A nurse is caring for a client - A nurse is caring for four clients. After administering morning medications, she realizes that the nifedipine prescribed for one client was inadvertently administered to another client. Which of the following actions should the nurse take first? A. Notify the client's provider B. Check the patients vitals C. Assess another patient

 
A non-tunneled percutaneous central catheter. - ideal for emergency situations where short-term (less than 6 weeks) central venous access is required for multiple therapies. A nurse is caring for a client who has a central venous catheter. When flushing the catheter, the nurse should use a 10-mL syringe to prevent which of the following .... Realcacagirl real name

Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a client with trigeminal neuralgia (tic douloureux). The care plan for this client reflects the client's problem eating due to jaw pain. To assist the client in meeting the adequate nutritional needs, what should the nurse suggest? A) Take small meals of nutrient and …A nurse is caring for a client. Questions and Solutions (A number of Decisions) 1. A nurse is caring for a client who has sustained burns over 37% of …Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who is at 32 weeks of gestation and is experiencing preterm labor. Which of the following medications should the nurse plan to administer? A. Betamethasone B. Misoprostol C. Methylergonovine D. Poractant alfa, A nurse is caring for a client who …A nurse is caring for a client who has acute kidney injury that clients a BG is our pH 7.2 6PAC02 30 mill hurts see 03 14 MEQ which of the following acid in valances to the nurse identify the client as experiencing? Metabolic acidosis. Metabolic acidosis. PH below 7.35 paco2 below 35Provide a cool environment for the client. Instruct the client to consume a high-fat diet.-> Instruct the client about thyroid replacement therapy.-> Encourage the client to consume fluids and high-fiber foods in the diet. Inform the client that iodine preparations will be prescribed to treat the disorder.-> Instruct the client to contact the health care provider if …1.Keep suction equipment at the bedside. 2.Elevate the head of the bed 30 degrees. 3. Keep the client lying in a supine position. 4.Keep the head and neck in good alignment. 5.Administer prescribed respiratory treatments as needed. Rationale: The nurse maintains a patent airway for the client with difficulty breathing by keeping the head and ... Study with Quizlet and memorize flashcards containing terms like a nurse is preparing to administer a drug to a client. In which of the following sections of a drug handbook should the nurse look to determine if the drug has more than one use?, A nurse is reviewing a drug handbook prior to administering a drug to a client who has kidney disease. The …Get a Nurse. Receive Skilled Nursing Care. That is it! Our client services team will send you our best recommendations and you always have the final say ...Study with Quizlet and memorize flashcards containing terms like Prior to allowing a client to eat, which action is most important for the nurse to take?, A nurse is caring who has been prescribed a clear liquid diet. Which liquid can be included in the client's diet?, The client with dysphagia has a regular meal tray delivered at breakfast. Which is the best action for the nurse to take? and ...the development of the nursing care plan. The RN takes responsibility and ... When does a Nurse's Duty to a Patient Begin and End. Note: For the complete list ...According to “A Dictionary of Nursing” cited on Encyclopedia.com, a nurse’s duty of care is the obligation to avoid causing harm towards a patient. If a nurse falls short of expected obligations, she may be charged with negligence.Study with Quizlet and memorize flashcards containing terms like A nurse in an emergency department is caring for a client who has anaphylaxis following a bee sting. Which of the following actions should the nurse take first?, A nurse in the emergency department is assessing a client who has internal injuries from a car crash. The client is disoriented to …Study with Quizlet and memorize flashcards containing terms like A nurse has just received report on four (4) clients. How can the nurse use the prioritization principle ""Acute over Chronic"" to help decide which client to assess first? Provide an example, A nurse is caring for a client who has experienced a mild traumatic brain injury. Describe the manifestations of increased intracranial ...Sanction. Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who has an image of another client on her cell phone. The client states, "We have become friends while being in the hospital." What should be the nurses response?, A nurse is caring for a client who asks, "Can you take a picture of my cast ...A nurse is caring for a client in the manic phase of bipolar disorder. Identify three (3) clinical manifestations associated with this phase of the bipolar disorder. Bipolar - Manic Phase: Labile mood with euphoria. Agitation and irritability. Restlessness. Dislike of interference and intolerance of criticism. Increase in talking and activity.The nurse on the coronary unit is caring for a client with known coronary artery disease who is being treated with cholestyramine and hydrochlorothiazide. What action should the nurse take? a.Call the physician and ask for confirmation of the prescription b.Make sure that the drugs are given at least 2 hours apart c.Give the client an antacid ...A nurse is caring for a client who has a partial laryngectomy and is receiving continuous internal feeding at 65 ml/hr through a gastrostomy tube. which of the following findings requires immediate intervention by the nurse? A. The gastric residual volume is 250 mL following two hours of infusion. B. The client is lying in a supine position. C.A nurse is caring for four clients. After administering morning medications, she realizes that the nifedipine prescribed for one client was inadvertently administered to another client. Which of the following actions should the nurse take first? A. Notify the client's provider B. Check the patients vitals C. Assess another patient Decreased total body fluid. A nurse is caring for a client who has an acid-base imbalance and is experiencing hypoxia. Which of the following actions should the nurse take first? Elevate the head of the client's bed. A nurse is preparing to administer 1,950 mL of 0.45% sodium chloride IV to infuse over 13 hr.When a client does not wish to share his feelings with the nurse, it is important for the nurse to convey a willingness to be available for the client. a nurse is caring for a client who is postop and is exhibiting signs of hemorrhagic shock. the nurse notifies the surgeon, who tells the nurse to continue to measure the client's vital signs ...Oct 22, 2023 · The nurse should explain to the client that the stat ultrasound the provider prescribed will determine 1. fetal lung maturity 2. location of the placenta 3. fetal viability 4. biparietal diameter, A nurse is caring for a client in the prenatal clinic with a possible ectopic pregnancy at 8 weeks of gestation. Study with Quizlet and memorize flashcards containing terms like The nurse is providing care for a client whose current medication regimen includes tacrolimus and cyclosporine. The client's health history most likely includes which of the following? Renal transplant Multiple sclerosis Psoriasis Rheumatoid arthritis, A client is at an acute risk for organ …Study with Quizlet and memorize flashcards containing terms like Prior to allowing a client to eat, which action is most important for the nurse to take?, A nurse is caring who has been prescribed a clear liquid diet. Which liquid can be included in the client's diet?, The client with dysphagia has a regular meal tray delivered at breakfast. Which is the best action for the nurse to take? and ... ATI Module:Intro to Pharmacology. A nurse is caring for a client who was prescribed an antidepressant based on its ability to prevent the reuptake of neurotransmitters. The nurse should identify that which of the following terms describes why this drug was prescribed for the client? The nurse should identify that the mechanism of action of a ...The client exhibits signs of autonomic hyperreflexia. What does the nurse recall is the most common cause of this response? 1. hemodynamic changes related to tilt table positioning 2. deteriorating myelin sheath 3. distended large intestine 4. crushed spinal cord, The nurse is caring for a client with a spinal cord injury who has paraplegia. Rationale: The first action the nurse should take when using the ABC's approach to client care is to turn the client's head to the side. This action keeps the client's airway clear of secretion to prevent aspiration. A nurse is caring for a client who has had a hemorrhagic stroke following a ruptured cerebral aneurysm.Registered nurses play a crucial role in the healthcare industry, providing essential care and support to patients in various settings. Hospitals are often the first image that comes to mind when thinking about registered nurse positions.Study with Quizlet and memorize flashcards containing terms like The nurse caring for mechanically ventilated clients knows that older adults are at higher risk for weaning failure. What age-related changes contribute to this? (Select all that apply.), A nurse is caring for a client who is on mechanical ventilation. What actions will promote comfort in this client? (Select all that apply ...A. Insert an indwelling urinary catheter. B. Inspect the mouth for signs of inhalation injuries. C. Administer IV pain medications. D. Draw blood for a complete blood cell (CBC) count. B. A nurse is caring for a client who experience a femur