B. monitor the serum ammonia level. C. decrease the frequency of the lactulose dose. D. perform skin care in the perineal are. C. the client with cirrhosis of the liver asks the nurse why he has edema. the nurse would make which response to explain how edema results from pathophysiologic changes in cirrhosis.A nurse is caring for a client who has an order for a 24-hr urine collection. Which of the following actions should the nurse take? 1. discard first voiding 2. keep urine in a single container at room temp 3. discard last voiding 4. ask client to urinate in toilet, stop midstream, then finish urinating into containerA nurse is caring for a client who reports that she feels a choking sensation in her throat, a racing heart, and fearfulness. These symptoms have occurred almost daily for the past 3 months. Suspecting a psychological component the nurse anticipates administering: 1. benzodiazepines.Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a client with a spinal cord injury who has paraplegia. The nurse can expect which major problem early in the recovery period? 1. bladder control 2. nutritional intake 3. quadriceps setting 4. use of aids for ambulation, The primary reason the nurse encourages a client with a spinal cord injury to increase ...the development of the nursing care plan. The RN takes responsibility and ... When does a Nurse's Duty to a Patient Begin and End. Note: For the complete list ...In some cases cancer can be considered a chronic disease, and with that the patient and their family will be hospitalized throughout their disease trajectory.Use Doppler ultrasound to identify the pulses. A nurse in the rehabilitation unit is caring for an older adult client who is in cardiac rehabilitation following an MI. The nurse's plan of care calls for the client to walk for 10 minutes 3 times a day. The client questions the relationship between walking and heart function.Colostrum provides your newborn with a good source of protein. Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who requests additional information about nutritional intake during breastfeeding. Which of the following statements should the nurse make?, A nurse is caring for a client who is in …A nurse is implementing a plan of care for a client who has AIDs with recurring pneumonia. Which of the following actions should the nurse take? a. Encourage fluid intake of 1500 mL/day. b. Position head of bed at 10 degrees. c. Cough and deep breathe every 8 hrs. d. Obtain a sputum culture.e. Use a trauma-informed approach to client care. Answer: a., b., d., e. Rationale: Explain unit rules, including expectations and client rights is correct. The nurse is responsible for providing client education that includes important features of the environment, expectations, and client rights.A nurse is caring for a client who is experiencing cycloplegia following the administration of atropine eye drops during an eye examination. Which of the following findings should the nurse expect as a result of cycloplegia? a. Blurred Vision Assessment findings of cycloplegia include blurred vision because focusing for near vision is impaired.Study with Quizlet and memorize flashcards containing terms like 36. The nurse is caring for a client with heart failure. On assessment, the nurse notes that the client is dyspneic and crackles are audible on auscultation. What additional signs would the nurse expect to note in this client if excess fluid volume is present? 1.Weight loss 2.Flat neck and hand veins 3.An increase in blood ...Solved by verified expert. 1.) "The client is experiencing nausea and vomiting" - Instead of causing a rise in potassium levels, nausea and vomiting might cause potassium loss. …Select all that apply. 1. Keep the cast and extremity elevated. 2. The cast needs to be kept clean and dry. 3. Allow the wet cast 24 to 72 hours to dry. The nurse is caring for a client who has just had rotator cuff repair. The client asks the nurse how soon he can resume his tai chi classes.A nurse is caring for a client in labor who is receiving Pitocin by IV infusion to stimulate uterine contractions. Which assessment finding would indicate to the nurse that the infusion needs to be discontinued? 1.Three contractions occurring within a 10-minute period 2.A fetal heart rate of 90 beats per minute 3.Adequate resting tone of the uterus palpated between …Study with Quizlet and memorize flashcards containing terms like Heart failure is mostly caused by: a. Pneumonia b. Hypertension c. Cancer d. Tuberculosis, Identifying details of Supraventricular Tachycardia, A nurse is caring for a client who is prescribed isosorbide mononitrate (Imdur) for chronic stable angina and develops reflex tachycardia.The nurse is caring for a client with asthma who has been administered albuterol in order to promote bronchodilation and relieve shortness of breath. When giving this medication, the nurse has affected the client's autonomic nervous system by: Correct response: stimulating beta2-receptors.A. Weigh the client daily B. Encourage the client to drink 2 to 3 L of fluid per day. C. Instruct the client to ambulate every 2 hr. D. Obtain the client's serum blood glucose., A nurse is planning care for a client who is scheduled to undergo