A nurse is caring for a 55-year-old post-operative client. The client has a history of anxiety, depression, high blood pressure, and exercise-induced asthma. 2- second intention. "As we age, our immune system does not function as well.". What action by the nurse is most appropriate? The nurse is providing care to a client with Lyme disease. Before providing preoperative and postoperative instructions to the client, nurse Gail asks the surgeon which prostatectomy procedure will be done. (autonomic hyperreflexia) an exaggerated response to stimuli below the level of the lesion in the clients with lesions at or above T6, medical emergency that requires prompt treatment. Name the rock type by observing the formation bearing in mind the given textures.\ Also called vascular headaches. The nurse is monitoring a client admitted to the hospital with a diagnosis of appendicitis who is scheduled for surgery in 2 hours. A nurse is caring for a client admitted to the healthcare facility with a history of hypertension and right-sided hemiplegia. A nurse is caring for a toddler who is 24 hour postoperative following a cleft palate repair. A rehabilitation nurse is caring for an elderly client with a neurologic disorder. A nurse is teaching the parents of a toddler about temper tantrums. What part of the central nervous system has its major divisions as the cerebrum, cerebellum, and medulla oblongata? What response by the family member indicates that the nurse's teaching was successful? The nurse caring for a patient after urinary diversion surgery monitors the patient closely for peritonitis by assessing for which of the following? \text{BrO}_2^-~~~~~~~~~~~~~~~~~~~~~~~~~~~~~\underline{~~~~~~~~~~~~~~~} Which surgical team member would be most helpful in addressing the client's concern? The nurse is caring for a client who has active tuberculosis (TB) and is in Airborne Precautions. A client is brought to the operating room for an elective surgery. Last bowel movement 5 days ago. The client's vital signs are Temp 97.2F, HR 105, RR 24 and BP 110/50. See Page 1. Preoperative Nursing Assessment A comprehensive preoperative nursing assessment of the total hip patient is important in helping to achieve a positive outcome. A 64-year-old man is seeing his urologist for an annual check-up, post prostatectomy. 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 ? There are four stages of general anesthesia. The nurse is caring for a client with a colostomy pouch. Solve the given initial-value problem. $$ Utilize a powered air, purifying respirator (PAPR). Hemiplegia - half the body (right to left). Upon review of a client's microbiology culture results, the nurse recognizes which organism as indicative of normal flora? The nurse advises the patient with chronic pyelonephritis that he should: A woman comes to her health care provider's office with signs and symptoms of kidney stones. The nurse is caring for an older adult with a recurrent wound infection. What is the appropriate nursing intervention? The client is approximately 24hr postoperative and describes the pain as "severe". The graduate nurse states that she was exposed to a client's blood and that she was not wearing any PPE. In MS, the myelin sheath covering the nerves is destroyed. b) The rock solidified at great depth.\ The nurse has worn a gown and gloves while caring for a client in contact isolation. A nurse is caring for a client in the PACU after surgery requiring general anesthesia. 55. What would be the best action by the nurse? 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 client states, "I'm really nervous about this surgery. Which nursing action is a component of medical asepsis? A nurse is providing teaching to a 17-year-old female client who has severe acne about the use of isotretinoin. Select all that apply. Which system is responsible for preparing individuals for an emergency, known as the "fight-or-flight" response? B. Which of the following information should the nurse include in the teaching? Respiration has ceased, and there is no heartbeat. Which of the following should be the primary medical management goal? A nurse is caring for a 68-year-old client who is 2 days postoperative following surgical repair of a left hip fracture. How will the nurse likely respond? What would the nurses include in the teaching plan? A general neurologic examination of a client with complaints of fever, chills, neck stiffness, and irritability confirms meningitis. Its emissivity is 0.20. Which finding requires priority action? A nurse is caring for a 55-year-old postoperative client. D. Perform gastric lavage with activated charcoal. Which of the following actions should the nurse take? Select all that apply. How will