Which of the following instructions should the nurse provide to the parent? Describe the indicated assessment and interventions related to each problem as listed in the questions below . The client becomes upset stating, "You did not wash your hands!" A nurse is caring for a 6-week-old infant who has a pyloric stenosis. Which of the following instructions should the nurse provide the parents regarding administration of this medication? The nurse is educating a client who reports a loss of sensation in right upper and lower extremities about the role of dendrites in the neuron. What is the chemical released by the axon that enables nerve impulses to cross the synapse and reach the dendrites? A mental health practitioner should be involved in the client's care to: a) assess whether the client is a good candidate for surgery. Which of the following actions is the nurse's priority? Available amoxicillin 250mg/5 mL. A nurse is caring for a child who is admitted with suspected acute appendicitis. The nurse advises the patient with chronic pyelonephritis that he should: A woman comes to her health care provider's office with signs and symptoms of kidney stones. A team of nurses is caring for a client with tuberculosis. Examination of a client's bladder stones reveal that they are primarily composed of uric acid. 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). What is the highest present worth? A nurse is caring for a 55-year-old postoperative client. Which of the following responses by the nurse is appropriate? A client is admitted with infective endocarditis (IE). Stop the procedure, remove damaged gloves, perform handwashing, and put on new sterile gloves. an older adult client with a history of heart failure. "The glove is an important barrier in preventing the transmission of your loved-one's antibiotic-resistant infection to you or other people you come in contact with.". A small ball of mass $m$ attached at the midpoint of a tightly stretched elastic cord of length $l$ can slide on a horizontal plane. If the transection is complete all sensation and voluntary movements below the site of injury are lost. The average drag force is 110 N. What average power is required of the swimmer? Which of the following statements should the nurse make? A client with an infectious disease that requires airborne precautions must be transported from the client's room to the radiology department. Which concept should be the priority in the teaching plan? d.The nurse is caring for a client with a C. difficile infection. A 30-year-old man is currently in the preoperative holding area on call for his tympanoplasty (eardrum reconstruction) that will be performed this morning. Which of the following should be the primary medical management goal? Which statement by the client indicates the need for further teaching by the nurse? A. A nerve can transmit impulse in only one direction, because of the location of neurotransmitters, a chemical released by the axon enabling nerve impulses to cross the synapse and reach dendrites, Hypothalamus is vital to human functioning, because it regulates homeostasis. A nurse is teaching the parents of a toddler about temper tantrums. What are benefits of a cover gown? Which nursing action is appropriate? 3. Nurses play a key role in reducing both the spread of disease and adverse outcomes for clients. D. "Have your child sit with her head tilted forward and hold pressure on her nose for 10 minutes.". Immediately after any potential or actual injury to the brain, a neurologic evaluation should be done. What should the nurse do first? Meningitis is an inflammation of the meninges, the membranes that cover the brain and the spinal cord. A 70-year-old elderly patient is admitted to the preoperative unit for a liver resection that is scheduled for 6 hours of surgery. The nurse should perform the compressions using which of the following techniques? . The client is preparing for cerebral arteriogram and makes the following statements. Approximately how many feet from others should the nurse tell the client to maintain? Round to the nearest mL. Which response by the nurse is most appropriate? What is the priority action by the scrub nurse when the surgeon begins to close the surgical wound? When planning care for a client in the postoperative period, prioritize nursing diagnoses in the sequence from highest to lowest priority? A nurse is working with a 55-year-old woman diagnosed with human immunodeficiency virus (HIV). Standard precautions apply to blood; all body fluids, secretions, and excretions; and intact and nonintact skin and mucous membranes. A nurse is providing teaching to a 17-year-old female client who has severe acne about the use of isotretinoin. Write the formula for a monosaccharide that has three carbons. Teach the parents about cortisol replacement therapy. The nurse caring for a patient after urinary diversion surgery monitors the patient closely for peritonitis by assessing for which of the following? Hemiplegia - half the body (right to left). Cause is unknown. This action supports, among other things, infection prevention. A nurse is assisting a neurosurgeon in performing positron emission tomography. can be followed using What assessment data may indicate that the patient does have a paralytic ileus? When planning this client's care, the nurse should assign the highest priority to which nursing diagnosis? D. It is not necessary to worry about complications of immobility on the first postoperative day. a. Which of the following information should the nurse include in the teaching? During the collision at the bottom of the elevator shaft, a 90 kilogram passenger is stopped in $5.0\text{~ ms}$. Select all that apply. Avoid touching the outer surfaces of the gown. A nurse has finished providing care for a client who is on contact precautions. (B) Small, stagnant pools do not provide enough water to dilute ammonia, which is toxic. A nurse is performing a sterile dressing change on a client and notices that there is a hole in one of the sterile gloves. The nurse cannot auscultate bowel sounds and notes the client's abdomen is rigid. Utilize a powered air, purifying respirator (PAPR). The nurse is caring for four clients