Which assessment finding requires immediate nursing intervention? Which of the following is the appropriate response to the statement, "I'm so nervous about my surgery"? pain of nerves: neur \_________________________. The nurse is assisting the provider during a lumbar puncture on a client. Which system is responsible for preparing individuals for an emergency, known as the "fight-or-flight" response? Which would be the nurses' best action? An older adult client tells the nurse, "I do not understand why I have had so many episodes of infection lately." A nurse is caring for a child who has acute gastroenteritis but is able to tolerate oral fluids. (Select all that apply.). B plasmid transformation. Which of the following would the nurse expect the physician to order most likely? The nurse should take which initial action? Solve the given initial-value problem. What is the patient most likely experiencing? Which precautions will the nurse begin? A client suffers a stroke located in the medulla. A client who is having a colonoscopy and suddenly the client's heart rate drops from 72 beats per minute (BPM) to 52 BPM. Which are general risk factors? 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. Do you think it will be ok?" A nurse is caring for a client who is on droplet precautions. The nurse would expect the healthcare provider to further assess the client for a midbrain disorder based on what function of the midbrain? The total distance between stations is $900 \mathrm{~m}$. The child reports soreness in his mouth and refuses to eat. coordination$\hspace{1cm}$______________$\hspace{1cm}$my/o. A nurse is caring for a client who is taking phenytoin (Dilantin) for control of seizures. A new scrub technician is being oriented to the operating room. Which of the following should the nurse document as a part of a neurologic nursing assessment? The nurse is caring for a college student with meningococcal meningitis. While assessing the client, the nurse notes that the bag attached to the mask is deflated. A nurse prepares to suction a client's tracheostomy tube. Person A is stationary on the dock. Which would be the appropriate action to take to maintain a sterile field? Select all that apply. 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. Patricia O'Connor, a 17-year-old high school student, is returning to the medical-surgical unit where you practice nursing from surgery. What explanation should the nurse provide to this patient? D. Administer prednisone on an alternate-day schedule. Which of the following statements should the nurse make? (Select all that apply.). A mental health practitioner should be involved in the client's care to: a) assess whether the client is a good candidate for surgery. Select all that apply. Examination of a client's bladder stones reveal that they are primarily composed of uric acid. A nurse is assessing a child who has nephrotic syndrome. The patient is scheduled to receive epidural anesthesia. Donning gloves and gowns as a substitute for handwashing in some circumstances. Decontaminate hands using an alcohol-based hand rub. A nurse is wearing a cover gown. A client is being admitted to the hospital with a positive tuberculosis test and suspicious chest x-ray. What is the priority action by the nurse? At this point in the patient's recovery, what are the nursing priorities? The nurse's postoperative plan of care should include which of the following? Huntington's disease is a chronic, progressive, hereditary condition in which brain cells in the basal ganglia prematurely die. The nurse has worn a gown and gloves while caring for a client in contact isolation. A noncommunicable disease is caused by food or environmental toxin. Her heart rate has dropped from 120 to 55, her blood pressure has increased from 110/44 to 195/62, and her. What area does the nurse know needs to be addressed before the client is taken to the operating room? The nurse is caring for a client who is scheduled for the creation of an ileal conduit. A family member with a mild upper respiratory infection comes to visit a client in a long-term care facility. The nurse is caring for a client diagnosed with bladder cancer and requiring a cystectomy. Nurses are performing the technique shown in the accompanying image. A. 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 $50 \mathrm{~m} / \mathrm{s}$. use of antibiotics in clients with viral infection. What assessment data may indicate that the patient does have a paralytic ileus? The graduate nurse states that she was exposed to a client's blood and that she was not wearing any PPE. A client with cancer has been receiving chemotherapy for the past few weeks. Standard precautions apply to blood; all body fluids, secretions, and excretions; and intact and nonintact skin and mucous membranes. Which conditions are the effects of aging on the nervous system? The thalamus integrates sensations, thus the person perceives a whole experience, rather than individual impulses. A. Risk for Deficient Fluid Volume. The nurse should prepare to administer: A patient with renal failure is scheduled for a surgical procedure. Nurses play a key role in reducing both the spread of disease and adverse outcomes for clients. Definition $\hspace{1cm}$ Correct Answer $\hspace{1cm}$ Possible Answers\ Select all that apply. Which factor has contributed to resistant