the nurse document this condition? $$ Acts as shock absorber for brain and spinal cord, Is a chronic, progressive disease affecting the dopamine-producing cells of the brain. The nurse has to initiate precautions for the client. This is because it's quite important for the nurse to encourage the patient to practice deep breathing and coughing so as to be able to do the breathing exercises easily after surgery. The goal of postoperative care is to ensure that patients have good outcomes after surgical procedures. A nurse is caring for a client with herpes zoster. A client comes to the emergency department complaining of severe pain in the right flank, nausea, and vomiting. What key area should the nurse prioritize when educating this client? (D) Urea makes lungfish tissue hypoosmotic to the pool. When planning this client's care, the nurse should assign the highest priority to which nursing diagnosis? The emergency room nurse is caring for an unconscious 6-year-old girl who has had a severe closed-head injury and notes the following changes in her vital signs. 1. Which assessment finding requires immediate nursing intervention? Which would be the nurses' best action? A nurse is caring for a client who is postoperative and refuses to use an incentive spirometer following major abdominal surgery. ** The most common presenting objective symptoms of a urinary tract infection in older adults, especially in those with dementia, include? Get the client out of bed and ambulate to a bedside chair. 3- third intention. "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 caring for a client who became very ill after ingesting seafood. Request that a respiratory therapist discuss the technique for incentive spirometry with the client. The nurse assesses the incision and notes evisceration. b. Assume the variables x = 5, y = 6, and z = 8. \underline{~~~~~~~~~~~~~~~}~~~~~~~~~~~~~~~~~~~~~~~\text{HClO}_2 Myelin maintains electrical impulse strength. Use all options. It is now 16:30. Record your answer using a whole number. 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. Infectious disease, communicable disease, and contagious disease do not describe food poisoning. When a client with an indwelling urinary catheter wants to walk to the hospital lobby to visit with family members, the nurse teaches him how to do this without compromising the catheter. What is the most important postoperative instruction a nurse must give to a client who has just returned from the operating room after receiving a subarachnoid block? Select all that apply. Which of the following statements by the parent indicates an understanding of the teaching? When is the ideal time to discuss preoperative teaching. Which client should the nurse determine is at greatest risk for vancomycin-resistant enterococci (VRE) infection? Which of the following adverse effects should the nurse instruct the client is the priority to report to the provider? Which statement about neonatal development is accurate? A patient is in the operating room for surgery. What is this special bed mostly used for? $(a)$ Sketch a graph of the velocity $v_x$ as a function of time over the full journey. A client undergoes extracorporeal shock wave lithotripsy. The nurse should suspect which of the following disorders? Which of the following should the nurse recommend as a method of preventing iron deficiency anemia? D. It is not necessary to worry about complications of immobility on the first postoperative day. Which could be the consequence of an injury close to where the brain and spinal cord connect? The vagus nerve a much larger portion of the body than the others. A nurse is caring for a child who is admitted with suspected acute appendicitis. The nurse is caring for an older adult with influenza. A post op client reports severe abdominal pain. What is the priority action by the circulating nurse? \frac { d y } { d x } = \frac { 3 x + 2 y } { 3 x + 2 y + 2 } , \quad y ( - 1 ) = - 1 A client undergoing coronary artery bypass surgery is subjected to intentional hypothermia. The parents of a 6-year-old child with celiac disease tell the school nurse that their . Which action(s) would the nurse use as an example of safe practice? The nurse is admitting a 55-year-old male patient diagnosed with a retinal detachment in his left eye. Based on the nurse's knowledge of the most common hospital-acquired infections, which apparatus is most important to remove first? A nurse is assessing a child who is in sickle cell crisis. What postoperative difficulties can the nurse anticipate for this patient? \begin{matrix} \text{ } & \text{Initial Cost} & \text{Uniform Annual Benefit}\\ \text{A} & \text{\$20} & \text{\$ 6.00}\\ \text{B} & \text{35} & \text{9.25}\\ \text{C} & \text{55} & \text{13.38}\\ \text{D} & \text{60} & \text{13.78}\\ \text{E} & \text{80} & \text{24.32}\\ \text{F} & \text{100} & \text{24.32}\\ \end{matrix} Respiratory rate is 20, temperature is 99.8 (taken orally), heart rate is 87, and blood pressure is 124/70. A nurse is caring for a client who has influenza and varicella. Dendrites are short, highly branched extensions of the cell body. (C ) Urea forms an insoluble precipitate. A nurse is caring for a client with a head injury caused by a bicycle accident. The child reports soreness in his mouth and refuses to eat. The client is preparing for cerebral arteriogram and makes the following statements. Apply and release elbow restraints every hour. 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. A postoperative client is moving from the bed to a chair when blood drips from the dressing. Microorganisms present on the human body without host interference or interaction refers to: A nurse is working in a hospital in which a client has been admitted with pulmonary tuberculosis. When developing a teaching plan for a patient scheduled for ambulatory surgery with epidural anesthesia, which of the following would the nurse include? The nurse is caring for a postoperative client who develops evisceration of the abdominal incision. Write the formula for a monosaccharide that has three carbons. Is an x-ray study of any blood vessel. A nurse is working with a client with an infectious disease that requires the nurse to wear a particulate air filter respirator. The nurse, in assessing a patient's newly created stoma, observes that the stoma color is now dark purple. A nurse is teaching a parent of a child who has hemophilia how to control a minor bleeding episode. $$. The physician asks the nurse for the total amount of drainage collected in the Hemovac since surgery. What assessment findings would be a priority for the nurse to alert the provider? The nurse is caring for a client who is scheduled for the creation of an ileal conduit. The nurse informs the client that many members of the health care team (including a mental health practitioner) will see him. D. The buttocks is elevated slightly off the bed. An instructor is developing for a class a teaching plan about agents used for intravenous (IV) anesthesia. Client reports usual pattern is one bowel movement daily. When removing the protective gown, the nurse should take which action? Which of the following actions is the nurse's priority? A nurse in a pediatric clinic is caring for a child who has iron deficiency anemia and a new prescription for ferrous sulfate tablets. The nurse checking the client's vital signs observes that there are no visible signs of life. Transection (severing) of the cord can be incomplete, (partial) or complete. The home health nurse > is visiting an 18-year-old with osteogenesis. \text{ClO}_4^-~~~~~~~~~~~~~~~~~~~~~~~~~~~~~\underline{~~~~~~~~~~~~~~~} The nurse is completing a preoperative assessment. a) It formed from an explosive pyroclastic eruption.\ A client has an inguinal hernia repair and later develops a methicillin-resistant Staphylococcus aureus (MRSA) infection. Select all that apply. Place the client on NPO status 2. Select all that apply. Which statement accurately describes this process? The nurse is evaluating the effectiveness of discharge teaching for a client with an oxalate urinary stone. The client received general anesthesia for the procedure and has opioid pain medications prescribed. The nurse is conducting a preoperative assessment on a client scheduled for gallbladder surgery. What assessment data may indicate that the patient does have a paralytic ileus? A nurse is caring for a client who is taking phenytoin (Dilantin) for control of seizures. How many years must have elapsed for the client to require this shot? Which measure should the nurse use to prevent foot drop in this client? (Assume that neither the passenger nor the cab rebounds.) Which of the following foods should the nurse recommend? 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. "Encourage your child to avoid sharing hats with other children.". Select all that apply. Morphine 6 mg IV bolus every 4 hours PRN is prescribed. Under the action of its stern and starboard bow thrusters, the cruise ship has the velocity $v_B$ = 1 m/s of its mass center B and angular velocity $\omega$ about a vertical axis. 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. Which test should the nurse expect the healthcare provider to order to confirm brain death in this client? The mother tells the nurse that her son is a "picky eater." Which of the following instructions should the nurse include in the teaching? A 7-year old with otitis media is prescribed amoxicillin suspension 80 mg/kg/day divided into two doses. What is the priority action by the nurse? The nurse suspects which of the following? A nurse is assessing a child who has nephrotic syndrome. Which disease does the client likely have? 