Damage to the respiratory system A nurse is caring for a client with a neurologic problem who has been advised to have an electroencephalogram (EEG). Which of the following actions should the nurse take? Which of the following is the most common symptom of bladder cancer? When removing the protective gown, the nurse should take which action? Select all that apply. A nurse is caring for a 55-year-old client with a left-sided stroke. The Glasgow coma scale (GCS) is commonly used as a broad indicator of the severity of brain injury. When describing the types of bladder tumors that may occur, which type would the nurse identify as most common? What health teaching will the nurse share with the visitor? Where are polar bodies made, in the male or in the female? Which of the following would the nurse expect to include in the client's plan of care? You know that this client's anxiety can cause problems with the surgical experience. What is the advantage of this adaptation? Nursing assessment findings reveal abdominal pain, absence of bowel sounds, fever, tachycardia, and tachypnea. $$ Which surgical team member would be most helpful in addressing the client's concern? The nurse is caring for a client diagnosed with bladder cancer and requiring a cystectomy. d) The magma had abundant dissolved gas. A client in the emergency department waiting room is showing signs of respiratory symptoms. The nurse is caring for a client with herpes zoster. Which nursing diagnosis is appropriate for the client with a new ileal conduit? Which of the following would be appropriate for the nurse to include in the teaching plan? What portion of the brain would the student review? Morphine 6 mg IV bolus every 4 hours PRN is prescribed. A mental health practitioner should be involved in the client's care to: a) assess whether the client is a good candidate for surgery. A nurse in an emergency department is caring for an infant who has a 2-day history of vomiting and an elevated temperature. A nurse is caring for a 55-year-old postoperative client. A nurse is caring for a client in isolation. The nurse is caring for a postoperative client who has a Kock pouch. Which of the following amounts of urinary output should indicate to the nurse that the treatment has corrected the fluid imbalance? In which situation is an alcohol-based rub an inappropriate option for hand hygiene? The nurse is assisting the provider during a lumbar puncture on a client. A nurse is assessing a preschooler who has a calcium level of 8.0 mg/dL. The nurse bases her next action on the principle that: The nurse recognizes the client has reached stage III of general anesthesia when the client: The nurse is physically preparing a client for surgery. The nurse tells the client to take the medication: a. A nurse is admitting a child who has leukemia. 55. Which intervention should the nurse implement first? What important steps should the nurse follow when providing care for this client? The compressed air enters this $2.5-\mathrm{cm}$ diameter fitting at $1.6 \mathrm{~MPa}$ and $40^{\circ} \mathrm{C}$ with a velocity of $50 \mathrm{~m} / \mathrm{s}$. The nurse knows what to be true of fever in young children? Which of the following interventions should the nurse include in the infant's plan of care? Neonates may have an infection without fever. "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.". This increase in pressure can cause the delicate structures to be moved, damaged, or destroyed. The client received general anesthesia for the procedure and has opioid pain medications prescribed. The students demonstrate understanding of the information when they identify which cell as important in synthesizing immunoglobulins? Which steps must be followed when using the double-bagging method? The client's vital signs are Temp 97.2F, HR 105, RR 24 and BP 110/50. D. It is not necessary to worry about complications of immobility on the first postoperative day. The client reports a frequent cough producing green sputum for 3 days and denies fever. The friend of a long-term care client comes to visit despite having an upper respiratory infection. Select all that apply. See Lumbar Puncture previously mentioned. Which precautions will the nurse begin? You are caring for a client preoperatively who is very anxious and fearful about their surgery. Record your answer using a whole number. 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. Nurses play a key role in reducing both the spread of disease and adverse outcomes for clients. The client's vital signs are Temp 97.2F, HR 105, RR 24 and BP 110/50. The nurse expects informed consent to be obtained for insertion of: The nurse recognizes that the older adult is at risk for surgical complications due to: The nurse recognizes older adults require lower doses of anesthetic agents due to: The client asks the nurse about ways to control pain other than taking pain medication. 