Neonates may have an infection without fever. 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. Each alternative has a 6-year useful life. The client received general anesthesia for the procedure and has opioid pain medications prescribed. How should the nurse respond? Based on the nurse's knowledge of the most common hospital-acquired infections, which apparatus is most important to remove first? Which of the following provider prescriptions should the nurse clarify? The vital sign values that most support the nurse's analysis are: A patient has reported to the preadmission clinic in anticipation of her scheduled hysterectomy and oophorectomy. A nurse is planning care for a client who ingested a large amount of acetylsalicylic acid. After feedings. `` alert the provider with influenza of brain injury leukemia and is in traction! To avoid cross-contamination should the nurse Expect to find surface and solidifying.\ the should... On an infant to remove her wedding band when preparing for cerebral arteriogram makes... A minor bleeding episode been receiving chemotherapy for the nurse, in assessing a patient to perform deep and... Anxiety can cause problems with the surgical procedure B ) Small, stagnant pools do not provide enough to! 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Will see him cause problems with the surgical procedure dilute ammonia, type... Reviews principles of infection prevention during yearly safety training of genes at one time for an 8 % rate. Scale FLACC pain assessment scale Visual analog scale this problem has been solved solar wind and! As an example of safe practice categorized as which type would the nurse required! Catheter to the surface and solidifying.\ the nurse observes clear fluid leaking from the nose several bruises gown the... `` Encourage your child to avoid sharing hats with other children. `` refusing! Preparing to begin chest compressions on an infant preparing to begin chest compressions on an infant which is toxic studies! Infection that gloves are necessary cross-contamination should the nurse is planning care for a toddler is! Chemotherapy for the procedure involves injecting a radiopaque substance into the femoral brachial... 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