on a medical-surgical unit.. Which of the following findings should the nurse expect? The appropriate nursing intervention is to do which of the following? The primary reason for this vaccine is: it is a vaccine given to booster antibodies towards the tetanus pathogen. A nurse is caring for a client who has influenza and varicella. Which of the following positions would the nurse expect the client to be positioned on the operating table for renal surgery? based on the nurse's knowledge of the most common hospital-acquired infections, which apparatus is most important to remove first? \text{ClO}^-~~~~~~~~~~~~~~~~~~~~~~~~~~~~~\underline{~~~~~~~~~~~~~~~} What does the nurse consider is the most likely cause of the client's change in condition? A client is scheduled to undergo surgical creation of an ileal conduit. What factors have contributed most significantly to this trend? The client is surprised at this finding, since he enjoys generally robust health. A nurse is caring for a client with Guillain-Barre syndrome. Preoperative Nursing Assessment A comprehensive preoperative nursing assessment of the total hip patient is important in helping to achieve a positive outcome. She has just undergone an appendectomy. Which action, made by the nursing assistant, would require instruction? When should the client stop taking the aspirin before the surgery? Which nursing actions will be performed to assist in the prevention of health care-associated infections (HCAIs)? What nursing interventions are appropriate to decrease HCAIs? A client undergoes extracorporeal shock wave lithotripsy. Which of the following instructions should the nurse include? "I'm glad that my child's ostomy is only temporary.". The nurse is caring for a 6-year-old who is postoperative open right tibial fracture reduction with cast placement. Which client would require a negative flow room? What measures would the nurse take to protect against spreading infection while overseeing the transport of this client? "Alcohol-based hand rub provides the greatest reduction in microbial counts on the skin.". Diagnostic test performed to visualize the spinal cord. In trigeminal neuralgia (tic douloureux) the root of the trigeminal (5th cranial) nerve becomes painful. The graduate nurse states that she was exposed to a client's blood and that she was not wearing any PPE. The ball is given a small displacement in a direction perpendicular to the cord and released. However, the nurse has documented that the client's temperature is within normal limits. b) The rock solidified at great depth.\ Which would be considered significant blood exposures by occupational health? A nurse is caring for a client with a head injury caused by a bicycle accident. an 81-year-old man with active tuberculosis and a productive cough. A nurse is caring for a postoperative patient who had spinal anesthesia. A nurse is admitting a 6-month-old infant who has dehydration. During admission paperwork, the client reports having enjoyed a hearty breakfast this morning to be ready for the procedure. Which of the following statements by the parent indicates a need for further teaching? The client's vital signs are Temp 97.2F, HR 105, RR 24 and BP 110/50. A nurse is caring for a 55-year-old postoperative client. (Select all that apply.). A nurse is caring for a client who reports a loss of sense of smell. Her heart rate has dropped from 120 to 55, her blood pressure has increased from 110/44 to 195/62, and her. The nurse informs the client that many members of the health care team (including a mental health practitioner) will see him. How will the nurse likely respond? The compressed air enters this $2.5-\mathrm{cm}$ diameter fitting at $1.6 \mathrm{~MPa}$ and $40^{\circ} \mathrm{C}$ with a velocity of $50 \mathrm{~m} / \mathrm{s}$. 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. Julie S Snyder, Linda Lilley, Shelly Collins. Apply and release elbow restraints every hour. The nurse is conducting a preoperative assessment on a client scheduled for gallbladder surgery. The client asks the nurse about possible ill effects from general anesthesia. How should a nurse teach a patient to perform deep breathing and coughing to use postoperatively? The circulating nurse must be vigilant in monitoring the surgical environment. The patient had a large upper abdominal incision. Resources \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} Which of the following would the nurse expect to include in the client's plan of care? Which finding would the nurse identify as the most common initial symptom? The nurse is caring for an older adult with pneumonia. The nurse assesses the client's pupils and notes the client's pupils are unequal. A client with a T6 injury reports a pounding headache, blurred vision, and nasal congestion. They are specialized to respond to electrical, chemical and physical stimuli (EX: pain, pressure, hot/cold), and messages are conducted and transferred through them (neurotransmission). 1 The nurse positions the client in the lithotomy position in preparation for 1- Renal surgery 2- Pelvic surgery 3- Perineal surgery Respiration has ceased, and there is no heartbeat. Nursing care planning for patients who underwent prostatectomy includes: maintaining homeostasis and hemodynamic stability, promoting comfort, preventing complications, and providing information about the procedure, prognosis, and treatment. A good outcome includes recovery without complications and adequate pain management . 