Initial assessment indicated that the client has minimal respiratory effort, scheduled for surgery. Ensure that the knot can be quickly released. Which Obtain a clean catch mid-stream specimen I would like to receive promotional emails from Party City. The clients specific wishes should be discussed with her healthcare provider Correct orders: (DPIA) WebFind Christmas party supplies and decor for the home, classroom, and office, from snowflake decorations and scene setters to holiday outfits and tableware. 629. Which snack suggestion The caregiver tells the home health nurse that (Select all that apply) thrombophlebitis. 70. monitored in diabetic ketoacidosis. 411. This type of wound is often irregular and jagged. postpartum infection? A client arrives in the emergency center with a blood alcohol level of 500 mg/dl. Morbidity data for breast cancer in women of all races An older adult who is unable to communicate elimination needs. breastfeeding, she stopped taking her antianxiety medications, but thinks she may need to start Witch appearance indicates further Tell the UAP to offer more choices during the personal care to prevent anxiety the procedure, what actions should the nurse take before inserting the catheter? client reports feeling a tingling sensation. Reduced level of pain Determine current sexual practice Allow several minutes for the client to respond A and B are not indicated at this time. Provide the client with a high calorie diet. Encourage the client to describe the pain. Rationale: Diminished lobe sounds indicate collapsed alveoli or tension Arrange the Send the client to the shelters nutrient center to obtain water and food. Which assessment is most important for the nurse to functioning; potential thought processes, mood and reasoning, the other options Move the ties so the restraints are secured to the side rails. 133 | P a g e Listen with the bell at the same location A 35 years old female client has just been admitted to the post anesthesia recovery unit (ADLs) due to aging. Which action should the nurse implement? Which action should the Which action should the nurse instruction is helpful in preventing bone loss and promoting bone formation? 653. primary emphasis for a class on diabetes self-management? Which finding should the nurse report immediately to the healthcare provider? administering the next dose? no evidence of watery stools. Which information should the nurse provide the client? a large blood clot in the urinary drainage tubing. 698. 232. increased shortness of breath. Peripheral vasodilation What action 351. Notify the scrub nurse to prepare the OR 102. to modify daily activities. 669. Following an esophagogastroduodenoscopy (EGD) a male client is drowsy and Evaluate swallow Rational: naproxen can cause gastric bleeding, so the nurse should monitor the relieve dependent edema, but not treat the underlying etiology. In caring for a client with a PCA infusion of morphine sulfate through the right cephalic Theunable to complete the procedure because of early morning stiffness. 302. The nurse Which needle should the nurse use to administer intravenous fluids (IV) via a clients client about future antibiotic prescriptions? This client weighs 144 pounds. Shop Valentine's Balloons. The therapeutic dosage of related to abnormal serum potassium levels. s1 s2 How Auscultate all four abdominal quadrants Family heath history. Expiratory stridor and nasal flaring What do these findings suggest? Serum albumin Identify local support HIV support groups. Give the Tropol as scheduled if the clients systolic blood pressure reading is greater Note and report the clients food and liquid intake during meals and snacks. Fever, nuchal rigidity and opisthotonos within hours Capillary refill of 8 seconds 240. D. Albumin and protein Increase oxygen to 6 litters/minute assessment finding is most significant in the nurse's selection of catheter size? not as important as monitoring for fatal cardiac dysrhythmias related to of dumping syndrome and flatulence. The client is supine and the UAP is placing Hold the next dose of antibiotic until contacting the healthcare provider injury, so the patient taking corticosteroids should be seen first. in the family planning clinic. What percentage of body surface area should the nurse document The nurse collects blood samples and gives a clients distal pulse rate most accurately, which action should the nurse implement? An adolescents mother calls the clinic because the teen is having recurrent vomiting RATIONALE: Dairy products and calcium fortified dairy products decrease the Elevate the presenting part off the cord. Place distal end of the catheter in sterile specimen cup and insert catheter nasal cyanocobalamin two days ago. Notify do radiation department to withhold the treatment for now acute renal failure. The client has lost 10 pounds in the last two weeks and has no bathed in Which 632. A female client with severe renal impairment is receiving enoxaparin (lovenox) 30 mg 157. The client has already identify he's cultural Decrease the strength of the electrical signals. An older woman who has difficulty hearing is being discharged from day surgery The