1. Six mutually exclusive alternatives, A-F, are being examined. The nurse is obtaining a health history from a client describing urinary complications. Which of the following actions should the nurse suggest to the parent? Which of the following actions by the nurse is inappropriate? The potential effects of prior medication therapy must be evaluated before surgery. This wound is healing by: The nurse positions the client in the lithotomy position in preparation for. Available amoxicillin 250mg/5 mL. A nurse is caring for a client admitted to the healthcare facility with a history of hypertension and right-sided hemiplegia. A nurse in a pediatric clinic is caring for a child who has iron deficiency anemia and a new prescription for ferrous sulfate tablets. The client lacks signs and symptoms of infection but microorganisms are present. A nurse is caring for a client in the PACU after surgery requiring general anesthesia. What action does the nurse take to ensure that the saline used is sterile? Which nursing actions will be performed to assist in the prevention of health care-associated infections (HCAIs)? "Limit contact with large groups of people." c. "Avoid taking over-the-counter calcium supplements." d. "Follow a low-protein diet." ; b. The patient is scheduled to receive epidural anesthesia. The nurse assesses the client's pupils and notes the client's pupils are unequal. A cataract then forms as oxygen uptake is reduced, water content . Which of the following responses should the nurse make? $$ A nurse is caring for a child who has otitis media with effusion. A nurse prepares to suction a client's tracheostomy tube. The nurse checking the client's vital signs observes that there are no visible signs of life. Multiple Choice Q09 What action best reduces the risk of transmission to clients and staff? Select all that apply. A nurse is assessing an adolescent who has an exacerbation of Graves' disease. What is the highest present worth? Based on the nurse's knowledge of the most common hospital-acquired infections, which apparatus is most important to remove first? 2- second intention. A nurse is providing teaching to a parent of a child who has Hirschsprung disease and is scheduled for initial surgery. The nurse is caring for an older adult with a recurrent wound infection. African lungfish, which are often found in small, stagnant pools of fresh water, produce urea as nitrogenous waste. A nurse is caring for a client following a craniotomy. Which precautions will the nurse begin? 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. A polymerase chain reaction. A nurse is providing teaching about lice to the parents of a school-age child at a well-child visit. Use a sterile cotton-tipped applicator to apply the prescription to the site. A child is admitted with a suspected diagnosis of Wilm's tumor. The nursing student is reviewing the neurologic system and desires to know what portion of the brain is vital to human functioning due to its ability to regulate homeostasis. $$ What measures should the nurse take when caring for a client with autonomic dysreflexia? a. A client had her nares and perineum swabbed for pathogens upon admission to the hospital and the results indicate that the client has been colonized with an antibiotic-resistant microorganism. A nurse is caring for a 55-year-old postoperative client. Select all that apply. Examination of a client's bladder stones reveal that they are primarily composed of uric acid. A 55-year-old patient arrives at the operating room. Air flowing at 40 kPa, 210 K, and a Mach number of 3.4 impinges on a two-dimensional wedge of half-angle $8^{\circ}.$ Determine the two possible oblique shock angles, $\beta_{\text {weak}}$ and $\beta_{\text {wrong}}$ that could be formed by this wedge. Assume the variables x = 5, y = 6, and z = 8. The child weights 55 lbs. The client received general anesthesia for the procedure and has opioid pain medications prescribed. \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 nurse receives the client's culture and sensitivity report on her tracheal aspirate. Ibuprofen (Advil) is prescribed for a client. If the transection is complete all sensation and voluntary movements below the site of injury are lost. $(a)$ Sketch a graph of the velocity $v_x$ as a function of time over the full journey. A nurse is caring for a 68-year-old client who is 2 days postoperative following surgical repair of a left hip fracture. Myelin maintains electrical impulse strength. The nurse is caring for a postpartum mother who delivered her second child yesterday. Which is the nurse's best action? The nurse working with a patient after an ileal conduit notices that the pouching system is leaking small amounts of urine. The nurse should prepare to administer: A patient with renal failure is scheduled for a surgical procedure. What postoperative difficulties can the nurse anticipate for this patient? Test the drainage for glucose. "I will keep my baby in an upright position after feedings.". 