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A child with extensive burns requires debridement. The nurse should anticipate that a priority goal related...
1. A nurse is caring for a client who is intubated and receiving mechanical ventilation. Which...
1. A nurse is caring for a client who is intubated and receiving mechanical ventilation. Which of the following findings should indicate to the nurse that the client's airway requires suctioning? a. Pulse ox saturation of 94% b. Rhonchi noted upon auscultation c. decreased peak airway inspiratory pressure d. low pressure alarm sounding on the ventilator 2. The nurse is teaching a client about PICC line. Which of the following statements by the nurse is correct? a. The procedure will...
385. Which of the following is a priority nursing goal in the plan of care for...
385. Which of the following is a priority nursing goal in the plan of care for a client with paralysis from a cerebrovascular accident (CVA? 1. Maintain adduction of the affected shoulder 2. Prevent flexion of the affected extremities 3. Observe active range of motion (ROM) daily to all extremities 4. Maintain external rotation of the affected hip. 386. Which of the following statements, if made by the parents of a nine year old client with anostomy, would indicate to...
Increased appetite G. Palpitation 38. Which individual is a greatest is for developing typertensie A.45 year-old...
Increased appetite G. Palpitation 38. Which individual is a greatest is for developing typertensie A.45 year-old African American storey 3.60-year-old Asian American shop owner C. 40-year-old Caucasian nurse D.55-year-old Hispanie techer 39. Which complication of cardias catheterization should the nurse monitor for in the initial 24 hours ater the procedure? A. Angina al rest B. Thrombus formation C Dizziness D. Falling blood pressure 40.A client is admitted to the emergency room with renal calculi and is complaining of moderate to...
255. The nurse is teaching the client to select foods rich in potassium to help prevent...
255. The nurse is teaching the client to select foods rich in potassium to help prevent digitalis toxicity. Which choice indicates the client understands dietary needs? A Three apricots B Medium banana C. Navel orange D. Baked potato 256. When administering enteral feeding to a client via a jejunostomy tube, the nurse should administer the formula Every four to six hours B. Continuously In a bolus D. Every hour 257. In providing care for a client with pain from a...
255. The nurse is teaching the client to select foods rich in potassium to help prevent...
255. The nurse is teaching the client to select foods rich in potassium to help prevent digitalis toxicity. Which choice indicates the client understands dietary needs? Three apricots B. Medium banana c. Navel orange D. Baked potato 256.When administering enteral feeding to a client via a jejunostomy tube, the nurse should administer the formula A. Every four to six hours .B. Continuously C. In a bolus D. Every hour 257. In providing care for a client with pain from a...
12. A patient with ulcerative colitis is scheduled for an ileostomy. The patient asks the nurse...
12. A patient with ulcerative colitis is scheduled for an ileostomy. The patient asks the nurse what to expect related to bowel function after surgery. What is the best response by the nurse? a. “You will be able to have some control over your bowel movements. b. "The stoma will require that you wear a collection device all the time. c. "After the stoma heals, you can irrigate your bowel so you will not have to wear a bag." d....
A nurse is caring for a dlient who has Cushing's oisease. The nurse should monitor for which of the following? oWe...
A nurse is caring for a dlient who has Cushing's oisease. The nurse should monitor for which of the following? oWeight loss o Hyponatremia O Hypercaicemia O Myperglycemia A nurse is observing a dient who has left-sicee weakness and is using a quad cane to ambuiate. Which of the folilowing should indicate to the nurse the need for further teaching? (Select all that apply.) OThe cane measures to the level of the left hip. OThe cane is held on the...
490. The mother of a child with chickenpox asks the physician’s office nurse why her child...
490. The mother of a child with chickenpox asks the physician’s office nurse why her child will not come down with chickenpox again if exposed to the virus at school at a later date. The nurse’s responses should be based on the information that A. Natural passive immunity occurs because the child receives antibodies from outside the body. B. Artificial active immunity occurs because the child receives specific antigens against the chicken pox virus C. Natural active immunity occurs because...
