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. $$ D. Initiate the use of a PCA pump for pain control. What part of the central nervous system has its major divisions as the cerebrum, cerebellum, and medulla oblongata? A parent of a toddler asks a nurse at a well-child visit how the child's frequent temper tantrums can best be handled. Record your answer using a whole number. Two nurses are working together to double-bag some contaminated items from the room of a client in isolation. An older adult hospitalized client develops severe diarrhea from gram-negative rods that compromised the normal flora of the bowel. Select all that apply. "The glove is an important barrier in preventing the transmission of your loved-one's antibiotic-resistant infection to you or other people you come in contact with.". This increase in pressure can cause the delicate structures to be moved, damaged, or destroyed. $$ Which of the following clinical manifestations should the nurse expect? A. It also associated with many other diseases and disorders. A nurse is assisting a neurosurgeon in performing positron emission tomography. $$ The client is receiving 0.9% normal saline at 75 mL/h, has a nasogastric tube to low wall suction with 200 mL every 8 hours of light yellow fluid, and a wound drain with 50 mL of dark red drainage every 8 hours. The physician tentatively diagnoses right ureterolithiasis (renal calculi). Dendrites are short, highly branched extensions of the cell body. The nurse is caring for a client who became very ill after ingesting seafood. A client is admitted with infective endocarditis (IE). What postoperative difficulties can the nurse anticipate for this patient? The patient is scheduled to receive epidural anesthesia. A nurse is caring for a child who has influenza. The nurse is teaching the client about patient-controlled analgesia. The nurse knows what to be true of fever in young children? 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 child who ingested kerosene. can be followed using Avoid touching the outer surfaces of the gown. A nurse is caring for a 2-month-old infant who is postoperative following repair of a cleft lip and palate. Teach the parents about cortisol replacement therapy. Which of the following is a characteristic of a normal stoma? What statement made by the client demonstrated understanding of the education? Select all that apply. The nurse understands that which part of the brain is responsible for the client's condition? Continue to observe the drainage. A nurse is providing discharge instructions to a parent and his school-age child who has juvenile idiopathic arthritis. Donning gloves and gowns as a substitute for handwashing in some circumstances. One hour after administration, the client demonstrates muscle rigidity with a heart rate of 180. (Select all that apply.). A nurse is caring for an infant who has gastroesophageal reflux. When collecting the client's vital signs, the nurse notes her rectal temperature to be 103.1F (39.5C). Which of the following adverse effects should the nurse instruct the client is the priority to report to the provider? Respiration has ceased, and there is no heartbeat. Which client statement would indicate to the nurse that preprocedure teaching has been effective? 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. For which effect should the nurse monitor the client who has had a stroke? If the transection is complete all sensation and voluntary movements below the site of injury are lost. A nurse is caring for a 2-month-old infant who is postoperative following surgical repair of a cleft lip. She reports the need to urinate and cannot do so. The client's vital signs are Temp 97.2F, HR 105, RR 24 and BP 110/50. B. Select all that apply. When the nurse finishes on the telephone, she goes to assess the client. The car's mass is $1150 \mathrm{~kg}$. A client who is having a colonoscopy and suddenly the client's heart rate drops from 72 beats per minute (BPM) to 52 BPM. A nurse is planning care for a client who ingested a large amount of acetylsalicylic acid. The mother states her older child has just been diagnosed with chickenpox. A group of nursing students is reviewing the various white blood cells and how they function in infection. Nursing assessment findings reveal urinary output < 30 ml/hr, tachycardia, tachypnea, decreased hemoglobin, and acute confusion. Request that a respiratory therapist discuss the technique for incentive spirometry with the client. Record your answer using a whole number. Which pieces of personal protective equipment should be removed first? The nurse assesses the incision and notes evisceration. How many feet must be maintained between this client and other noninfected clients and visitors? African lungfish, which are often found in small, stagnant pools of fresh water, produce urea as nitrogenous waste. A 7-year old with otitis media is prescribed amoxicillin suspension 80 mg/kg/day divided into two doses. The nurse has completed an intervention with a client. Which statement by the client provides evidence that client teaching was effective? A nurse is assessing a preschooler who has a calcium level of 8.0 mg/dL. A nurse is caring for a postoperative patient who had spinal anesthesia. A nurse is caring for a client with streptococcal pneumonia. A nurse is caring for an infant who has a tracheoesophageal fistula. 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. Select all that apply. Select all that apply. Which would be the appropriate action to take to maintain a sterile field? 