a nurse is caring for a 55 year old postoperative clientwhat did deluca say to hayes in italian

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. What is the highest present worth? Upon auscultation, the nurse notes rhonchi throughout the right lung, with an occasional expiratory wheeze. Which finding requires priority action? What explanation should the nurse provide to this patient? 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. The client is surprised at this finding, since he enjoys generally robust health. Which statement about neonatal development is accurate? Which assessment finding requires immediate nursing intervention? Select all that apply. Name the rock type by observing the formation bearing in mind the given textures.\ Lower the head of the bed. A school nurse is assessing a school-aged child and notices white flakes that don't brush off the hair and a rash on the back of the child's neck. "Encourage your child to avoid sharing hats with other children.". What is the nurse's best action while observing the colleague perform the task? $$ Dendrites are short, highly branched extensions of the cell body. \frac { d y } { d x } = \frac { 3 x + 2 y } { 3 x + 2 y + 2 } , \quad y ( - 1 ) = - 1 A parent of a toddler asks a nurse at a well-child visit how the child's frequent temper tantrums can best be handled. The child reports soreness in his mouth and refuses to eat. The nurse is preparing to don sterile gloves for a procedure that requires surgical asepsis. What is the cause of the infection? A family member with a mild upper respiratory infection comes to visit a client in a long-term care facility. A nurse is caring for a 55-year-old postoperative client. The nurse is reviewing the plan of care for assigned clients. Using thi s hypothetical case, and the fact that atoms maintain a charge of 0, how many protons , neutron s, and electrons would a pot ass ium-39 atom contain ? "I will keep my baby in an upright position after feedings.". The nurse would expect the healthcare provider to further assess the client for a midbrain disorder based on what function of the midbrain? Cephalgia (Headache) is one of the most common symptoms of a neurologic disorder. **Complete the medical term, based on its meaning as provided. A 70-year-old elderly patient is admitted to the preoperative unit for a liver resection that is scheduled for 6 hours of surgery. What important steps should the nurse follow when providing care for this client? Which guideline should the nurse provide to the student? Julie S Snyder, Linda Lilley, Shelly Collins. Which of the following measures should the nurse employ when providing postoperative care for this client? A client for whom transmission-based precautions are required is experiencing sensory deprivation. Which of the following instructions should the nurse provide to the parent? an older adult client with a history of heart failure. Write the formula for a monosaccharide that has three carbons. Find True or False for the the following conditions: The nurse is caring for a client who became very ill after ingesting seafood. A client is scheduled to undergo surgical creation of an ileal conduit. Which of the following activities are nursing activities in the preoperative phase of care? Nursing assessment findings reveal urinary output < 30 ml/hr, tachycardia, tachypnea, decreased hemoglobin, and acute confusion. A patient undergoes surgery for removing a malignant tumor, followed by a urinary diversion procedure. Each time symptoms reappear, they are more severe and of longer duration. When would surgery be contraindicated for this patient due to laboratory results? The provider prescribes restraints. 55. The nurse checking the client's vital signs observes that there are no visible signs of life. an 81-year-old man with active tuberculosis and a productive cough. Here are four (4) nursing care plans (NCP) and nursing diagnosis for patients who underwent appendectomy: ADVERTISEMENTS. The nurse is caring for a college student with meningococcal meningitis. The nurse assesses the incision and notes evisceration. What action should the nurse take? 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. A nurse is caring for a client who has influenza and varicella. What part of the central nervous system has its major divisions as the cerebrum, cerebellum, and medulla oblongata? Solely during the intraoperative phase of perioperative care, the nurse: The nurse is preparing to discharge a patient from the PACU using a PACU room scoring guide. How will the team proceed with care? Which of the following actions should the nurse suggest to the parent? 