extracorporeal shock wave lithotripsy (ESWL) for urolithiasis. Which of the following actions should ...Study with Quizlet and memorize flashcards containing terms like A nurse has just received report on four (4) clients. How can the nurse use the prioritization principle ""Acute over Chronic"" to help decide which client to assess first? Provide an example, A nurse is caring for a client who has experienced a mild traumatic brain injury. Describe the manifestations of increased intracranial ...Rank the clients in order of risk factors, with one being the most at risk., The nurse is caring for a client with the nursing diagnosis of Impaired physical mobility related to decreased motor function. Which nursing intervention is appropriate? Select all that apply., The health-care provider suspects that a client has multiple sclerosis (MS). A nurse is planning care for a client coming into the emergency department via ambulance on a hot summer day with the following symptoms: temperature of 105°F (40.5°C), absence of sweating, and loss of consciousness. The nurse anticipates that the client has which condition? Heatstroke Blunted febrile response Heat exhaustion HyperthermiaThe nurse caring for a client diagnosed with cancer knows which of the following are true about cancer pain? Select all that apply. Typically chronic in nature and treated with long-term opioids Not necessarily experienced by all clients and a thorough pain assessment is key Associated with a high incidence of drug addiction due to the chronic ... A nurse caring for a client with a respiratory condition notices the client's breathing pattern is getting more irregular and the rate has greatly increased from 18 to 32 breaths per minute. The nurse notes that this client's vital signs are assessed once every shift, but believes the assessment should be done more frequently. ...Place the client in seclusion for safety. 4. Remain with the client to provide support. 5. Administer a prescribed antipsychotic medication. 6. Administer a prescribed intramuscular (IM) antiparkinsonian medication. 1,2,4,6. The nurse in the mental health clinic hears a client yelling and threatening to hurt his sister. The nurse is assigned to care for four clients on the medical-surgical unit. Which client should the nurse see first on the shift assessment? A client admitted with pneumonia with a fever of 100° F (37.8°C) and some diaphoresis A client with congestive heart failure with clear lung sounds on the previous shift A client with new-onset of shortness of breath (SOB) and a history of pulmonary ... Solved by verified expert. Caring for an adolescent with autism involves tailored communication and family engagement. Effective communication, sensory …29 thg 6, 2012 ... The Certified Nursing Assistant (CNA) skill of Feeding the Client, as outlined in the South Carolina Nurse Aide Candidate Handbook, ver.Rationale: The first action the nurse should take when using the ABC's approach to client care is to turn the client's head to the side. This action keeps the client's airway clear of secretion to prevent aspiration. A nurse is caring for a client who has had a hemorrhagic stroke following a ruptured cerebral aneurysm.Auxiliary nurses are also referred to as health care assistants, and they provide assistance to doctors and nurses in hospitals, doctor’s offices, nursing homes and medical clinics.The nurse–client relationship is an interaction between a nurse and "client" aimed at enhancing the well-being of the client, who may be an individual, a family, a group, or a ... broad influences on health care and …Registered nurses play a crucial role in the healthcare industry, providing essential care and support to patients in various settings. Hospitals are often the first image that comes to mind when thinking about registered nurse positions.Instructing the client to tilt head forward when swallowing. A nurse is caring for a child who is on a clear liquid diet. At lunch, the child consumed 1/2 cup of juice, 3 oz gelatin, 1 oz of an ice pop, and 20 mL ginger ale. How many mL should the nurse record as the child's fluid intake?Assist the client with a partial bed bath. Measure the client's BP after the nurse administer an antihypertensive medication. A nurse is caring for a client who has recently started using a behind-the-ear hearing aid. Which of the following statements should the nurse identify as in indication that she understands the use of this assistive device? A nurse is caring for a client who has a peripheral venous ulcer. Which of the following actions should the nurse take? (Select all that apply) a. Instruct the client to apply warm heat for pain. b. Instruct the client to sit with their legs uncrossed. c. Encourage the client to avoid tobacco products.A nurse is caring for a client in halo traction. Place the following steps in the correct order. Use all options. 1) Administer prescribed analgesic as needed. 2) Assess neurological status. 3) Check the fit of the halo vest. 4) Wash the client's chest and back. 5) Perform respiratory assessment. 6) Assess pin sites for redness.clients move through the health care system in a cost‑effective and time‑efficient manner. to effectively coordinate client care, a nurse must have an ...Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who is taking levothyroxine for hypothyroidism. Which of the following indicates the client's does is too high? A. Decreased Temperature B. Bradycardia C. Weight gain D. Tachypnea, A nurse is reinforcing teaching with a client who is scheduled for lithotripsy …The nurse participating in a client care conference with other health team members is discussing the condition of a client with adult respiratory distress syndrome (ARDS). The primary health care provider states that because of fluid in the alveoli, surfactant production is falling.Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who has dyspnea, slight cyanosis, and a respiratory rate of 28/min. During which of the following phases of the nursing process will the nurse determine that the client has impaired gas exchange?, Administering oxygen therapy with a nonrebreather mask has …The nursing process is the essential core of practice for the registered nurse to deliver holistic, patient-focused care. It involves collecting and analyzing data about the client's health status, clinical judgment, care plan, goals, and evaluation. Learn more about the five core areas of the nursing process and how they apply to different types of nurses and clients.A. uterine cancer. B. cervical cancer. C. ovarian cysts. D.fibroids. B. Cervical cancer. the nurse should inform the client that a pap test is used to screen for cervical cancer. A nurse is planning on education program for a group of high school teachers who will be taking students on a hike. Which of the following information should the nurse ...concepts can co-exist. • Technology brings the patient closer to the nurse. Conversely, technology can also increase the gap between the nurse and nursed.Reasoning: The closed-chest drainage system must be kept upright at all times to ensure that the tubing drains optimally and the system functions correctly. Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who requires a chest tube. The provider asks for the suction pressure of the closed-chest ...A nurse is caring for a client who has a new prescription for verapamil to treat atrial fibrillation. The nurse should instruct the client to avoid drinking grapefruit juice while taking verapamil because it can cause the client to experience which of the following conditions? A. Tachycardia B. Dehydration C. Diarrhea D. HypotensionStudy with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who is experiencing a panic attack. Which intervention is most appropriate? 1. Tell the client that there's no need to panic. 2. Speak in short, simple sentences. 3. Explain that there's no need to worry. 4. Give the client a detailed explanation of his panic reaction., A nurse is caring for a ... Oct 21, 2023 · Terms in this set (33) Ask the client when she last voided. A nurse is caring for a client who reports that her last menstrual period (LMP) began on July 8. Based on Nagele's rule, which of the following is the client's expected date of birth (EDB)? April 15. A nurse is reinforcing teaching about oxytocin with a client who is in the third ... a) at the client's left lower leg b) at the end of the client's bed c) on the client's left side d) on the client's right side and more. Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a client with an indwelling urinary catheter. A nurse is caring for four clients. After administering morning medications, she realizes that the nifedipine prescribed for one client was inadvertently administered to another client. Which of the following actions should the nurse take first? A. Notify the client's provider B. Check the patients vitals C. Assess another patientStudy with Quizlet and memorize flashcards containing terms like A nurse is collecting data for a client who has brittle hair. Which of the following should the nurse determine about the client's nutritional intake?, A nurse is caring for client who reports having daily constipatiin. Which of the following information should the nurse provide to the client …Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client with hyperparathyroidism and notes that the client's serum calcium level is 13 mg/dL. Which medication should the nurse prepare to administer as prescribed to the client? 1. Calcium chloride 2. Calcium gluconate 3. Calcitonin (Miacalcin) 4. Large doses of vitamin …During the first 10 to 15 min of administration, which of the following assessments is the nurse's priority?, A nurse is caring for a client who is receiving dextrose in 5% water with 20 mEq of potassium chloride at 75 mL/hr. The provider has prescribed 1 g ceftriaxone IV. When preparing to administer this medication by intermittent IV bolus ...A nurse is caring for a client who is receiving continuous bladder irrigation following a transurethral resection of the prostate. The client reports bladder spasms, and the nurse observes a decreased urinary output.A nurse is caring for a client who reports that she feels a choking sensation in her throat, a racing heart, and fearfulness. These symptoms have occurred almost daily for the past 3 months. Suspecting a psychological component the nurse anticipates administering: 1. benzodiazepines.Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who is experiencing chronic stress. Which of the following does the nurse anticipate that the client will report? (Select all that apply.) Increased anxiety Recurring sinus infections Feelings of depression Sudden bursts of energy Daily …Study with Quizlet and memorize flashcards containing terms like A nurse has just received report on four (4) clients. How can the nurse use the prioritization principle ""Acute over Chronic"" to help decide which client to assess first? Provide an example, A nurse is caring for a client who has experienced a mild traumatic brain injury. Describe the manifestations of increased intracranial ...Study with Quizlet and memorize flashcards containing terms like a nurse is caring for a client who is experiencing acute alcohol withdrawal. For which of the following client outcomes should the nurse administer chlordiazepoxide? a. minimize diaphoresis b. maintain abstinence c. lessen craving d. prevent delirium tremens, a nurse is teaching a …A. Insert an indwelling urinary catheter. B. Inspect the mouth for signs of inhalation injuries. C. Administer IV pain medications. D. Draw blood for a complete blood cell (CBC) count. B. A nurse is caring for a client who experience a femur fracture 8 hours ago and now reports sudden onset dyspnea and severe chest pain.A nurse is caring for a client who has been wheezing. The nurse asks an assistive personnel (AP) to use a stethoscope and listen to the client's lung sounds to determine if their wheezing has improved. This is an example of which of the following concepts? A good nurse can be described as someone who makes patients feel comfortable and who is also adequately able to attend to the care needs of her patients. Good nurses are detailed-oriented and critical thinkers. However, they are also compas...Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who has been off the unit for physical therapy for the past hour notes that the infusion pump for the clients TPN is turned off. The client tells the nurse that the battery went dead while she was in physical therapy.Study with Quizlet and memorize flashcards containing terms like A 16-year-old girl is seen in an emergency department following a rape. The management of a rape victim should be directed primarily toward:, Place the three phases of intimate partner violence in the order in which they occur. Use all options., The nurse is talking to a client who is a survivor of intimate partner violence. The ...6 thg 4, 2022 ... ... patient care before you, as a nurse, can effectively move forward. Nursing example: As you take your patient's vitals, note if any ...A nurse is caring for a client who is about to undergo orthopedic surgery. The client will be receiving epidural analgesia prior to the surgery for pain management. The nurse should understand that who is responsible for inserting the catheter into the client's epidural space? A) Anesthesiologist B) Orthopedic surgeon C) Nursing assistant D) NurseA nurse is caring for a client who is terminally ill and receiving nutritional support. The client's adult children disagree about continuing nutritional support. The dilemma is …9 thg 5, 2016 ... ... patient who once needed constant care regain their independence. I love my job as an in-home care nurse specifically because it encourages ...Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who needs to collect a midstream urine specimen. Which of the following actions should the nurse take?, A nurse is caring for a client who has a stage IIl pressure injury on the sacral area. Which of the following actions should the nurse take when obtaining a wound culture specimen from the ...Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a client with Clostridium difficile colitis. Which of the following infection control measures by the nurse are appropriate? Select all that apply: 1. Applies sterile gloves before performing client care 2. Ensures surgical masks are worn by staff in client's room 3. Requests that the client be assigned to ...Nursing is an excellent career path if you’re interested in working in the healthcare industry and strive to provide quality care to patients. If you’re short on time or worry that attending a brick-and-mortar school isn’t possible, one alt...A. clamp each lumen. B. place the client in an upright position. C. put on sterile gloves. D. flush each lumen with 10 milliliters normal saline. A. clamp each lumen. The nurse is caring for a client who has an implanted port central venous access device (CVAD) and needs to have an intravenous (IV) solution infused.Study with Quizlet and memorize flashcards containing terms like The nurse caring for mechanically ventilated clients knows that older adults are at higher risk for weaning failure. What age-related changes contribute to this? (Select all that apply.), A nurse is caring for a client who is on mechanical ventilation. What actions will promote comfort in this client? (Select all that apply ... Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a client hospitalized with acute exacerbation of chronic obstructive pulmonary disease. Which findings would the nurse expect to note on assessment of this client? Select all that apply. 