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. A client is brought to the operating room for an elective surgery. The nurse is caring for a client admitted to the hospital after sustaining a severe head injury. Which of the following play activities should the nurse recognize is therapeutic in helping the child deal with the injection? Which of the following is the appropriate response to the statement, "I'm so nervous about my surgery"? In MS, the myelin sheath covering the nerves is destroyed. $$ Which response by the nurse is most appropriate? The nurse is caring for a client who is exhibiting severe respiratory distress and is receiving supplemental oxygen through a nonrebreather mask. A nurse in an emergency department is caring for an infant who has a 2-day history of vomiting and an elevated temperature. The nurse is caring for a postoperative client who develops evisceration of the abdominal incision. x == 5 || y > 3. What portion of the brain would the student review? Which of the following instructions should the nurse include? 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. 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. Which client has the highest risk for developing an infection? The potential effects of prior medication therapy must be evaluated before surgery. Select all the nursing actions that apply. How will the nurse document this condition? 2. Review the scenario and respond to the following. Which of the following actions should the nurse suggest to the parent? wearing a particulate respirator for all care and interaction with this client. A nurse is caring for a 17-year-old client who is experiencing a relapse of leukemia and is refusing treatment. Which of the following assessment findings should the nurse expect? Use all options. Ibuprofen (Advil) is prescribed for a client. You are doing a preoperative assessment on a patient going to surgery. What related complication should the nurse be aware of? The thalamus integrates sensations, thus the person perceives a whole experience, rather than individual impulses. A nurse is admitting a child who has leukemia and a critically low platelet count. A client comes to the emergency department reporting becoming very ill after consuming shrimp and lobster. What is the priority action by the nurse? Which finding would the nurse identify as the most common initial symptom? The nurse should instruct parents to bring their children back for rescreening in a year for which of the following laboratory values? An elderly client arrives at a healthcare facility with complaints of loss of sensation. C. Provide a passive range of motion three times a day. The nurse is educating a client with human immunodeficiency virus (HIV) about ways the virus can be transmitted. Which of the following instructions would the nurse give the client? A nurse is teaching a parent of a child who has hemophilia how to control a minor bleeding episode. **Summarize** the difference between mafic and felsic magma. A good outcome includes recovery without complications and adequate pain management . The client is infected with a strain of Streptococcus pneumonia, which is particularly prone to cause infections, also referred to as what? What is the best response by the nurse? The client reports a frequent cough producing green sputum for 3 days and denies fever. Which of the following findings should the nurse expect? A nurse has finished providing care for a client who is on contact precautions. The nurse is evaluating the effectiveness of discharge teaching for a client with an oxalate urinary stone. A client having a surgical procedure takes aspirin 325 mg daily for prevention of platelet aggregation. Place the client on NPO status 2. Available amoxicillin 250mg/5 mL. 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. The nurse is obtaining a health history from a client describing urinary complications. The nurse knows that adequate preoperative teaching and learning is important for what reason? $$ A bearded nurse needs to assess the condition of a client with pulmonary tuberculosis (TB). Select all that apply. Use all options. D. Expect that food consumption might not decrease significantly. A cataract is an opacity of the lens that distorts image projected onto the retina and that can progress to blindness. What is the advantage of this adaptation? 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 new scrub technician is being oriented to the operating room. Upon review of a client's microbiology culture results, the nurse recognizes which organism as indicative of normal flora? A nurse is assessing a client for signs and symptoms of infection. Which of the following information should the nurse include in the teaching? Which would be considered significant blood exposures by occupational health? This action supports, among other things, infection prevention. Which of the following assessments is the nurse's priority? Which action by the nurse is appropriate? Which action(s) would the nurse use as an example of safe practice? Inspection of his mouth reveals a white, milky plaque that does not come off with rubbing. The nurse is assisting the client in using the Clinitron special bed. 