Answer:(D) an 80 year old who rang to complain of pain,6/10.
Reason:
5. The nurse is working the night shift and has 12 assigned clients. Which client is...
The nurse provides care for four assigned clients. Using knowledge of pathophysiology, which client will the nurse decide to assess first? A. The client admitted with a broke hip who is in traction and reports pain. B. The client who is diagnosed with a stroke and needs to be fed breakfast. C. The client who is quadriplegic and is due to be turned and repositioned. D. The client admitted with anaphylaxis who begins sudden forceful coughing. they want the right...
A nurse on the night shift is making client rounds. When the nurse checks on a client who is 90 years old and is being treated for heart failure with no improvement, he notes that the client is not breathing. If the dient does not have a DNR order, the nurse should A. administer CPR B. all the client's health care provider c. administer oxygen to the client and call the family to make a decision on CPR D. contact...
36. A nurse is assigned to four clients who have been diagnosed with gastric ulcers. Which one of these clients should the nurse conclude is most at risk to develop gastrointestinal (GI) bleeding? a. A 40-year-old client who is positive for Helicobacter pylori (H. pylori) b. A 45-year-old client who drinks 4 ounces of alcohol a day. c. 70-year-old client who takes aspirin Ecotrin 81 mg daily to prevent coronary artery disease d. 30-year-old pregnant client who uses of alcohol...
179. a nurse is receiving change-of-shift report on four clients, which of the following clients should the nurse plan to see first? A client who had a renal biopsy 3 hr. ago and has pink- tinged urine A client who had a laparoscopic appendectomy 8 hr. ago and is awaiting discharge A client who has a femur fracture and reports numbness of the toe A client who cirrhosis and severe pruritus
179. a nurse is receiving change-of-shift report on four clients, which of the following clients should the nurse plan to see first? A client who had a renal biopsy 3 hr. ago and has pink-tinged urine A client who had a laparoscopic appendectomy 8 hr. ago and is awaiting discharge A client who has a femur fracture and reports numbness of the toe A client who cirrhosis and severe pruritus
The nurse from a maternity unit has been assigned to the emergency department (ED) to assist with clients injured in an external disaster. It would be most appropriate to assign the maternity nurse to the 01. 10-year-old client who needs a dressing applied to a partial-thickness (second-degree) burn of the left anterior thorax 02 25-year-old client with a hemoglobin (Hgb) of 7.8 gdL (78 g/L) who is receiving a second unit of packed red blood cells (PRBCS) 03 30-year-old client...
The nurse is suggesting interventions for a client with chronic constipation. In which order should the nurse make these recommendations? Place then in order from 1strecommendation to last recommendation. Docusate. Enema. Increase fiber intake. Bisacodyl. Prune Juice. The nurse is assessing a 41-year-old client in an outpatient clinic. Which indication of a risk factor for bowel disease requires follow-up by the nurse? The client’s 62-year-old father was diagnosed with colorectal cancer 4 years ago. The client’s cousin has inflammatory bowel...
43. Which client warrants immediate intervention from the nurse on the medical unit? a. The client diagnosed with dyspepsia who has eructation and bloating b. The client diagnosed with pancreatitis who has steatorrhea and pyrexia c. The client with diverticulitis who has left lower quadrant paint and fever d. The client with crohn's disease who has right lower abdominal pain and diarrhea 44. You must rearrange the room assignment for several clients. Which two clients would be best to put...
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...
A nurse is caring for a client following a thyroidectomy. For which of the following complications should the nurse assess the client? Hypokalemia Muscular depression Laryngeal Stridor Hyperglycemia A nurse is teaching a client who is to start a new prescription for carbidopa-levodopa. Which of the following instructions should the nurse include? “Take with a protein snack.” “Report dark-colored urine.” “Monitor for hyperglycemia.” “Change positions slowly.” A nurse is caring for a school-age child who is postoperative and received morphine...