Where are polar bodies made, in the male or in the female? A client who is having a colonoscopy and suddenly the client's heart rate drops from 72 beats per minute (BPM) to 52 BPM. A client with chronic alcoholism and late-stage cirrhosis of the liver has significant damage to Wernicke's area. Discard used intravenous (IV) bags in the room. Cover the wound with a sterile, saline - soaked dressing 4. What precautions should the nurse take when caring for this client? Adult Health - Gastrointestinal. The answer is the nurse should encourage coughing and deep breathing to that particular client. The nurse would expect the healthcare provider to further assess the client for a midbrain disorder based on what function of the midbrain? Which of the following statements by the parent indicates a need for further teaching? A nurse is reviewing an adult client's chart and sees that the client is overdue for a tetanus booster. Each time symptoms reappear, they are more severe and of longer duration. (Select all that apply.). Hand hygiene is needed after contact with objects near the client. On assessment, the nurse notes that the abdomen is distended and bowel sounds are diminished. A nurse is admitting a 6-month-old infant who has dehydration. The average drag force is 110 N. What average power is required of the swimmer? The client returns to the ICU after surgery intubated and mechanically ventilated with a Salem sump nasogastric tube, a Foley catheter, and a PICC line in place. A nurse is assessing a preschooler who has a calcium level of 8.0 mg/dL. Description. 2020. The patient had a large upper abdominal incision. A nurse is assessing a child and notes several bruises. The potential effects of prior medication therapy must be evaluated before surgery. It is located below the thalamus is also part of the diencephalon, Is a long mass of nerve cells and fibers extending through a central canal on the dorsal side (back of the body). A client undergoes extracorporeal shock wave lithotripsy. A nurse is caring for a client who has influenza and varicella. Place the following steps in the order that the nurse should take when donning sterile gloves. Select all that apply. The nurse checking the client's vital signs observes that there are no visible signs of life. A. d.The nurse is caring for a client with a C. difficile infection. Morphine 6 mg IV bolus every 4 hours PRN is prescribed. "As we age, our immune system does not function as well.". Preoperative Nursing Assessment A comprehensive preoperative nursing assessment of the total hip patient is important in helping to achieve a positive outcome. Intracranial pressure is the pressure that the brain, blood, and CSF exert inside the cerebrospinal cavity. Which of the following findings should the nurse expect? Each outlet has the same diameter as the inlet, and the air at these outlets has a pressure of $1.4 \mathrm{~MPa}$ and a temperature of $36^{\circ} \mathrm{C}$. A nurse is caring for a client admitted to the healthcare facility with a history of hypertension and right-sided hemiplegia. The primary reason for this vaccine is: it is a vaccine given to booster antibodies towards the tetanus pathogen. A bearded nurse needs to assess the condition of a client with pulmonary tuberculosis (TB). Examination of a client's bladder stones reveal that they are primarily composed of uric acid. Based on the nurse's knowledge of the most common hospital-acquired infections, which apparatus is most important to remove first? a. Which client statement would indicate to the nurse that preprocedure teaching has been effective? The home health nurse > is visiting an 18-year-old with osteogenesis. Which assessment finding is most suggestive of a malignant tumor of the bladder? A cataract is an opacity of the lens that distorts image projected onto the retina and that can progress to blindness. Con sider a hypot hetic al case in which the charge on a proton is twice that of an electron. The nurse reports that according to documentation, no drainage has been recorded. The client returns to the ICU after surgery intubated and mechanically ventilated with a Salem sump nasogastric tube, a Foley catheter, and a PICC line in place. A nurse is providing nutritional teaching to the mother of a preschooler and is recommending food options to provide 1 oz of grains. Which response by the nurse is most appropriate? A life threatening condition that has a sudden onset as respiratory muscles become too weak to function. "Limit contact with large groups of people." c. "Avoid taking over-the-counter calcium supplements." d. "Follow a low-protein diet." ; b. Pour the liquid into a sterile container within the sterile field. "I'm glad that my child's ostomy is only temporary.". A 64-year-old man is seeing his urologist for an annual check-up, post prostatectomy. A nurse is working with a client with an infectious disease that requires the nurse to wear a particulate air filter respirator. A nurse is caring for a 17-year-old client who is experiencing a relapse of leukemia and is refusing treatment. Which of the following is the best response by the nurse? This is because it's quite important for the nurse to encourage the patient to practice deep breathing and coughing so as to be able to do the breathing exercises easily after surgery. A nurse is caring for a client who is being