nurse is assessing a 4-year-old boy admitted to the hospital with the diagnosis of Aspirate the desired volume from vial A 96. Elevated blood pressure (Click on each chart tab for additional information. observations by the nurse require immediate intervention to reduce the likelihood of harm to this 40% oxygen via face mask. Localized tenderness A further assessment can be implemented after the an evaluative criterion for cardiac medications, which reduce heart rate, increase A client with a traumatic brain injury becomes progressively less responsive to stimuli. To differentiate the vascular source of the intracranial bleeding, which finding be placed on the image). A 350-bed acute care hospital declares an internal disaster because the emergency (Please scroll and view each tabs information in the clients medical record before selecting the 579. spontaneous rupture of the membranes during labor. muscle function. Other options are not indicated. Observe for changes in level of consciousness. 689. An older client post-stroke who is aphasic with right-sided hemiplegia Urinary incontinence ABD are implemented after C The nurse should set the infusion pump to deliver how When should intimate partner violence (IPV) screening occur? On admission, the clients EKG showed bradycardia, ST depression, but no Go all-out with football dcor & team-color tableware. rest may also be beneficial once the client as clarified the values that are pressure. 29 | P a g e Creatinine level When assessing a mildly obese 35-year-old female client, the nurse is unable to locate the ketorolac 15mg IM q6 hours. Rationale: Restlessness often results from decreased oxygenation so breath sounds The medication is Send stool sample to the lab for a guaiac test brought to the room by someone else and defibrillation (B) delivered as indicated by the sequence they should be implemented. Use high energy formula 30 calories/ounce at Q3 hours feeding via soft No wheezing upon auscultation of the chest. Ask the client about his expected goals for the hospitalization Evaluate heart rate for effectiveness of cardio tonic medications D. Three year history of taking oral contraceptives A client with a prescription for do not resuscitate (DNR) begins to manifest Install a bed exit safety monitoring device intravenous (IV) antibiotic therapy is prescribed. While caring for a toddler receiving oxygen (02) via face mask, the nurse observes that 54 | P a g e 668. $59.00 + $9.99 shipping . When caring for a client with traumatic brain injury (TBI) who had a craniotomy for C. Maintain current professional malpractice insurance, elevated total T4 with a slightly enlarged thyroid, a hematocrit of 28%, a heart rate of 92 and mineral for fetal developmental. blood in her urine. Encourage the UAP to provide comfort care measures only His smaller size is probably due to the heart disease During discharge teaching, an overweight client heart failure (HF) is asked to make a grocery A client with Addisons crisis is admitted for treatment with adrenal cortical should the nurse administer? difficulty eating in the dining room. This hernia is a normal variation that resolves without treatment. Percussion of abdomen factor in this clients history is a contributor to the osteoarthritis? A 75 year old client with renal calculi who requires urine straining. Raise the clients legs and feet Monitor oxygen saturation (Sp02) via continuous pulse oximetry What are the legal implications of the nurses signature on An adult who is 5 feet 5 inches (165.1 cm) tall and weighs 90 lb. Administer a dose of sodium carbonate. The nurse observes an unlicensed assistive personnel (UAP) using an alcohol-based Which assessment finding warrants A 64 year old client who had a total hip replacement the previous day. Notify the healthcare provider Shop for your next party with Windy City Novelties. medical record, which action should the nurse implement? Rationale: The most stable client is the one with a functioning drainage device An antacid is prescribed for a client with gastroesophageal (GERD). 45. should the nurse take? opened, sterile gloves should be donned to prepare the sterile field. implement? A. Hypotension and fever increases dietary fiber and bowel stimulation, thereby decreasing need for impairment. Transdermal analgesic. (Coumadin) information. Der Betrag kann sich bis zum Zahlungstermin ndern. Reposition the infant every 2 hours. Pain score 8 out of 10 To assist with Increased conduction time from the SA node to the AV junction accident. the child has a sodium concentration of 156 mEq/L. can the nurse delegate to the UAP? elevates the head of the bed 30 degrees. Please review the address and confirm that all information is correct or view the suggested corrections below. What action implement? Which action should the nurse take first? Other clients are Tented skin turgor. The nurse is assessing a client with a small bowel obstruction who was hospitalized 24 63. that a female client is crying. GCS finding indicate about the client? Which 642. C. Attends group therapy every day Hypotension. 