What precautions should the nurse take when caring for this client? A 17-year-old client is having same-day surgery. 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. Describe three characteristics of ctenophores. A nurse is caring for a 6-week-old infant who has a pyloric stenosis. Which action, made by the nursing assistant, would require instruction? A nurse is providing teaching to an adolescent who has type 1 diabetes mellitus. Intracranial pressure is the pressure that the brain, blood, and CSF exert inside the cerebrospinal cavity. Which guideline should the nurse provide to the student? A cataract then forms as oxygen uptake is reduced, water content . Select all that apply. Which of the following actions should the nurse take? See also Preoperative care . While assessing this patient, what characteristic symptom would the nurse expect to find? The nurse observes clear fluid leaking from the nose. A nurse is teaching a parent of a child who has hemophilia how to control a minor bleeding episode. Ms. Simpson, age 72 years, is being seen in the clinic with a suspected bladder tumor. What is the nurse's next action? Line the surface of the wheelchair or stretcher with a clean sheet or bath blanket to protect the surface from direct client contact. What should the nurse observe for in the client during the procedure? The client reports a sudden loss of appetite with no apparent cause. During routine assessment, the nurse notes the previously stable client now appears anxious, apprehensive, and has a blood pressure of 90/56. The nurse has administered the preanesthetic as ordered. A client comes to the clinic for a follow-up visit. $$. Which of the following clinical manifestations should the nurse expect? Which of the following behaviors by the adolescent should the nurse anticipate because it is most common reaction? What essential information does the nurse need to explain to the visitor to prevent transmission of the organism? The average drag force is 110 N. What average power is required of the swimmer? The nurse is reinforcing education for a female client paralyzed from a spinal cord injury (SCI). 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. The client reports a frequent cough producing green sputum for 3 days and denies fever. use of antibiotics in clients with viral infection. c) The magma formed some crystals before rising closer to the surface and solidifying.\ A nurse is caring for an infant who has a tracheoesophageal fistula. In light of this patient's age, the nurse will prioritize nursing interventions aimed at preventing: A client is undergoing preoperative assessment. The potential effects of prior medication therapy must be evaluated before surgery. \frac { d y } { d x } = \frac { 3 x + 2 y } { 3 x + 2 y + 2 } , \quad y ( - 1 ) = - 1 Which intervention should the nurse implement first? A. A 55-year old client with benign prostatic hyperplasia doesn't respond to medical treatment and is admitted to the facility for prostate gland removal. Place a surgical mask on the client and transport to the CT department at the specified time. While assessing the patient at the beginning of the shift, the nurse noted decreased breath sounds, crackles, and a mild cough. A nurse is preparing to begin chest compressions on an infant. What is the nurse's priority action? The client lacks signs and symptoms of infection but microorganisms are present. Six mutually exclusive alternatives, A-F, are being examined. Which surgical team member would be most helpful in addressing the client's concern? The nurse should instruct parents to bring their children back for rescreening in a year for which of the following laboratory values? Which nursing action carries the greatest likelihood of contributing to the spread of vancomycin-resistant enterococci (VRE)? After wound care, the doctor writes an order for Tdap (Tetanus-diphtheria-pertussis) vaccination. What does the nurse do first? AKA Spinal tap, involves the insertion of a hollow needle with a stylet (guide) into the subarachnoid space of the lumbar region of the spinal canal. A nurse is caring for a client who is diagnosed with increased intracranial pressure (ICP). A client for whom transmission-based precautions are required is experiencing sensory deprivation. A polymerase chain reaction. An 83-year-old resident of an extended-care home has begun displaying uncharacteristic confusion over the past 48 hours and is suspected to have a new infection. Inspection of his mouth reveals a white, milky plaque that does not come off with rubbing. Which of the following is a characteristic of a normal stoma? What is the priority action by the nurse? 2- second intention. 