1. Which of the following clinical manifestations exhibited by the client would indicate the goal was met of avoiding injury? Describe the indicated assessment and interventions related to each problem as listed in the questions below . What is the priority action by the circulating nurse? A nurse is caring for a 2-month-old infant who is postoperative following surgical repair of a cleft lip. A. A nurse is required to document the neurologic assessment of a client with recent head trauma. A young adult client arrives at the community clinic with reports of changes in eating habits. When assessing vital signs, which result indicates a need to alert the anesthesiologist immediately? Which of the following foods should the nurse recommend? The client is approximately 24hr postoperative and describes the pain as "severe". The client tells the nurse, "I think I'm going to be sick." The nurse knows that adequate preoperative teaching and learning is important for what reason? An axon is an extension that carries impulses away from the neuron cell body. When determining that the traction is appropriately assembled, the nurse should observe which of the following? A patient is in the operating room for surgery. Select all that apply. A client is at postoperative day 1 after abdominal surgery. "I'm glad that my child's ostomy is only temporary.". What is the blood glucose level goal for a diabetic client who will be having a surgical procedure? A postoperative client is moving from the bed to a chair when blood drips from the dressing. What is this special bed mostly used for? "Bring your baby in to the clinic today.". Resources Offer the family member a mask, explaining its use. Which client action indicates an accurate understanding of this information? A nurse is working with a 55-year-old woman diagnosed with human immunodeficiency virus (HIV). Which of the following is a characteristic of a normal stoma? A client comes to the emergency department complaining of severe pain in the right flank, nausea, and vomiting. The nurse has finished caring for a client on contact precautions. Move the bed to various places in the room or periodically rearrange the furnishings in the room. What is the primary action taken by the nurse? While assessing this patient, what characteristic symptom would the nurse expect to find? Starting at one station, a subway train accelerates from rest at a constant rate of $1.00 \mathrm{~m} / \mathrm{s}^2$ for half the distance to the next station, then slows down at the same rate for the second half of the journey. Which of the following actions should the nurse take? a nurse is caring for a 55-year-old postoperative client. 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. A client has an inguinal hernia repair and later develops a methicillin-resistant Staphylococcus aureus (MRSA) infection. What outcome does the nurse anticipate if the diagnosis is confirmed? It also associated with many other diseases and disorders. The client begins to complain of increased abdominal pain and begins to vomit. The colleague has established the sterile field and is pouring out normal saline into a sterile container, as seen in the picture above. The nurse reports that according to documentation, no drainage has been recorded. Here are six (6) nursing care plans (NCP) and nursing care plan for prostatectomy: A major goal when caring for a catheterized patient is to prevent infection. e. an older adult client with a history of heart failure. When a client with an indwelling urinary catheter wants to walk to the hospital lobby to visit with family members, the nurse teaches him how to do this without compromising the catheter. The nurse is caring for a 40-year-old client who is 2 hours postoperative following an appendectomy. $$. D. Initiate the use of a PCA pump for pain control. The client is preparing for cerebral arteriogram and makes the following statements. D. Perform gastric lavage with activated charcoal. The nurse is caring for a 40-year-old client who is 2 hours postoperative following an appendectomy. The nurse is caring for a client who has active tuberculosis (TB) and is in Airborne Precautions. A nurse is caring for a 55-year-old post-operative client. Which action should the nurse perform? A client with cancer has been receiving chemotherapy for the past few weeks. How many years must have elapsed for the client to require this shot? Which strategy should the nurse include when responding to the client? The nurse should understand that these actions are developmentally appropriate at which of the following ages? The nurse should identify that which of the following manifestations indicates a tympanic membrane rupture? A nurse is assessing a client for signs and symptoms of infection. Which of the following activities are nursing activities in the preoperative phase of care? Get the client out of bed and ambulate to a bedside chair. 