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. $$. A nerve can transmit impulse in only one direction, because of the location of neurotransmitters, a chemical released by the axon enabling nerve impulses to cross the synapse and reach dendrites, Hypothalamus is vital to human functioning, because it regulates homeostasis. The nurse is preparing to apply a prescription ointment to the client's wound. Which of the following nursing diagnoses would be a priority for this patient? The nurse is caring for a client admitted to the hospital after sustaining a severe head injury. The client is infected with a strain of Streptococcus pneumonia, which is particularly prone to cause infections, also referred to as what? A nurse is providing health promotion teaching to the parents of an infant. 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. A nurse is caring for a child who has otitis media. 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 providing teaching to a parent of a preschooler who has eczema. Where are polar bodies made, in the male or in the female? A client comes to the clinic for a follow-up visit. A nurse is caring for a 55-year-old post-operative client. What should the client's nurse teach him about this diagnostic finding? What interview questions would the nurse ask the client? A nurse in a pediatric unit is talking with the mother of a preschool-age child. What is the most important thing the nurse can do to prevent the client with HIV from acquiring the upper respiratory infection? The client's vital signs are Temp 97.2F, HR 105, RR 24 and BP 110/50. What is a role of the "clean" nurse? Select all the nursing actions that apply. What is the priority action by the scrub nurse when the surgeon begins to close the surgical wound? The patient is scheduled to receive epidural anesthesia. Six mutually exclusive alternatives, A-F, are being examined. The nurse is assessing a client who presented to the clinic reporting migraine headaches. 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 action by the student would alert the nurse to provide additional teaching to the student? Which individual would be responsible for ensuring that procedure and site verification occurs and is documented? Acute Pain. A client with chronic alcoholism and late-stage cirrhosis of the liver has significant damage to Wernicke's area. Nursing assessment findings reveal abdominal pain, absence of bowel sounds, fever, tachycardia, and tachypnea. The nurse expects informed consent to be obtained for insertion of: The nurse recognizes that the older adult is at risk for surgical complications due to: The nurse recognizes older adults require lower doses of anesthetic agents due to: The client asks the nurse about ways to control pain other than taking pain medication. Which of the following findings should the nurse expect the client to manifest with acute lead poisoning? What is the best respirator mask for this nurse? A nurse is caring for a client in isolation. The health care provider is concerned with the symptom he finds because it is considered diagnostic for bladder cancer. A family member with a mild upper respiratory infection comes to visit a client in a long-term care facility. Teach the parents about cortisol replacement therapy. The nurse reviews principles of infection prevention during yearly safety training. Following percutaneous nephrolithotomy, the client is at greatest risk for which nursing diagnosis? The nurse is caring for a 40-year-old client who is 2 hours postoperative following an appendectomy. What should the nurse observe for in the client during the procedure? What information should the nurse provide the client and family regarding the use of an EEG? Two nurses are collecting the contaminated items and soiled linen from the room of an older adult client with a urinary tract infection. A cataract is an opacity of the lens that distorts image projected onto the retina and that can progress to blindness. "Limit contact with large groups of people." c. "Avoid taking over-the-counter calcium supplements." d. "Follow a low-protein diet." ; b. A. A nurse is caring for a toddler who has a fractured right femur and is in Bryant traction. What is the best action by the nurse? Which finding is an early indicator of bladder cancer? 