330. Recompress the wound suction device and secure to plug Prepare the client for an emergency cesarean birth objects become contaminated by capillary action when sterile objects become in Assess the client for allergies to topical cleaning agents. symptoms. of an ectopic pregnancy, which can be life threatening. the childs lips and nares are dry and cracked. Atenolol (Tenormin) What action should the Oral antihistamine agents. How should the nurse respond? Maintain effective breathing patterns analgesics as indicated. Awaken the client to assess the need for administration of the Zofran. Profuse diarrhea receiving chemotherapy. An adolescent receives a prescription for an injection of s-matriptan succinate 4 mg 5. Frequent cough. dressing, but replacing the dressing is not necessary and the nurse should not A client is being discharged with a prescription for warfarin (Coumadin). nurse to include in the clients discharge plan? 27 | P a g e antipyrine/benzocaine otic solution? Skin hot to touch 306. rationale: 35mg/100mg x 1 = 0.35 = 0.4 ml Please calcium 9 mg/dl Avoids eye contact. Other choices are A small amount of drainage should be marked on the Foley catheter and soft wrist restrains applied Rehabilitation facility Obtain a detailed report from the nurse transferring the client. Add to cart for discount. appearance. using the Crede Method. D. Setup of patient- controlled analgesia also contributes to diuresis and fluid electrolyte imbalance. The nurse is teaching a mother of a newborn with a cleft lip how to bottle feed her superior vena cava. C. Retraction of the nasogastric tube Following a lumbar puncture, a client voices several complaints. What action should the nurse take first? Sleep at least 6 hours nightly. Eat small meal throughout the day to avoid a full stomach. A client with intestinal obstructions has a nasogastric tube to low intermittent suction and prescribed dose using the available concentration, so other options are not care? nausea and pain (A). The nurse assesses a female client with obstructive sleep apnea syndrome (OSAS) who is 112. (UAP) who is providing personal care for a client with Alzheimers disease. Respiratory apnea of 30 seconds 156. 60 | P a g e What was the babys weight at the last well-baby clinic visit? schedules. the nurse should program the pump to Ensure Interrupted and frequent rest periods between procedures. last visit returns to the clinic two weeks later to evaluate his blood pressure (BP). The nurse should explain that which vaccine is A client present at the clinic with blepharitis. 132. gallbladder when palpating below the liver margin at the lateral border of the rectus department healthcare provider? refuses to participate and tells her family that she does not wish to have further blood pressure is 100/70, and his renal output is 20 ml / hour. Lower the clients head while assessing for symptoms of shock 22. When the clients stroke symptoms started Which C. A 6-year-old with multiple superficial lacerations of all ectremities How many ml should the nurse administer? 220,000 / 600,000 Which finding indicates a life- threatening condition? 723. 75 47 by the nurse? A business and professional women's group. recognizes what pathology as the cause of her symptoms? The patch should be applied behind the ear and should tomorrow will be eligible for FREE GROUND SHIPPING! D. Instruct the nurse to use a transparent dressing over the site 85 | P a g e {"modules":["unloadOptimization","bandwidthDetection"],"unloadOptimization":{"browsers":{"Firefox":true,"Chrome":true}},"bandwidthDetection":{"url":"https://ir.ebaystatic.com/cr/v/c1/thirtysevens.jpg","maxViews":4,"imgSize":37,"expiry":300000,"timeout":250}}, Lieferung in 8-28 Werktagen nach Zahlungseingang. global disorientation and is continuously conversing with his mother, who died 50 years Check telemetry monitoring and seeds are omitted. provide? Which medication should be held until a later time? Encourage the client to continue verbalize his anxiety 508. A prescription is received to change the rate of the Insert the catheter further and observe for discomfort. 9 | P a g e 726. A female client is extremely anxious after being informed that her mammogram B. Anxiety and restlessness. The other options are unlikely to produce the manifestation of 585. Where should the nurse listen when assessing The client tells the nurse that he has Left forearm hematoma Use a secondary port of the Normal Saline solution to administer the antibiotic. 733. Prepare for the endotracheal tube to be repositioned A female nurse who took drugs from the unit for personal use was temporarily A 12 year old client who had an appendectomy two days ago is receiving 0.9% Call the clients next of kin and have them provide verbal consent. C. Peripheral vasoconstriction Which action should the nurse Initiation of the impulses from a location outside the SA node Check the clients temperature, blood sugar, and urine output. The nurse is caring for a client receiving continuous IV fluids through a single Irrigate the indwelling urinary catheter. (Select all that apply) in the brainstem. Breath sounds 542. Diarrhea and flatulence The nurse does morning rounds and reaches the client while he is repeatedly washing Which agency should the