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 caring for a client who is on droplet precautions. Which of the following measures should the nurse employ when providing postoperative care for this client? Routine nasal and rectal swabbing of a newly admitted hospital client has come back positive for methicillin-resistant Staphylococcus aureus (MRSA), indicating that the client is colonized with MRSA. The home health nurse > is visiting an 18-year-old with osteogenesis. The nurse is caring for a postoperative client who has a Kock pouch. Which technique is recommended by infection control practice standards for hand hygiene? Which conditions are the effects of aging on the nervous system? Which of the following is a characteristic of a normal stoma? A parent of a toddler asks a nurse at a well-child visit how the child's frequent temper tantrums can best be handled. What is the nurse's priority action? The client's vital signs are Temp 97.2F, HR 105, RR 24 and BP 110/50. A nurse is caring for a child who has otitis media with effusion. The nurse is preparing to apply a prescription ointment to the client's wound. With 8 oz of milk b. A major goal when caring for a catheterized patient is to prevent infection. A nurse is providing teaching to an adolescent who has type 1 diabetes mellitus. Under the action of its stern and starboard bow thrusters, the cruise ship has the velocity $v_B$ = 1 m/s of its mass center B and angular velocity $\omega$ about a vertical axis. A nurse at a pediatrician's office is contacted by a parent whose child just ingested half a bottle of vitamins with added ferrous sulfate. The nurse is receiving a confused client with a draining wound onto the medical-surgical unit. a. 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. A 55-year-old patient arrives at the operating room. A nurse is caring for a child who ingested kerosene. The health care provider is concerned with the symptom he finds because it is considered diagnostic for bladder cancer. A nurse is providing teaching about lice to the parents of a school-age child at a well-child visit. Which nursing action is a component of medical asepsis? Select all that apply. Client reports usual pattern is one bowel movement daily. The nurse has just admitted a 12-year-old client who is going to have an above-the-knee amputation of their left leg due to osteosarcoma. Which system is responsible for preparing individuals for an emergency, known as the "fight-or-flight" response? The nurse is concerned about infection and is reviewing the white blood cell count (WBC) in the chart. $$ The client reports a frequent cough producing green sputum for 3 days and denies fever. The nurse is caring for a postpartum mother who delivered her second child yesterday. Both of the child's parents have a smoking history. Which of the following actions should the nurse suggest to the parent? 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. D. Expect that food consumption might not decrease significantly. Carefully open the inner package taking care not to touch the inner surface of the package or the gloves. After reviewing the image, what is the most important step for the nurse to take? What portion of the brain would the student review? The nurse should respond with which of the following common names? Which precaution is the priority when collecting and delivering the specimens to the laboratory? Request that a respiratory therapist discuss the technique for incentive spirometry with the client. A nurse receives a call from a parent of a child who has von Willebrand disease and is having a nosebleed. Which of the following statements by the parent indicates an understanding of the teaching? The nurse should place the infant in which of the following positions following feedings? Select all that apply. The thalamus integrates sensations, thus the person perceives a whole experience, rather than individual impulses. What is the sequence in a complementary strand of DNA. 1. Select all that apply. \frac { d y } { d x } = \frac { 3 x + 2 y } { 3 x + 2 y + 2 } , \quad y ( - 1 ) = - 1 During a teaching session, the nurse appropriately recommends that the pouch be emptied Correct Answer: when it is 1/3 to 1/2 full Rationale: If the pouch becomes more than half full it may separate from the flange 5. Which precautions will the nurse begin? A client sustains a head trauma after falling from a roof. A nurse is caring for a client with acute pyelonephritis. The nurse is caring for a client admitted with tuberculosis (TB). What should the nurse observe for in the client during the procedure? Hand hygiene is needed after contact with objects near the client. The nurse is caring for a client after hypophysectomy and notes clear nasal drainage from the client's nostril. A nurse is assessing a child and notes several bruises. The nurse's postoperative plan of care should include which of the following? A nurse is caring for a client following a craniotomy. (Select all that apply.). Julie S Snyder, Linda Lilley, Shelly Collins, Introduction to Maternity and Pediatric Nursing, Write the correct answer in the middle column.\ A noncommunicable disease is caused by food or environmental toxin. A client with cancer has been receiving chemotherapy for the past few weeks. A life threatening condition that has a sudden onset as respiratory muscles become too weak to function. Which of the following findings should the nurse expect? Which pieces of personal protective equipment should be removed first? The nurse witnesses a client having a tonic-clonic seizure in the bed. What important information should the nurse keep in mind when caring for this client? The nurse is mentoring a student as they prepare the client for a lumbar puncture procedure. What clinical assessment should the nurse conduct to see whether the nervous system is working properly? It is now 16:30. B. The nurse has to initiate precautions for the client. The client received general anesthesia for the procedure and has opioid pain medications prescribed. What is the greatest possible rate of energy transfer by radiation from a metal cube 2.0 cm on a side that is at $700 ^ { \circ } \mathrm { C }$? The nurse is teaching the client about patient-controlled analgesia. In MS, the myelin sheath covering the nerves is destroyed. Damage to the respiratory system A nurse is caring for a client with a neurologic problem who has been advised to have an electroencephalogram (EEG). Which stage of surgical anesthesia is also known as excitement? Donning gloves and gowns as a substitute for handwashing in some circumstances. Nursing assessment findings reveal abdominal pain, absence of bowel sounds, fever, tachycardia, and tachypnea. What is the most common first symptom of a malignant tumor of the bladder? A nurse is providing care for a client who recently underwent craniotomy for surgical resection of a brain tumor.
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