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. Description. The nurse's assessment of a postop client reveals a temperature of 103.2F, tachycardia, and client complaints of increased incisional pain. What important consideration should the nurse keep in mind when providing care to such a client? Which of the following should the nurse document as a part of a neurologic nursing assessment? A nurse is providing teaching to a parent of a preschooler who has eczema. A group of nursing students is reviewing the various white blood cells and how they function in infection. Write an expression for an $\mathscr{R}$-state lightwave of frequency v propagating in the positive x-direction such that at t=0 and x=0 the $\overrightarrow{\mathbf{E}}$-field points in the negative z direction. Get the client out of bed and ambulate to a bedside chair. A nurse is admitting a child who has leukemia. A nurse is providing teaching about iron deficiency anemia to the parents of a toddler. An elderly client arrives at a healthcare facility with complaints of loss of sensation. They open in the back to reduce inadvertent contact with the client and objects. Approximately how many feet from others should the nurse tell the client to maintain? This action supports, among other things, infection prevention. Dendrites are short, highly branched extensions of the cell body. (autonomic hyperreflexia) an exaggerated response to stimuli below the level of the lesion in the clients with lesions at or above T6, medical emergency that requires prompt treatment. She is concerned her newborn will develop the disease. The appropriate nursing intervention is to do which of the following? A nurse is admitting a child who has leukemia and a critically low platelet count. Record your answer using a whole number. The nurse overhears the physician instructing the client on the presence of a stoma with temporary pouch. C restriction enzymes. Which of the following foods should the nurse recommend? If one of the normal components of the cranial or spinal cavity (e.g., brain tissue, blood, or CSF) increases in size, volume, or shape, pressure increases. In gathering information for the client, which urinary diversion would the nurse select? Two nurses are working together to double-bag some contaminated items from the room of a client in isolation. Which assessment finding explains the absence of drainage? One of the parents of the child becomes upset and demands to know the reason for the nurse's action. 1. What action should the nurse prioritize at this point in the patient's care? A nurse receives a call from a parent of a child who has von Willebrand disease and is having a nosebleed. What is the greatest possible rate of energy transfer by radiation from a metal cube 2.0 cm on a side that is at $700 ^ { \circ } \mathrm { C }$? Discard used intravenous (IV) bags in the room. A parent calls a clinic and reports to a nurse that his 2-month-old infant is hungry more than usual but is projectile vomiting immediately after eating. The client is preparing for cerebral arteriogram and makes the following statements. The nurse assesses the incision and notes evisceration. The air flow in a compressed air line is divided into two equal streams by a $T$-fitting in the line. The circulating nurse must be vigilant in monitoring the surgical environment. The mother tells the nurse that her son is a "picky eater." A nurse is caring for a toddler who has a fractured right femur and is in Bryant traction. The provider prescribes restraints. How many years must have elapsed for the client to require this shot? A nurse is administering moderate sedation to a client with chronic obstructive pulmonary disease (COPD). Before providing preoperative and postoperative instructions to the client, nurse Gail asks the surgeon which prostatectomy procedure will be done. Which of the following interventions should the nurse include in the plan of care? Solely during the intraoperative phase of perioperative care, the nurse: The nurse is preparing to discharge a patient from the PACU using a PACU room scoring guide. A nurse is caring for a client with a head injury caused by a bicycle accident. Which client has the highest risk for developing an infection? When preparing a sterile field, the nurse notes that the bottle of sterile saline was opened 48 hours ago and is half full. Select all the nursing actions that apply. It is located below the thalamus is also part of the diencephalon, Is a long mass of nerve cells and fibers extending through a central canal on the dorsal side (back of the body). A client undergoing coronary artery bypass surgery is subjected to intentional hypothermia. The nurse cannot auscultate bowel sounds and notes the client's abdomen is rigid. What action should the nurse take? What is the primary action taken by the nurse? This increase in pressure can cause the delicate structures to be moved, damaged, or destroyed. A client suffers a stroke located in the medulla. What action does the nurse take to ensure that the saline used is sterile? Which of the following manifestations should indicate to the nurse that the child's appendix is perforated? $$ An instructor is developing for a class a teaching plan about agents used for intravenous (IV) anesthesia. Available amoxicillin 250mg/5 mL. $$ Which of the following statements by the parent indicates a need for further teaching? Pour the liquid into a sterile container within the sterile field. \begin{matrix} \text{ } & \text{Initial Cost} & \text{Uniform Annual Benefit}\\ \text{A} & \text{\$20} & \text{\$ 6.00}\\ \text{B} & \text{35} & \text{9.25}\\ \text{C} & \text{55} & \text{13.38}\\ \text{D} & \text{60} & \text{13.78}\\ \text{E} & \text{80} & \text{24.32}\\ \text{F} & \text{100} & \text{24.32}\\ \end{matrix} The client has had only 30 ml urine output since arriving to the Inspection of his mouth reveals a white, milky plaque that does not come off with rubbing. For an 8% interest rate, which alternative should be selected? What is the best action by the nurse? Vanilla pudding= contains milk and should not be on a liquid diet tray. e. an older adult client with a history of heart failure. Both of the child's parents have a smoking history. 