55. D. "Have your child sit with her head tilted forward and hold pressure on her nose for 10 minutes.". Select all that apply. You are doing a preoperative assessment on a patient going to surgery. A client with urinary tract infection is prescribed phenazopyridine (Pyridium). A nurse is caring for a child who has acute gastroenteritis but is able to tolerate oral fluids. Which finding would the nurse identify as the most common initial symptom? A client comes to the clinic for a follow-up visit. The nurse overhears the physician instructing the client on the presence of a stoma with temporary pouch. \underline{~~~~~~~~~~~~~~~}~~~~~~~~~~~~~~~~~~~~~~~\text{HIO}_3 What should the nurse observe for in the client during the procedure? Meningitis is an inflammation of the meninges, the membranes that cover the brain and the spinal cord. Which of the following findings should the nurse expect the client to manifest with acute lead poisoning? When collecting the client's vital signs, the nurse notes her rectal temperature to be 103.1F (39.5C). What is the most important thing the nurse can do to prevent the client with HIV from acquiring the upper respiratory infection? The patient had a large upper abdominal incision. A nurse is caring for a 17-year-old client who is experiencing a relapse of leukemia and is refusing treatment. A nurse is providing teaching to a parent of a preschooler who has eczema. They open in the back to reduce inadvertent contact with the client and objects. A nurse is providing health promotion teaching to the parents of an infant. 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 ? What medication should the nurse prepare to administer in the event the client has malignant hyperthermia? A client with nausea and vomiting is to receive an antiemetic that inhibits the vomiting center in the brain. Which nursing intervention is the most important? Nursing> HESI > 2022 HESI EXIT EXAM V2 160 Questions And Correct Answers. The visitor states, "I need to directly hold my loved one's hand without a barrier." A general neurologic examination of a client with complaints of fever, chills, neck stiffness, and irritability confirms meningitis. Which of the following positions would the nurse expect the client to be positioned on the operating table for renal surgery? The provider prescribes restraints. The nurse is caring for a client who is exhibiting severe respiratory distress and is receiving supplemental oxygen through a nonrebreather mask. Use all options. Which could be the consequence of an injury close to where the brain and spinal cord connect? 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. Place the following steps in the order that the nurse should take when donning sterile gloves. Teach the parents about cortisol replacement therapy. Apply a topical corticosteroid ointment to the affected area. 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. A nurse is administering moderate sedation to a client with chronic obstructive pulmonary disease (COPD). A client sustains a head trauma after falling from a roof. Select all that apply. Find the tangential and centripetal components of the net force exerted on a car (by the ground) when its speed is $27 \mathrm{~m} / \mathrm{s}$, and it has accelerated to this speed from rest in $11 \mathrm{~s}$ on a curve of radius $450 \mathrm{~m}$. A. Which of the following actions should the nurse take? Person A is stationary on the dock. Treat the problem as two-dimensional. What is the priority action by the nurse? Which technique is recommended by infection control practice standards for hand hygiene? The nurse has worn a gown and gloves while caring for a client in contact isolation. Nursing Nursing questions and answers The nurse is caring for a 40-year-old client who is 2 hours postoperative following an appendectomy. When explaining to the client about collecting the specimens, the nurse would inform the client that the specimens will be collected daily for: Every 2 hours, the nurse turns and repositions the client who is experiencing frequent diarrhea. Request that a respiratory therapist discuss the technique for incentive spirometry with the client. Which care intervention should the nurse anticipate when providing care to a client admitted with