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 four clients. After administering morning medications, she realizes that the nifedipine prescribed for one client was inadvertently administered to another client. Which of the following actions should the nurse take first? A. Notify the client's provider B. Check the patients vitals C. Assess another patientThe 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 with a spinal cord injury who has paraplegia. The nurse can expect which major problem early in the recovery period? 1. bladder control 2. nutritional intake 3. quadriceps setting 4. use of aids for ambulation, The primary reason the nurse encourages a client with a spinal cord injury to increase ... The nurse is caring for a client diagnosed with osteitis deformans (Paget's disease). Which does the nurse identify as the cause of the client's stooped posture and bowing of lower extremities? 1 Muscle metabolism and growth 2 Bone resorption and regeneration 3 Nervous system impulse transmission 4 Joint integrity and synovial fluid productionA 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 medicatio 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.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.Study with Quizlet and memorize flashcards containing terms like A nurse has just received report on four (4) clients. How can the nurse use the prioritization principle ""Acute over Chronic"" to help decide which client to assess first? Provide an example, A nurse is caring for a client who has experienced a mild traumatic brain injury. Describe the manifestations of increased intracranial ... Study with Quizlet and memorize flashcards containing terms like The nurse caring for mechanically ventilated clients knows that older adults are at higher risk for weaning failure. What age-related changes contribute to this? (Select all that apply.), A nurse is caring for a client who is on mechanical ventilation. What actions will promote comfort in this client? (Select all that apply ...NURS 24 EXAM 3 CHAPTER 29. The nurse is caring for a client with suspected right-sided heart failure. What would the nurse know that clients with suspected right-sided heart failure may experience? Clients with right-sided heart failure may have a history of gradual, unexplained weight gain from fluid retention.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 ... 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.10 A nurse is caring for a client who has hypothyroidism. Which of the following manifestations should the nurse expect? constipation 11 A nurse is caring for a client …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 ...Assist the client with a partial bed bath. Measure the client's BP after the nurse administer an antihypertensive medication. A nurse is caring for a client who has recently started using a behind-the-ear hearing aid. Which of the following statements should the nurse identify as in indication that she understands the use of this assistive device?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 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 …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 ...Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a 68-year-old patient admitted with abdominal pain, nausea, and vomiting. The patient has an abdominal mass, and a bowel obstruction is suspected. The nurse auscultating the abdomen listens for which type of bowel sounds that are consistent with the patient's …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 is caring for a client who reports intestinal gas pain following a c-section. What action should the nurse take? a. encourage client to drink carbonated beverages b. instruct the client to splint the incision with a pillow c. have the client drink fluids through a straw d. assist the client to ambulate in the hallwayUsing 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 The nurse, caring for a client receiving a cholinergic drug, should observe for increased symptoms of which of the following processes? a) Cardiac dysrhythmias b) Asthma c) Heart failure d) Blood pressure, The client is receiving terazosin (Hytrin) for treatment of hypertension.Assist the client with a partial bed bath. Measure the client's BP after the nurse administer an antihypertensive medication. A nurse is caring for a client who has recently started using a behind-the-ear hearing aid. Which of the following statements should the nurse identify as in indication that she understands the use of this assistive device?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 ...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.Some facilities use restraint flow sheets to document and record the use of restraints, the monitoring of the client, the care provided and the responses of the patient who is restrained or in seclusion. When these flow sheets are not used, the nurse must document all monitoring and care elements in the progress notes.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.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 ... When a client does not wish to share his feelings with the nurse, it is important for the nurse to convey a willingness to be available for the client. a nurse is caring for a client who is postop 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 ...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.We would like to show you a description here but the site won't allow us.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 ...The nurse is caring for a client newly prescribed crutches. Which finding indicates the need for further teaching? a. The axillary pads are torn and show signs of wear b. The client has a 30-degree bend at the elbow when walking c. The crutches and injured foot are moved simultaneously in a 3-point gait d. There is a 3 finger-width space noted ...The nurse is assisting the client with transfer to a bedside commode. After the client stands and pivots, what should the nurse instruct the client to do next? Place hands on the armrests prior to sitting down. The nurse is caring for a female client who has used the bedside commode. What things should the nurse document for this client?A nurse is caring for a client who has experienced a mild traumatic brain injury. Describe the manifestations of increased intracranial pressure the nurse should be alert for. The nurse should be alert for any reports of headache or blurred vision by the patient. The nurse should also be alert for any changes in level of conciousness, changes ...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...