The nurse is counseling a client with a poor appetite and weight loss. Which priority intervention...
The nurse is counseling a client with a poor appetite and weight loss. Which priority intervention should the nurse recommend? Eat your favorite foods to get additional calories, no matter what they are. Consume high protein, high-calorie replacement drinks between meals. Take a daily vitamin. Eat 6 small meals each day. A client is prescribed a diet that can be advanced as tolerated. How does the nurse recognize that the client is ready to be started on regular food? Select...
19.A child with appendicitis is schedule for surgery this evening. The nurse enters the room and...
19.A child with appendicitis is schedule for surgery this evening. The nurse enters the room and sees the child's mother starting to place hot, wet washcloths on her daughter's abdomen so that "she will feel better."The nurse explains that this action is contraindicated because heat a. Can cause the appendix to rupture and cause peritonitis b. Can mask symptoms of acute appendicitis c. Will increase peristalsis throughout the abdomen d. Will arrest progression of the disease 20. A client is...
385. Which of the following is a priority nursing goal in the plan of care for a client with paralysis from a cerebrovascular accident (CVA? 1. Maintain adduction of the affected shoulder 2. Prevent flexion of the affected extremities 3. Observe active range of motion (ROM) daily to all extremities 4. Maintain external rotation of the affected hip. 386. Which of the following statements, if made by the parents of a nine year old client with anostomy, would indicate to...
Increased appetite G. Palpitation 38. Which individual is a greatest is for developing typertensie A.45 year-old African American storey 3.60-year-old Asian American shop owner C. 40-year-old Caucasian nurse D.55-year-old Hispanie techer 39. Which complication of cardias catheterization should the nurse monitor for in the initial 24 hours ater the procedure? A. Angina al rest B. Thrombus formation C Dizziness D. Falling blood pressure 40.A client is admitted to the emergency room with renal calculi and is complaining of moderate to...
255. The nurse is teaching the client to select foods rich in potassium to help prevent digitalis toxicity. Which choice indicates the client understands dietary needs? A Three apricots B Medium banana C. Navel orange D. Baked potato 256. When administering enteral feeding to a client via a jejunostomy tube, the nurse should administer the formula Every four to six hours B. Continuously In a bolus D. Every hour 257. In providing care for a client with pain from a...
255. The nurse is teaching the client to select foods rich in potassium to help prevent digitalis toxicity. Which choice indicates the client understands dietary needs? Three apricots B. Medium banana c. Navel orange D. Baked potato 256.When administering enteral feeding to a client via a jejunostomy tube, the nurse should administer the formula A. Every four to six hours .B. Continuously C. In a bolus D. Every hour 257. In providing care for a client with pain from a...
12. A patient with ulcerative colitis is scheduled for an ileostomy. The patient asks the nurse what to expect related to bowel function after surgery. What is the best response by the nurse? a. “You will be able to have some control over your bowel movements. b. "The stoma will require that you wear a collection device all the time. c. "After the stoma heals, you can irrigate your bowel so you will not have to wear a bag." d....
A nurse is caring for a dlient who has Cushing's oisease. The nurse should monitor for which of the following? oWeight loss o Hyponatremia O Hypercaicemia O Myperglycemia A nurse is observing a dient who has left-sicee weakness and is using a quad cane to ambuiate. Which of the folilowing should indicate to the nurse the need for further teaching? (Select all that apply.) OThe cane measures to the level of the left hip. OThe cane is held on the...
19.A child with appendicitis is schedule for surgery this evening. The nurse enters the room and sees the child's mother starting to place hot, wet washcloths on her daughter's abdomen so that "she will feel better."The nurse explains that this action is contraindicated because heat a. Can cause the appendix to rupture and cause peritonitis b. Can mask symptoms of acute appendicitis c. Will increase peristalsis throughout the abdomen d. Will arrest progression of the disease 20. A client is...
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