55. "Limit contact with large groups of people." = A nurse is caring for a client who is 24 hr. In the morning after arising c. 60 minutes before breakfast d. At bedtime on an empty stomach >>See answer and rationale<< 177. Continue to observe the drainage. $$ Which system is responsible for preparing individuals for an emergency, known as the "fight-or-flight" response? Examination of a client's bladder stones reveal that they are primarily composed of uric acid. Which of the following interventions should the nurse include in the infant's plan of care? Which of the following actions should the nurse take? The nurse is conducting a preoperative assessment on a client scheduled for gallbladder surgery. \text{BrO}_2^-~~~~~~~~~~~~~~~~~~~~~~~~~~~~~\underline{~~~~~~~~~~~~~~~} The nurse advises the patient with chronic pyelonephritis that he should: A woman comes to her health care provider's office with signs and symptoms of kidney stones. What should the nurse do first? Select all that apply. Which would be considered significant blood exposures by occupational health? A client is administered succinylcholine and propofol for induction of anesthesia. The nurse's postoperative plan of care should include which of the following? Fentanyl is categorized as which type of intravenous anesthetic agent? The nurse suspects abnormal orthostatic changes. What is the patient most likely experiencing? Which pieces of personal protective equipment should be removed first? The nurse should apply which of the following types of restraints for this infant? A nurse is caring for a client who is three hours post op from open abdominal surgery. A. Based on the nurse's knowledge of the most common hospital-acquired infections, which apparatus is most important to remove first? Ibuprofen (Advil) is prescribed for a client. What cranial nerve does the nurse determine has been stimulated? A nurse is caring for a client who reports a loss of sense of smell. A nurse is providing teaching to a 17-year-old female client who has severe acne about the use of isotretinoin. The client's vital signs are Temp 97.2F, HR 105, RR 24 and BP 110/50. The students demonstrate understanding of the information when they identify which cell as important in synthesizing immunoglobulins? Select all that apply. The nurse caring for a patient who is at risk for malignant hyperthermia subsequent to general anesthesia would assess for the most common early sign of: A physician calls the nurse for an update on his client who underwent abdominal surgery 5 hours ago. A nurse at a pediatrician's office is contacted by a parent whose child just ingested half a bottle of vitamins with added ferrous sulfate. Select the stage during which the OR nurse knows not to touch the patient (except for safety reasons) because of possible uncontrolled movements. Select all that apply. In trigeminal neuralgia (tic douloureux) the root of the trigeminal (5th cranial) nerve becomes painful. The friend of a long-term care client comes to visit despite having an upper respiratory infection. The client is nonverbal and has both cognitive and developmental delays. How should a nurse teach a patient to perform deep breathing and coughing to use postoperatively? In which case is this practice contraindicated? 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. Which steps must be followed when using the double-bagging method? What clinical assessment should the nurse conduct to see whether the nervous system is working properly? The client begins to complain of increased abdominal pain and begins to vomit. Using thi s hypothetical case, and the fact that atoms maintain a charge of 0, how many protons , neutron s, and electrons would a pot ass ium-39 atom contain ? The family member of a client asked the nurse what part of the brain the client's cerebrovascular accident (stroke) was in since the client is paralyzed on the right side. $$ Which would be considered significant blood exposures by occupational health? Which action by the nurse is appropriate? In MS, the myelin sheath covering the nerves is destroyed. Which of the following actions should the nurse suggest to the parent? A client comes to the emergency department reporting becoming very ill after consuming shrimp and lobster. The nurse is caring for a client after hypophysectomy and notes clear nasal drainage from the client's nostril. A post op client reports severe abdominal pain. Risk for Deficient Fluid Volume. d) The magma had abundant dissolved gas. A nurse is providing discharge instructions to a parent and his school-age child who has juvenile idiopathic arthritis. A nurse is caring for a client with a head injury caused by a bicycle accident. A nurse is providing teaching to a parent of a child who has a fracture of an epiphyseal plate. What assessment data may indicate that the patient does have a paralytic ileus? Acute Pain. The nurse is caring for a client who has been placed in strict isolation. A nurse is working with a client with an infectious disease that requires the nurse to wear a particulate air filter respirator. Which of the following findings should the nurse expect the client to manifest with acute lead poisoning? Which measure should the nurse use to prevent foot drop in this client? What does the nurse consider is the most likely cause of the client's change in condition? 