client be referred to by the employee Ask the older brother how he felt during the incident. Youre All Signed Up! Position client supine with knees bent cancer. Maintain the bed flat while sleeping The clients laboratory Inform the anesthesia care provider consistent with an ulcer Crying 425. inappropriate, so telling the client that they can talk later is the best course of What action The HCP prescribes methotrexate 7.5 mg PO weekly, in 3 divides doses for a child with D. Have you received any blood products in the last year Range of motion. presence of spams what action should the nurse take? of diarrhea and dehydration. the NGT passage into the esophagus? throwing away food. An adolescent, whose mother recently died, comes to the school nurse complain headache. mellitus (DM) about self-injecting insulin. Aural migraine headaches. 293. 404. (Enter the numeric value only. syringe. and sedated while she is on as assist-control ventilator using 50% FIO2. 399. 714. determine who is stable enough to be transferred. Move obstacle away from client What action should the nurse implement first? characteristic is most import for successful adherence to the diabetic diet? dressing reapplied, if need it. Page the healthcare provider to speak with family. What is the best follow-up action by the nurse? B. Lie on the left or right side when sleeping or resting Thready brachial pulse. 366. 224. Foods sweetened with aspartame Collect a sputum specimen for a client with a fever of unknown origin 595. 69 | P a g e Answer: Roast pork fresh strawberries What dietary instruction is most important for the nurse Plan short, frequent rest periods 20 | P a g e Before administering this medication, which applied so that there are no bands of the fabric constricting venous return. Abdominal-perineal resection 2 days ago with no drainage on dressing who the nurse, I just dont think I can do this every day. The nurse should direct further teaching take? observes the client leaning forward and using pursed lip breathing. anticipate that client will need? lung. A family member of a client with dementia who has been missing for five 1. Which type of Leukocyte is involved with allergic responses and the destruction of Es ist ein Problem aufgetreten. A client with a serum sodium level of 125 meq/mL should benefit most from the supplemental oxygen is not warranted. A female client has been taking a high dose of prednisone, a corticosteroid, for several Apply adult diapers after each attempt to void multidrug- resistant strains (MDRSP) of Staphylococcus aureus. stroke is intubated with ventilator setting of tidal volume 600, PlO2 40%, and respiratory 290. hours for four days. B. Notify the healthcare provider immediately The nurse and an unlicensed assistive personnel (UAP) are providing care for a client with a infection, so this client should immediately be referred to the health care provider. Which action should the nurse take? Administer PRN nebulizer treatment. Inform her that some antianxiety medications are safe to take while 96. Which finding requires follow-up? assessment is most important for the nurse to perform? B. are this finding, what action should the nurse take next? liver transplantation and can increase the risk for infection, which is critical in the Contact the healthcare provider immediately to report the laboratory value regardless An older male client with type 2 diabetes mellitus reports that has experiences need for increasing the dosage of demeclocycline, should be reported to the healthcare 431. What assessment is most important for the nurse to complete? Egg, tofu, ground meat. Delegating the care of the crying person to an unlicensed assistant allow the nurse to Avoid drinking lake water Suggest enrolling the client in adult daycare instead of rotating among family. knees. 4. Blurred visual field The client has AB negative blood type and the blood bank sends a unit of What is the nurses priority goal when providing care for a 2-year-old child experiencing The home care nurse provide self-care instruction for a client chronic venous Schedule frequent rest periods Altered sensorium, such as lethargy, may occur if hydrocarbons are ingested Ignore the behavior and hang the IV antibiotic 408. shein.usa Boden Clothing for Women, Men and Children | Boden UK My Bag THE festivities begin Decadent textures and statement touches for wherever the night takes you SHOP PARTY boden black dress 18L Brand New With tags 15.00 + 22.02 P&P Lovely Ladies Size 18 Navy Blue Ribbed Dress By Boden 1.23 + 23.35 P&P Boden Navy Which interventions should the nurse include in a long-term plan of care for a client improves. Bilateral Wheezing. An older male client with history of diabetes mellitus, chronic gout, and 155. Following an open reduction of the tibia, the nurse notes bleeding on the clients cast. Other options are not tomorrow will be eligible for FREE GROUND SHIPPING! A client with cervical cancer is hospitalized for insertion of a sealed internal cervical Route (Select 316. Review clients abdominal ultrasound findings. Abrupt Including Which action should the nurse implement? Development progress from head to rump effectiveness of A as an intervention for this client. Ensure that the scale is calibrated before a weight is obtained admitted to the emergency department (ED) with full thickness burns to all surfaces of to promote retraction of the intercostal accessory muscle of respiration dizzy. implement? 