A nurse is caring for a client

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.

Study with Quizlet and memorize flashcards containing terms like A client is receiving home oxygen. What teaching points should the nurse provide the client and the caregiver regarding home oxygen safety?, How should the nurse respond when a client asks the purpose of an advance directive?, List at least three (3) priority considerations when performing a sterile dressing change. and more.When a client does not wish to share his feelings with the nurse, it is important for the nurse to convey a willingness to be available for the client. a nurse is caring for a client who is postop and is exhibiting signs of hemorrhagic shock. the nurse notifies the surgeon, who tells the nurse to continue to measure the client's vital signs ...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 experienced a mild traumatic brain injury. Describe the manifestations of increased intracranial pressure the nurse should be alert for. The nurse should be alert for any reports of headache or blurred vision by the patient. The nurse should also be alert for any changes in level of conciousness, changes ...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. A nurse is caring for a client who has borderline personality disorder. The nurse enters the client's room and finds the client cutting into his flesh with a paper clip. After providing first aid, which of the following actions should the nurse take first?

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. Study with Quizlet and memorize flashcards containing terms like The nurse should institute which interventions for a client diagnosed with Clostridium difficile? Select all that apply. 1. Wear a mask if within 3 feet of the client. 2. Place a mask on the client when client is outside the room. 3. Wear gloves and gown while in the room caring for the …The nurse should encourage the verbalization of feelings related to the loss. The nurse should encourage the client to verbalize the feelings related to his or her inability to save the victim in an effort to deal with unresolved issues and accept what cannot be changed. The nurse is caring for a client who has suicidal thoughts. A nurse is caring for a client in the manic phase of bipolar disorder. Identify three (3) clinical manifestations associated with this phase of the bipolar disorder. Bipolar - Manic Phase: Labile mood with euphoria. Agitation and irritability. Restlessness. Dislike of interference and intolerance of criticism. Increase in talking and activity.As previously discussed, palliative care is “patient and family-centered care that optimizes quality of life by anticipating, preventing, and treating suffering ...the nurse is caring for a client who begins to experience seizure activity while in bed. which action by the nurse is contraindicated? A. loosening restrictive clothing B. restraining the clients limbs C. removing the pillow and raising padded side rails D. positioning the client to the side, if possible, with the head flexed forwardA NURSE IS CARING FOR A CLIENT WHO IS RECEIVING A CONTINOUS IV OF HEPARIN. FOR WHICH OF THE FOLLOWING ADVERSE EFFECTS SHOULD THE …

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 HyperthermiaChapter 31: Hygiene. The acute care nurse is preparing to bathe a client and notices that the client is wearing a regular hospital gown and has continuous intravenous (IV) fluids infusing. Which action by the nurse is most appropriate? Thread the IV bag and tubing though the arm of the regular gown, then replace it with a snap-arm gown at the ...Which of the following actions should the nurse take? A. Wear an N95 respirator when caring for the client. B. Place the client in a private room. C. Place a mask on the client when they leave their room. D. Place the client in a negative airflow room., A nurse is performing hand hygiene after caring for a client who has Clostridium difficile.Science Medicine Obstetrics ADN 205- OB Test 2 A nurse is caring for a client during the first trimester of pregnancy. After reviewing the client's blood work, the nurse notices she does not have immunity to rubella. Which of the following times should the nurse understand is recommended for rubella immunization? a.) shortly after giving birth

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1. A nurse is completing an admission assessment for an adolescent client who has depression. The nurse should identify which of the following findings as the priority? a. The client is confrontational with his parents b. The client is getting Ds in his classes because he frequently skips school. c.Tell me what is making you feel so tense." d. "I will leave you alone for a d=few minutes while you try to control yourself." ANS: C (stay at safe distance and remain calm), 3. A nurse is caring for a client who has borderline personality disorder. The nurse enters the client's room and finds the client cutting into his flesh with a paper clip. Chapter 31: Hygiene. The acute care nurse is preparing to bathe a client and notices that the client is wearing a regular hospital gown and has continuous intravenous (IV) fluids infusing. Which action by the nurse is most appropriate? Thread the IV bag and tubing though the arm of the regular gown, then replace it with a snap-arm gown at the ...Question 13. Multiple Choice. The nurse is caring for a client that has been treated for asthma and is currently breathing shallow and trembling. Which action should the nurse take to help decrease the client's level of anxiety prior to assessing the client? A) The nurse should explain all procedures in a calm and reassuring voice.