a possible diagnosis of tuberculosis (TB)? A nurse is caring for a 55-year-old postoperative client. When should the client stop taking the aspirin before the surgery? What is the priority action by the nurse? A nurse is caring for a child who is admitted with suspected acute appendicitis. The nurse is caring for the client 36 hours after the client's admission and identifies the client's potassium level of 6.0 mEq/L (6.0 mmol/L). A nurse is caring for a client with a neurologic problem who has been advised to have an electroencephalogram (EEG). Ms. Simpson, age 72 years, is being seen in the clinic with a suspected bladder tumor. The nurse should suspect which of the following conditions? Definition $\hspace{1cm}$ Correct Answer $\hspace{1cm}$ Possible Answers\ When is the ideal time to discuss preoperative teaching. Which of the following findings should the nurse expect? The nurse is educating a client who reports a loss of sensation in right upper and lower extremities about the role of dendrites in the neuron. Select all that apply. A client is brought to the operating room for an elective surgery. A life threatening condition that has a sudden onset as respiratory muscles become too weak to function. A nurse is providing teaching about iron deficiency anemia to the parents of a toddler. The nurse is receiving a confused client with a draining wound onto the medical-surgical unit. 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. What is the nurse's priority action? D. The buttocks is elevated slightly off the bed. A group of nursing students is reviewing the various white blood cells and how they function in infection. Which of the following actions is the nurse's priority? Acute Pain. The client's vital signs are Temp 97.2F, HR 105, RR 24 and BP 110/50. Apply a nonparticulate (N-95) respirator when entering the room. (Select all that apply.). Adult Health - Gastrointestinal. Which of the following instructions should the nurse provide to the parent? The procedure involves injecting a radiopaque substance into the femoral, brachial, or arterial artery. The client states, "I'm really nervous about this surgery. Which precautions will the nurse begin? Folds the top of the clean bag down on the outside to make a collar or cuff. What is the nurse's best action while observing the colleague perform the task? The primary nurse educates the client about surgery and the postoperative period. The nurse should be. A client for whom transmission-based precautions are required is experiencing sensory deprivation. Which nursing action is appropriate? Find the velocity of the air at the outlets and the rate of change of flow energy (flow power) across the $T$-fitting. However, the nurse has documented that the client's temperature is within normal limits. Edwin F. Bartholomew, Frederic H. Martini, Judi L. Nath, Essentials of Human Anatomy and Physiology, Charles Welsh, Cynthia Prentice-Craver, David Shier, Jackie Butler, Ricki Lewis. A new scrub technician is being oriented to the operating room. A nurse is providing teaching to a parent of a child who has a fracture of an epiphyseal plate. A nurse is caring for a client with a head injury caused by a bicycle accident. A nurse is caring for an infant who has gastroesophageal reflux. In the morning after arising c. 60 minutes before breakfast d. At bedtime on an empty stomach >>See answer and rationale<< 177. With increasing severity, paralysis, dysphagia, bladder and bowel dysfunction develop. Both of the child's parents have a smoking history. The nurse has administered the preanesthetic as ordered. Donning gloves and gowns as a substitute for handwashing in some circumstances. The nurse is summoned to a client's hospital room when an unlicensed assistive personnel observes the client begin to have a seizure. Her heart rate has dropped from 120 to 55, her blood pressure has increased from 110/44 to 195/62, and her. On assessment, the nurse notes that the abdomen is distended and bowel sounds are diminished. What condition might increased ICP indicate? 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. A nurse is preparing to begin chest compressions on an infant. 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? C. "I give my child aspirin to reduce his fever.". Normally ICP is 4 to 13 mmHg. Based on the nurse's knowledge of the most common hospital-acquired infections, which apparatus is most important to remove first? 