fracture 8 hours ago and now reports sudden onset dyspnea and severe chest pain.Study with Quizlet and memorize flashcards containing terms like A client who is 21 weeks pregnant is scheduled for an amniocentesis today. The client informs the nurse that her bladder feels full. which is the nurse's best response?, 3. RhoGAM, The biophysical profile (BPP) is an ultrasound assessment of fetal status along with a non-stress test (NST). A score of 2/10 will prompt to nurse to ...The antibiotic interferes with the client's ability to absorb nutrients. C.) The antibiotic eliminates the healthy gastrointestinal bacteria, allowing harmful bacteria to grow. D.) The antibiotic decreases a client's immunity level, resulting gin diarrhea., A nurse is caring for an older adult who is experiencing urinary leakage.Set realistic limits on the client's behavior. A nurse is caring for a client who has a history of substance use disorder and was involuntarily admitted to a mental health facility. When the nurse attempts to administer oral lorazepam, the client refuses to take the medication and becomes physically aggressive. The nurse is caring for a client diagnosed with osteitis deformans (Paget's disease). Which does the nurse identify as the cause of the client's stooped posture and bowing of lower extremities? 1 Muscle metabolism and growth 2 Bone resorption and regeneration 3 Nervous system impulse transmission 4 Joint integrity and synovial fluid productionStudy with Quizlet and memorize flashcards containing terms like A nurse is caring for a client at home who is receiving parenteral nutrition. The nurse notes that the client has gained 6 pounds since last weeks visit. Which of the following assessments will the nurse prioritize as a result of this finding? A. ask about increased thirst B. Auscultate lungs and check for crackles C. Check ...Sharp V with contraction. A nurse in a rehab center is caring for a client who has just had a CVA. Based on a review of the client's medical record, which of the following findings should be immediately reported to the provider? Temperature 37.6 degreesC (99.8 degreesF) Study Nurse Logic Advanced 4 flashcards.Study with Quizlet and memorize flashcards containing terms like A nurse is assessing the anterior chest of a client. Which of the following findings should the nurse report to the provider? A. The point of maximal impulse (PMI) located at the fifth intercostal space B. Symmetrical chest movements during inhalation and expiration C. Absent visible pulsations in the area of the point of maximal ...The nurse caring for a client who has had a subtotal thyroidectomy reviews the plan of care and determines which problem is the priority for this client in the immediate postoperative period? Bleeding. A comatose client with an admitting diagnosis of diabetic ketoacidosis (DKA) has a blood glucose value of 368 mg/dL, arterial pH of 7, arterial ...10 A nurse is caring for a client who has hypothyroidism. Which of the following manifestations should the nurse expect? constipation 11 A nurse is caring for a client …The nurse on a telemetry unit is caring for a 54-year-old male client, admitted with chest pain, who has an arteriovenous (AV) fistula in the left arm for hemodialysis secondary to chronic kidney disease. For each intervention, click to specify if the intervention is indicated or contraindicated for this client.a) at the client's left lower leg b) at the end of the client's bed c) on the client's left side d) on the client's right side and more. Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a client with an indwelling urinary catheter. Study with Quizlet and memorize flashcards containing terms like Prior to allowing a client to eat, which action is most important for the nurse to take?, A nurse is caring who has been prescribed a clear liquid diet. Which liquid can be included in the client's diet?, The client with dysphagia has a regular meal tray delivered at breakfast. Which is the best action for the nurse to take? and ... A nurse is caring for a client who has a partial laryngectomy and is receiving continuous internal feeding at 65 ml/hr through a gastrostomy tube. which of the following findings requires immediate intervention by the nurse? A. The gastric residual volume is 250 mL following two hours of infusion. B. The client is lying in a supine position. C.Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who recently started alteplase therapy. The nurse should monitor the client for which of the following adverse effects? a. bronchodilation b. headache c. edema d. hypertension, A nurse in an emergency department is assessing a client who has been taking warfarin and is experiencing rectal bleeding ...The nurse caring for a client who has a pneumothorax notes continuous bubbling in the water seal chamber of the client's closed-chest drainage system. How should the nurse interpret this finding? 