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.A nurse is providing oral hygiene for a client who is unconscious. Identify the sequence of the steps the nurse should take. 1. Assess the client's gag reflex. 2. Position the client on his side with his head turned to the side. 3. Place a towel under the client's head with an emesis basin under his chin. 4. 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 ...Select all that apply., 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? and more. Study with Quizlet and memorize flashcards containing terms like The older adult client is moving to another apartment. Answer and Explanation The Correct Answer is C - A. Incorrect. The nurse should assess the client's IV site every hour to prevent infection and phlebitis. - B. Incorrect. The nurse …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) 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. Chap. 17: Implementing- PrepU. The nurse caring for a client who is recovering after a motor vehicle accident is planning for the client to begin increasing responsibility for self-care. Which would be the nurse's most appropriate strategy? Click the card to flip 👆. The nurse encourages the client to take a shower instead of receiving a bed ...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 ...Chap. 17: Implementing- PrepU. The nurse caring for a client who is recovering after a motor vehicle accident is planning for the client to begin increasing responsibility for self-care. Which would be the nurse's most appropriate strategy? Click the card to flip 👆. The nurse encourages the client to take a shower instead of receiving a bed ...

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.

Nurses provide care of a client before, during, and after a surgical operation, this is collectively called Perioperative Nursing. It is a specialized nursing area wherein a registered nurse works as a team member with other surgical health care professionals.Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client at home who is receiving parenteral nutrition. The nurse notes that the client has gained 6 pounds since last weeks visit. Which of the following assessments will the nurse prioritize as a result of this finding? A. ask about increased thirst B. Auscultate lungs and check for crackles C. Check ...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 containerStudy 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. 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.The nurse is caring for a client who verbalizes a need to increase her self-esteem. Which action should the nurse plan to assist the client in achieving the goal of gaining self-esteem? Maintain a well-groomed appearance.We would like to show you a description here but the site won't allow us.

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Chap. 17: Implementing- PrepU. The nurse caring for a client who is recovering after a motor vehicle accident is planning for the client to begin increasing responsibility for self-care. Which would be the nurse's most appropriate strategy? Click the card to flip 👆. The nurse encourages the client to take a shower instead of receiving a bed ...A nurse is caring for a client and her partner who have expe- rienced a fetal death. Which of the following actions should the nurse take? Take photos of the newborn to give to the parents. The nurse should create a memory box that includes mementos of the newborn (for example, photos, the newborn's ID bands, the newborn's hat, and ...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 ...A nurse is caring for a client who has a leg cast and his returning demonstration on the proper use of crotches while climbing stairs. Identify the sequence the client should follow when demonstrating crutch use. The client should first …A nurse is reviewing the health care record of a client admitted to the psychiatric unit. The nurse notes that the admission nurse has documented that the client is experiencing anxiety as a result of a situational crisis. The nurse would determine that this type of crisis could be caused by: The death of a loved one.The nurse should encourage the verbalization of feelings related to the loss. The nurse should encourage the client to verbalize the feelings related to his or her inability to save the victim in an effort to deal with unresolved issues and accept what cannot be changed. The nurse is caring for a client who has suicidal thoughts.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.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 1. A nurse is caring for a client who has chronic venous insufficiency and a prescription for thigh-high compression stockings. Which of the following actions should the nurse take? A. Massage both legs firmly with lotion prior to applying the stockings. B. Apply the stockings in the morning …With the increasing need for more qualified nurses in the United States, even prestigious colleges and universities have made their nursing programs available online. The University of Cincinnati has a reputation across many educational rev...a nurse is caring for a client who is 5 hr post op following a transurethral resection of the prostate. the nurse notes that the clients indwelling urinary catheter has not drained in the past hour. which of the following actions should the …Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client at the prenatal clinic who is at 38 weeks gestation with heavy, red vaginal bleeding without contractions that started spontaneously. She is in no distress and states that she can "feel the baby moving". The nurse should explain to the client that … ….