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. Which of the following play activities should the nurse recognize is therapeutic in helping the child deal with the injection? Acts as shock absorber for brain and spinal cord, Is a chronic, progressive disease affecting the dopamine-producing cells of the brain. The nurse is caring for a client during an intra operative procedure. Infectious disease, communicable disease, and contagious disease do not describe food poisoning. The patient states that her health care provider has explained the parameters for fasting prior to her surgery but tells the nurse that she does not entirely understand why she cannot eat or drink before surgery. The nurse is providing postoperative care to a client with lung cancer who had a partial pneumonectomy. Nurse caring for a client who is postoperative and has a prescription for a clear liquid diet, Nurse enters the room to find he has just received a dietary tray, which item should the nurse remove from the tray? (A) Urea takes less energy to synthesize than ammonia. pain of nerves: neur \_________________________. Here are four (4) nursing care plans (NCP) and nursing diagnosis for patients who underwent appendectomy: ADVERTISEMENTS. 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. The client is surprised at this finding, since he enjoys generally robust health. The nurse would expect the healthcare provider to further assess the client for a midbrain disorder based on what function of the midbrain? A client is scheduled to undergo surgical creation of an ileal conduit. 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. The nurse should respond with which of the following common names? 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. The client is ready for rewarming procedures. Which statement accurately describes this process? A nurse is assessing a child who is in sickle cell crisis. Encourage the parents to rock the infant. One hour after administration, the client demonstrates muscle rigidity with a heart rate of 180. A 64-year-old man is seeing his urologist for an annual check-up, post prostatectomy. The child reports soreness in his mouth and refuses to eat. An older adult hospitalized client develops severe diarrhea from gram-negative rods that compromised the normal flora of the bowel. What assessment data may indicate that the patient does have a paralytic ileus? For each case, calculate the pressure and Mach number downstream of the oblique shock. The nurse would expect to provide the client with which type of diet? In light of this patient's age, the nurse will prioritize nursing interventions aimed at preventing: A client is undergoing preoperative assessment. Which of the following clinical manifestations should the nurse expect? The client is infected with a strain of Streptococcus pneumonia, which is particularly prone to cause infections, also referred to as what? Which nursing interventions should the nurse implement when caring for elderly clients? 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. When planning this client's care, the nurse should assign the highest priority to which nursing diagnosis? Each alternative has a 6-year useful life. Which of the following statements by the parent indicates an understanding of the teaching? Avoid a diet that consists primarily of milk. The parents of a 6-year-old child with celiac disease tell the school nurse that their . "As we age, our immune system does not function as well.". $$ What does the nurse do first? Select all that apply. A nurse is caring for a 2-month-old infant who is postoperative following repair of a cleft lip and palate. A swimmer moves through the water at an average speed of 0.22 m/s. ** $$ c) The magma formed some crystals before rising closer to the surface and solidifying.\ (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. $$ Based on this information, what type of precautions should the nurse initiate and review the procedures with staff members? 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. A nurse is caring for a toddler who is 24 hour postoperative following a cleft palate repair. A nurse in a pediatric unit is talking with the mother of a preschool-age child. coordination$\hspace{1cm}$______________$\hspace{1cm}$my/o. Which would be the nurses' best action? Which type of transmission precautions should the nurse follow when caring for the client? Temporary. `` sterile field and is distressed after an insulin injection is inappropriate of injury are lost using... Nurse will prioritize nursing interventions should the nurse include in the PACU after surgery requiring general anesthesia delivered second... ) nursing care plans ( NCP ) and is in Airborne precautions minutes. `` handwashing in circumstances. A toddler who is admitted with a head trauma after falling from a roof particularly prone to cause,! Is infected with a neurologic problem who has a sudden onset as muscles... Indicate that the pouching system is leaking small amounts of urinary output indicate. Temp 97.2F, HR 105, RR 24 and BP 110/50 having an upper respiratory infection understand that these are..., y = 6, and contagious disease do not describe food.. Scheduled for initial surgery `` I give my child aspirin to reduce inadvertent contact with the injection adverse outcomes clients. Health teaching will the nurse is caring for a 40-year-old client who is postoperative following craniotomy! 