100% Correct (All) 1.The nurse is assessing a healthy child at the 2 year check up. The air flow in a compressed air line is divided into two equal streams by a $T$-fitting in the line. Select all that apply. The goal of postoperative care is to ensure that patients have good outcomes after surgical procedures. Before discharge, the nurse should provide which instruction? The nurse is preparing discharge instructions for a family member who will be caring for a client with an abdominal incision. The nurse knows that adequate preoperative teaching and learning is important for what reason? A 55-year-old patient arrives at the operating room. Which action(s) would the nurse use as an example of safe practice? Use a sterile cotton-tipped applicator to apply the prescription to the site. The client's vital signs are Temp 97.2F, HR 105, RR 24 and BP 110/50. Which nursing diagnosis is appropriate for the client with a new ileal conduit? The vital sign values that most support the nurse's analysis are: A patient has reported to the preadmission clinic in anticipation of her scheduled hysterectomy and oophorectomy. Menses usually resume within 3 months following injury. Which statements made by the client demonstrates the education provided was effective? D. Administer sodium biphosphate/sodium phosphate. A 30-year-old man is currently in the preoperative holding area on call for his tympanoplasty (eardrum reconstruction) that will be performed this morning. Round to the nearest mL. A client who sustained head trauma in a motor vehicle crash is determined to have an increase in intracranial pressure (ICP). The nurse is caring for an older adult with influenza. The nurse has administered the preanesthetic as ordered. Which assessment indicates that there is a positive outcome from this nursing care? 4. The client has a history of anxiety, depression, high blood pressure, and exercise-induced asthma. $$. e. an older adult client with a history of heart failure. What technique is represented? A nurse is caring for an infant who has a tracheoesophageal fistula. Select all that apply. A post op client reports severe abdominal pain. The nurse is reviewing the medical record and notes that the patient has a history of osteoporosis in her lower back and hips. The client returns to the ICU after surgery intubated and mechanically ventilated with a Salem sump nasogastric tube, a Foley catheter, and a PICC line in place. The nurse is caring for a 40-year-old client who is 2 hours postoperative following an appendectomy. What would the nurses include in the teaching plan? A. The primary nurse educates the client about surgery and the postoperative period. Which care intervention should the nurse anticipate when providing care to a client admitted with a possible diagnosis of tuberculosis (TB)? For which effect should the nurse monitor the client who has had a stroke? Which of the following actions is the nurse's priority? Which statement accurately describes this process? A nurse at a pediatrician's office is contacted by a parent whose child just ingested half a bottle of vitamins with added ferrous sulfate. For each case, calculate the pressure and Mach number downstream of the oblique shock. Neonates may have an infection without fever. A postoperative client is moving from the bed to a chair when blood drips from the dressing. A client comes to the emergency department complaining of severe pain in the right flank, nausea, and vomiting. A nurse is providing discharge instructions to a parent and his school-age child who has juvenile idiopathic arthritis. What is the priority action by the nurse? Based on the nurse's knowledge of the most common hospital-acquired infections, which apparatus is most important to remove first? Treat the problem as two-dimensional. The nurse informs the client that many members of the health care team (including a mental health practitioner) will see him. 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. (D) Urea makes lungfish tissue hypoosmotic to the pool. Which concept should be the priority in the teaching plan? The nurse suspects which of the following? Which is the nurse's best action? "Limit contact with large groups of people." c. "Avoid taking over-the-counter calcium supplements." d. "Follow a low-protein diet." ; b. The total distance between stations is $900 \mathrm{~m}$. Get the client out of bed and ambulate to a bedside chair. When planning this client's care, the nurse should assign the highest priority to which nursing diagnosis? Which of the following actions should the nurse take? What portion of the brain would the student review? A nurse is caring for a 2-month-old infant who is postoperative following surgical repair of a cleft lip. After the cable snaps and the safety system fails, an elevator cab free-falls from a height of 36 meters. The home health nurse > is visiting an 18-year-old with osteogenesis. Which of the following would the instructor include in this plan about these agents and this type of anesthesia? See also Preoperative care . Select all that apply. A sudden or gradual interruption of blood supply to a vital center in the brain is a stroke, AKA CVA or Cerebral (brain) infarct. A nurse is implementing the principles of surgical asepsis while inserting a client's indwelling urinary catheter. What related complication should the nurse be aware of? 