Homework Answers
Ans) Administer oxygen
Explaination:
- If the SpO2 level is below 94%, the nurse should assume the patient is hypoxic until proven otherwise, and therefore they may require supplemental oxygen administration.
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134. a nurse is caring for a client who has pneumonia and a pulse exameter reading...
A nurse is caring for a client who is experiencing hypovolemic shock due to postpartum hemorrhage....
A nurse is caring for a client who is experiencing hypovolemic shock due to postpartum hemorrhage. After notifying the provider. which of the following actions should the nurse take next? Massage the client's fundus Insert an indwelling urinary catheter. Elevate the client's right hip on a pillow Administer oxygen via nonrebreather face mask at 10 L/min.
A nurse assesses a client who is experiencing an acid-base imbalance. The client's arterial blood gas...
A nurse assesses a client who is experiencing an acid-base imbalance. The client's arterial blood gas values are pH 7.33, PaO2 88 mm Hg. PaCO2 38 mm Hg, and HCO3- 19 mEq/L. Which assessment should the nurse perform first? A. Cardiac rate and rhythm B. Skin and mucous membranes C. Musculoskeletal strength D. Level of orientation A nurse assesses a client who is admitted with an acid-base imbalance. The client's arterial blood gas values are pH 7.32, PaO2 85 mm...
0 A nurse is caring for a client who is scheduled for surgery. While witnessing the...
0 A nurse is caring for a client who is scheduled for surgery. While witnessing the client's signature, the client states, "I trust my doctor, but I don't understand what he meant when he said he'l resect my intestines." Which of the following actions should the nurse take? O Provide brochures about the procedure O Complete an incident report. O Describe the surgery to the client. O Notify the provider
A nurse is caring for a client who is in active labor and is receiving oxytocin...
A nurse is caring for a client who is in active labor and is receiving oxytocin via IV Infusion. The nurse has applied an internal fetal heart monitor and recognizes an early deceleration of the fetal heart rate tracing. Which of the following actions should the nurse take? • • • • • • • • • . . . . . . . . . . . . . O Discontinue the oxytocin. Assist the client to lay on...
Question 17 (1 point) The nurse is caring for a client who has a history of...
Question 17 (1 point) The nurse is caring for a client who has a history of atrial fibrillation (AF) and whose condition has recent worsened. The client is awaiting cardioversion. In addition to cardiac monitoring, what assessment should the nurse prioritize? 1) Carefully monitor the client's fluid balance 2) Review the client's electrolyte levels when available 3) Monitor the client for signs of pulmonary embolism 4) Monitor the client for signs of myocardial infarction
A nurse is caring for a client who has diarrhea and is receiving intermittent enteral feedings....
A nurse is caring for a client who has diarrhea and is receiving intermittent enteral feedings. Which of the following actions should the nurse take? Discard the open can of formula after 36 hr. Administer feeding at a slower rate. Flush the tube with 10 mL of water after feedings. Provide chilled formula. A nurse is caring for a client who is postoperative and has a new prescription for hydromorphone. Which of the following actions should the nurse take? Withhold...
A nurse is caring for a client who has active pulmonary tuberculosis (TB) and is to be started on intravenous Rifam...
A nurse is caring for a client who has active pulmonary tuberculosis (TB) and is to be started on intravenous Rifampin therapy. The nurse should instruct the client that this medication can cause which of the following adverse effects? 22 A) Constipation Black colored stools в) Staining of teeth C) D) Body secretions turning a red-orange color A nurse is caring for a client who has tuberculosis and new prescriptions for Pyrazinamide. Which of the following laboratory tests should the...
Q37. The nurse performs an assessment on a client diagnosed with emphysema. Which of the following...
Q37. The nurse performs an assessment on a client diagnosed with emphysema. Which of the following would be found on examination? A. Trachea is deviated B. Hyperresonance to percussion C. Abundant mucus production D. An overweight client Q38. A client is diagnosed with pneumonia. Chest X-ray shows consolidation of the right lower lobe. ABG on this client would show: A. Metabolic acidosis B. Respiratory alkalosis C. Respiratory acidosis D. Metabolic alkalosis 039. The nurse is preparing a plan of care...
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...
A nurse is caring for a client who is prescribed a special diet. The client to...
A nurse is caring for a client who is prescribed a special diet. The client to adhere to the diet at home. The nurse should notify which of the following members of the health care team? is concerned that he does not have the resources to purchase the food he needs o O O O Social worker Occupational therapist Registered dietician Primary care provider
A nurse is caring for a client who is experiencing hypovolemic shock due to postpartum hemorrhage. After notifying the provider. which of the following actions should the nurse take next? Massage the client's fundus Insert an indwelling urinary catheter. Elevate the client's right hip on a pillow Administer oxygen via nonrebreather face mask at 10 L/min.
A nurse assesses a client who is experiencing an acid-base imbalance. The client's arterial blood gas values are pH 7.33, PaO2 88 mm Hg. PaCO2 38 mm Hg, and HCO3- 19 mEq/L. Which assessment should the nurse perform first? A. Cardiac rate and rhythm B. Skin and mucous membranes C. Musculoskeletal strength D. Level of orientation A nurse assesses a client who is admitted with an acid-base imbalance. The client's arterial blood gas values are pH 7.32, PaO2 85 mm...
0 A nurse is caring for a client who is scheduled for surgery. While witnessing the client's signature, the client states, "I trust my doctor, but I don't understand what he meant when he said he'l resect my intestines." Which of the following actions should the nurse take? O Provide brochures about the procedure O Complete an incident report. O Describe the surgery to the client. O Notify the provider
A nurse is caring for a client who is in active labor and is receiving oxytocin via IV Infusion. The nurse has applied an internal fetal heart monitor and recognizes an early deceleration of the fetal heart rate tracing. Which of the following actions should the nurse take? • • • • • • • • • . . . . . . . . . . . . . O Discontinue the oxytocin. Assist the client to lay on...
Question 17 (1 point) The nurse is caring for a client who has a history of atrial fibrillation (AF) and whose condition has recent worsened. The client is awaiting cardioversion. In addition to cardiac monitoring, what assessment should the nurse prioritize? 1) Carefully monitor the client's fluid balance 2) Review the client's electrolyte levels when available 3) Monitor the client for signs of pulmonary embolism 4) Monitor the client for signs of myocardial infarction
A nurse is caring for a client who has active pulmonary tuberculosis (TB) and is to be started on intravenous Rifampin therapy. The nurse should instruct the client that this medication can cause which of the following adverse effects? 22 A) Constipation Black colored stools в) Staining of teeth C) D) Body secretions turning a red-orange color A nurse is caring for a client who has tuberculosis and new prescriptions for Pyrazinamide. Which of the following laboratory tests should the...
Q37. The nurse performs an assessment on a client diagnosed with emphysema. Which of the following would be found on examination? A. Trachea is deviated B. Hyperresonance to percussion C. Abundant mucus production D. An overweight client Q38. A client is diagnosed with pneumonia. Chest X-ray shows consolidation of the right lower lobe. ABG on this client would show: A. Metabolic acidosis B. Respiratory alkalosis C. Respiratory acidosis D. Metabolic alkalosis 039. The nurse is preparing a plan of care...
A nurse is caring for a client who is prescribed a special diet. The client to adhere to the diet at home. The nurse should notify which of the following members of the health care team? is concerned that he does not have the resources to purchase the food he needs o O O O Social worker Occupational therapist Registered dietician Primary care provider
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