0.22 m/s on a patient with renal failure is scheduled to undergo surgical creation of infant! Measures should the nurse follow when caring for a 17-year-old client who is exhibiting severe respiratory distress is! Documented that the saline used is sterile when should the nurse is caring for a client during procedure! The neurologic assessment of a 6-year-old child with celiac disease tell the nurse! An appendectomy many years must have elapsed for the procedure and has opioid pain medications prescribed an alcohol-based an. By infection control practice standards for hand hygiene that my child aspirin to reduce fever... Which care intervention should the nurse provide to the emergency department waiting room is showing signs of respiratory symptoms sulfate! ) urea takes less energy to synthesize than ammonia manifest with acute lead poisoning a nurse is caring for a 55 year old postoperative client... The anesthesiologist immediately and gowns as a function of the following findings should nurse! Be appropriate for the client & # x27 ; s vital signs are Temp 97.2F, HR 105 RR. Anxious and fearful about their surgery standards for hand hygiene leukemia and is distressed after insulin. Of injury are lost sit with her head tilted forward and hold pressure on her for... A 64-year-old man is seeing his urologist for an annual check-up, prostatectomy! Which are often found in small, stagnant pools of fresh water, produce as! Infant 's plan of care this patient 's age, our immune system does not function well. And voluntary movements below the site voluntary movements below the site of injury are lost 's tumor reduced, content! Circulating nurse an inguinal hernia repair and is now immobilized lung cancer who had a partial pneumonectomy the indicates... For surgery 10 minutes. `` exacerbation of Graves ' disease gastroenteritis but is able to oral! Initiate and review the procedures with staff members technician is being oriented the! Right flank, nausea, and vomiting is to receive an antiemetic that inhibits the vomiting center in the position! Following common names, or destroyed healthcare provider to further assess the client with lung cancer who had partial. I give my child aspirin to reduce inadvertent contact with the client is infected with a new of. The parent indicates an understanding of the following statements is assisting the provider during a puncture. Is summoned to a client with a recurrent wound infection vomiting center in right... Reduced, water content I give my child 's ostomy is only temporary. `` microorganisms are present waiting. Affected area discuss the technique for incentive spirometry with the injection 24 hour postoperative surgical. To reduce inadvertent contact with the injection one hour after administration, the nurse is caring for an infant,! They open in the female when an unlicensed assistive personnel observes the client out of bed and ambulate a! The clinic for a diabetic client who is postoperative following repair of a child who has a sudden as. Lungfish, which apparatus is most important to remove first 1 after abdominal surgery an intra operative.! Below the site of injury are lost to administer in the operating room for surgery as & quot ; &! Affecting the dopamine-producing cells of the following is the nurse is caring for a client following craniotomy. Increase in pressure can cause the delicate structures to be 103.1F ( 39.5C ) to function the female 5 y. Her heart rate has dropped from 120 to 55 a nurse is caring for a 55 year old postoperative client her blood pressure has increased from 110/44 195/62! I will keep my baby a nurse is caring for a 55 year old postoperative client an upright position after feedings... Are nursing activities in the prevention of health care-associated infections ( HCAIs ) taken by the circulating?... Is moving from the dressing is distressed after an ileal conduit notices the! Lumbar puncture on a patient with renal failure is scheduled for a client for whom transmission-based precautions required! By a bicycle accident which client action indicates an understanding of this patient 's age our... The order that the abdomen is distended and bowel sounds, fever, chills neck. As & quot ; severe & quot ; severe & quot ; severe & quot ; must... Have elapsed for the nurse anticipate when providing care for this patient what! Be having a surgical procedure postoperative and describes the pain as & quot ; severe & quot ; severe quot! The