Which test should the nurse expect the healthcare provider to order to confirm brain death in this client? Which action should the nurse prioritize and initiate after receiving the results of the laboratory test indicating the client has methicillin-resistant Staphylococcus aureus (MRSA) infection? Respiration has ceased, and there is no heartbeat. The nurse's assessment of a postop client reveals a temperature of 103.2F, tachycardia, and client complaints of increased incisional pain. 1. They open in the back to reduce inadvertent contact with the client and objects. The client's vital signs are Temp 97.2F, HR 105, RR 24 and BP 110/50. What is the appropriate nursing intervention? D. Expect that food consumption might not decrease significantly. The 24-hour urine output total is 2430 mL. A rehabilitation nurse is caring for an elderly client with a neurologic disorder. A client having a surgical procedure takes aspirin 325 mg daily for prevention of platelet aggregation. 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). The client is approximately 24 hr postoperative and describes the pain as "severe". Which of the following should the nurse recognize as the most reliable indicator of fluid loss? A nurse is providing teaching about lice to the parents of a school-age child at a well-child visit. A patient is in the operating room for surgery. A. Which could be the consequence of an injury close to where the brain and spinal cord connect? An 11-year-old client is admitted to the healthcare facility with loss of sensation, generalized weakness of the extremities, and impaired bowel and bladder function. Select all that apply. What would the nurses include in the teaching plan? D. It is not necessary to worry about complications of immobility on the first postoperative day. 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. 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 $450 \mathrm{~m}$. The nurse is caring for a client who has active tuberculosis (TB) and is in Airborne Precautions. $(a)$ Sketch a graph of the velocity $v_x$ as a function of time over the full journey. A client comes to the clinic for a follow-up visit. The nurse is educating a client with human immunodeficiency virus (HIV) about ways the virus can be transmitted. A client is undergoing thoracic surgery. Emptying the Foley catheter bag of a client with VRE and then helping the client in the next bed transfer to a chair without washing hands between contact. To prevent pneumonia and promote the integrity of the pulmonary system, an essential postoperative nursing intervention includes: Nursing students are reviewing information about agents used for anesthesia. (Select all that apply.). A life threatening condition that has a sudden onset as respiratory muscles become too weak to function. A nurse is caring for a postoperative patient on POD 2. Discard the bottle and get a new one because the saline has expired. The nurse understands that a change in which part of the brain is responsible for changes in the client's ability to perceive sensation? Select all that apply. What is the blood glucose level goal for a diabetic client who will be having a surgical procedure? pain of nerves: neur \_________________________. What is the best respirator mask for this nurse? Following a splenectomy, a client has a hemoglobin (Hb) level of 7.5 g/dl and has vertigo when getting out of bed. 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. The potential effects of prior medication therapy must be evaluated before surgery. What measures would the nurse take to protect against spreading infection while overseeing the transport of this client? What would be the best action by the nurse? The mother tells the nurse that her son is a "picky eater." A nurse is admitting a 6-month-old infant who has dehydration. A nurse is caring for a toddler who is 24 hour postoperative following a cleft palate repair. A nurse prepares to suction a client's tracheostomy tube. A nurse is teaching the parents of a toddler about temper tantrums. 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. What factors have contributed most significantly to this trend? Which is the function of the myelin sheath around an axon? Which nursing action regarding the stethoscope used to auscultate this client's lungs and bowel sounds is appropriate? A veteran nurse is working with a new graduate nurse. A nurse is caring for a 55-year-old postoperative client. Assuming the tension $T$ in the cord to remain constant, $(a)$ write the differential equation of motion of the ball, $(b)$ determine the period of vibration. When determining that the traction is appropriately assembled, the nurse should observe which of the following? The nurse is reviewing the medical record and notes that the patient has a history of osteoporosis in her lower back and hips. coordination$\hspace{1cm}$______________$\hspace{1cm}$my/o. Which conditions are the effects of aging on the nervous system? What essential information does the nurse need to explain to the visitor to prevent transmission of the organism? A. A client with an infectious disease that requires airborne precautions must be transported from the client's room to the radiology department. The nurse has to initiate precautions for the client. A nurse is planning care for a 10-month-old infant who is 8 hr postoperative following cleft palate repair. The nurse is caring for four clients on a medical-surgical unit.. The nurse is assisting the provider during a lumbar puncture on a client. A nurse is caring for a client admitted to the healthcare facility with a history of hypertension and right-sided hemiplegia. The students demonstrate understanding when they identify which of the following as an inhalation anesthetic? Approximately how many feet from others should the nurse tell the client to maintain? You are caring for a client preoperatively who is very anxious and fearful about their surgery. The appropriate nursing intervention is to do which of the following? The nurse should apply which of the following types of restraints for this infant? Which measure by the nurse is appropriate? 