What is the priority action by the nurse? When assessing vital signs, which result indicates a need to alert the anesthesiologist immediately? A nurse is caring for a client following a craniotomy. The nurse should prepare to administer: A patient with renal failure is scheduled for a surgical procedure. b. Which of the following would the instructor include in this plan about these agents and this type of anesthesia? (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. Julie S Snyder, Linda Lilley, Shelly Collins. What is one of the basic principles that should guide the preoperative nurse's assessment? A nurse is caring for a client who is postoperative and refuses to use an incentive spirometer following major abdominal surgery. A nurse is assessing an adolescent who has an exacerbation of Graves' disease. A family member with a mild upper respiratory infection comes to visit a client in a long-term care facility. One bag of a contaminated item is placed within another. Which type of transmission precautions should the nurse follow when caring for the client? Corticosteroids have which effect on wound healing? While assessing this patient, what characteristic symptom would the nurse expect to find? What should the nurse observe for in the client during the procedure? 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. Which factor has contributed to resistant microbial strains? Which of the following statements by the parent indicates an understanding of the teaching? A nurse is providing nutritional teaching to the mother of a preschooler and is recommending food options to provide 1 oz of grains. An 11-year-old client is admitted to the healthcare facility with loss of sensation, generalized weakness of the extremities, and impaired bowel and bladder function. When a client with a history of chronic alcoholism is admitted to the hospital for surgery, the nurse anticipates that the client may show signs of alcohol withdrawal delirium during which time period? Solve the given initial-value problem. Which client has the highest risk for developing an infection? What precautions should the nurse take when caring for this client? $$. "Limit contact with large groups of people." c. "Avoid taking over-the-counter calcium supplements." d. "Follow a low-protein diet." ; b. A client with urinary tract infection is prescribed phenazopyridine (Pyridium). A nurse is caring for a toddler who has a fractured right femur and is in Bryant traction. 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. Which of the following is the most common symptom of bladder cancer? How will the nurse likely respond? Which finding would the nurse identify as the most common initial symptom? Which of the following instructions should the nurse provide the parents regarding administration of this medication? Which of the following instructions should the nurse include? A 17-year-old client is having same-day surgery. What is the best respirator mask for this nurse? A nurse in a pediatric clinic is caring for a child who has iron deficiency anemia and a new prescription for ferrous sulfate tablets. A child is admitted with a suspected diagnosis of Wilm's tumor. What does the nurse recognize that this client is experiencing? e. an older adult client with a history of heart failure. The client is receiving 0.9% normal saline at 75 mL/h, has a nasogastric tube to low wall suction with 200 mL every 8 hours of light yellow fluid, and a wound drain with 50 mL of dark red drainage every 8 hours. The thalamus integrates sensations, thus the person perceives a whole experience, rather than individual impulses. Immediately after any potential or actual injury to the brain, a neurologic evaluation should be done. 4. A nurse prepares to suction a client's tracheostomy tube. What condition might increased ICP indicate? Definition $\hspace{1cm}$ Correct Answer $\hspace{1cm}$ Possible Answers\ Discard used intravenous (IV) bags in the room. "If someone is exposed to my blood, I may transmit the virus to him or her.". Which precaution is the priority when collecting and delivering the specimens to the laboratory? What would be the best action by the nurse? What lobe of the cerebral cortex is largely responsible for the ability of humans to achieve higher levels of mental functioning and is also involved with motor functions that direct body movements? What measurement should the nurse report to the physician in the immediate postoperative period? Edwin F. Bartholomew, Frederic H. Martini, Judi L. Nath, Essentials of Human Anatomy and Physiology, Charles Welsh, Cynthia Prentice-Craver, David Shier, Jackie Butler, Ricki Lewis. This increase in pressure can cause the delicate structures to be moved, damaged, or destroyed. An ileal conduit is created for a client after a radical cystectomy. Approximately how many feet from others should the nurse tell the client to maintain? A nurse is caring for a 55-year-old post-operative client. A nurse is teaching a parent of a child who has hemophilia how to control a minor bleeding episode. What does the nurse consider is the most likely cause of the client's change in condition? Which action(s) would the nurse use as an example of safe practice? Which pieces of personal protective equipment should be removed first? Acute Pain. Damage to the respiratory system A nurse is caring for a client with a neurologic problem who has been advised to have an electroencephalogram (EEG). The nurse is evaluating the effectiveness of discharge teaching for a client with an oxalate urinary stone. A family member with a mild upper respiratory infection comes to visit a client in a long-term care facility. Huntington's disease is a chronic, progressive, hereditary condition in which brain cells in the basal ganglia prematurely die. What priority education should the nurse provide to assist in preventing respiratory complications? x == 5 || y > 3. (Select all that apply.). A client had her nares and perineum swabbed for pathogens upon admission to the hospital and the results indicate that the client has been colonized with an antibiotic-resistant microorganism. A nurse is caring for a 6-week-old infant who has a pyloric stenosis. The nurse is receiving a confused client with a draining wound onto the medical-surgical unit. Examination of a client's bladder stones reveal that they are primarily composed of uric acid. What cranial nerve does the nurse determine has been stimulated? 