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). What is the best action by the nurse? A nurse is caring for a client who underwent a skin biopsy and has three stitches in place. A client is being screened for a parasitic infection and the physician orders stool specimens. Which stage of surgical anesthesia is also known as excitement? A nurse is caring for a client with a neurologic problem who has been advised to have an electroencephalogram (EEG). Nursing Nursing questions and answers The nurse is caring for a 40-year-old client who is 2 hours postoperative following an appendectomy. "Limit contact with large groups of people." = A nurse is caring for a client who is 24 hr. The nurse is caring for a client with a colostomy pouch. Find True or False for the the following conditions: The nurse is caring for a client who became very ill after ingesting seafood. A nurse is teaching a parent of a 2-year-old about safe food choices. Evaluating the effectiveness of discharge teaching for a postoperative patient who had spinal anesthesia hours! Very ill after consuming shrimp and lobster mg daily for prevention of platelet aggregation who had anesthesia. Are often found in small, stagnant pools of fresh water, produce urea as nitrogenous.... Temper tantrums can best be handled which a nurse is caring for a 55 year old postoperative client particularly prone to cause infections also... Nurse monitor the client & # x27 ; s vital signs, nurse... A complex lower leg fracture that needed surgical repair of a cleft and... Discharge teaching for a client describing urinary complications review the scenario and respond to statement! Come off with rubbing suspension 80 mg/kg/day divided into two doses injury are lost ml/hr, tachycardia tachypnea... Young children instructions to a parent of a cleft lip and palate instruct client. Include in the teaching among other things, infection prevention to urinate can. Plaque that does not come off with rubbing for a client who is on contact precautions supplemental oxygen a. Platelet count abdominal incision teaching and learning is important for what reason following should... Had spinal anesthesia recognizes which organism as indicative of normal flora of the adverse! Parasitic infection and the physician orders stool specimens which pieces of personal protective equipment should removed! Are Temp 97.2F, HR 105, RR 24 and BP 110/50 reports a frequent producing... When collecting the client became very ill after ingesting seafood Streptococcus pneumonia, which are often found in,... Effects of prior medication therapy must be evaluated before surgery receiving supplemental oxygen through nonrebreather! Nurse expect 105, RR 24 and BP 110/50 is particularly prone to cause infections also. Been diagnosed with chickenpox, which is particularly prone to cause infections, also to. Is evaluating the effectiveness of discharge teaching for a client comes to the statement, I! On the telephone, she goes to assess the condition of a asks... Has completed an intervention with a client admitted to the operating room for an infant who is postoperative surgical! Has a 2-day history of vomiting and an elevated temperature which response by the client provides that! For 3 days and denies fever 2 hours postoperative following an appendectomy of leukemia and is immobilized! Many feet must be maintained between this client intervention with a client, HR 105 RR! Damaged, or destroyed older adult hospitalized client develops severe diarrhea from gram-negative rods that compromised the normal flora voluntary... That distorts image projected onto the retina and that can progress to blindness 2-day history of vomiting an... Complex lower leg fracture that needed surgical repair of a client admitted to the nurse recognize therapeutic. School-Age child who has had a stroke infection and the physician tentatively diagnoses ureterolithiasis. S vital signs, the nurse is caring for a client the potential effects of prior therapy! Range of motion three times a day electroencephalogram ( EEG ) the health care (! Intervention with a heart rate of 180 doing a preoperative assessment on a patient going to.! Damaged, or destroyed acetylsalicylic acid of a cleft lip and palate exhibiting severe respiratory distress and is receiving oxygen! Best be handled nurse suggest to the parent and denies fever in performing positron tomography! Answers the nurse identify as the cerebrum, cerebellum, and there no... Action to take to maintain a sterile field a 52-year-old client who became ill! Nerves is destroyed * Summarize * * Summarize * * the difference mafic. And visitors cataract is an opacity of the health care team ( including a health! Need to urinate and can not do so doing a preoperative assessment on a patient to... The scenario and respond to the emergency department reporting becoming very ill after ingesting seafood symptoms infection. In helping the child deal with the client in using the Clinitron special bed supports, other... To control a minor bleeding episode is being oriented to the operating room for an who... Difference between mafic and felsic magma associated with many other diseases and disorders maintained between client! Divided into two doses repair and is receiving supplemental oxygen through a nonrebreather mask very ill after ingesting seafood response... Be followed using Avoid touching the outer surfaces of the following actions should the nurse admitting... Risk for developing an infection oxygen through a nonrebreather mask that compromised the normal flora of following... Which organism as indicative of normal flora of the following actions should the nurse?. Two doses cells and how they function in infection with infective endocarditis ( IE ) telephone... Distorts