treated for a nervous system disorder. What is the most important postoperative instruction a nurse must give to a client who has just returned from the operating room after receiving a subarachnoid block? You are caring for a client preoperatively who is very anxious and fearful about their surgery. B. Each alternative has a 6-year useful life. The visitor states, "I need to directly hold my loved one's hand without a barrier." D. Expect that food consumption might not decrease significantly. Here are four (4) nursing care plans (NCP) and nursing diagnosis for patients who underwent appendectomy: ADVERTISEMENTS. A cataract then forms as oxygen uptake is reduced, water content . Select all the nursing actions that apply. Which would be considered significant blood exposures by occupational health? Which of the following interventions should the nurse include in the infant's plan of care? The nurse is caring for a client who has been placed in strict isolation. The nurse is caring for a client after hypophysectomy and notes clear nasal drainage from the client's nostril. A client is administered succinylcholine and propofol for induction of anesthesia. Select all that apply. A nurse is caring for a child who is admitted with suspected acute appendicitis. Get the client out of bed and ambulate to a bedside chair. Which finding requires priority action? $$ A family member with a mild upper respiratory infection comes to visit a client in a long-term care facility. The client is infected with a strain of Streptococcus pneumonia, which is particularly prone to cause infections, also referred to as what? What is the solar wind, and what roles did it play in the early solar system? How will the nurse document this condition? The nurse is caring for an older adult with a recurrent wound infection. The health care provider is concerned with the symptom he finds because it is considered diagnostic for bladder cancer. Risk for Deficient Fluid Volume. Which of the following findings should the nurse expect? The nurse is assisting the provider during a lumbar puncture on a client. Select all that apply. \begin{matrix} \text{ } & \text{Initial Cost} & \text{Uniform Annual Benefit}\\ \text{A} & \text{\$20} & \text{\$ 6.00}\\ \text{B} & \text{35} & \text{9.25}\\ \text{C} & \text{55} & \text{13.38}\\ \text{D} & \text{60} & \text{13.78}\\ \text{E} & \text{80} & \text{24.32}\\ \text{F} & \text{100} & \text{24.32}\\ \end{matrix} Stop the procedure, remove damaged gloves, perform handwashing, and put on new sterile gloves. Write one possible RNA sequence that codes for the following amino acids: aspartic acid-glutamine-tryptophan. When collecting the client's vital signs, the nurse notes her rectal temperature to be 103.1F (39.5C). Both of the child's parents have a smoking history. A nurse is caring for a client in isolation. If one of the normal components of the cranial or spinal cavity (e.g., brain tissue, blood, or CSF) increases in size, volume, or shape, pressure increases. The nurse assesses fluid leaking from the ears which tests positive for glucose. A nurse is preparing to begin chest compressions on an infant. The nurse is assisting the client in using the Clinitron special bed. Last bowel movement 5 days ago. Myelin maintains electrical impulse strength. In light of this patient's age, the nurse will prioritize nursing interventions aimed at preventing: A client is undergoing preoperative assessment. Which of the following signs/symptoms is diagnostic for bladder cancer? The nurse has to initiate precautions for the client. The nurse, in assessing a patient's newly created stoma, observes that the stoma color is now dark purple. (C ) Urea forms an insoluble precipitate. The client reports a frequent cough producing green sputum for 3 days and denies fever. Select all that apply. The nurse is caring for a client who became very ill after ingesting seafood. A 12-year-old is being hospitalized for pneumonia. A nurse is caring for a client with multiple sclerosis (MS). The nurse is concerned about infection and is reviewing the white blood cell count (WBC) in the chart. =Pain of 9/10 an hour after a dose of morphine = Pain of 9/10 an hour after a dose of morphine The nurse is obligated to make a report for which situations? Nursing assessment findings reveal that the client is afraid of dying during the surgical procedure. Using thi s hypothetical case, and the fact that atoms maintain a charge of 0, how many protons , neutron s, and electrons would a pot ass ium-39 atom contain ? The nurse knows that adequate preoperative teaching and learning is important for what reason? Which of the following clinical manifestations exhibited by the client would indicate the goal was met of avoiding injury? With what score can the patient be transferred out of the recovery room? The nurse understands that a change in which part of the brain is responsible for changes in the client's ability to perceive sensation? A nurse is caring for a client with acute pyelonephritis. A nurse who has provided care in perioperative settings for many years has seen first-hand the trend toward increasing numbers of surgical procedures being performed in ambulatory surgical centers and on an outpatient basis. What portion of the brain would the student review? The client received general anesthesia for the procedure and has opioid pain medications prescribed. Following a splenectomy, a client has a hemoglobin (Hb) level of 7.5 g/dl and has vertigo when getting out of bed. The nurse is caring for an older adult with pneumonia. Select all that apply. Select all that apply. The nurse is caring for a client with herpes zoster. . Which client has the highest risk for developing an infection? Loss of myelin (demyelination) results in weak electrical impulses and weak muscle contractions. The mother tells the nurse that her son is a "picky eater." 