1.A low arterial PCo2 level 2.A hyperinflated chest noted on the chest x-ray 3.Decreased …A nurse is caring for a client at 37 weeks gestation. The client has gestational diabetes that is not well controlled. The nurse understands that the client is at risk for which of the following? 1. Delivering a large for gestational age newborn 2. Delivering a small for gestational age newborn 3. Placenta previa 4.Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a client with a spinal cord injury who has paraplegia. The nurse can expect which major problem early in the recovery period? 1. bladder control 2. nutritional intake 3. quadriceps setting 4. use of aids for ambulation, The primary reason the nurse encourages a client with a spinal cord injury to increase ... A nurse in an emergency department is caring for a client who had a seizure and became unresponsive after stating she had a sudden, severe headache and vomiting. The client's vital signs are as follows: blood pressure of 198/110 mm Hg, pulse of 82/min, respirations of 24/min, and a temperature of 38.2° C (100.8° F).The nurse is caring for a client who is scheduled for surgery. The client is concerned about the surgical procedure. Which action should alleviate the client's fears and misconceptions about surgery? 1. Tell the client that preoperative fear is normal. 2. Explain all nursing care and possible discomfort that may result.Oct 5, 2021 · Caring is essential in the nursing profession because it helps with the healing process. It is a way for nurses to show empathy, compassion and emotional support towards their patients. Caring can be done in many different ways, including talking to an individual or supporting them physically. Being kind is a way people understand caring. A nurse is caring for a client at risk for falls who does not have access to an activated bed or chair alarm. How often should the nurse assess this client? every 60 minutes. The charge nurse is observing a new nurse care for a client who is at high risk for falls. Which actions by the new nurse would require the charge nurse to intervene?Assist the client with a partial bed bath. Measure the client's BP after the nurse administer an antihypertensive medication. A nurse is caring for a client who has recently started using a behind-the-ear hearing aid. Which of the following statements should the nurse identify as in indication that she understands the use of this assistive device?The nurse caring for a client who has a pneumothorax notes continuous bubbling in the water seal chamber of the client's closed-chest drainage system. How should the nurse interpret this finding? 1.The drainage chamber is full.Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a female client in the emergency department who reports shortness of breath and pain in the lung area. She states that she started taking birth control pills 3 weeks ago and that she smokes. Her heart rate is 110/min, respiratory rate 40/min, and blood pressure 140/80 mm Hg. Her arterial blood gases are pH 7 ...The nurse is caring for a client having respiratory distress related to an anxiety attack. Recent arterial blood gas values are pH = 7.53, Pao2 = 72 mm Hg (72 mm Hg), Paco2 = 32 mm Hg (32 mm Hg), and HCO3- = 28 mEq/L (28 mmol/L). Which conclusion about the client should the nurse make? 1. The client has acidotic blood.1. administer a bolus of iv fluids 2. reposition the client 3. apply oxygen at 10-12 L/min, 4. elevate the clients legs: a nurse is caring for a client who is at 38 weeks of gestation. which of the following actions should the nurse take prior to applying an external transducer for fetal monitoring? perform Leopold maneuversA nurse is caring for a client who has an order for a 24-hr urine collection. Which of the following actions should the nurse take? 1. discard first voiding 2. keep urine in a single container at room temp 3. discard last voiding 4. ask client to urinate in toilet, stop midstream, then finish urinating into containerSome facilities use restraint flow sheets to document and record the use of restraints, the monitoring of the client, the care provided and the responses of the patient who is restrained or in seclusion. When these flow sheets are not used, the nurse must document all monitoring and care elements in the progress notes.A nurse is caring for a client who reports that she feels a choking sensation in her throat, a racing heart, and fearfulness. These symptoms have occurred almost daily for the past 3 months. Suspecting a psychological component the nurse anticipates administering: 1. benzodiazepines.A nurse is caring for a client who has a prescription for 5 units of regular insulin and 10 units of NPH insulin to mix together and administer subcutaneously. Determine the correct order of steps for this procedure. Inject 10 units of air into the bottle of NPH insulin. Inject 5 units of air into the bottle of regular insulin.Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client receiving chemotherapy. Which nursing action is most appropriate for handling chemotherapeutic agents? Wear disposable gloves and protective clothing. Break needles after the infusion is discontinued. Disconnect I.V. tubing with gloved hands. Throw I.V. tubing in the trash after the infusion is ... Study with Quizlet and memorize flashcards containing terms like A nurse is preparing a tranfuse 250mL of packed red blood cells to a client over 4 hr. available is blood administration set that delivers 10 gtt/mL. the nurse should se the manual blood transfusion to deliver how many gtt/min?, a nurse on a telemetry unit is caring for a client who has …A nurse is caring for a client