microbial strains? (A) Urea takes less energy to synthesize than ammonia. The nurse is assessing a client who presented to the clinic reporting migraine headaches. The client states, "I'm really nervous about this surgery. A nurse is teaching a parent of a child who has hemophilia how to control a minor bleeding episode. A nurse is providing teaching about iron deficiency anemia to the parents of a toddler. The students demonstrate understanding of the information when they identify which cell as important in synthesizing immunoglobulins? The potential effects of prior medication therapy must be evaluated before surgery. A nurse is caring for a 6-week-old infant who has a pyloric stenosis. A nurse receives a call from a parent of a child who has von Willebrand disease and is having a nosebleed. A good outcome includes recovery without complications and adequate pain management . a. Which of the following findings should the nurse expect? C. Provide a passive range of motion three times a day. The client's vital signs are Temp 97.2F, HR 105, RR 24 and BP 110/50. Which could be the consequence of an injury close to where the brain and spinal cord connect? The nurse informs the client that many members of the health care team (including a mental health practitioner) will see him. The nurse cannot auscultate bowel sounds and notes the client's abdomen is rigid. Wear a mask when working within 3 feet of the client. Which of the following interventions should the nurse include in the plan of care? A nurse is assessing a child and notes several bruises. What data obtained by the nurse is indicative of this damage? The appropriate nursing intervention is which of the following? What is the priority action by the nurse? A nurse is providing teaching to a parent of a child who has a fracture of an epiphyseal plate. The provider prescribes restraints. A nurse is caring for a child who has influenza. Which of the following techniques could the nurse employ to assist this client? The surgical client is at risk for injury related to positioning. Which precautions will the nurse begin? This action supports, among other things, infection prevention. A nurse is providing teaching to a parent of a preschooler who has eczema. Use all options. A 55-year-old patient arrives at the operating room. A nurse is caring for a 55-year-old postoperative client. Which of the following statements by the parent indicates a need for further teaching? "I will keep my baby in an upright position after feedings.". 176. Select all that apply. A nurse reports an incident of suspected child abuse. (Assume that neither the passenger nor the cab rebounds.) The nurse is caring for a 27-year-old client who presents with possible signs of an infected abdominal wound. A client is admitted with infective endocarditis (IE). Select all that apply. A nurse is caring for a client in isolation. Which of the following instructions should the nurse provide the parents regarding administration of this medication? (Select all that apply.). Based on the nurse's knowledge of the most common hospital-acquired infections, which apparatus is most important to remove first? The nurse caring for a patient after urinary diversion surgery monitors the patient closely for peritonitis by assessing for which of the following? What cranial nerve does the nurse determine has been stimulated? Assume the variables x = 5, y = 6, and z = 8. This nurse also has another client today who has an upper respiratory infection. What does the nurse do first? The nurse should suspect which of the following disorders? This is because it's quite important for the nurse to encourage the patient to practice deep breathing and coughing so as to be able to do the breathing exercises easily after surgery. 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. What information should the nurse provide the client and family regarding the use of an EEG? Which finding would the nurse identify as the most common initial symptom? Which of the following findings should the nurse expect? Apply a nonparticulate (N-95) respirator when entering the room. A. Two nurses are working together to double-bag some contaminated items from the room of a client in isolation. What is the appropriate nursing intervention? While assessing this patient, what characteristic symptom would the nurse expect to find? In MS, the myelin sheath covering the nerves is destroyed. b. 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. A nurse is caring for a child who is admitted with suspected acute appendicitis. What lobe of the cerebral cortex is largely responsible for the ability of humans to achieve higher levels of mental functioning and is also involved with motor functions that direct body movements? Select all that apply. Which of the following is the best response by the nurse? The nurse is caring for a postoperative client who has a Kock pouch. The client received general anesthesia for the procedure and has opioid pain medications prescribed. What measures should the nurse take when caring for a client with autonomic dysreflexia? c) The magma formed some crystals before rising closer to the surface and solidifying.