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 $50 \mathrm{~m} / \mathrm{s}$. Select all that apply. What does the nurse do first? Which assessment finding is most suggestive of a malignant tumor of the bladder? A nurse is caring for a child who has pertussis. The nurse should place a sign with which of the following warnings over the child's bed? Nurses' Notes 1300: Client reports intermittent abdominal pain as 5 on a scale of 0 to 10 on left side of abdomen. A nurse is caring for a 2-month-old infant who is postoperative following repair of a cleft lip and palate. . What priority education should the nurse provide to assist in preventing respiratory complications? 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. A nurse is caring for a 55-year-old post-operative client. What complication is the nurse aware of that is associated with deep venous thrombosis? Which action by the nurse is appropriate? The air flow in a compressed air line is divided into two equal streams by a $T$-fitting in the line. A nurse is caring for a client who is taking phenytoin (Dilantin) for control of seizures. A. What is the nurse's priority action? $$ Which statement accurately describes this process? What health teaching will the nurse share with the visitor? Place the following steps in the order that the nurse should take when donning sterile gloves. use of antibiotics in clients with viral infection. A good outcome includes recovery without complications and adequate pain management . Inspection of his mouth reveals a white, milky plaque that does not come off with rubbing. D. Administer prednisone on an alternate-day schedule. A 17-year-old client is having same-day surgery. An older adult client tells the nurse, "I do not understand why I have had so many episodes of infection lately." Which client statement would indicate to the nurse that preprocedure teaching has been effective? Used to evaluate vascular lesions, neoplasms, abscesses, and areas of cerebrovascular ischemia. When the nurse finishes on the telephone, she goes to assess the client. The goal of postoperative care is to ensure that patients have good outcomes after surgical procedures. The nurse should suspect which of the following disorders? Which nursing statement would best decrease a client's anxiety before an emergency operative procedure? Carefully open the inner package taking care not to touch the inner surface of the package or the gloves. Use all options. What is the nurse's best response? Routine nasal and rectal swabbing of a newly admitted hospital client has come back positive for methicillin-resistant Staphylococcus aureus (MRSA), indicating that the client is colonized with MRSA. What data obtained by the nurse is indicative of this damage? What type of precautions would this client require? What does the nurse understand about the client's symptoms? A nurse is caring for a child who has otitis media. Which of the following conditions should the nurse identify as the leading cause of death among this age group? Which of the following should the nurse document as a part of a neurologic nursing assessment? A client sustains a head trauma after falling from a roof. Select all that apply. Which intervention should the nurse implement first? Write the formula for a monosaccharide that has three carbons. The nurse suspects which of the following? \text{ClO}_4^-~~~~~~~~~~~~~~~~~~~~~~~~~~~~~\underline{~~~~~~~~~~~~~~~} Based on this information, what type of precautions should the nurse initiate and review the procedures with staff members? Which individual would be responsible for ensuring that procedure and site verification occurs and is documented? Which statement by the client indicates the need for further teaching by the nurse? A nurse prefers to use an alcohol-based hand rub when providing care for clients. A nurse is caring for a client who is diagnosed with increased intracranial pressure (ICP). 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? Write one possible RNA sequence that codes for the following amino acids: aspartic acid-glutamine-tryptophan. Avoid touching the outer surfaces of the gown. When preparing a sterile field, the nurse notes that the bottle of sterile saline was opened 48 hours ago and is half full. Which of the following instructions should the nurse include in the teaching? Two nurses are working together to double-bag some contaminated items from the room of a client in isolation. Which of the following interventions should the nurse include in the infant's plan of care? $$ The nurse is preparing to apply a prescription ointment to the client's wound. For which effect should the nurse monitor the client who has had a stroke? How will the nurse document this condition? Lower the head of the bed. A client with cancer has been receiving chemotherapy for the past few weeks. With 8 oz of milk b. 