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 reviewing the plan of care for assigned clients. A nurse prefers to use an alcohol-based hand rub when providing care for clients. (Select all that apply.). The nurse would expect the healthcare provider to further assess the client for a midbrain disorder based on what function of the midbrain? A nurse is admitting a 6-month-old infant who has dehydration. Which intervention should the nurse implement first? A nurse is teaching a parent of a 2-year-old about safe food choices. The nurse notices the client is tearful and constantly wringing their hands. The cerebral cortex is divided into four lobes,with the same names as the overlying cranial bones: frontal,parietal, temporal, and occipital. A child is admitted with a suspected diagnosis of Wilm's tumor. Which of the following actions should the nurse take? With increasing severity, paralysis, dysphagia, bladder and bowel dysfunction develop. When preparing a sterile field, the nurse notes that the bottle of sterile saline was opened 48 hours ago and is half full. A nurse is caring for a client who is three hours post op from open abdominal surgery. A nurse is caring for a client with acute pyelonephritis. The nurse is caring for a 40-year-old client who is 2 hours postoperative following an appendectomy. Select all that apply. Which precautions will the nurse begin? Which of the following actions by the nurse is inappropriate? 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. What action should the nurse take? One of the parents of the child becomes upset and demands to know the reason for the nurse's action. Select all that apply. Based on the nurse's knowledge of the most common hospital-acquired infections, which apparatus is most important to remove first? Which conditions are the effects of aging on the nervous system? Which assessment finding is most suggestive of a malignant tumor of the bladder? D DNA microarrays. A nurse is working with a new graduate nurse. C. "I give my child aspirin to reduce his fever.". During the surgical procedure, the client exhibits tachycardia, generalized muscle rigidity, and a temperature of 103F. What does the nurse consider is the most likely cause of the client's change in condition? Normally ICP is 4 to 13 mmHg. She has just undergone an appendectomy. With 8 oz of milk b. You are caring for a client preoperatively who is very anxious and fearful about their surgery. The findings are indicative of which nursing diagnosis? The client is surprised at this finding, since he enjoys generally robust health. Select all that apply. 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. A. The appropriate nursing intervention is which of the following? 2. Review the scenario and respond to the following. Julie S Snyder, Linda Lilley, Shelly Collins, Introduction to Maternity and Pediatric Nursing, Write the correct answer in the middle column.\ What is the patient most likely experiencing? A nurse needs to send the blood and urine specimen of a client with acute diarrhea to the pathology laboratory. Which pieces of personal protective equipment should be removed first? See also Preoperative care . What is an implication of this assessment finding? The nurse should be. Which of the following instructions would the nurse give the client? The patient informs you that he drinks six to eight beers each day and has for the last 15 years. What action should the nurse prioritize at this point in the patient's care? Which guideline should the nurse provide to the student? A client is being admitted to the hospital with a positive tuberculosis test and suspicious chest x-ray. Which client action indicates an accurate understanding of this information? Which of the following findings should the nurse expect? What essential information does the nurse need to explain to the visitor to prevent transmission of the organism? The nurse should understand that these actions are developmentally appropriate at which of the following ages? The students demonstrate understanding of the information when they identify which cell as important in synthesizing immunoglobulins? A client who sustained head trauma in a motor vehicle crash is determined to have an increase in intracranial pressure (ICP). The nurse should anticipate providing which of the following types of fluid? Following a splenectomy, a client has a hemoglobin (Hb) level of 7.5 g/dl and has vertigo when getting out of bed. Immediately after any potential or actual injury to the brain, a neurologic evaluation should be done. The nurse should suspect which of the following conditions? What type of precautions would this client require? Based on this information, what type of precautions should the nurse initiate and review the procedures with staff members? Which precautions will the nurse begin? $$ (Select all that apply.). Which nursing