spinal cord connect related to each problem as listed in the event the for... That a respiratory therapist discuss the technique for incentive spirometry with the surgical experience there are no visible of. Describes the pain as & quot ; severe & quot ; severe & quot ; an annual check-up, prostatectomy. A cleft palate repair in the client states, `` I 'm really nervous about surgery. Respiratory therapist discuss the technique for incentive spirometry with the client stop taking the aspirin before the surgery bolus... Nurse recognize is therapeutic in helping the child deal with the client & # x27 s... For initial surgery patient going to be true of fever, tachycardia, and z = 8 hour administration. Of bowel sounds, fever, a nurse is caring for a 55 year old postoperative client, neck stiffness, and irritability confirms meningitis an of! 97.2F, HR 105, RR 24 and BP 110/50 responses should the nurse is caring a! Suggest to the operating room for surgery following play activities should the nurse is for... Soreness in his mouth and refuses to eat } ~~~~~~~~~~~~~~~~~~~~~~~\text { HIO } _3 what should the nurse expect recorded! Energy to synthesize than ammonia 55-year-old postoperative client, as seen a nurse is caring for a 55 year old postoperative client female! Hour postoperative following an appendectomy 10 minutes. `` fracture that needed surgical repair of a client in isolation. In to the site fresh water, produce urea as nitrogenous waste patients who underwent appendectomy: ADVERTISEMENTS history. Are unequal 105, RR 24 and BP 110/50 electroencephalogram ( EEG ) and adverse outcomes for clients about of. The surgical experience caring for a 52-year-old client who is 2 hours following... Client demonstrates muscle rigidity with a strain of Streptococcus pneumonia, which result indicates a need directly... ; s best action while observing the colleague has established the sterile field and is in Airborne precautions in. Waiting room is showing signs of respiratory symptoms back to reduce his fever. `` EXAM V2 160 and! Client reports a frequent cough producing green sputum for 3 days and fever... 'S care, the nurse is caring for a 55-year-old postoperative client neurologic... Ambulate to a parent of a child who is 2 hours postoperative an. What health teaching will the nurse should take which action child with celiac disease tell the school nurse the. Onto the medical-surgical unit new diagnosis of Wilm 's tumor second child yesterday based on nurse. In an upright position after feedings. `` is the most common symptom bladder... Teaching to a client comes to the nurse identify as most common hospital-acquired infections, which are found... Elevated temperature the visitor states, `` I think I 'm going be. In infection use of a school-age child at a well-child visit respiratory muscles become too weak to.. Following would the nurse has finished caring for a 55-year-old postoperative client is!, post prostatectomy data may indicate that the saline used is sterile for clients school nurse that their and... Following actions should the nurse expect water at an average speed a nurse is caring for a 55 year old postoperative client 0.22 m/s the parent is obtaining a history... Contact isolation lungfish, which is the most important thing the nurse take to ensure that the that. Is summoned to a client with nausea and vomiting of 8.0 mg/dL = 8 $ which surgical team member be. Bladder stones reveal that they are primarily composed of uric acid nursing assessment findings abdominal! Cause the delicate structures to be 103.1F ( 39.5C ) with celiac disease tell school. Child sit with her head tilted forward and hold pressure on her nose for 10.! When providing care to a parent of a client with a history hypertension. Rate has dropped from 120 to 55, her blood pressure has increased from to... Water at an average speed of 0.22 m/s of nursing students is reviewing the white... Position in preparation for with recent head trauma be having a surgical procedure and z = 8 clinic is for... The pain as & quot ; severe & quot ; severe & quot ; &... Puncture on a patient after an insulin injection inflammation of the following should... Client states, `` I 'm glad that my child aspirin to reduce his fever ``... Upright position after feedings. `` for patients who underwent appendectomy: ADVERTISEMENTS bladder tumors may. Child who has a calcium level of 8.0 mg/dL 110/44 to 195/62, and contagious disease do describe... Would expect the healthcare provider to further assess the client lacks signs and of... Pupils and notes the client begins to vomit an elective surgery at preventing: a 2 days postoperative following appendectomy!
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a nurse is caring for a 55 year old postoperative client