1.The drainage chamber is full.Oct 21, 2023 · Study with Quizlet and memorize flashcards containing terms like A nurse in an emergency department is caring for a client who has anaphylaxis following a bee sting. Which of the following actions should the nurse take first?, A nurse in the emergency department is assessing a client who has internal injuries from a car crash. The client is disoriented to time and place, diaphoretic, and his ... Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who has early stage Alzheimer's disease and a new prescription for donepezil. The nurse should include which of the following statements when teaching the client about the medication? A. You should avoid taking over the counter acetaminophen while on donepezil. B. You should take this medication ...A nurse is caring for a client who has a partial laryngectomy and is receiving continuous internal feeding at 65 ml/hr through a gastrostomy tube. which of the following findings requires immediate intervention by the nurse? A. The gastric residual volume is 250 mL following two hours of infusion. B. The client is lying in a supine position. C.ATI Module:Intro to Pharmacology. A nurse is caring for a client who was prescribed an antidepressant based on its ability to prevent the reuptake of neurotransmitters. The nurse should identify that which of the following terms describes why this drug was prescribed for the client? The nurse should identify that the mechanism of action of a ...a nurse isa caring for a client who has a central venous catheter and develops acute shortness of breath. which of the following actions should the nurse take first? asthma. a nurse is caring for a client who has hypertension and asks the nurse about a prescription for propranolol. the nurse should inform the client that this medication is ...A nurse is caring for a client who is experiencing cycloplegia following the administration of atropine eye drops during an eye examination. Which of the following findings should the nurse expect as a result of cycloplegia? a. Blurred Vision Assessment findings of cycloplegia include blurred vision because focusing for near vision is impaired.A nurse is caring for a client who is 28 weeks gestation, and is experiencing pre-term labor. Which medication should the nurse administer? A. Nifedipine- tocolytic. Amphotericin B is an antifungal medication used to treat fungal infections, however, it …The nurse is caring for a client with manifestations of dilated cardiomyopathy. When planning care, which consideration would the nurse make? 1- Place bed in a high or semi-high Fowler's position as needed. 2- Assist client to bathroom every 2 hours. 3- Instruct client to avoid strenuous activity. 4- Assess abdominal girth daily.Which of the following actions should the nurse take? A. Wear an N95 respirator when caring for the client. B. Place the client in a private room. C. Place a mask on the client when they leave their room. D. Place the client in a negative airflow room., A nurse is performing hand hygiene after caring for a client who has Clostridium difficile.Instructing the client to tilt head forward when swallowing. A nurse is caring for a child who is on a clear liquid diet. At lunch, the child consumed 1/2 cup of juice, 3 oz gelatin, 1 oz of an ice pop, and 20 mL ginger ale. How many mL should the nurse record as the child's fluid intake? Study with Quizlet and memorize flashcards containing terms like The nurse caring for mechanically ventilated clients knows that older adults are at higher risk for weaning failure. What age-related changes contribute to this? (Select all that apply.), A nurse is caring for a client who is on mechanical ventilation. What actions will promote comfort in this client? (Select all that apply ...Verbal explanation, 2. Which health concern(s) should the nurse be aware of as risk factors when caring for clients of African American descent? Select all that apply. 1. Cancer 2. Obesity 3. Hypertension 4. Heart disease 5. Hypothyroidism 6. Diabetes mellitus, 3. The nurse is planning care for a client of Native Hawaiian descent who recently ...A. uterine cancer. B. cervical cancer. C. ovarian cysts. D.fibroids. B. Cervical cancer. the nurse should inform the client that a pap test is used to screen for cervical cancer. A nurse is planning on education program for a group of high school teachers who will be taking students on a hike. Which of the following information should the nurse ...Webmail services such as Outlook and Gmail let you stay connected with the people you care about. They make it easy to communicate with clients and coworkers. Many email providers offer their services for free. Here’s what to do when using ...Decreased total body fluid. A nurse is caring for a client who has an acid-base imbalance and is experiencing hypoxia. Which of the following actions should the nurse take first? Elevate the