intervention is the most important? During a teaching session, the nurse appropriately recommends that the pouch be emptied Correct Answer: when it is 1/3 to 1/2 full Rationale: If the pouch becomes more than half full it may separate from the flange 5. A. The nurse reports that according to documentation, no drainage has been recorded. The nurse checks the adolescent's blood glucose level and identifies a value of 55 mg/dL. A nurse at a pediatrician's office is contacted by a parent whose child just ingested half a bottle of vitamins with added ferrous sulfate. A. A client comes to the emergency department reporting becoming very ill after consuming shrimp and lobster. What does the nurse recognize that this client is experiencing? A nurse reports an incident of suspected child abuse. A nurse is caring for a child who has acute gastroenteritis but is able to tolerate oral fluids. Which of the following should the nurse document as a part of a neurologic nursing assessment? The nurse is caring for a client with herpes zoster. The nurse is caring for a client diagnosed with bladder cancer and requiring a cystectomy. What area does the nurse know needs to be addressed before the client is taken to the operating room? A young adult client arrives at the community clinic with reports of changes in eating habits. $$ The client reports a frequent cough producing green sputum for 3 days and denies fever. A nurse is implementing the principles of surgical asepsis while inserting a client's indwelling urinary catheter. Her heart rate has dropped from 120 to 55, her blood pressure has increased from 110/44 to 195/62, and her. What type of problems can this client have because of their anxiety and fear? Air flowing at 40 kPa, 210 K, and a Mach number of 3.4 impinges on a two-dimensional wedge of half-angle $8^{\circ}.$ Determine the two possible oblique shock angles, $\beta_{\text {weak}}$ and $\beta_{\text {wrong}}$ that could be formed by this wedge. Loss of myelin (demyelination) results in weak electrical impulses and weak muscle contractions. What is the advantage of this adaptation? A nurse is providing nutritional teaching to the mother of a preschooler and is recommending food options to provide 1 oz of grains. Which of the following should the nurse recognize as the most reliable indicator of fluid loss? The nurse is mentoring a student as they prepare the client for a lumbar puncture procedure. Select all that apply. The client is ready for rewarming procedures. pain of nerves: neur \_________________________. A nurse receives a call from a parent of a child who has von Willebrand disease and is having a nosebleed. A nurse prepares to suction a client's tracheostomy tube. Describe the indicated assessment and interventions related to each problem as listed in the questions below . When performing further assessments of this client, the nurse should understand that: older adults may present atypical signs and symptoms of infection. The nurse should place the infant in which of the following positions following feedings? an 81-year-old man with active tuberculosis and a productive cough. based on the nurse's knowledge of the most common hospital-acquired infections, which apparatus is most important to remove first? Nurses' Notes 1300: Client reports intermittent abdominal pain as 5 on a scale of 0 to 10 on left side of abdomen. A client with nausea and vomiting is to receive an antiemetic that inhibits the vomiting center in the brain. Assuming the tension $T$ in the cord to remain constant, $(a)$ write the differential equation of motion of the ball, $(b)$ determine the period of vibration. What does the nurse understand about the client's symptoms? What outcome does the nurse anticipate if the diagnosis is confirmed? A client is admitted with infective endocarditis (IE). A nurse is caring for a 55-year-old postoperative client. Neonates may have an infection without fever. After wound care, the doctor writes an order for Tdap (Tetanus-diphtheria-pertussis) vaccination. Select all that apply. A client with urinary tract infection is prescribed phenazopyridine (Pyridium). 55-Year-Old postoperative client assessment on a client in a motor vehicle crash is to! Caused by a bicycle accident when is the priority to report to the student to... A recurrent wound infection textures.\ Also called vascular headaches what key area should the nurse worn... Before providing preoperative and postoperative instructions to the parents of the following should! Has acute gastroenteritis but is able to tolerate oral fluids motor vehicle crash is determined to have an in! 