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. Each alternative has a 6-year useful life. Which of the following is a characteristic of a normal stoma? At this point in the patient's recovery, what are the nursing priorities? The client reports a sudden loss of appetite with no apparent cause. Select all that apply. In MS, the myelin sheath covering the nerves is destroyed. A nurse is wearing a cover gown. How will the nurse document this condition? a. Select all that apply. Neurons make up a nerve. A nurse is performing a sterile dressing change on a client and notices that there is a hole in one of the sterile gloves. Turn, cough, and deep breathe every 30 minutes around the clock. The nurse assesses the client's pupils and notes the client's pupils are unequal. They have not been fitted an N95 respirator. A polymerase chain reaction. A nurse is caring for a child who has Addison's disease. What measures should the nurse take when caring for a client with autonomic dysreflexia? The nurse reports that according to documentation, no drainage has been recorded. Which of the following findings should the nurse expect? Nursing> HESI > 2022 HESI EXIT EXAM V2 160 Questions And Correct Answers. Infectious disease, communicable disease, and contagious disease do not describe food poisoning. The nurse is assisting the provider during a lumbar puncture on a client. 4- fourth intention. During the surgical procedure, the client exhibits tachycardia, generalized muscle rigidity, and a temperature of 103F. Nursing care planning for patients who underwent prostatectomy includes: maintaining homeostasis and hemodynamic stability, promoting comfort, preventing complications, and providing information about the procedure, prognosis, and treatment. 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? The nurse caring for a patient after urinary diversion surgery monitors the patient closely for peritonitis by assessing for which of the following? Utilize a powered air, purifying respirator (PAPR). (Assume that neither the passenger nor the cab rebounds.) A client who is having a colonoscopy and suddenly the client's heart rate drops from 72 beats per minute (BPM) to 52 BPM. You are asking Ms. Simpson about symptoms that she has had that brought her to the clinic. The students demonstrate understanding when they identify which of the following as an inhalation anesthetic? A client undergoing coronary artery bypass surgery is subjected to intentional hypothermia. A nurse is providing teaching to the parent of an infant who has gastroesophageal reflux. Which of the following statements by the parent indicates a need for further teaching? "Limit contact with large groups of people." = A nurse is caring for a client who is 24 hr. NA. In trigeminal neuralgia (tic douloureux) the root of the trigeminal (5th cranial) nerve becomes painful. What is the best response by the nurse? Which of the following is the most common symptom of bladder cancer? 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. Apply a topical corticosteroid ointment to the affected area. How should the nurse respond? A nurse is caring for a 17-year-old client who is experiencing a relapse of leukemia and is refusing treatment. With increasing severity, paralysis, dysphagia, bladder and bowel dysfunction develop. A client is undergoing thoracic surgery. This wound is healing by: The nurse positions the client in the lithotomy position in preparation for. The velocity of B is constant, but the angular rate is decreasing at 0.5 deg/s$^2$. What medication should the nurse prepare to administer in the event the client has malignant hyperthermia? A nurse is caring for a 55-year-old postoperative client. She has just undergone an appendectomy. What is the nurse's next action? 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. The nurse should identify that which of the following statements by the parent indicates the child has an increased risk for Reye syndrome? The nurse is caring for an older adult with a recurrent wound infection. In which situation is an alcohol-based rub an inappropriate option for hand hygiene? A nurse is planning care for an adolescent who has scoliosis and requires surgical intervention. Preoperatively identifying a patient's individual needs and comorbidities can assist in this process. The expression of thousands of genes at one time D. "Have your child sit with her head tilted forward and hold pressure on her nose for 10 minutes.". Which of the following findings should the nurse expect? A small ball of mass $m$ attached at the midpoint of a tightly stretched elastic cord of length $l$ can slide on a horizontal plane. Which would be the appropriate action to take to maintain a sterile field? A nurse is caring for a client with acute pyelonephritis. Which action, made by the nursing assistant, would require instruction? The nurse states that she was exposed to a client's blood and that she was not wearing any PPE. Acute Pain. Where are polar bodies made, in the male or in the female? A nurse is caring for a client following a craniotomy. The nurse overhears the physician instructing the client on the presence of a stoma with temporary pouch. The nurse should anticipate providing which of the following types of fluid? Normally ICP is 4 to 13 mmHg. $$ Which measure should the nurse use to prevent foot drop in this client? One bag of a contaminated item is placed within another. Do you think it will be ok?" The nurse has completed an intervention with a client. Medulla passes through the foramen magnum (great hole) in the occipital region of the skull; it lies just below the pons and rests on the floor of the skull. Question: A nurse is caring for a 9-year-old client who is immediately postoperative. The nurse is caring for a client who has been placed in strict isolation. A 50-year-old client was admitted to a healthcare facility after a traffic accident. Which individual would be responsible for ensuring that procedure and site verification occurs and is documented? Teach the parents about cortisol replacement therapy. Which of the following positions would the nurse expect the client to be positioned on the operating table for renal surgery? 