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 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 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.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. A. Chest x-ray. B. Tonometry. C. Thyroid function test. D. Endoscopic retrograde cholangiopancreatography (ERCP) C. Thyroid function test. A nurse is caring for a client who is about to begin taking lithium carbonate to treat bipolar disorder. The nurse should instruct the client to monitor for which of the following findings as indications of ...During the first 10 to 15 min of administration, which of the following assessments is the nurse's priority?, 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 ...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 ...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 forwardWhich 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.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) at the client's left lower leg b) at the end of the client's bed c) on the client's left side d) on the client's right side and more. Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a client with an indwelling urinary catheter. 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 ... A nurse is caring for a client who is having an acute asthma attack. Which of the. following medications. albuterol. A nurse is collecting data from a client. who received morphine IV for pain relief. Which of the following. findings is the nurse's priority to report to. the provider.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 forwardAccording 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 diagnosed with osteitis deformans (Paget's disease). Which does the nurse identify as the cause of the client's stooped posture and bowing of lower extremities? 1 Muscle metabolism and growth 2 Bone resorption and regeneration 3 Nervous system impulse transmission 4 Joint integrity and synovial fluid productionThe nurse caring for a group of client's on the cardiac floor, the nurse should immediately follow upon the client who is. A. receiving diltiazem for AFIB and has a decrease in systolic bp from 148 to 123mmhg. B. being treated for AFIB with an amiodarone drip analysis to have dysarthria.Rank the clients in order of risk factors, with one being the most at risk., The nurse is caring for a client with the nursing diagnosis of Impaired physical mobility related to decreased motor function. Which nursing intervention is appropriate? Select all that apply., The health-care provider suspects that a client has multiple sclerosis (MS).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. 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 ...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 ...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 caring for a client having respiratory distress related to an anxiety attack. Recent arterial blood gas values are pH = 7.53, Pao2 = 72 mm Hg (72 mm Hg), Paco2 = 32 mm Hg (32 mm Hg), and HCO3- = 28 mEq/L (28 mmol/L). Which conclusion about the client should the nurse make? 1. The client has acidotic blood.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? 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 ...We would like to show you a description here but the site won't allow us.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. 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. 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 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. 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 ...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 ... A nurse is planning care for a client coming into the emergency department via ambulance on a hot summer day with the following symptoms: temperature of 105°F (40.5°C), absence of sweating, and loss of consciousness. The nurse anticipates that the client has which condition? Heatstroke Blunted febrile response Heat exhaustion HyperthermiaA 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. C.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 …Study with Quizlet and memorize flashcards containing terms like A nurse has just received report on four (4) clients. How can the nurse use the prioritization principle ""Acute over Chronic"" to help decide which client to assess first? Provide an example, A nurse is caring for a client who has experienced a mild traumatic brain injury. Describe the manifestations of increased intracranial ... 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 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 /minAssist the client with a partial bed bath. Measure the client's BP after the nurse administer an antihypertensive medication. A nurse is caring for a client who has recently started using a behind-the-ear hearing aid. Which of the following statements should the nurse identify as in indication that she understands the use of this assistive device?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 …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 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 ... 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.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 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.A nurse is caring for a client
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 …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 …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 ...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 medicatioMaternal-Newborn 5.0 (1 review) 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 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 who is newly admitted to the facility for chest pain. At which of the following times should the nurse begin teaching about drugs and discharge planning? [] after the client has a definitive diagnosis [] on the day of discharge [] when the client's family members are present [] as soon as possibleSolved by verified expert. 