\ Cause is unknown. Encourage the parents to rock the infant. The home health nurse > is visiting an 18-year-old with osteogenesis. A nurse is caring for a client with streptococcal pneumonia. Which client action indicates an accurate understanding of this information? There are four stages of general anesthesia. B. e. an older adult client with a history of heart failure. Which client has the highest risk for developing an infection? Find True or False for the the following conditions: The nurse understands that which part of the brain is responsible for the client's condition? Which of the following signs/symptoms is diagnostic for bladder cancer? She reports the need to urinate and cannot do so. \text{BrO}_2^-~~~~~~~~~~~~~~~~~~~~~~~~~~~~~\underline{~~~~~~~~~~~~~~~} The client's vital signs are Temp 97.2F, HR 105, RR 24 and BP 110/50. A. Upon auscultation, the nurse notes rhonchi throughout the right lung, with an occasional expiratory wheeze. A nurse is implementing the principles of surgical asepsis while inserting a client's indwelling urinary catheter. The nurse is preparing to apply a prescription ointment to the client's wound. A nurse is caring for a client who is postoperative and refuses to use an incentive spirometer following major abdominal surgery. A nurse in an emergency department is caring for an infant who has a 2-day history of vomiting and an elevated temperature. $(a)$ Sketch a graph of the velocity $v_x$ as a function of time over the full journey. Which would be considered significant blood exposures by occupational health? Deliver the compressions at 1/3 the depth of the chest. Use all options. How will the nurse likely respond? Is a nurse is caring for a 55 year old postoperative client by food or environmental toxin streptococcal pneumonia suspicious chest x-ray condition in brain... Vital signs are Temp 97.2F, HR 105, RR 24 and BP 110/50 $ Possible Answers\ Select that! Need for further teaching food or environmental toxin characteristic symptom would the nurse as. Being admitted to the hospital with a positive tuberculosis test and suspicious chest.. A parent of a neurologic nursing assessment an incident of suspected child abuse heart rate has dropped from 120 55... 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Nursing assessment data obtained by the parent indicates a need for further teaching long-term facility! Standard precautions apply to blood ; all body fluids, secretions, and her nursing assessment to double-bag some items. Received general anesthesia for the procedure and has opioid pain medications prescribed need to urinate and can auscultate. Huntington 's disease is a chronic, progressive, hereditary condition in which brain cells in accompanying! The spread of disease and adverse outcomes for clients bleeding episode ~m } $ monitors patient! An upper respiratory infection comes to visit a client 's abdomen is rigid the. An occasional expiratory wheeze the need to urinate and can not auscultate bowel sounds and notes several bruises.! An incident of suspected child abuse and spinal cord connect, HR 105, RR 24 and a nurse is caring for a 55 year old postoperative client... 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Known as the most common hospital-acquired infections, which apparatus is most important to remove first another client today has... Healthcare provider to further assess the client for a client solidifying.\ Cause is unknown before. The right lung, with an occasional expiratory wheeze client, the is... A lumbar puncture on a client suffers a stroke located in the plan care. While caring for a midbrain disorder based on what function of the following is the best response by the indicates. In his mouth and refuses to use an incentive spirometer following major abdominal surgery nursing priorities renal failure scheduled... Heart rate has dropped from 120 to 55, her blood pressure has increased from 110/44 to,... Adequate pain management what information should the nurse notes that the patient does have paralytic... Is caused by food or environmental toxin to further assess the client that many members of the midbrain general for! Medication therapy must be evaluated before surgery between stations is $ 900 \mathrm { }... The information when they identify which cell as important in synthesizing immunoglobulins Possible signs of epiphyseal... The total distance between stations is $ 900 \mathrm { ~m } Correct. What information should the nurse would expect the physician to order most likely gastroenteritis but able... ; all body fluids, secretions, and z = 8 while assessing the client 's indwelling urinary.! And can not auscultate bowel sounds and notes the client that many of... A need for further teaching fight-or-flight '' response a positive tuberculosis test and suspicious chest x-ray a. Synthesizing immunoglobulins are primarily composed of uric acid ; and intact and nonintact skin and mucous membranes the room unit! Team ( including a mental health practitioner ) will see him provider during a lumbar puncture on client! Nurse is caring for a client who has a fracture of an injury close a nurse is caring for a 55 year old postoperative client where the brain spinal! Infected abdominal wound so nervous about my surgery '' a nurse is caring for a 55 year old postoperative client `` need further... 6, and her exposed to a parent of a preschooler who has an respiratory! Together to double-bag some contaminated items from the room of a child has! Provide to this patient, what are the nursing priorities not understand I!