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. A life threatening condition that has a sudden onset as respiratory muscles become too weak to function. The nurse is providing care to a client with Lyme disease. The child reports soreness in his mouth and refuses to eat. $(a)$ Sketch a graph of the velocity $v_x$ as a function of time over the full journey. When performing further assessments of this client, the nurse should understand that: older adults may present atypical signs and symptoms of infection. A nurse receives a call from a parent of a child who has von Willebrand disease and is having a nosebleed. How many years must have elapsed for the client to require this shot? The client lacks signs and symptoms of infection but microorganisms are present. What measurement should the nurse report to the physician in the immediate postoperative period? a) It formed from an explosive pyroclastic eruption.\ The nurse is caring for a client with a colostomy pouch. 2020. A. Which of the following nursing diagnoses would be a priority for this patient? What is the sequence in a complementary strand of DNA. pain of nerves: neur \_________________________. Test the drainage for glucose. Solve the given initial-value problem. The graduate nurse states that she was exposed to a client's blood and that she was not wearing any PPE. The patient complains of headache. Which would be the nurses' best action? How should a nurse teach a patient to perform deep breathing and coughing to use postoperatively? 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? A nurse is caring for a 55-year-old client with a left-sided stroke. A veteran nurse is working with a new graduate nurse. Which of the following should the nurse recognize as the most reliable indicator of fluid loss? A nurse is teaching the parents of a toddler about temper tantrums. The client is preparing for cerebral arteriogram and makes the following statements. The answer is the nurse should encourage coughing and deep breathing to that particular client. A client with cancer has been receiving chemotherapy for the past few weeks. Transection (severing) of the cord can be incomplete, (partial) or complete. Nursing Nursing questions and answers The nurse is caring for a 40-year-old client who is 2 hours postoperative following an appendectomy. The nurse suspects that the client is experiencing which type of incontinence? Which of the following statements by the parent indicates an understanding of the teaching? Two nurses are working together to double-bag some contaminated items from the room of a client in isolation. Select all that apply. 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? In preparing a patient for surgery, the following areas should be addressed. The nurse is mentoring a student as they prepare the client for a lumbar puncture procedure. What action by the nurse is most appropriate? (Select all that apply.). A client with an infectious disease that requires airborne precautions must be transported from the client's room to the radiology department. A nurse is caring for a toddler who has a fractured right femur and is in Bryant traction. Select all that apply. The vagus nerve a much larger portion of the body than the others. A nurse is working with a new graduate nurse. The primary nurse educates the client about surgery and the postoperative period. A nurse is teaching a parent of a 2-year-old about safe food choices. The nurse is caring for a client during an intra operative procedure. A client is being admitted to the hospital with a positive tuberculosis test and suspicious chest x-ray. It is now 16:30. Record your answer using a whole number. When planning care for a client in the postoperative period, prioritize nursing diagnoses in the sequence from highest to lowest priority? D. Expect that food consumption might not decrease significantly. Here are six (6) nursing care plans (NCP) and nursing care plan for prostatectomy: D. Initiate the use of a PCA pump for pain control. Six mutually exclusive alternatives, A-F, are being examined. Write one possible RNA sequence that codes for the following amino acids: aspartic acid-glutamine-tryptophan. based on the nurse's knowledge of the most common hospital-acquired infections, which apparatus is most important to remove first? The child's parent asks the nurse what the common name for this disease is. With what score can the patient be transferred out of the recovery room? 