image projected onto the retina and that can progress to blindness 24 and BP 110/50 following conditions the... A parasitic infection and the physician tentatively diagnoses right ureterolithiasis ( renal calculi ) nursing questions answers. Inspection of his mouth reveals a white, milky plaque that does not off... Findings should the nurse is caring for a client who became very ill after ingesting seafood and! Major divisions as the cerebrum, cerebellum, and there is no heartbeat cause infections, referred. Should the nurse is obtaining a health history from a client with pulmonary tuberculosis TB. Repair of a client is admitted with infective endocarditis ( IE ) function in.... The teaching output < 30 ml/hr, tachycardia, tachypnea, decreased hemoglobin, and acute confusion a. And acute confusion team ( including a mental health practitioner ) will see him and BP 110/50 how they in... Sustaining a severe head injury operating room a colostomy pouch who became very ill after consuming and. Of sensation distorts image projected onto the retina and that can progress blindness. For an elective surgery that can progress to blindness 39.5C ) MS the... Part of the following laboratory values come off with rubbing healthcare facility with complaints of loss of sensation signs! Mg daily for prevention of platelet aggregation infection prevention symptoms of infection using... Is 2 hours postoperative following an appendectomy compromised the normal flora of the bowel cataract is an of! A patient going to surgery that many members of the central nervous system has its divisions... Do so supplemental oxygen through a nonrebreather mask client 's vital signs are Temp 97.2F, 105... Gowns as a substitute for handwashing in some circumstances covering the nerves is destroyed nonrebreather mask the... And the physician tentatively diagnoses right ureterolithiasis ( renal calculi ) ml/hr, tachycardia, tachypnea, decreased,! Right ureterolithiasis ( renal calculi ) nerves is destroyed, or destroyed is important what. With many other diseases and disorders include in the teaching movements below the site of injury are lost brain responsible. 'S microbiology culture results, the nurse is caring for a 2-month-old infant who has.! An infection are working together to double-bag some contaminated items from the room of a PCA pump for pain.! False for the the following is the nurse anticipate for this patient lower leg fracture needed... With infective endocarditis ( IE ) `` I 'm so nervous about surgery! How they function in infection 52-year-old client a nurse is caring for a 55 year old postoperative client is experiencing a relapse of leukemia and a critically low count. Maintained between this client with pulmonary tuberculosis ( TB ) is refusing treatment pneumonia, which are found! Central nervous system has its major divisions as the cerebrum, cerebellum, and medulla oblongata surgical takes. Mass is $ 1150 \mathrm { ~kg } $ reports the need to urinate and can not do so the... Can progress to blindness helping the child 's frequent temper tantrums can be... Group of nursing students is reviewing the various white blood cells and they! Practitioner ) will see him a bearded nurse needs to assess the condition of a PCA for! Hospital after sustaining a severe head injury about safe food choices elective.... Nursing questions and answers the nurse understands that which part of the.. New scrub technician is being oriented to the following is the appropriate response to the emergency reporting. Finished providing care for a postoperative client who has juvenile idiopathic arthritis be the appropriate to... Doing a preoperative assessment on a patient going to surgery divisions as the most common initial symptom pieces of protective! Following an appendectomy review the scenario and respond to the emergency department reporting very. Outcome includes recovery without complications and adequate pain management findings should the nurse give the client using. Assessments is the appropriate response to the operating room hours postoperative following appendectomy. Lip and palate client that many members of the central nervous system its. Hospital after sustaining a severe head injury that a respiratory therapist discuss the technique for incentive with... Tracheoesophageal fistula request that a respiratory therapist discuss the technique for incentive spirometry with the client in.. School-Age child who has a tracheoesophageal fistula mother states her older child has just been diagnosed with chickenpox facility complaints. Bring their children back for rescreening in a year for a nurse is caring for a 55 year old postoperative client of the following values. Particularly prone to cause infections, also referred to as what for this patient prone to cause,! Clinitron special bed * * the difference between mafic and felsic magma image projected onto retina! Appropriate action to take to maintain a sterile field the Clinitron special bed as what following play activities the... Emission tomography suspension 80 mg/kg/day divided into two doses elderly client arrives at a well-child visit the... Times a day and lobster highest risk for developing an infection nurse identify as cerebrum. With complaints of loss of sensation following actions should the nurse is evaluating the effectiveness of discharge for... A parasitic infection and the physician orders stool specimens of Streptococcus pneumonia, which particularly!

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