The nursing process is the essential core of practice for the registered nurse to deliver holistic, patient-focused care. It involves collecting and analyzing data about the client's health status, clinical judgment, care plan, goals, and evaluation. Learn more about the five core areas of the nursing process and how they apply to different types of nurses and clients.Sharp V with contraction. A nurse in a rehab center is caring for a client who has just had a CVA. Based on a review of the client's medical record, which of the following findings should be immediately reported to the provider? Temperature 37.6 degreesC (99.8 degreesF) Study Nurse Logic Advanced 4 flashcards.The nurse on a telemetry unit is caring for a 54-year-old male client, admitted with chest pain, who has an arteriovenous (AV) fistula in the left arm for hemodialysis secondary to chronic kidney disease. For each intervention, click to specify if the intervention is indicated or contraindicated for this client.Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a client with an indwelling urinary catheter. For this client, the nurse plays a key role in prevention of which most common complication? a) chronic urinary retention b) uncontrolled suprapubic pain c) unsuppressed bladder spasms d) catheter-associated urinary tract …A nurse is caring for a client in halo traction. Place the following steps in the correct order. Use all options. 1) Administer prescribed analgesic as needed. 2) Assess neurological status. 3) Check the fit of the halo vest. 4) Wash the client's chest and back. 5) Perform respiratory assessment. 6) Assess pin sites for redness.Study with Quizlet and memorize flashcards containing terms like 1 .The nurse caring for a client with terminal illness observes that the client is unresponsive and in the final detachment stage of dying. Basic human needs are a priority for the dying person. What is the highest priority for nursing care at this time? A) Emotional needs B) Physical needs C) Spiritual needs D) Social needs, 2 ... The nurse caring for a client who has had a subtotal thyroidectomy reviews the plan of care and determines which problem is the priority for this client in the immediate postoperative period? Bleeding. A comatose client with an admitting diagnosis of diabetic ketoacidosis (DKA) has a blood glucose value of 368 mg/dL, arterial pH of 7, arterial ...A nurse is caring for a client who is pregnant in an antepartum clinic. Exhibit 1 Vital Signs 0900: T: 36.6° C (97.9° F) P: 88/min RR: 18/min BP: 130/70 SpO2: 97% on room air 1000: P: 76/min RR: 20/min BP: 138/68 SpO2: 98% on room air Exhibit 2 Medical History 0900: Gravida 3, Para 2 32 weeks of gestation Client reports cramping and lower back pain …A nurse is caring for a client who is terminally ill and receiving nutritional support. The client's adult children disagree about continuing nutritional support. The dilemma is …Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a client 48 hours after their burn injury. Which treatment will the nurse anticipate to reduce the client's risk of mortality remove burned tissue intubation topic anitmicrobial ointment, The nurse cares for a client with extensive burn injuries.A nurse is caring for a client with bronchogenic carcinoma. Which nursing diagnosis takes highest priority? You selected: Disturbed body image related to changes in body functions Incorrect Correct response: Ineffective airway clearance related to obstruction by a tumor or secretions Explanation: Maintaining a patent airway is the first concern in a client with a condition that may compromise ...A client who has difficulty breathing should call emergency services and seek immediate care. The client will need to be treated with epinephrine and an antihistamine, such as diphenhydramine, to treat an anaphylactic reaction. Pharmacology Made Easy 4.0 Infection Test Learn with flashcards, games, and more — for free.Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who has an NG tube set to lower intermittent suction. The nurse irrigate the NG tube twice with 30 mL of normal saline solution during his shift. At the end of the shift, the NG canister contains 475 mL. What amount of NG drainage should the nurse record?, A …The nurse should recognize the client's right to refuse the treatments and inform the client of this right. The nurse should advocate for the client and offer to contact the provider for the client. 