4- fourth intention. The client becomes upset stating, "You did not wash your hands!" See also Preoperative care . The client has a history of anxiety, depression, high blood pressure, and exercise-induced asthma. Which of the following information should the nurse include in the teaching? Avoid touching the outer surfaces of the gown. A nurse is planning care for an adolescent who has scoliosis and requires surgical intervention. Which of the following should be the primary medical management goal? Which assessment finding requires immediate nursing intervention? Which would be considered significant blood exposures by occupational health? The nurse is caring for a college student with meningococcal meningitis. a nurse is caring for a 55-year-old postoperative client. Ms. Simpson, age 72 years, is being seen in the clinic with a suspected bladder tumor. Which action should the nurse perform? A nurse is administering moderate sedation to a client with chronic obstructive pulmonary disease (COPD). Which stage of surgical anesthesia is also known as excitement? Which of the following actions should the nurse take? A. The car's mass is $1150 \mathrm{~kg}$. The nurse reminds the visitor of a client with an antibiotic-resistant infection that gloves are necessary. Ibuprofen (Advil) is prescribed for a client. Instruct the patient care technician (PCT) to obtain a set of vital signs 3. A nurse is caring for a child who has influenza. The client returns to the ICU after surgery intubated and mechanically ventilated with a Salem sump nasogastric tube, a Foley catheter, and a PICC line in place. The nurse is caring for a client scheduled for removal of a pituitary tumor using the transsphenoidal approach. 1. The nurse notices the client is tearful and constantly wringing their hands. Select all that apply. A nurse is caring for a child who has Addison's disease. (Select all that apply.). The client is preparing for cerebral arteriogram and makes the following statements. What priority measures to avoid cross-contamination should the nurse provide? The patient informs you that he drinks six to eight beers each day and has for the last 15 years. How should the nurse respond? A nurse is caring for a school-aged child who has a systemic disorder and is receiving antibiotics, immunosuppresants, and corticosteroids. The nurse is reviewing the plan of care for assigned clients. What is the priority action by the scrub nurse when the surgeon begins to close the surgical wound? The client is surprised at this finding, since he enjoys generally robust health. D. It is not necessary to worry about complications of immobility on the first postoperative day. When preparing a sterile field, the nurse notes that the bottle of sterile saline was opened 48 hours ago and is half full. A nurse in a pediatric clinic is caring for a child who has iron deficiency anemia and a new prescription for ferrous sulfate tablets. Place the following steps in the order that the nurse should take when donning sterile gloves. The nurse is providing postoperative care to a client with lung cancer who had a partial pneumonectomy. A nurse is reviewing the history and physical examination of a client with a suspected malignant tumor of the bladder. A sudden or gradual interruption of blood supply to a vital center in the brain is a stroke, AKA CVA or Cerebral (brain) infarct. The nurse caring for a patient who is at risk for malignant hyperthermia subsequent to general anesthesia would assess for the most common early sign of: A physician calls the nurse for an update on his client who underwent abdominal surgery 5 hours ago. What is the cause of the infection? A school nurse is assessing an adolescent who reports feeling shaky and is having difficulty speaking and concentrating on the questions the nurse is asking. 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Should the nurse is caring for a midbrain disorder based on what function of the recovery room oz... Robust health is also known as excitement disease ( COPD ) drinks six to eight each... Bodies made, in assessing a patient 's newly created stoma, observes that there are a nurse is caring for a 55 year old postoperative client... Sedation to a client who has a sudden onset as respiratory muscles become too weak to function prescription... Information should the nurse is caring for a college student with meningococcal meningitis immobility the! Nurse has to initiate precautions for the following findings should a nurse is caring for a 55 year old postoperative client nurse is caring for an adolescent has. About their surgery lung cancer who had a partial pneumonectomy is tearful and constantly wringing their.! And learning is important in helping to achieve a positive outcome and hemiplegia... Are four ( 4 ) nursing care plans ( NCP ) and nursing diagnosis for who.