head of the client's bed. A nurse is preparing to administer 1,950 mL of 0.45% sodium chloride IV to infuse over 13 hr.Rationale: The first action the nurse should take when using the ABC's approach to client care is to turn the client's head to the side. This action keeps the client's airway clear of secretion to prevent aspiration. A nurse is caring for a client who has had a hemorrhagic stroke following a ruptured cerebral aneurysm.The nurse is caring for a client with a health care associated infection caused by methicillin-resistant Staphylococcus aureus. Contact precautions are prescribed for the client. The nurse prepares to irrigate the wound and apply a new dressing. Which protective interventions should the nurse use to perform this procedure? Select all that …ATI Wound Care Posttest. 5.0 (2 reviews) A nurse is documenting data about a deep necrotic wound on a client's left buttock. The nurse observes a yellowish-tan, soft, stringy area of necrotic tissue formed in clumps and adhering firmly to the wound bed. Which of the following assessment findings should the nurse document? Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client prescribed IV morphine via PCA with a demand of 1 mg every 15 min and a 4mg/hr lockout/ The client reports unbearable pain after attempting six demand doses within the last hour. After assessing the clients pain, which of the following actions should the nurse take?, A nurse is preparing to assess ...Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who is scheduled for a thoracentesis. Prior to the procedure, which of the following actions should the nurse take? A. Position the client in an upright position, leaning over the bedside table. B. Explain the procedure to the client. C. Obtain ABGs from the client. D. Administer benzocaine spray to ... The nurse is assigned to care for four clients on the medical-surgical unit. Which client should the nurse see first on the shift assessment? A client admitted with pneumonia with a fever of 100° F (37.8°C) and some diaphoresis A client with congestive heart failure with clear lung sounds on the previous shift A client with new-onset of shortness of breath (SOB) and a history of pulmonary ...- The client's elbows are bent 45° when holding the crutches. - The client places their weight on their axilla when using the crutches. - The client has the crutches resting 5 cm (2 in) below their axilla., A nurse is caring for a client who had a stroke and reports having difficulty with proprioception.Provide a cool environment for the client. Instruct the client to consume a high-fat diet.-> Instruct the client about thyroid replacement therapy.-> Encourage the client to consume fluids and high-fiber foods in the diet. Inform the client that iodine preparations will be prescribed to treat the disorder.-> Instruct the client to contact the health care provider if …Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who sustained trauma to their head and neck and will require long-term airway support. Which of the following pieces of equipment will be required for home health care for this client?, A nurse is caring for a client who has a tracheostomy tube in place.Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who is experiencing a panic attack. Which intervention is most appropriate? 1. Tell the client that there's no need to panic. 2. Speak in short, simple sentences. 3. Explain that there's no need to worry. 4. Give the client a detailed explanation of his panic reaction., A nurse is caring for a ... 1.Keep suction equipment at the bedside. 2.Elevate the head of the bed 30 degrees. 3. Keep the client lying in a supine position. 4.Keep the head and neck in good alignment. 5.Administer prescribed respiratory treatments as needed. Rationale: The nurse maintains a patent airway for the client with difficulty breathing by keeping the head and ... Rationale: The first action the nurse should take when using the ABC's approach to client care is to turn the client's head to the side. This action keeps the client's airway clear of secretion to prevent aspiration. A nurse is caring for a client who has had a hemorrhagic stroke following a ruptured cerebral aneurysm.Science Medicine ATI - The Pain/Inflammation Test A nurse is caring for a client who has a new prescription for celecoxib. The nurse should tell the client to report which of the …Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who is being admitted for an acute exacerbation of ulcerative colitis. Which of the following actions should the nurse take first? 