588. RBCs. there is less anxiety Apply a pressure dressing around the chest tube insertion site. 315. Beef bologna sausage slices. 541. 159 | P a g e plan? This child 654. The nurse assesses a client with new onset diarrhea. A client is receiving an IV of heparin sodium 25000 units in 5% dextrose injection 500 ml The nurse should program the infusion pump to deliver how 608. The nurse provides feeding tube instructions to the wife of a client with end stage A client has both primary IV infusion and a secondary infusion of medication. 113 | P a g e Rational: When the pump immediately beeps, it is often because the IV tubing A. Jaundice skin tone Dress each wound separately. days, and the clients medical records indicates that 100% of the diet provided has been The pharmacy delivers 10 million units/ Rationale: the assessment of hair, nails, and skin is most effective of long-term The nurse is completing a head to be assessment for a client admitted for observation Place stethoscope in suprasternal area to auscultate from bronchial 158. While in the medical records department, the nurse observes several old medical B. Assess the clients skin and circulation for impairment related A client is complaining of intermittent, left, lower abdominal pain that began two days intervention should the nurse implement? An unconscious client is admitted to the intensive care unit and is placed on a ventilator. Contractions of the sternocleidomastoid muscle Continue giving ORS frequently in small amounts Which nursing intervention has the highest priority for a multigravida who delivered the nurse take next? A client must be willing to accept palliative care, not curative care. Which activity is best to While the school nurse is teaching a group of 14-year-olds, one of the participants Uses a monotone when speaking Reinforce the importance of keeping the feet elevated. Eliminate or reduce intake fatty and gas forming food D. antacids decrease the production of gastric secretions In assessing Ask the adolescent to describe his level of comfort with injecting himself with nurse explain about the occurrence of hyperglycemia in those who have type 2 DM? Sterile syringe is placed on sterile area as the nurse riches over the sterile field. explanation? Angaben ohne Gewhr. day because of a low census in labor and delivery. Rational: according to the rule of nines, the anterior and posterior surfaces of one 590. for the fracture ankle. 30. What action should the nurse implement? remarks, You are too young to be our teacher! C. Serum creatinine above 0.5 mg/dl or 44.2 micro-mmol/dl Rationale: after cataract surgery, the client should avoid activities which increase Further evaluation involving surgery may be needed technique for IV administration via saline lock. Explain the need for skin exposure to sunlight without sunscreen Prior to carrying out this prescription, what vascular accident (CVA). procedure, which assessment finding warrants immediate intervention by the nurse? action should the nurse take? 680. action should the nurse implement first? Where firewhich assessment finding indicates to the nurse that the client should be monitored for application of the stockings as seen on the picture, for increased comfort. response to verbal commands. Droplet precautions Mesalamine is in a class of medications called anti-inflammatory she does is care for their son. Rationale: Tracheal deviation toward the unaffected left lung with absent breath 647. Length of time of the exposure to tuberculosis. The Ask the UAP to take the blood pressure in the other arm the ulcer site contains bright red tissue. The nurse is planning preoperative teaching plan of a 12-years old child who is 139 | P a g e White blood cell count His BP 164. When entering a clients room to administer an 0900 IV antibiotic, the nurse finds that the 562. What Rocks back and forth in the chair assessment that should be done before administering this medication? Set the infusion pump at the prescribed rate the wound infection but is not useful in monitoring for HHNS. The nurse should request a referral for speech Palpate at the radial pulse site with the pads of two or three fingers. Breast milk or basic formula provide 20 Pruritis Advise the client to empty her bladder fully when she first voids overload, elevated pulse, elevated BP and electrolytes imbalances. C. Assume total care of the client to monitor neurologic function The should the nurse place the second paddle? A client who has been in active labor for 12 hours suddenly tells the nurse that she has a Have the client vocalize the instructions provided. 722. previous day, the nurse observes that a small amount of drainage is present on the A client is admitted with an epidural hematoma that resulted from a skateboarding Elevate the clients feet on a pillow and monitor the clients pedal pulses An after-school center for Native-American teens 225. A client with type 2 diabetes mellitus is admitted for antibiotic treatment for a leg situation? The available 30 mL bottle is labeled, 100 mg/5 mL Reduce risks factors for infection object. 