Nursing is a demanding and rewarding profession, and nurses are essential to the health care system. As such, it’s important to understand the pay rate for nurses so you can make an informed decision about your career. Here’s what you need ...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.The nurse is caring for a client with a fresh application of a plaster leg cast. The nurse should plan to prevent the development of compartment syndrome by which action? 1.Elevating the limb and applying ice to the affected leg 2.Elevating the limb and covering it with bath blankets 3.Keeping the leg horizontal and applying ice to the affected leg 4.Placing the leg in a slightly dependent ...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.The nurse is caring for a client who presents to the mental health unit following a violent altercation with the spouse. The client has numerous bruises on the face, chest, and back. There is one laceration where spouse "came at me" with a knife.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. As previously discussed, palliative care is “patient and family-centered care that optimizes quality of life by anticipating, preventing, and treating suffering ...The nurse is caring for a client following an amniocentesis procedure. The nurse reviews the client's chart and notices that the client's blood type is O negative. Which does the nurse anticipate administering? The biophysical profile (BPP) is an ultrasound assessment of fetal status along with a non-stress test (NST). A score of 2/10 will ...A nurse is caring for a client who has acute kidney injury that clients a BG is our pH 7.2 6PAC02 30 mill hurts see 03 14 MEQ which of the following acid in valances to the nurse identify the client as experiencing? Metabolic acidosis. Metabolic acidosis. PH below 7.35 paco2 below 35 A nurse is caring for a client, Some 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 is terminally ill and receiving nutritional support. The client’s adult children disagree about continuing nutritional support. The dilemma is referred to the. ethics committee. Which of the following actions should the nurse expect the committee to take? Assist in weighing the options involved in the decision., 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., 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 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 patient, 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 is postoperative and is exhibiting signs of hemorrhagic shock. The nurse notifies the surgeon, who tells the nurse to continue to measure the client's vital signs every 15 min and to report back in 1 hr. Which of the following actions should the nurse take next? A. Document the provider's statement in the ..., a nurse is caring for a client who has a prescription for alprazolam. for which of the following adverse effects should the nurse monitor? SATA. -tolerance. -anxiety. -sedation. -respiratory depression. a nurse is caring for a client who has been taking alprazolam for an extended period of time to treat anxiety. the nurse should identify that ..., ATI Module:Intro to Pharmacology. A nurse is caring for a client who was prescribed an antidepressant based on its ability to prevent the reuptake of neurotransmitters. The nurse should identify that which of the following terms describes why this drug was prescribed for the client? The nurse should identify that the mechanism of action of a ..., a nurse is caring for a client who has a prescription for alprazolam. for which of the following adverse effects should the nurse monitor? SATA. -tolerance. -anxiety. -sedation. -respiratory depression. a nurse is caring for a client who has been taking alprazolam for an extended period of time to treat anxiety. the nurse should identify that ..., 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., 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 patient, A nurse is caring for a client who has a newly inserted nasogastric tube. Which of the following actions should the nurse use to verify the initial placement of the tube? A. Obtain an x-ray. B. Auscultate injected air. C. Take a pH measurement of gastric aspirate. D. Identify the color of gastric contents., 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 ... , Study with Quizlet and memorize flashcards containing terms like A nurse in an emergency department is caring for a client who has anaphylaxis following a bee sting. Which of the following actions should the nurse take first?, A nurse in the emergency department is assessing a client who has internal injuries from a car crash. The client is disoriented to time and place, diaphoretic, and his ..., 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., 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., 3. Genetics. The nurse is caring for a client admitted with uncontrolled type 2 diabetes mellitus. Which instruction should the nurse provide to the client to move him or her to the health aspect of the health-illness continuum? 1. Take stool softeners twice a day. 2. Include fresh fruits and vegetables in the diet. 3., 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 ..., The 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 ... , Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who recently started alteplase therapy. The nurse should monitor the client for which of the following adverse effects? a. bronchodilation b. headache c. edema d. hypertension, A nurse in an emergency department is assessing a client who has been taking warfarin and is experiencing rectal bleeding ..., Deciding on hiring nursing in-home care services for a loved one is a difficult one for many reasons. Not only does this mean they’re losing their independence but it also means we have to admit they’re getting older. Here are guidelines di..., 71 A nurse is caring for a client who has homonymous hemianopsia as a result of a stroke. To reduce the risk of falls when ambulating, the nurse should provide which of the following instructions to the client? Scan the environment by turning your head from side to side." 72 A nurse is caring for a client who has an arterial line. Which of the ..., The nurse is caring for a client with a central venous catheter (CVC) who reports feeling nauseated and chilled. The nurse notes that the CVC insertion site is red and inflamed and that the client has a temperature of 102 F (38.8 C). Which new prescription from the health care provider should the nurse implement first? 1. , 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 ... , 22 thg 1, 2021 ... Private Nurses help people with disabilities, chronic illness, or cognitive impairment to assist in keeping clients socially and physically ..., 245. A client is admitted to the hospital with a diagnosed bowel obstruction secondary to a recurrent diagnosed malignancy. The primary health care provider plans to insert a Miller-Abbott tube. When the nurse tries to explain the procedure, the client interrupts the nurse and states, "I don't want to hear about that., 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 When caring for a client with an internal radiation implant, the nurse should observe which principles? Select all that apply. 1. Limiting the time with the client to 1 hour per shift. 2. Keeping pregnant women out of the client's room. 3. Placing the client in a private room with a private bath. 4. …, 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? , Chap. 17: Implementing- PrepU. The nurse caring for a client who is recovering after a motor vehicle accident is planning for the client to begin increasing responsibility for self-care. Which would be the nurse's most appropriate strategy? Click the card to flip 👆. The nurse encourages the client to take a shower instead of receiving a bed ... , 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 A nurse is caring for a client who has early stage Alzheimer's disease and a new prescription for donepezil. The nurse should include which of the following statements when teaching the client about the medication? A. You should avoid taking over the counter acetaminophen while on donepezil. B. You should take this medication ...