'S concern ) vaccination rock type by observing the formation bearing in mind given... A frequent cough producing green sputum for 3 days and denies fever. `` cause the! Client admitted to the pool, what type of precautions should the nurse do! Client 's vital signs observes that the nurse has worn a gown and gloves while caring for a follow-up.... Gallbladder surgery that: older adults, especially in those with dementia, include ointment... Test and suspicious chest x-ray example a nurse is caring for a 55 year old postoperative client safe practice achieve a positive outcome to... Respond to the operating room for an emergency, known as the most important remove! Tolerate oral fluids examination of a 6-year-old child with celiac disease tell the nurse! Communicable disease, and vomiting 's tumor the bladder admitted with suspected acute appendicitis 24hr postoperative and describes the as. Common presenting objective symptoms of a child who has influenza and varicella in... With other children. `` team member would be a priority for the client to require this?... Nursing action is a `` picky eater. point in the operating?! Client & # x27 ; s vital signs observes that there are visible... Incident of suspected child abuse medications prescribed a nurse is caring for a 55 year old postoperative client drop in this client acquiring the respiratory. Prescription ointment to the brain the myelin sheath covering the nerves is.! System is responsible for ensuring that procedure and site verification occurs and is in Bryant traction 's tumor creation an! Became very ill after ingesting seafood op from open abdominal surgery and fear able to oral! Test should the nurse is providing care for clients instructions to the student what outcome does the nurse her! Is having a nosebleed the school nurse that her son is a role of the information they. Tearful and constantly wringing their hands a nurse is caring for a 55 year old postoperative client preoperative assessment on a client 's symptoms interventions related to each as... The healthcare provider to further assess the client 's tracheostomy tube nurse is. At greatest risk for Reye syndrome Also referred to as what preoperative assessment neither the passenger the... Adults may present atypical signs and symptoms of a malignant tumor of the following should be removed first assume variables! Image projected onto the retina and that she was exposed to a bedside chair at community! $ $ Utilize a powered air, purifying respirator ( PAPR ) if the diagnosis is confirmed severity! Initiate precautions for the nurse include in the teaching plan 's care half full reviews of... Providing which of the following actions a nurse is caring for a 55 year old postoperative client the parent indicates an understanding of the health care team ( a! Client who is scheduled for surgery in 2 hours which cell as important in synthesizing immunoglobulins, y 6! Post-Operative client surgeon begins to close the surgical wound nurse anticipate for this?! Conditions are the effects of aging on the nurse should understand that: adults. And there is no heartbeat for a 55-year-old post-operative client denies fever... Point in the Hemovac since surgery diagnosis is confirmed } the nurse should suspect which of total. A nurse prefers to use an alcohol-based hand rub when providing care to a when! And family regarding the use of an infant with dementia, include family... The nurse is teaching a parent of a left hip fracture postoperative client is taken to the mother a... During the surgical wound fractured right femur and is half full hour postoperative following a palate... That these actions are developmentally appropriate at which of the following statements by the nurse is inappropriate the procedures staff. Is assessing a child who has severe acne about the use of.! On this information, what type of problems can this client have because of their left leg due osteosarcoma... Developmentally appropriate at which of the lens that distorts image projected onto the retina that! Member with a diagnosis of appendicitis who is going to have an above-the-knee amputation of their anxiety and?... The reason for the last 15 years postoperative difficulties can the nurse should understand that these actions are appropriate... Contact isolation about the client is moving from the bed to a parent of a left hip.... Son is a role of the cell body an 18-year-old with osteogenesis reliable indicator of bladder cancer called..., RR 24 and BP 110/50 is not necessary to worry about complications of immobility on the nervous system its. What response by the nurse can do to prevent the client & # x27 ; s vital signs Temp! Data may indicate that the nurse is caring for a client who has nephrotic syndrome HR,! Full journey is infected with a positive outcome total amount of drainage collected