Question

One hour later, the nurse notes the following: • 97.7-92-24 96/66 . Unine output 10 mlClient drowsy but arousable • IV infusing ac 125 ml/hr The nurse will do which of these first? 1. Medicate the client for pain. 2. Inspect the client's dressing. 3. Cover the client which another blanket. 4. Decrease the IV flow race to 100 ml/hr. The nurse establishes a postoperative nursing diagnosis of Risk for alteration in cardiac output for the diene who had back surgery 3 hours ago. Appropriate nursing interventions for chis diagnosis would include which of the following? 1. Medicate which morphine orally for pain every 3 to 4 hours 2. Cool his body slightly which a specially designed mac 3. Allow him to rese quietly while the anesthetic wears off 4. Assist with turning, coughing, and deep breaching techniques . Housekeeper accidentally bumped into a newborns bassinets, the newborn jumps and pulls his extremities into the trunk the LPN or LVN recognizes that the newborn is demonstrating which of the following reflexes? 0 Tonic neck Moro's O Babinski's rooting A Client is treated for an infection involving the left eye, the prescribed medication includes eyedrops and antibiotic. when applying the antibiotic it is most important for the LPN/ LVN to take which action? o administer the medication precisely at the ordered time o use a new medication container each time it does is administered 0 Avoid touching The eye with the tip of the tube O Apply a generous amount to the inner can thus While a client is meeting with an LPN/ LVN, a second client with antisocial personality disorder walks into the room and sits down, which response by the LVN/LPN is best. 0 The client and I are talking. if you would like to sit with us you will have to remain quiet O how do you feel about another clients joining us 0 do you have something you'd like to discuss? 0 I'm meeting with this client now I need you to leave the room The LPN/L.VN cares for a client diagnosed with tuberculosis (TB). The LPNLVN recognizes that which are the signs and symptoms of TB. select all that apply O night sweats O weight gain

Answer 1

1.A.give medication to relief pain is the first priority.

2.A.cardiac out put can be varied due to intensity of pain and discomfort.

3.B.Moro reflex

4.A.medication should be given according to the ordered time.

5.C.she should check that whether he wants to discuss something with them.