55. A nurse is caring for an older adult client who has dementia and requires acute care for a respiratory infection.Published on Jun 9, 2021. Updated on Feb 27, 2023. Today's NCLEX-RN® question of the day focuses on a client's potassium level. The nurse is reviewing a client's laboratory results and notes the serum potassium level is 2.8 mEq/L.22 thg 8, 2016 ... The critically ill patient should receive comfort and provided privacy in a highly technological environment. In collaboration with other health ...In the fast-paced world of healthcare, nursing professionals play a vital role in providing quality patient care. If you’re considering a career in nursing or looking to advance your current position, enrolling in a nursing diploma course c...A. clamp each lumen. B. place the client in an upright position. C. put on sterile gloves. D. flush each lumen with 10 milliliters normal saline. A. clamp each lumen. The nurse is caring for a client who has an implanted port central venous access device (CVAD) and needs to have an intravenous (IV) solution infused. 1. The nurse encourages the client and family to identify and discuss feelings openly. 2. The nurse assists the client and family in carrying out spiritually meaningful practices. 3. The nurse makes decisions for the client and family to relieve them of unnecessary demands. 4.The nurse is caring for a client with a health care associated infection caused by methicillin-resistant Staphylococcus aureus. Contact precautions are prescribed for the client. The nurse prepares to irrigate the wound and apply a new dressing. Which protective interventions should the nurse use to perform this procedure? Select all that apply. A nurse is caring for a client with MRSA. Implement which precautions? contact a nurse is caring for a client who is 4hrs postpartum with a boggy uterus and heavy lochia. First nursing action? massage the uterus to expel clots. A home health nurse is assessing a 2 week old newborn who had a birth weight of 3 (8lbs) and is being breastfed.clients move through the health care system in a cost‑effective and time‑efficient manner. to effectively coordinate client care, a nurse must have an ...4.8 (4 reviews) A nurse is caring for a client who has tuberculosis. What actions should the nurse take. Click the card to flip 👆. - place the client in a room with negative-pressure airglow (airborne precautions) - wear gloves when assisting the client with oral care. - wear an N95 mask when providing client care.Study with Quizlet and memorize flashcards containing terms like 1 .The nurse caring for a client with terminal illness observes that the client is unresponsive and in the final detachment stage of dying. Basic human needs are a priority for the dying person. What is the highest priority for nursing care at this time? A) Emotional needs B) Physical needs C) Spiritual needs D) Social needs, 2 ... A nurse is caring for a client who has a serum sodium level of 150 mEq/L. Which of the following actions should the nurse take? a. Increase sodium in the client’s diet b. Administer hypotonic IV fluids to the client c. Restrict the client’s oral fluid intake d. Administer a beta blocker. A nurse is caring for client who has Cushing’s disease.Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a client with a spinal cord injury who has paraplegia. The nurse can expect which major problem early in the recovery period? 1. bladder control 2. nutritional intake 3. quadriceps setting 4. use of aids for ambulation, The primary reason the nurse encourages a client with a spinal cord injury to increase ... A nurse in a hospital is caring for a client who is at 38 weeks of gestation and has a large amount of painless, bright red vaginal bleeding. The client is placed on a fetal monitor indicating a regular fetal heart rate of 138/min and no uterine contractions. The nurse caring for a client who has had a subtotal thyroidectomy reviews the plan of care and determines which problem is the priority for this client in the immediate postoperative period? Bleeding. A comatose client with an admitting diagnosis of diabetic ketoacidosis (DKA) has a blood glucose value of 368 mg/dL, arterial pH of 7, arterial ...A. clamp each lumen. B. place the client in an upright position. C. put on sterile gloves. D. flush each lumen with 10 milliliters normal saline. A. clamp each lumen. The nurse is caring for a client who has an implanted port central venous access device (CVAD) and needs to have an intravenous (IV) solution infused.A nurse is caring for a client who reports intestinal gas pain following a c-section. What action should the nurse take? a. encourage client to drink carbonated beverages b. instruct the client to splint the incision with a pillow c. have the client drink fluids through a straw d. assist the client to ambulate in the hallwayThe nurse caring for a client who has a pneumothorax notes continuous bubbling in the water seal chamber of the client's closed-chest drainage system. How should the nurse interpret this finding? 1.The drainage chamber is full.22 thg 8, 2016 ... The critically ill patient should receive comfort and provided privacy in a highly technological environment. In collaboration with other health ...A nurse in an emergency department is caring for a client who had a seizure and became unresponsive after stating she had a sudden, severe headache and vomiting. The client's vital signs are as follows: blood pressure of 198/110 mm Hg, pulse of 82/min, respirations of 24/min, and a temperature of 38.2° C (100.8° F).Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who has been off the unit for physical therapy for the past hour notes that the infusion pump for the clients TPN is turned off. The client tells the nurse that the battery went dead while she was in physical therapy.The antibiotic interferes with the client's ability to absorb nutrients. C.) The antibiotic eliminates the healthy gastrointestinal bacteria, allowing harmful bacteria to grow. D.) The antibiotic decreases a client's immunity level, resulting gin diarrhea., A nurse is caring for an older adult who is experiencing urinary leakage.Study with Quizlet and memorize flashcards containing terms like A nurse has just received report on four (4) clients. How can the nurse use the prioritization principle ""Acute over Chronic"" to help decide which client to assess first? Provide an example, A nurse is caring for a client who has experienced a mild traumatic brain injury. Describe the …Sharp V with contraction. A nurse in a rehab center is caring for a client who has just had a CVA. Based on a review of the client's medical record, which of the following findings should be immediately reported to the provider? Temperature 37.6 degreesC (99.8 degreesF) Study Nurse Logic Advanced 4 flashcards.Question. A nurse is caring for a client who has an indwelling urinary catheter. Which of the following actions should the nurse take to prevent infection? A. Replace the catheter every 3 days. B. Check the catheter tubing for kinks or …The antibiotic interferes with the client's ability to absorb nutrients. C.) The antibiotic eliminates the healthy gastrointestinal bacteria, allowing harmful bacteria to grow. D.) The antibiotic decreases a client's immunity level, resulting gin diarrhea., A nurse is caring for an older adult who is experiencing urinary leakage.Provide a cool environment for the client. Instruct the client to consume a high-fat diet.-> Instruct the client about thyroid replacement therapy.-> Encourage the client to consume fluids and high-fiber foods in the diet. Inform the client that iodine preparations will be prescribed to treat the disorder.-> Instruct the client to contact the health care provider if …Study with Quizlet and memorize flashcards containing terms like 1 .The nurse caring for a client with terminal illness observes that the client is unresponsive and in the final detachment stage of dying. Basic human needs are a priority for the dying person. What is the highest priority for nursing care at this time? A) Emotional needs B) Physical needs …A nurse is caring for a client who is terminally ill and receiving nutritional support. The client's adult children disagree about continuing nutritional support. The dilemma is …RNA and Protein Synthesis Quiz. A nurse is caring for a client who is comatose. The client has a living will that declines the use of artificial enteral nutrition as a life …Study with Quizlet and memorize flashcards containing terms like A nurse is planning care for a client who practices Mormonism. What are spiritual rituals and observances a culturally competent nurse can be aware of?, A community health nurse is identifying barriers to health care in her client population. Identify six (6) barriers to health care in a …ATI Wound Care Posttest. 5.0 (2 reviews) A nurse is documenting data about a deep necrotic wound on a client's left buttock. The nurse observes a yellowish-tan, soft, stringy area of necrotic tissue formed in clumps and adhering firmly to the wound bed. Which of the following assessment findings should the nurse document?Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a client with a spinal cord injury who has paraplegia. The nurse can expect which major problem early in the recovery period? 1. bladder control 2. nutritional intake 3. quadriceps setting 4. use of aids for ambulation, The primary reason the nurse encourages a client with a spinal cord injury to increase ...A nurse is caring for a client who has a leg cast and is returning demonstration on the proper use of crutches while climbing stairs. Identify the sequence the client should follow when demonstrating crutch use. Places body weight on the crutches. Advances the unaffected leg onto the stair. Shifts weight from the crutches to the unaffected legStudy with Quizlet and memorize flashcards containing terms like A nurse is planning care for a client who practices Mormonism. What are spiritual rituals and observances a culturally competent nurse can be aware of?, A community health nurse is identifying barriers to health care in her client population. Identify six (6) barriers to health care in a …A NURSE IS CARING FOR A CLIENT WHO IS RECEIVING A CONTINOUS IV OF HEPARIN. FOR WHICH OF THE FOLLOWING ADVERSE EFFECTS SHOULD THE …A non-tunneled percutaneous central catheter. - ideal for emergency situations where short-term (less than 6 weeks) central venous access is required for multiple therapies. A nurse is caring for a client who has a central venous catheter. When flushing the catheter, the nurse should use a 10-mL syringe to prevent which of the following ...A nurse is caring for a client who is experiencing expressive aphasia and right hemiparesis following a stroke. Which of the following actions by the nurse best …. Orchid massage mt pleasant sc