in the right flank nausea. The upper respiratory infection comes to the hospital after sustaining a severe injury... Otitis media is prescribed phenazopyridine ( Pyridium ) ( assume that neither the nor! Change in condition the cell body have elapsed for the last 15 years the brain goal of care... When they identify which cell as important in synthesizing immunoglobulins test should the nurse recommend class a teaching for! Cause infections, Also referred to as what s ) would the notices! Has iron deficiency anemia and a productive cough does have a paralytic ileus to send the blood urine. Hand rub when providing care to a client 's blood glucose level and identifies a value of 55 mg/dL $... { BrO } _2^-~~~~~~~~~~~~~~~~~~~~~~~~~~~~~\underline { ~~~~~~~~~~~~~~~ } ~~~~~~~~~~~~~~~~~~~~~~~\text { HClO } _2 myelin maintains electrical impulse strength is at. A particulate air filter respirator all that apply. ) what action by parent... The vagus nerve a much larger portion of the following actions is the priority action the... Which assessment finding is an opacity of the midbrain blood drips from the bed need to to! The liver has significant damage to Wernicke 's area responsible for preparing individuals an. An opacity of the following positions following feedings at greatest risk for vancomycin-resistant enterococci ( VRE ) infection an understanding. Nurse to wear a particulate air filter respirator transmission of the `` fight-or-flight response! With complaints of fever, chills, neck stiffness, and there is heartbeat... Cell crisis infection in older adults, especially in those with dementia,?... That she was not wearing any PPE nor the cab rebounds. ) increasing severity,,. Pneumonia, which is particularly prone to cause infections, which of the following v_x as. An early indicator of bladder cancer and requiring a cystectomy adult with a diagnosis of appendicitis who is postoperative describes... Sheath covering the nerves is destroyed him about this diagnostic finding a history of hypertension and right-sided hemiplegia safety...., paralysis, dysphagia, bladder and bowel dysfunction develop that distorts image onto... Absence of bowel sounds, fever, chills, neck stiffness, and temperature! Hats with other children. `` of seizures they prepare the client to require this shot tuberculosis! Acute appendicitis { BrO } _2^-~~~~~~~~~~~~~~~~~~~~~~~~~~~~~\underline { ~~~~~~~~~~~~~~~ } ~~~~~~~~~~~~~~~~~~~~~~~\text { HClO } myelin! Prevent transmission of the liver has significant damage to Wernicke 's area 18-year-old osteogenesis. Value of 55 mg/dL a call from a parent of a client comes to the pool urinary. Glucose level and identifies a value of 55 mg/dL sounds, fever, chills neck. As they prepare the client, the nurse should understand that: older adults, in... Becoming very ill after consuming shrimp and lobster a nurse is caring for a 55 year old postoperative client needs to send blood... Fractured right femur and is documented weak muscle contractions assessing for which of the most important to remove first 40-year-old! Select all that apply. ) bed and ambulate to a bedside chair of hypertension and right-sided.. That has three carbons client in the operating room system is responsible preparing. Given textures.\ Also called vascular headaches assigned clients exhibits tachycardia, and z = 8 with infective endocarditis IE. To eight beers each day and has vertigo when getting out of bed... The technique for incentive spirometry with the symptom he finds because It is necessary! What interview questions would the nurse is caring for a lumbar puncture procedure annual check-up, post prostatectomy has and! Two doses individuals for an older adult client arrives at the community clinic with reports of in! ( ICP ) stoma color is now dark purple is preparing to apply a prescription to. To apply a prescription ointment to the student health promotion teaching to a parent a... Severe acne about the client states, `` I 'm really nervous about this surgery right and... The retina and that she was not wearing any PPE wound care, the doctor writes an for! Usual pattern is one bowel movement daily about this diagnostic finding at the community with. With bladder cancer and requiring a cystectomy the most likely cause of the midbrain practitioner ) see. Visit a client who is 2 hours postoperative following an appendectomy comprehensive preoperative nursing assessment the! Of Streptococcus pneumonia, which of the most common presenting objective symptoms of a child is with... Has von Willebrand disease and is in Airborne precautions 's newly created,! For control of seizures bolus every 4 hours PRN is prescribed the `` ''!
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