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. A nurse is teaching a parent of a child who has hemophilia how to control a minor bleeding episode. How will the nurse likely respond? Which client statement would indicate to the nurse that preprocedure teaching has been effective? The nurse is caring for a 40-year-old client who is 2 hours postoperative following an appendectomy. What is the priority action by the scrub nurse when the surgeon begins to close the surgical wound? Which precautions will the nurse begin? The nurse is reviewing the plan of care for assigned clients. The potential effects of prior medication therapy must be evaluated before surgery. You know that this client's anxiety can cause problems with the surgical experience. While assessing the patient at the beginning of the shift, the nurse noted decreased breath sounds, crackles, and a mild cough. Describe the indicated assessment and interventions related to each problem as listed in the questions below . Con sider a hypot hetic al case in which the charge on a proton is twice that of an electron. A nurse is caring for a child who has pertussis. The client is ready for rewarming procedures. AKA Spinal tap, involves the insertion of a hollow needle with a stylet (guide) into the subarachnoid space of the lumbar region of the spinal canal. What nursing interventions are appropriate to decrease HCAIs? Acts as shock absorber for brain and spinal cord, Is a chronic, progressive disease affecting the dopamine-producing cells of the brain. A parent calls a clinic and reports to a nurse that his 2-month-old infant is hungry more than usual but is projectile vomiting immediately after eating. $$. The thalamus integrates sensations, thus the person perceives a whole experience, rather than individual impulses. What assessment data may indicate that the patient does have a paralytic ileus? The nurse informs the client that many members of the health care team (including a mental health practitioner) will see him. The most common presenting objective symptoms of a urinary tract infection in older adults, especially in those with dementia, include? The nurse cannot auscultate bowel sounds and notes the client's abdomen is rigid. (Select all that apply.). Which technique is recommended by infection control practice standards for hand hygiene? What is the solar wind, and what roles did it play in the early solar system? Which response by the nurse is most appropriate? The nurse is monitoring a client admitted to the hospital with a diagnosis of appendicitis who is scheduled for surgery in 2 hours. Which of the following manifestations should indicate to the nurse that the child's appendix is perforated? An axon is an extension that carries impulses away from the neuron cell body. Which of the following is the best response by the nurse? What velocity and acceleration of A are observed by a passenger fixed to and rotating with the ship? D. The buttocks is elevated slightly off the bed. \underline{~~~~~~~~~~~~~~~}~~~~~~~~~~~~~~~~~~~~~~~\text{HIO}_3 A mental health practitioner should be involved in the client's care to: a) assess whether the client is a good candidate for surgery. A client suffers a stroke located in the medulla. Which is a function of the nervous system? What is the best respirator mask for this nurse? Also called vascular headaches. Which of the following foods should the nurse recommend? In gathering information for the client, which urinary diversion would the nurse select? Her heart rate has dropped from 120 to 55, her blood pressure has increased from 110/44 to 195/62, and her. Nurses are performing the technique shown in the accompanying image. Hemiplegia - half the body (right to left). A general neurologic examination of a client with complaints of fever, chills, neck stiffness, and irritability confirms meningitis. Which could be the consequence of an injury close to where the brain and spinal cord connect? A nurse is caring for a client with a neurologic problem who has been advised to have an electroencephalogram (EEG). What is the blood glucose level goal for a diabetic client who will be having a surgical procedure? Folds the top of the clean bag down on the outside to make a collar or cuff. (A) Urea takes less energy to synthesize than ammonia. It is located below the thalamus is also part of the diencephalon, Is a long mass of nerve cells and fibers extending through a central canal on the dorsal side (back of the body). "Please get a mask from the staff upon entry and use a mask along with hand hygiene when visiting to prevent the spread of infection to your friend and others.". The nurse is assisting the client in using the Clinitron special bed. The nurse should take which initial action? A nurse is administering moderate sedation to a client with chronic obstructive pulmonary disease (COPD). What is the priority action by the nurse? The patient is scheduled to receive epidural anesthesia. The nurse should apply which of the following types of restraints for this infant? What complication is the nurse aware of that is associated with deep venous thrombosis? Which surgical team member would be most helpful in addressing the client's concern? 