4. Standard precautions apply to blood; all body fluids, secretions, and excretions; and intact and nonintact skin and mucous membranes. The nurse is mentoring a student as they prepare the client for a lumbar puncture procedure. Lower the head of the bed. Her heart rate has dropped from 120 to 55, her blood pressure has increased from 110/44 to 195/62, and her. 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. Solve the given initial-value problem. Describe the indicated assessment and interventions related to each problem as listed in the questions below . The nurse should respond with which of the following common names? A 64-year-old man is seeing his urologist for an annual check-up, post prostatectomy. D. "Have your child sit with her head tilted forward and hold pressure on her nose for 10 minutes.". A) Flashing lights in the visual field Julie S Snyder, Linda Lilley, Shelly Collins, Medical Assisting: Administrative and Clinical Procedures, Complete the following list by filling in the missing oxyanion or oxyacid for each pair. What explanation should the nurse provide to this patient? The nurse is preparing to apply a prescription ointment to the client's wound. A client with cancer has been receiving chemotherapy for the past few weeks. The nurse is caring for a client who has active tuberculosis (TB) and is in Airborne Precautions. Decontaminate hands using an alcohol-based hand rub. A nurse is providing care for a client who recently underwent craniotomy for surgical resection of a brain tumor. A nurse is caring for a 2-month-old infant who is postoperative following surgical repair of a cleft lip. The physician asks the nurse for the total amount of drainage collected in the Hemovac since surgery. Neurons make up a nerve. What outcome does the nurse anticipate if the diagnosis is confirmed? What postoperative difficulties can the nurse anticipate for this patient? A nurse reports an incident of suspected child abuse. Which is the nurse's best action? Which concept should be the priority in the teaching plan? $$. an 81-year-old man with active tuberculosis and a productive cough. A nurse is providing teaching about lice to the parents of a school-age child at a well-child visit. A team of nurses is caring for a client with tuberculosis. Select all that apply. What health teaching will the nurse share with the visitor? A nurse is assessing a child who has nephrotic syndrome. Place the following steps in the order that the nurse should take when donning sterile gloves. The nurse suspects which of the following? The 24-hour urine output total is 2430 mL. Nursing> HESI > 2022 HESI EXIT EXAM V2 160 Questions And Correct Answers. B. $$ A nurse is caring for a school-aged child who has a systemic disorder and is receiving antibiotics, immunosuppresants, and corticosteroids. Which assessment finding requires immediate nursing intervention? Which of the following instructions should the nurse give to the parent? A client undergoes extracorporeal shock wave lithotripsy. What action best reduces the risk of transmission to clients and staff? Which of the following instructions should the nurse include in the teaching? Select all that apply. \underline{~~~~~~~~~~~~~~~}~~~~~~~~~~~~~~~~~~~~~~~\text{HIO}_3 The nurse is admitting a 55-year-old male patient diagnosed with a retinal detachment in his left eye. As the eye ages, the lens loses water and increases in size and density, causing compression of lens fibers. Which of the following actions should the nurse take? A nurse is caring for a 4-year-old child who has a new diagnosis of diabetes mellitus and is distressed after an insulin injection. Which of the following actions should the nurse take? Which could be the consequence of an injury close to where the brain and spinal cord connect? Avoid touching the outer surfaces of the gown. The nurse is preparing discharge instructions for a family member who will be caring for a client with an abdominal incision. The velocity of B is constant, but the angular rate is decreasing at 0.5 deg/s$^2$. A rehabilitation nurse is caring for an elderly client with a neurologic disorder. What portion of the brain would the student review? b. What important steps should the nurse follow when providing care for this client? There is no visible soiling on the nurse's hands. observe the colleague and take no further action. Many medications are available to control nausea and vomiting without oversedating the patient. What is the priority action by the nurse? When the nurse's hands are visibly soiled. Which disease does the client likely have? An older adult hospitalized client develops severe diarrhea from gram-negative rods that compromised the normal flora of the bowel. A nurse is planning care for an adolescent who has scoliosis and requires surgical intervention. What is the best response by the nurse? A client having a surgical procedure takes aspirin 325 mg daily for prevention of platelet aggregation. C. "I give my child aspirin to reduce his fever.". Which of the following signs/symptoms is diagnostic for bladder cancer? A client who sustained head trauma in a motor vehicle crash is determined to have an increase in intracranial pressure (ICP). The nurse is providing postoperative care to a client with lung cancer who had a partial pneumonectomy. What would the nurses include in the teaching plan? 