555. disease which instruction should the camp nurse include? suggestions should give the clients family to help them prepare for the visit? Hold the scheduled dose of Zofran until the client awakens The client begins to complain of feeling nervous D. Assess for a gag reflex Contusion 235. the healthcare provider 699. A client with pneumonia has an IV of lactated ringers solution infusing at 30ml/hr Rub hands palm to palm. Identify the source and amount of bleeding. (Select all that apply) Recheck the clients hemoglobin, blood type and Rh factor. A sepsis resuscitation bundle protocol is 3. findings to the HCP, the nurse anticipates a prescription for which intravenous medications? A. chamber water-seal drainage system connected to a pleural chest tube. clients skin is warm to the touch, and there is a strong odor from the urine. of 40% full-thickness burns is admitted with bone pain and muscle weakness. stop smoking immediately sun screen because it was an overcast day. Which client should the nurse assess frequently because of the risk for overflow parasitic worms. Rebound abdominal tenderness may indicate internal bleeding. should answer the spouses questions about the signs of imminent death rather 468. Confirm that all the staff nurses are being assigned to equal number of clients. A client with rapid respirations and audible rhonchi is admitted to the intensive care unit Reposition the restraint tie onto the bedframe. Hematocrit of 28%. prescription? Place stethoscope in suprasternal area to auscultate for Blood transfusion implement? Which procedures Simple, attractive pictures help hold the learners attention. should the nurse implement first? care for which client? Elevated thyroid hormone level. inability to excrete metabolic waste products and water, resulting in fluid the medications effectiveness, which laboratory values should the nurse monitor? Remind the client to keep his appointments to have his cholesterol level 43 | P a g e No complaints of pressure or pain are verbalized by the client after being turned 84. The client is accompanied by two Obtain a clean catch mid-stream specimen the infant is restless, is exhibiting facial grimaces, and is drawing his knees to his chest. (4) Uninflated or broken balloons can create a choking hazard. for the nurse to review the laboratory value for which medication? with peptic ulcer disease. An adult female client is admitted to the psychiatric unit with a diagnosis of major 70. Explain that the hand rub can be completed in less than 2 minutes B. levels when a client is being treated for hyponatremia, a common occurrence in blood cell count (WBC) 3,000/mm3. number You have become dehydrated from the nausea. in an upright position with head and arms resting on the over-bed table is an ideal Which implement? on a new location) How What food does your baby usually eat in a normal day? Increase intravenous infusion effaced, -2 station, vertex presentation greenish colored amniotic fluid, and contractions Instruct client to purse lip breathe Notify healthcare provider of serum amylase and lipase levels. Cloudy dialysate output and rebound abdominal pain D. Take nothing by mouth until there is no more nausea A 2-year-old girl is brought to the clinic for a routine assessment and all findings are hospitalized. Nurse assertive communication and offering more choices (B) may increase an Show your love with balloons the bigger, better dozen. 183. Review the hemoglobin to determined hemorrhage 494. Increase the oxygen flow via nasal cannula if dyspnea is present. Tell the client to drive over the bridge until fear is manageable (Select all that apply.) Encourage an increased intake of clear oral fluids The client receives a regular diet for 2 intake Which intervention should the nurse delegate to the unlicensed assistive personnel White blood count of 19,000 mm3 Review the surgical consent with the client to home. mother who is breastfeeding? 251. Rational: reservoir bag should not deflate completely during inspiration and the diagnosis is severe exacerbation of asthma. When the client complains that the Level of consciousness begins talking with his preadolescent brother who rescued the child from the swimming Negative pressure environment Ulceration edge of sterile field is contaminated which include a 1-inch border (A). yesterday evening. The Request another nurse to assist the staff nurse with her documentation spontaneous rupture of the membranes during labor. Rationale: an infiltration of a caustic agent can cause tissue damage and children are at 428. 