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. The nurse notices the client is tearful and constantly wringing their hands. The nurse is preparing to don sterile gloves for a procedure that requires surgical asepsis. What area does the nurse know needs to be addressed before the client is taken to the operating room? A nurse is caring for a child who has acute gastroenteritis but is able to tolerate oral fluids. The client received general anesthesia for the procedure and has opioid pain medications prescribed. What is the most important thing the nurse can do to prevent the client with HIV from acquiring the upper respiratory infection? Which assessment finding is most suggestive of a malignant tumor of the bladder? A nurse prepares to suction a client's tracheostomy tube. A nurse is caring for a client with Guillain-Barre syndrome. The nurse bases her next action on the principle that: The nurse recognizes the client has reached stage III of general anesthesia when the client: The nurse is physically preparing a client for surgery. $$ The nurse receives the client's culture and sensitivity report on her tracheal aspirate. The nurse is caring for a client admitted to the hospital after sustaining a severe head injury. The nurse should identify that which of the following manifestations indicates a tympanic membrane rupture? Record your answer using a whole number. The nurse reminds the visitor of a client with an antibiotic-resistant infection that gloves are necessary. Which pieces of personal protective equipment should be removed first? The car's mass is $1150 \mathrm{~kg}$. The client's vital signs are Temp 97.2F, HR 105, RR 24 and BP 110/50. A nurse is caring for a child who has otitis media with effusion. "The glove is an important barrier in preventing the transmission of your loved-one's antibiotic-resistant infection to you or other people you come in contact with.". The nurse is caring for a client diagnosed with bladder cancer and requiring a cystectomy. It also associated with many other diseases and disorders. Another objective of postoperative care is to assist patients in taking responsibility for regaining optimum health. Which nursing statement would best decrease a client's anxiety before an emergency operative procedure? Which of the following instructions should the nurse include? What is this special bed mostly used for? Vanilla pudding = contains milk and should not be . $$ What is your response to her situation as ordered by the physician? A nurse is caring for a client admitted to the healthcare facility with a history of hypertension and right-sided hemiplegia. A client with chronic pain reports severe pain postoperatively. 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. Following percutaneous nephrolithotomy, the client is at greatest risk for which nursing diagnosis? A nurse who has provided care in perioperative settings for many years has seen first-hand the trend toward increasing numbers of surgical procedures being performed in ambulatory surgical centers and on an outpatient basis. The nurse has to initiate precautions for the client. Request that a respiratory therapist discuss the technique for incentive spirometry with the client. The nurse assesses fluid leaking from the ears which tests positive for glucose. What is the nurse's best response? Before providing preoperative and postoperative instructions to the client, nurse Gail asks the surgeon which prostatectomy procedure will be done. 2. Review the scenario and respond to the following. When determining that the traction is appropriately assembled, the nurse should observe which of the following? A nurse is providing health promotion teaching to the parents of an infant. She reports the need to urinate and cannot do so. The nurse is requested to place an ice pack on the eyelid for 2 minutes for a client suspected of having myasthenia gavis (MG) with diplopia. What important consideration should the nurse keep in mind when providing care to such a client? The nurse would expect to provide the client with which type of diet? The Glasgow coma scale (GCS) is commonly used as a broad indicator of the severity of brain injury. Both of the child's parents have a smoking history. What is the greatest possible rate of energy transfer by radiation from a metal cube 2.0 cm on a side that is at $700 ^ { \circ } \mathrm { C }$? Meningitis is an inflammation of the meninges, the membranes that cover the brain and the spinal cord. The nurse is caring for a client with herpes zoster. Which of the following clinical manifestations should the nurse expect? The nurse is caring for a postoperative client who develops evisceration of the abdominal incision. The nurse is preparing to apply a prescription ointment to the client's wound. Which of the following conditions should the nurse identify as the leading cause of death among this age group? can be followed using (B) Small, stagnant pools do not provide enough water to dilute ammonia, which is toxic. A major goal when caring for a catheterized patient is to prevent infection. During the interview, the client states, "Sometimes when I have to urinate I can't control it, and do not reach the bathroom in time." The nurse should instruct parents to bring their children back for rescreening in a year for which of the following laboratory values? Corticosteroids have which effect on wound healing? If one of the normal components of the cranial or spinal cavity (e.g., brain tissue, blood, or CSF) increases in size, volume, or shape, pressure increases. ** A client with urinary tract infection is prescribed phenazopyridine (Pyridium). What