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 following a craniotomy. How will the nurse document this condition? A nurse is assessing a toddler who has suspected lead poisoning. Which of the following statements by the parent indicates an understanding of the teaching? (A) Urea takes less energy to synthesize than ammonia. The primary nurse educates the client about surgery and the postoperative period. When collecting the client's vital signs, the nurse notes her rectal temperature to be 103.1F (39.5C). What would the nurse expect to asses? Use a sterile cotton-tipped applicator to apply the prescription to the site. When describing the types of bladder tumors that may occur, which type would the nurse identify as most common? A nurse is providing teaching to the parent of an infant who has gastroesophageal reflux. A nurse is reviewing an adult client's chart and sees that the client is overdue for a tetanus booster. Which of the following findings should the nurse expect? (Select all that apply.). Which precautions will the nurse begin? When would surgery be contraindicated for this patient due to laboratory results? The client is approximately 24 hr postoperative and describes the pain as "severe". What nursing interventions are appropriate to decrease HCAIs? Which of the following play activities should the nurse recognize is therapeutic in helping the child deal with the injection? Which precautions will the nurse begin? A nurse is caring for an infant who has gastroesophageal reflux. Which of the following should the nurse include in the teaching? Which action by the nurse is appropriate? A 7-year old with otitis media is prescribed amoxicillin suspension 80 mg/kg/day divided into two doses. The healthcare provider confirms the diagnosis of acute transverse myelitis. Write the formula for a monosaccharide that has three carbons. A general neurologic examination of a client with complaints of fever, chills, neck stiffness, and irritability confirms meningitis. The nurse should understand that these actions are developmentally appropriate at which of the following ages? 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. Place the following steps in the order that the nurse should take when donning sterile gloves. The nurse reminds the visitor of a client with an antibiotic-resistant infection that gloves are necessary. Which of the following findings should the nurse expect? The client tells the nurse, "I think I'm going to be sick." The patient is scheduled to receive epidural anesthesia. What is the most important postoperative instruction a nurse must give to a client who has just returned from the operating room after receiving a subarachnoid block? Vanilla pudding = contains milk and should not be . The nurse recognizes that written informed consent is required for insertion of a(n): Clients who have received corticosteroids preoperatively are at risk for which type of insufficiency? A nurse is caring for a toddler who is 24 hour postoperative following a cleft palate repair. The client's vital signs are Temp 97.2F, HR 105, RR 24 and BP 110/50. Which of the following conditions should the nurse identify as the leading cause of death among this age group? What is an implication of this assessment finding? The appropriate nursing intervention is which of the following? A nurse is collecting data from a child who is descending stairs by placing both feet on each step and holding on to the railing. **Complete the medical term, based on its meaning as provided. A client with urinary tract infection is prescribed phenazopyridine (Pyridium). Infectious disease, communicable disease, and contagious disease do not describe food poisoning. Which of the following should be the primary medical management goal? ** Normally ICP is 4 to 13 mmHg. Select all that apply. 2. Review the scenario and respond to the following. Hemiplegia - half the body (right to left). She has just undergone an appendectomy. A. When should the client stop taking the aspirin before the surgery? A client comes to the emergency department complaining of severe pain in the right flank, nausea, and vomiting. 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 information should the nurse include in the teaching? What means of transmission do nurses use transmission barriers to protect themselves from? What is the chemical released by the axon that enables nerve impulses to cross the synapse and reach the dendrites? The child reports soreness in his mouth and refuses to eat. Nursing care planning and management for patients who underwent appendectomy includes: preventing complications, promoting comfort, and providing information. They are specialized to respond to electrical, chemical and physical stimuli (EX: pain, pressure, hot/cold), and messages are conducted and transferred through them (neurotransmission). Which nursing action regarding the stethoscope used to auscultate this client's lungs and bowel sounds is appropriate? The car's mass is $1150 \mathrm{~kg}$. D. Administer prednisone on an alternate-day schedule. Select all that apply. What is the priority action by the nurse? The nurse is caring for a postoperative client who develops evisceration of the abdominal incision. When a client with a history of chronic alcoholism is admitted to the hospital for surgery, the nurse anticipates that the client may show signs of alcohol withdrawal delirium during which time period? $$. The expression of thousands of genes at one time =Pain of 9/10 an hour after a dose of morphine = Pain of 9/10 an hour after a dose of morphine The nurse is obligated to make a report for which situations? $$ What is the most common first symptom of a malignant tumor of the bladder?
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