90 | P a g e Review with the client the need to avoid foods that are rich in milk and cream gastrointestinal muscle tone leading to reduce motility. thoughts? Dark, rust-colored urine continuous IV infusion of penicillin G, which is prescribed as 20 million units in a total The home health nurse is assessing a male client who has started peritoneal dialysis (PD) When gathering for a group therapy session at 1400 hours, a female client complains to Offer to go with the family members to view the body. (Arrange from first action on top to last on the bottom). contained in the clients medical record.) Birthday Party Supplies. the IV site with saline is a common practice to clean the needle or to identify What action (3) Inhalation of helium can be harmful. Notify the healthcare provider of the clients lack of understanding. A client who was admitted yesterday with severe dehydration is complaining of procedure which cures glaucoma. implement? Encourage him to go to the nurses station and talk with another nurse. Refresh your browser window to try again. andCombative in the last 2 days. Explain the follow-up need it for a client with prehypertension. Do not get up if fluid is left in the abdomen imbalances, including hypokalemia, which can lead to lethal arrhythmias. 382. It blocks the effects of histamine, causing decreased secretion of acid 638. A client with muscular dystrophy is concerned about becoming totally dependent Rationale: Cigarette smoking (2 packs/day x 310 years = 20 packs-year) increases the risk Note signs of swelling and edema. 4. 71. the concentration of 1,000 USP units/ml. clients discharge teaching plan? drop too low 596. Birthday Party Supplies. I do my best Inappropriate or exaggerated mood swings Which Rationale: the catheter is in the vaginal opening. 133. Remove the transdermal patch until the vomiting subsides. how many ml of heparin should the nurse Find party supplies and decorations for traditional milestone birthdays from 30th to 100th. What information 8 Rationale: Distal pulse intensity assesses the blood flow through the extremity An Rationale: 4mg x 0.5 ml=2/6=0.33 ml Which additional finding indicates that the client 215. water seal chamber of the chest tube collection device. client has muffled, distant, heart sounds, and is anxious and restless. Hot chocolate emergency department with intracranial pressure (ICP). Anxiety Assess the breath sounds Never breathe in helium. value only. psychiatric. WebCREATE A FOLLOWING Tribune Content Agency builds audience Our content engages millions of readers in 75 countries every day 634. 576. to reduce serum ammonia levels, which improves the clients level of 311. Ensure that no dependent loops are present in the tubing. Perform diaper changes under the light. Mantenha-se ao corrente das ltimas notcias da poltica europeia, da economia e do desporto na euronews clients plan of care? because sudden cessation will cause rapid change in serum glucose levels. results in the loss of mineralocorticoids and sodium excretions that is An older male adult resident of long-term care facility is hospitalized for a cardiac Identifies 2 treatments for constipation due to immobility. for possible bone marrow suppression caused by the medication, which serum laboratory test The nurse requests a meals tray for a client follows Mormon beliefs and who is on clear Other options listed may be Evacuate each infant with mother via wheelchair Please review the address and confirm that all information is correct or view the suggested corrections below. Which Auscultating the lung fields helps to Gather additional information about the clients family history for all types of the clients blood pressure. What intervention is most important for the nurse to implement? A woman who takes pyridostigmine for myasthenia gravis (MG) arrives at the rate is 14 breaths / minute. 148 | P a g e he is in the hospital for palliative care measures. The nurse is caring for four clients who are on the rehabilitation unit, which client should the Arterial blood gases indicate hypoxia. transferred to the observation unit, the client becomes demanding, aggressive, and shouts at the evaluate the effectiveness of the medication? Arrange to transport the client to the hospital Place in a Trendelenburg position to increase cerebral blood flow serum potassium level 3.0 mEq/L. How should the nurse respond? The A nasogastric tube and a left subclavian venous The The nurse should seek funding to implement which screening measure? may not be legible for palliative care at home. Rationale: As hyperglycemia persist, ketone body become a fuel source, and the When five family members arrive at the hospital, they all begin asking the nurse breath sounds The client is currently receiving at 2 litters/minute via nasal cannula. WebBalloons All Party Supplies Holidays & Occasions Shop by Theme Costumes & Accessories Track Order/Help; Offers; Green & Red Plush Elf Hat for Kids $2.00 0.0. Stage the depth of the ulcer using the Braden numeric scale To reduce staff nurse role ambiguity, which strategy should the nurse manager nurse that she has finally found a comfortable position. A client who had a gestational trophoblastic disease (GTD) evacuated 2 days ago is Report increased bruising of bleeding should be administered using TPN tubing or solution. An older adult resident of a long-term care facility has a 5-year history of You can unsubscribe at any time. Which intervention is most Explore our selection today! 4. 493. usually the first sign of increased ICP. 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