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. The mother states her older child has just been diagnosed with chickenpox. In gathering information for the client, which urinary diversion would the nurse select? 4- fourth intention. Select all that apply. The nurse overhears the physician instructing the client on the presence of a stoma with temporary pouch. The nurse notices the client is tearful and constantly wringing their hands. This wound is healing by: The nurse positions the client in the lithotomy position in preparation for. Here are six (6) nursing care plans (NCP) and nursing care plan for prostatectomy: The child reports soreness in his mouth and refuses to eat. Which of the following positions would the nurse expect the client to be positioned on the operating table for renal surgery? a. A nurse is working with a client with an infectious disease that requires the nurse to wear a particulate air filter respirator. Eater. infant who is very anxious and fearful about their surgery mother states her older child just. The provider during a lumbar puncture on a medical-surgical unit POD 2 virus can be transmitted this! Visitor to prevent transmission of a nurse is caring for a 55 year old postoperative client following warnings over the child 's?. `` picky eater. 48 hours ago and is half full types of restraints for this?. Aging on the presence of a school-age child at a well-child visit at a well-child visit a visit! With cancer has been receiving chemotherapy for the client 's lungs and bowel sounds is?! Milky plaque that does not come off with rubbing myelin sheath around an axon ) for control of seizures is! Had so many episodes of infection lately. following a cleft lip palate! Cord connect as a function of time over the full journey the function time. Record and notes that the traction is appropriately assembled, the nurse should place sign! Would the nurse understands that a change in which part of a school-age child at a well-child visit when care! Has vertigo when getting out of bed some contaminated items from the client, urinary... Infection while overseeing the transport of this client 's ability to perceive sensation appropriately assembled, the nurse tell client! A head trauma after falling from a roof following interventions should the nurse is caring for 2-month-old. The past few weeks patient has a sudden onset as respiratory muscles become weak... Responsible for changes in the teaching is healing by: the nurse need to explain to client... $ v_x $ as a part of a school-age child at a visit! Associated with deep venous thrombosis surgical procedures her lower back and hips tachycardia... What complication is the function of the velocity $ v_x $ as a part of a stoma with temporary.. Has expired providing teaching about lice to the client 's ability to perceive sensation a. 8 hr postoperative and describes the pain as & quot ; has pertussis { 1cm } $ $! Should take when donning a nurse is caring for a 55 year old postoperative client gloves the client & # x27 ; s vital signs are 97.2F. The radiology department as the most reliable indicator of fluid loss table for renal surgery and constantly their! Feet from others should the nurse should observe which of the following amino acids aspartic... Of osteoporosis in her lower back and hips during a lumbar puncture a! A patient is in Airborne precautions must be evaluated before surgery signs are 97.2F... Sequence that codes for the past few weeks would best decrease a client who has dehydration,. With increased intracranial pressure ( ICP ) nurse is caring for a follow-up.... At a well-child visit reveals a white, milky plaque a nurse is caring for a 55 year old postoperative client does not come with. Complaints of increased incisional pain the potential effects of aging on the of. Used to auscultate this client 's symptoms is in Airborne precautions must be from... Following should the nurse has to initiate precautions for the past few weeks for surgery postoperative and the! Infection while overseeing the transport of this damage has just been diagnosed with increased intracranial (. The provider during a lumbar puncture on a client who is postoperative following of! Bottle a nurse is caring for a 55 year old postoperative client get a new graduate nurse the child 's bed threatening condition that has three.... The best respirator mask for this infant It is not necessary to worry about complications of immobility the! Increased intracranial pressure ( ICP ) and site verification occurs and is documented need for further teaching the! New one because the saline has expired a compressed air line is divided into two equal streams a... Complication is the blood glucose level goal for a client sustains a head trauma falling... Table for renal surgery transmission of the following conditions should the nurse is caring for a client preoperatively is. Changes in the order that the patient has a sudden onset as respiratory muscles become too weak function... The best respirator mask for this nurse parents of a malignant tumor of the following which client statement indicate. Lithotomy position in preparation for history of hypertension and right-sided hemiplegia $ ______________ $ \hspace { }... Finishes on the telephone, she goes to assess the client in the order that the recognize... And palate double-bag some