information should the nurse provide the client and family regarding the use of an EEG? Starting at one station, a subway train accelerates from rest at a constant rate of $1.00 \mathrm{~m} / \mathrm{s}^2$ for half the distance to the next station, then slows down at the same rate for the second half of the journey. Which of the following would the nurse expect the physician to order most likely? The client's vital signs are Temp 97.2F, HR 105, RR 24 and BP 110/50. Deliver the compressions at 1/3 the depth of the chest. Place the following steps in the order that the nurse should take when donning sterile gloves. A nurse is caring for a client with rubella. What action should the nurse prioritize at this point in the patient's care? $$ The nurse is receiving a confused client with a draining wound onto the medical-surgical unit. 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. b. A 17-year-old client is having same-day surgery. The procedure involves injecting a radiopaque substance into the femoral, brachial, or arterial artery. What is the priority action by the circulating nurse? After teaching a patient scheduled for ambulatory surgery using moderate sedation, the nurse determines that the patient has understood the teaching based on which of the following statements? During a teaching session, the nurse appropriately recommends that the pouch be emptied Correct Answer: when it is 1/3 to 1/2 full Rationale: If the pouch becomes more than half full it may separate from the flange 5. The nurse is obtaining a health history from a client describing urinary complications. Which type of transmission precautions should the nurse follow when caring for the client? A nurse is assessing a child and notes several bruises. A nurse is reviewing an adult client's chart and sees that the client is overdue for a tetanus booster. 1 The nurse positions the client in the lithotomy position in preparation for 1- Renal surgery 2- Pelvic surgery 3- Perineal surgery Which of the following instructions should the nurse include in the teaching? 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. A nurse is caring for a client who is three hours post op from open abdominal surgery. A nurse is providing teaching to an adolescent who has type 1 diabetes mellitus. When explaining to the client about collecting the specimens, the nurse would inform the client that the specimens will be collected daily for: Every 2 hours, the nurse turns and repositions the client who is experiencing frequent diarrhea. Nurses play a key role in reducing both the spread of disease and adverse outcomes for clients. The nurse is reinforcing education for a female client paralyzed from a spinal cord injury (SCI). What action does the nurse take to ensure that the saline used is sterile? The appropriate nursing action is: Which of the following clinical manifestations increase the risk for evisceration in the postoperative client? A nurse is caring for a 68-year-old client who is 2 days postoperative following surgical repair of a left hip fracture. What key area should the nurse prioritize when educating this client? A nurse is caring for a child who is admitted with suspected acute appendicitis. The primary care provider orders a computed tomography (CT) examination of the chest. The cerebral cortex is divided into four lobes,with the same names as the overlying cranial bones: frontal,parietal, temporal, and occipital. A nurse is providing nutritional teaching to the mother of a preschooler and is recommending food options to provide 1 oz of grains. 2- second intention. What is the primary action taken by the nurse? "As a nurse, I am required by law to report suspected child abuse.". $$ An unconscious patient with normal pulse and respirations would be considered to be in what stage of general anesthesia? A client is being screened for a parasitic infection and the physician orders stool specimens. Select all that apply. If the transection is complete all sensation and voluntary movements below the site of injury are lost. The nurse is concerned that a postoperative patient may have a paralytic ileus. Which of the following findings should the nurse expect the client to manifest with acute lead poisoning? Intracranial pressure is the pressure that the brain, blood, and CSF exert inside the cerebrospinal cavity. During routine assessment, the nurse notes the previously stable client now appears anxious, apprehensive, and has a blood pressure of 90/56. Loss of myelin (demyelination) results in weak electrical impulses and weak muscle contractions. The students demonstrate understanding of the information when they identify which cell as important in synthesizing immunoglobulins? Inspection of his mouth reveals a white, milky plaque that does not come off with rubbing. See Page 1. The nurse understands that which part of the brain could be responsible for the client's condition? Carefully open the inner package taking care not to touch the inner surface of the package or the gloves. Which stage of surgical anesthesia is also known as excitement? D. It is not necessary to worry about complications of immobility on the first postoperative day. A. Which of the following actions should the nurse take? A client comes to the clinic for a follow-up visit. What action by the student would alert the nurse to provide additional teaching to the student? A nurse is providing teaching to a parent of a preschooler who has eczema. 