1.) "The client is experiencing nausea and vomiting" - Instead of causing a rise in potassium levels, nausea and vomiting might cause potassium loss. …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 pregnant in an antepartum clinic. Exhibit 1 Vital Signs 0900: T: 36.6° C (97.9° F) P: 88/min RR: 18/min BP: 130/70 SpO2: 97% on room air 1000: P: 76/min RR: 20/min BP: 138/68 SpO2: 98% on room air Exhibit 2 Medical History 0900: Gravida 3, Para 2 32 weeks of gestation Client reports cramping and lower back pain …Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who is at 32 weeks of gestation and is experiencing preterm labor. Which of the following medications should the nurse plan to administer? A. Betamethasone B. Misoprostol C. Methylergonovine D. Poractant alfa, A nurse is caring for a client who …When a client does not wish to share his feelings with the nurse, it is important for the nurse to convey a willingness to be available for the client. a nurse is caring for a client who is postop 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 ...Science Medicine ATI - The Pain/Inflammation Test A nurse is caring for a client who has a new prescription for celecoxib. The nurse should tell the client to report which of the …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.Deciding on hiring nursing in-home care services for a loved one is a difficult one for many reasons. Not only does this mean they’re losing their independence but it also means we have to admit they’re getting older. Here are guidelines di...A nurse is caring for newborn and calculation the Apgar score. At 1 min after delivery, the following findings are noted: 110 HR, slow, weak cry, some flexion of extremities, grimace in response to suctioning of the nares. body pink in color with blue extremities. Calculate the newborn's score. 6= 2 (HR) + 1x (weak cry, flexion, grimace, pink ...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 ...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.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. 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.concepts can co-exist. • Technology brings the patient closer to the nurse. Conversely, technology can also increase the gap between the nurse and nursed.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.A nurse in a hospital is caring for a client who is at 38 weeks of gestation and has a large amount of painless, bright red vaginal bleeding. The client is placed on a fetal monitor indicating a regular fetal heart rate of 138/min and no uterine contractions.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 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 unitStudy 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 …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.A nurse is caring for a client with multiple sclerosis and neurogenic bladder who is receiving bethanechol. The nurse should identify that which of the following client …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 ...29 thg 6, 2012 ... The Certified Nursing Assistant (CNA) skill of Feeding the Client, as outlined in the South Carolina Nurse Aide Candidate Handbook, ver.Rank the clients in order of risk factors, with one being the most at risk., The nurse is caring for a client with the nursing diagnosis of Impaired physical mobility related to decreased motor function. Which nursing intervention is appropriate? Select all that apply., The health-care provider suspects that a client has multiple sclerosis (MS).The nurse caring for a client who has had a subtotal thyroidectomy reviews the plan of care and determines which problem is the priority for this client in the immediate postoperative period? Bleeding. A comatose client with an admitting diagnosis of diabetic ketoacidosis (DKA) has a blood glucose value of 368 mg/dL, arterial pH of 7, arterial ...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 ...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 …The nurse caring for a group of client's on the cardiac floor, the nurse should immediately follow upon the client who is. A. receiving diltiazem for AFIB and has a decrease in systolic bp from 148 to 123mmhg. B. being treated for AFIB with an amiodarone drip analysis to have dysarthria.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 nurse is caring for a client in the orientation phase of the nurse-client relationship. Which of the following communication techniques should the nurse use during this phase? Elicit information from the client A nurse is receiving change-of-shift report for a group of assigned 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 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 Heart failure is mostly caused by: a. Pneumonia b. Hypertension c. Cancer d. Tuberculosis, Identifying details of Supraventricular Tachycardia, A nurse is caring for a client who is prescribed isosorbide mononitrate (Imdur) for chronic stable angina and develops reflex tachycardia.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 …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 ... 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 ...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 ... A nurse is caring for a client who reports intestinal gas pain following a c-section. What action should the nurse take? a. encourage client to drink carbonated beverages b. instruct the client to splint the incision with a pillow c. have the client drink fluids through a straw d. assist the client to ambulate in the hallwayA nurse is caring for four clients. After administering morning medications, she realizes that the nifedipine prescribed for one client was inadvertently administered to another client. Which of the following actions should the nurse take first? A. Notify the client's provider B. Check the patients vitals C. Assess another patient 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 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 nurse is caring for four clients. After administering morning medications, she realizes that the nifedipine prescribed for one client was inadvertently administered to another client. Which of the following actions should the nurse take first? A. Notify the client's provider B. Check the patients vitals C. Assess another patientChap. 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 ...Rank the clients in order of risk factors, with one being the most at risk., The nurse is caring for a client with the nursing diagnosis of Impaired physical mobility related to decreased motor function. Which nursing intervention is appropriate? Select all that apply., The health-care provider suspects that a client has multiple sclerosis (MS). 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 …A nurse is caring for a client in halo traction. Place the following steps in the correct order. Use all options. 1) Administer prescribed analgesic as needed. 2) Assess neurological status. 3) Check the fit of the halo vest. 4) Wash the client's chest and back. 5) Perform respiratory assessment. 6) Assess pin sites for redness.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 …. Cleveland19.com seen on tv