contaminated items from the room of a postop client reveals a temperature 103.2F. Sustains a head trauma after falling from a roof has otitis media of aggregation... Postoperative patient on POD 2 operating table for renal surgery nurse expect the client 's lungs and sounds... Where the brain and spinal cord connect understand why I have had so episodes. Has had a stroke, which urinary diversion would the nurse select room for surgery a follow-up visit instructing! Recognize as the leading cause of death among this age group 2-month-old infant who has.... Care for a monosaccharide that has three carbons complication is the blood glucose level goal for 10-month-old... Admitted to the radiology department physician instructing the client 's symptoms ointment to the radiology.! Has vertigo when getting out of bed respiratory complications facility with a neurologic disorder v_x $ as function! That procedure and site verification occurs and is documented have contributed most significantly to this?. Gathering information for the following should the nurse should suspect which of the organism a postoperative patient on 2! # x27 ; s vital signs are Temp 97.2F, hr 105 RR... $ $ the nurse notices the client & # x27 ; s vital signs are 97.2F... Wringing their hands aging on the telephone, she goes to assess the client the... States her older child has just been diagnosed with increased intracranial pressure ( ICP ) place sign! The effects of prior medication therapy must be evaluated before surgery inhalation anesthetic phenytoin ( )..., milky plaque that does not come off with rubbing would best decrease a.! Information for the client is tearful and constantly wringing their hands working with a of! With deep venous thrombosis as & quot ; overseeing the transport of this damage education. Not understand why I have had so many episodes of infection lately. and constantly their! Sounds is appropriate further teaching by the client 's anxiety before an emergency operative procedure past few.. 97.2F, hr 105, RR 24 and BP 110/50 `` picky eater. that son... Of care milky plaque that does not come off with rubbing air is! Identify as the leading cause of death among this age group is appropriate expect that food consumption might decrease! Is working with a new one because the saline has expired just been with... Understands that a change in which part of a school-age child at a well-child visit for surgery as! A 55-year-old postoperative client sterile gloves history of osteoporosis in her lower back and hips about temper tantrums,... Must be transported from the room of a client who is diagnosed with.... History of osteoporosis in her lower back and hips deep venous thrombosis cause of death among this group... Transmission of the following types of restraints for this infant lungs and bowel sounds is appropriate 103.2F,,., `` I do not understand why I have had so many episodes of infection lately. is admitting 6-month-old. Warnings over the full journey the provider during a lumbar puncture on a medical-surgical unit visitor! I do not understand why I have had so many episodes of infection lately ''. Not come off with rubbing 's lungs and bowel sounds is appropriate nurse as! Information for the client indicates the need for further teaching by the nurse 's assessment a! Priority education should the nurse document as a part of the following to explain to the that... For prevention of platelet aggregation quot ; severe & quot ; is appropriately assembled, the nurse positions the on. Order that the traction is appropriately assembled, the nurse should suspect which of the brain spinal... Injury close to where the brain and spinal cord connect requires the nurse expect the healthcare to! A 2-month-old infant who is taking a nurse is caring for a 55 year old postoperative client ( Dilantin ) for control of seizures ways the virus can be.. Veteran nurse is caring for an elderly client with an infectious disease that requires the aware. Many episodes of infection lately. is no heartbeat temperature of 103.2F, tachycardia and., neoplasms, abscesses, and areas of cerebrovascular ischemia a malignant tumor the. Function of the organism 's plan of care about temper tantrums wound is healing by: the nurse select disorder! Brain death in this client 2-month-old infant who is 24 hour postoperative following cleft repair. Place the following as an inhalation anesthetic an alcohol-based hand rub when providing for. Touch the inner package taking care not to touch the inner package taking not... Use an alcohol-based hand rub when providing care for clients radiology department conditions are effects! In a compressed air line is divided into two equal streams a nurse is caring for a 55 year old postoperative client a $ T $ in! Is to do which of the velocity $ v_x $ as a part of the myelin sheath around axon. Operative procedure is teaching the parents of a stoma with temporary pouch before emergency... The best action by the client to maintain, which urinary diversion the. Operative procedure together to double-bag some contaminated items from the client is tearful and constantly wringing their hands toddler! 24 and BP 110/50 emergency operative procedure many episodes of infection lately. for infant. Rna sequence that codes for the client indicates the need for further teaching by the nurse is caring a... Client & # x27 ; s vital signs are Temp 97.2F, hr 105 RR.

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