176. The nurse has just admitted a 12-year-old client who is going to have an above-the-knee amputation of their left leg due to osteosarcoma. The surgical client is at risk for injury related to positioning. x == 5 || y > 3. What should the nurse observe for in the client during the procedure? The findings are indicative of which nursing diagnosis? At what point should a nurse normally administer antiemetics to a surgical patient? Which of the following precautions should the nurse initiate? Last bowel movement 5 days ago. An older adult hospitalized client develops severe diarrhea from gram-negative rods that compromised the normal flora of the bowel. The nurse knows what to be true of fever in young children? What clinical assessment should the nurse conduct to see whether the nervous system is working properly? Which disease does the client likely have? In which case is this practice contraindicated? The nurse is concerned about infection and is reviewing the white blood cell count (WBC) in the chart. The nurse's postoperative plan of care should include which of the following? Which of the following findings should the nurse expect? The nurse is conducting a preoperative assessment on a client scheduled for gallbladder surgery. The nurse reviews principles of infection prevention during yearly safety training. A team of nurses is caring for a client with tuberculosis. C restriction enzymes. A nurse is caring for a client who reports a loss of sense of smell. A 79-year-old man is scheduled for surgical repair of an inguinal hernia. 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 friend of a long-term care client comes to visit despite having an upper respiratory infection. The nursing student is reviewing the neurologic system and desires to know what portion of the brain is vital to human functioning due to its ability to regulate homeostasis. 3. B plasmid transformation. A nurse is caring for a 6-week-old infant who has a pyloric stenosis. The client becomes upset stating, "You did not wash your hands!" Encourage the parents to rock the infant. The client begins to complain of increased abdominal pain and begins to vomit. A bearded nurse needs to assess the condition of a client with pulmonary tuberculosis (TB). A client undergoes extracorporeal shock wave lithotripsy. The client is infected with a strain of Streptococcus pneumonia, which is particularly prone to cause infections, also referred to as what? A swimmer moves through the water at an average speed of 0.22 m/s. Myelin maintains electrical impulse strength. Instruct the patient care technician (PCT) to obtain a set of vital signs 3. 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. What technique does the nurse use? Which assessment finding explains the absence of drainage? Which of the following should the nurse recommend as a method of preventing iron deficiency anemia? Which of the following play activities should the nurse recognize is therapeutic in helping the child deal with the injection? What type of problems can this client have because of their anxiety and fear? The nurse is caring for a client who is exhibiting severe respiratory distress and is receiving supplemental oxygen through a nonrebreather mask. Which of the following would be appropriate for the nurse to include in the teaching plan? An older adult client tells the nurse, "I do not understand why I have had so many episodes of infection lately." The nurse is caring for a client scheduled for removal of a pituitary tumor using the transsphenoidal approach. A client is at postoperative day 1 after abdominal surgery. Cover the wound with a sterile, saline - soaked dressing 4. $$ Which measure by the nurse is appropriate? $$ $$ 3- third intention. Which of the following amounts of urinary output should indicate to the nurse that the treatment has corrected the fluid imbalance? A. The nurse is completing a preoperative assessment. B. Select all that apply. $$ A nurse is assessing an adolescent who has an exacerbation of Graves' disease. Which of the following instructions would the nurse give the client? A 64-year-old man is seeing his urologist for an annual check-up, post prostatectomy. Select all that apply. 1. A nurse is providing teaching to a parent of a child who has a fracture of an epiphyseal plate. A nurse is caring for a 55-year-old postoperative client. Which of the following is the appropriate response to the statement, "I'm so nervous about my surgery"? A. Select all that apply. Meningitis is diagnosed based on a general neurologic examination that includes two special neurologic signs: Electroencephalography records the brain's electrical impulses as a graph. What is the priority action by the nurse? A nurse is preparing to begin chest compressions on an infant. This increase in pressure can cause the delicate structures to be moved, damaged, or destroyed. 4. Which measures should the nurse employ when caring for this client? The nurse has finished caring for a client on contact precautions. 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