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. This action supports, among other things, infection prevention. A client with nausea and vomiting is to receive an antiemetic that inhibits the vomiting center in the brain. A nurse is caring for a client with multiple sclerosis (MS). Which nursing actions will be performed to assist in the prevention of health care-associated infections (HCAIs)? How will the nurse document this condition? 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. Which would be considered significant blood exposures by occupational health? Which of the following findings should the nurse expect? A. Hemiplegia - half the body (right to left). "I will keep my baby in an upright position after feedings.". The client becomes upset stating, "You did not wash your hands!" A 55-year old client with benign prostatic hyperplasia doesn't respond to medical treatment and is admitted to the facility for prostate gland removal. D. Administer prednisone on an alternate-day schedule. Avoid touching the outer surfaces of the gown. The client has had only 30 ml urine output since arriving to the 1 The nurse positions the client in the lithotomy position in preparation for 1- Renal surgery 2- Pelvic surgery 3- Perineal surgery To prevent pneumonia and promote the integrity of the pulmonary system, an essential postoperative nursing intervention includes: Nursing students are reviewing information about agents used for anesthesia. A nurse is caring for a client who underwent a skin biopsy and has three stitches in place. 4. pain of nerves: neur \_________________________. "Encourage your child to avoid sharing hats with other children.". an older adult client with a history of heart failure. 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. How will the nurse appropriately remove this personal protective equipment (PPE)? Do you think it will be ok?" Select all that apply. "The glove is an important barrier in preventing the transmission of your loved-one's antibiotic-resistant infection to you or other people you come in contact with.". Select all that apply. The 24-hour urine output total is 2430 mL. Standard precautions apply to blood; all body fluids, secretions, and excretions; and intact and nonintact skin and mucous membranes. Which system is responsible for preparing individuals for an emergency, known as the "fight-or-flight" response? Which of the following techniques could the nurse employ to assist this client? 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. A mental health practitioner should be involved in the client's care to: a) assess whether the client is a good candidate for surgery. The nurse recognizes that written informed consent is required for insertion of a(n): Clients who have received corticosteroids preoperatively are at risk for which type of insufficiency? As the eye ages, the lens loses water and increases in size and density, causing compression of lens fibers. Fentanyl is categorized as which type of intravenous anesthetic agent? Offer the family member a mask, explaining its use. However, the nurse has documented that the client's temperature is within normal limits. See also Preoperative care . A client having a surgical procedure takes aspirin 325 mg daily for prevention of platelet aggregation. The nurse is concerned about infection and is reviewing the white blood cell count (WBC) in the chart. A group of nursing students is reviewing the various white blood cells and how they function in infection. What is this special bed mostly used for? Which of the following activities are nursing activities in the preoperative phase of care? A postoperative client is moving from the bed to a chair when blood drips from the dressing. A nurse is caring for a child who is admitted with suspected acute appendicitis. The nurse observes profuse sweating above the level of injury. A nurse is caring for a postoperative patient who had spinal anesthesia. During the interview, the client states, "Sometimes when I have to urinate I can't control it, and do not reach the bathroom in time." She reports the need to urinate and cannot do so. (A) Urea takes less energy to synthesize than ammonia. A client is at postoperative day 1 after abdominal surgery. The nurse is caring for a 40-year-old client who is 2 hours postoperative following an appendectomy. How will the nurse document this condition? The nurse should identify that which of the following statements by the parent indicates the child has an increased risk for Reye syndrome? An 83-year-old resident of an extended-care home has begun displaying uncharacteristic confusion over the past 48 hours and is suspected to have a new infection. The nurse is caring for a postoperative client who develops evisceration of the abdominal incision. A nurse prefers to use an alcohol-based hand rub when providing care for clients. Here are four (4) nursing care plans (NCP) and nursing diagnosis for patients who underwent appendectomy: ADVERTISEMENTS. The mother tells the nurse that her son is a "picky eater." The procedure involves injecting a radiopaque substance into the femoral, brachial, or arterial artery. A major goal when caring for a catheterized patient is to prevent infection. A nurse is caring for a client who is on droplet precautions. **Complete the medical term, based on its meaning as provided. Carefully open the inner package taking care not to touch the inner surface of the package or the gloves. What action does the nurse take to ensure that the saline used is sterile? Each alternative has a 6-year useful life. When developing a teaching plan for a patient scheduled for ambulatory surgery with epidural anesthesia, which of the following would the nurse include? Which precautions will the nurse begin? What important information should the nurse keep in mind when caring for this client? Nurses' Notes 1300: Client reports intermittent abdominal pain as 5 on a scale of 0 to 10 on left side of abdomen. What does the nurse understand about the client's symptoms? Which could be the consequence of an injury close to where the brain and spinal cord connect? wearing a particulate respirator for all care and interaction with this client. The average drag force is 110 N. What average power is required of the swimmer? $$ A life threatening condition that has a sudden onset as respiratory muscles become too weak to function.
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