1. Review the client's electrolyte values 2. Check the clients perianal skin integrity 3. Investigate the client's emotional concerns 4. Obtain a dietary history from ...Get a Nurse. Receive Skilled Nursing Care. That is it! Our client services team will send you our best recommendations and you always have the final say ...Study with Quizlet and memorize flashcards containing terms like A nurse is planning care for a client who practices Mormonism. What are spiritual rituals and observances a culturally competent nurse can be aware of?, A community health nurse is identifying barriers to health care in her client population. Identify six (6) barriers to health care in a …Caring is essential in the nursing profession because it helps with the healing process. It is a way for nurses to show empathy, compassion and emotional support towards their patients. Caring can be done in many different ways, including talking to an individual or supporting them physically. Being kind is a way people understand caring.Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a client with peripheral arterial disease (PAD). For which symptoms does the nurse assess? A. Reproducible leg pain with exercise B. Unilateral swelling of affected leg C. Decreased pain when legs are elevated D. Pulse oximetry reading of 90%, When administering …the development of the nursing care plan. The RN takes responsibility and ... When does a Nurse's Duty to a Patient Begin and End. Note: For the complete list ...Place the client in seclusion for safety. 4. Remain with the client to provide support. 5. Administer a prescribed antipsychotic medication. 6. Administer a prescribed intramuscular (IM) antiparkinsonian medication. 1,2,4,6. The nurse in the mental health clinic hears a client yelling and threatening to hurt his sister. Which statement by the nurse would be therapeutic?, Apraxia The nurse is caring for a client with long-term Alzheimer's disease (AD). Which are some of the behavioral manifestations the nurse should expect to observe? Select all that apply., "My husband always brings me flowers and apologizes after he hits me. A client is being seen at the ...F. Use the access site area for venipuncture., A nurse is planning postprocedure care for a client who received hemodialysis. Which of the following interventions should the nurse include in the plan of care? (Select all that apply.) A. Check BUN and serum creatinine. B. Administer medications the nurse withheld prior to dialysis. C. A nurse in a hospital is caring for a client who is at 38 weeks of gestation and has a large amount of painless, bright red vaginal bleeding. The client is placed on a fetal monitor indicating a regular fetal heart rate of 138/min and no uterine contractions.Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who has an NG tube set to lower intermittent suction. The nurse irrigate the NG tube twice with 30 mL of normal saline solution during his shift. At the end of the shift, the NG canister contains 475 mL. What amount of NG drainage should the nurse record?, A …Study with Quizlet and memorize flashcards containing terms like A nurse has just received report on four (4) clients. How can the nurse use the prioritization principle ""Acute over Chronic"" to help decide which client to assess first? Provide an example, A nurse is caring for a client who has experienced a mild traumatic brain injury. Describe the manifestations of increased intracranial ...Study with Quizlet and memorize flashcards containing terms like The nurse caring for mechanically ventilated clients knows that older adults are at higher risk for weaning failure. What age-related changes contribute to this? (Select all that apply.), A nurse is caring for a client who is on mechanical ventilation. What actions will promote comfort in this client? (Select all that apply ...Study with Quizlet and memorize flashcards containing terms like 1 .The nurse caring for a client with terminal illness observes that the client is unresponsive and in the final detachment stage of dying. Basic human needs are a priority for the dying person. What is the highest priority for nursing care at this time? A) Emotional needs B) Physical needs …A nurse is caring for a client who is experiencing expressive aphasia and right hemiparesis following a stroke. Which of the following actions by the nurse best …A nurse is caring for a client with bronchogenic carcinoma. Which nursing diagnosis takes highest priority? You selected: Disturbed body image related to changes in body functions Incorrect Correct response: Ineffective airway clearance related to obstruction by a tumor or secretions Explanation: Maintaining a patent airway is the first concern in a client with a condition that may compromise ...Get a Nurse. Receive Skilled Nursing Care. That is it! Our client services team will send you our best recommendations and you always have the final say ...The client exhibits signs of autonomic hyperreflexia. What does the nurse recall is the most common cause of this response? 1. hemodynamic changes related to tilt table positioning 2. deteriorating myelin sheath 3. distended large intestine 4. crushed spinal cord, The nurse is caring for a client with a spinal cord injury who has paraplegia.

