Clinical judgment A nurse is caring for a client who has been wheezing. The nurse asks an assistive personnel (AP) to use a stethoscope and listen to the client's lung sounds to determine if their wheezing has improved. This is an example of which of the following concepts? Delegation of the wrong taskThe 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 …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.Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who is experiencing chronic stress. Which of the following does the nurse anticipate that the client will report? (Select all that apply.) Increased anxiety Recurring sinus infections Feelings of depression Sudden bursts of energy Daily …The nurse is caring for a client following an amniocentesis procedure. The nurse reviews the client's chart and notices that the client's blood type is O negative. Which does the nurse anticipate administering? The biophysical profile (BPP) is an ultrasound assessment of fetal status along with a non-stress test (NST). A score of 2/10 will ...The nursing process is the essential core of practice for the registered nurse to deliver holistic, patient-focused care. It involves collecting and analyzing data about the client's health status, clinical judgment, care plan, goals, and evaluation. Learn more about the five core areas of the nursing process and how they apply to different types of nurses and clients.The nurse is caring for a client who verbalizes a need to increase her self-esteem. Which action should the nurse plan to assist the client in achieving the goal of gaining self-esteem? Maintain a well-groomed appearance.Assist the client with a partial bed bath. Measure the client's BP after the nurse administer an antihypertensive medication. A nurse is caring for a client who has recently started using a behind-the-ear hearing aid. Which of the following statements should the nurse identify as in indication that she understands the use of this assistive device?Use Doppler ultrasound to identify the pulses. A nurse in the rehabilitation unit is caring for an older adult client who is in cardiac rehabilitation following an MI. The nurse's plan of care calls for the client to walk for 10 minutes 3 times a day. The client questions the relationship between walking and heart function.A nurse is administering aspirin 81 mg PO daily to a client who has a history of myocardial infarction. The medication is scheduled for 0800. Which of the following scenarios demonstrates proper use of one of the Ten Right of Medication Administration? The nurse documents the aspirin was given at 0825. A nurse is caring for a client who has COPD.A nurse is caring for a client in labor who is receiving Pitocin by IV infusion to stimulate uterine contractions. Which assessment finding would indicate to the nurse that the infusion needs to be discontinued? 1.Three contractions occurring within a 10-minute period 2.A fetal heart rate of 90 beats per minute 3.Adequate resting tone of the uterus palpated between …Rank the clients in order of risk factors, with one being the most at risk., The nurse is caring for a client with the nursing diagnosis of Impaired physical mobility related to decreased motor function. Which nursing intervention is appropriate? Select all that apply., The health-care provider suspects that a client has multiple sclerosis (MS).A nurse is caring for a client who is receiving total parenteral nutrition via a peripherally inserted central catheter (PICC). When assessing the client, the nurse notes swelling of the client's arm above the PICC insertion site. Which of the following actions should the nurse take first? A. Measure the circumference of both upper arms. B ...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 ...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 ...245. A client is admitted to the hospital with a diagnosed bowel obstruction secondary to a recurrent diagnosed malignancy. The primary health care provider plans to insert a Miller-Abbott tube. When the nurse tries to explain the procedure, the client interrupts the nurse and states, "I don't want to hear about that.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 …In some cases cancer can be considered a chronic disease, and with that the patient and their family will be hospitalized throughout their disease trajectory.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.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.We would like to show you a description here but the site won’t allow us.clients move through the health care system in a cost‑effective and time‑efficient manner. to effectively coordinate client care, a nurse must have an ...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.clients move through the health care system in a cost‑effective and time‑efficient manner. to effectively coordinate client care, a nurse must have an ...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 providing oral hygiene for a client who is unconscious. Identify the sequence of the steps the nurse should take. 1. Assess the client's gag reflex. 2. Position the client on his side with his head turned to the side. 3. Place a towel under the client's head with an emesis basin under his chin. 4.A nurse is caring for a client who has a peripheral venous ulcer. Which of the following actions should the nurse take? (Select all that apply) a. Instruct the client to apply warm heat for pain. b. Instruct the client to sit with their legs uncrossed. c. Encourage the client to avoid tobacco products.The nurse is caring for a client who verbalizes a need to increase her self-esteem. Which action should the nurse plan to assist the client in achieving the goal of gaining self-esteem? Maintain a well-groomed appearance.Study with Quizlet and memorize flashcards containing terms like Which cast care instructions should the nurse provide to a client who just had a plaster cast applied to the right forearm? Select all that apply. a. Keep the cast clean and dry b. Allow the cast 24 to 72 hours to dry c. Keep the cast and extremity elevated d. Expect tingling and numbness …Many factors contribute to the cost of nursing home care. Some of these include the services provided, location and length of care. The following guidelines will help you understand the various pricing and care plans for nursing homes.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 …A nurse is caring for a client at 37 weeks gestation. The client has gestational diabetes that is not well controlled. The nurse understands that the client is at risk for which of the following? 1. Delivering a large for gestational age newborn 2. Delivering a small for gestational age newborn 3. Placenta previa 4.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 ... Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client with hyperparathyroidism and notes that the client's serum calcium level is 13 mg/dL. Which medication should the nurse prepare to administer as prescribed to the client? 1. Calcium chloride 2. Calcium gluconate 3. Calcitonin (Miacalcin) 4. Large doses of vitamin …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 correct sequence for performing an abdominal assessment is inspection, auscultation, percussion and palpation. The nurse caring for a post-abdominal surgery client who has also been diagnosed with dementia. The family is concerned about pain control for the client because the client is confused. What should the nurse include in their ...