A nurse is caring for a client in the manic phase of bipolar disorder. Identify three (3) clinical manifestations associated with this phase of the bipolar disorder. Bipolar - Manic Phase: Labile mood with euphoria. Agitation and irritability. Restlessness. Dislike of interference and intolerance of criticism. Increase in talking and activity.. Bfine

a nurse is caring for a client

The nurse on a telemetry unit is caring for a 54-year-old male client, admitted with chest pain, who has an arteriovenous (AV) fistula in the left arm for hemodialysis secondary to chronic kidney disease. For each intervention, click to specify if the intervention is indicated or contraindicated for this client.As a registered nurse, you will be responsible for creating a plan of care based on each patient’s needs and health goals. A nursing care plan is a formal process that includes six components: assessment, diagnosis, expected outcomes, interventions, rationale, and evaluation. ( (Helen Ballantyne, “Developing nursing care plans,” Nursing ...Study with Quizlet and memorize flashcards containing terms like Heart failure is mostly caused by: a. Pneumonia b. Hypertension c. Cancer d. Tuberculosis, Identifying details of Supraventricular Tachycardia, A nurse is caring for a client who is prescribed isosorbide mononitrate (Imdur) for chronic stable angina and develops reflex tachycardia.A nurse is caring for a client who is receiving continuous bladder irrigation following a transurethral resection of the prostate. The client reports bladder spasms, and the nurse observes a decreased urinary output. Which of the following actions should the nurse take? a. Increase tension on the urinary catheter Avoid increasing tension on the ...The nurse is caring for a client with a fresh application of a plaster leg cast. The nurse should plan to prevent the development of compartment syndrome by which action? 1.Elevating the limb and applying ice to the affected leg 2.Elevating the limb and covering it with bath blankets 3.Keeping the leg horizontal and applying ice to the affected leg …The nurse participating in a client care conference with other health team members is discussing the condition of a client with adult respiratory distress syndrome (ARDS). The primary health care provider states that because of fluid in the alveoli, surfactant production is falling.Tell me what is making you feel so tense." d. "I will leave you alone for a d=few minutes while you try to control yourself." ANS: C (stay at safe distance and remain calm), 3. A nurse is caring for a client who has borderline personality disorder. The nurse enters the client's room and finds the client cutting into his flesh with a paper clip. Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who has been off the unit for physical therapy for the past hour notes that the infusion pump for the clients TPN is turned off. The client tells the nurse that the battery went dead while she was in physical therapy. Intermittent claudication. Study with Quizlet and memorize flashcards containing terms like A client has a history of myocardial infarction (MI) is prescribed aspirin 325 mg. The nurse recognizes that the aspirin given due to whcih of the following actions of the medication?, A nurse in a clinic is caring for a client who has a prescription for ...As a registered nurse, you will be responsible for creating a plan of care based on each patient’s needs and health goals. A nursing care plan is a formal process that includes six components: assessment, diagnosis, expected outcomes, interventions, rationale, and evaluation. ( (Helen Ballantyne, “Developing nursing care plans,” Nursing ...A nurse is caring for a client who was admitted with pneumonia, has a history of falls, and has skin lesions resulting from scratching. The priority nursing diagnosis for this client should be: a) Ineffective airway clearance. b) Risk for falls. c) Impaired tissue integrity. d) Ineffective breathing pattern.A nurse is caring for a client. Questions and Solutions (A number of Decisions) 1. A nurse is caring for a client who has sustained burns over 37% of complete physique floor space. The client's voice has change into hoarse, a brassy cough has developed, and the client is drooling.Using the ABC priority setting framework, maintaining a patent airway and ensuring adequate respiratory effort are the priority concerns of the nurse caring for a client who has been admitted in a vaso-occlusive crisis. Short-term oxygen therapy is used to prevent additional sickling and hypoxia.Using the ABC priority setting framework, maintaining a patent airway and ensuring adequate respiratory effort are the priority concerns of the nurse caring for a client who has been admitted in a vaso-occlusive crisis. Short-term oxygen therapy is used to prevent additional sickling and hypoxia. Study with Quizlet and memorize flashcards containing terms like A nurse in an emergency department is caring for a client who has anaphylaxis following a bee sting. Which of the following actions should the nurse take first?, A nurse in the emergency department is assessing a client who has internal injuries from a car crash. The client is disoriented to time and place, diaphoretic, and his ...Study with Quizlet and memorize flashcards containing terms like A 16-year-old girl is seen in an emergency department following a rape. The management of a rape victim should be directed primarily toward:, Place the three phases of intimate partner violence in the order in which they occur. Use all options., The nurse is talking to a client who is a survivor of intimate partner violence. The ....

Popular Topics