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 ...Study with Quizlet and memorize flashcards containing terms like A charge nurse is discussing the responsibility of nurses caring for clients who have Clostridium difficile infection. Which of the following information should the nurse include in the teaching? a. assign the client to a room with a negative airflow system b. use alcohol-based hand sanitizer when leaving the client's room c ... 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 with hyperparathyroidism and notes that the client's serum calcium level is 13 mg/dL. Which medication should the nurse prepare to administer as prescribed to the client? 1. Calcium chloride 2. Calcium gluconate 3. Calcitonin (Miacalcin) 4. Large doses of vitamin …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 ...A. Chest x-ray. B. Tonometry. C. Thyroid function test. D. Endoscopic retrograde cholangiopancreatography (ERCP) C. Thyroid function test. A nurse is caring for a client who is about to begin taking lithium carbonate to treat bipolar disorder. The nurse should instruct the client to monitor for which of the following findings as indications of ...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 ... Maternal-Newborn 5.0 (1 review) A nurse is caring for a client at the prenatal clinic who is at 38 weeks gestation with heavy, red vaginal bleeding without contractions that started spontaneously. She is in no distress and states that she can "feel the baby moving".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 …2. Contact the health care provider (HCP). 3. Encourage the client to perform the Valsalva maneuver. 4. Place the end of the chest tube in a container of sterile water. 4. Place the end of the chest tube in a container of sterile water. A nurse is caring for a client with a chest tube drainage system.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.- 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.Inform the client that tube feedings will be initiated if the client refuses to eat 3. Offer to taste the client's food and drinks while the client observes 4. Provide the client food in unopened single-serving packages, The nurse caring for a male client prepares to insert an indwelling urinary catheter.Study with Quizlet and memorize flashcards containing terms like The nursing instructor is giving a class on assessing cardiac clients after thoracic surgery. What assessment is most important for the nurse to perform when caring for this client? A) Pulmonary artery pressure B) Temperature C) Skin and mentation D) Blood pressure, When discussing the nursing process, the instructor stresses ...The nurse is caring for a client with a central venous catheter (CVC) who reports feeling nauseated and chilled. The nurse notes that the CVC insertion site is red and inflamed and that the client has a temperature of 102 F (38.8 C). Which new prescription from the health care provider should the nurse implement first? 1.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 a client at 37 weeks gestation. The client has gestational diabetes that is not well controlled. The nurse understands that the client is at risk for which of the following? 1. Delivering a large for gestational age newborn 2. Delivering a small for gestational age newborn 3. Placenta previa 4.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 ...Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who is taking levothyroxine for hypothyroidism. Which of the following indicates the client's does is too high? A. Decreased Temperature B. Bradycardia C. Weight gain D. Tachypnea, A nurse is reinforcing teaching with a client who is scheduled for lithotripsy …NURS 24 EXAM 3 CHAPTER 29. The nurse is caring for a client with suspected right-sided heart failure. What would the nurse know that clients with suspected right-sided heart failure may experience? Clients with right-sided heart failure may have a history of gradual, unexplained weight gain from fluid retention.1. administer a bolus of iv fluids 2. reposition the client 3. apply oxygen at 10-12 L/min, 4. elevate the clients legs: a nurse is caring for a client who is at 38 weeks of gestation. which of the following actions should the nurse take prior to applying an external transducer for fetal monitoring? perform Leopold maneuversThe 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 ... A nurse is caring for a client with multiple sclerosis and neurogenic bladder who is receiving bethanechol. The nurse should identify that which of the following client …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 ...Question 13. Multiple Choice. The nurse is caring for a client that has been treated for asthma and is currently breathing shallow and trembling. Which action should the nurse take to help decrease the client's level of anxiety prior to assessing the client? A) The nurse should explain all procedures in a calm and reassuring voice.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. Study with Quizlet and memorize flashcards containing terms like The nurse should institute which interventions for a client diagnosed with Clostridium difficile? Select all that apply. 1. Wear a mask if within 3 feet of the client. 2. Place a mask on the client when client is outside the room. 3. Wear gloves and gown while in the room caring for the …Nurses are an essential part of the healthcare system, providing care and comfort to patients in need. To recognize their hard work and dedication, hospitals and healthcare organizations across the country have established awards, such as t...The nurse should recognize the client's right to refuse the treatments and inform the client of this right. The nurse should advocate for the client and offer to contact the provider for the client. 55. A nurse is caring for an older adult client who has dementia and requires acute care for a respiratory infection.The nurse is caring for a client who has been in a motor vehicle accident and is suspected of having developed pleurisy. Which assessment finding would best corroborate this diagnosis? The client's pain intensifies when the client coughs or …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.Which of the following actions should the nurse take first?1) Offer the client apple juice.2) Elevate the client’s head of bed.3) Auscultate the client’s abdomen.4) Order a lunch tray …In some cases cancer can be considered a chronic disease, and with that the patient and their family will be hospitalized throughout their disease trajectory.A nurse is caring for a client who has a newly inserted nasogastric tube. Which of the following actions should the nurse use to verify the initial placement of the tube? A. Obtain an x-ray. B. Auscultate injected air. C. Take a pH measurement of gastric aspirate. D. Identify the color of gastric contents.The nurse is caring for a client diagnosed with a deep venous thrombosis. Which nursing assessment is a priority ? Rationale: Pulmonary embolism is a complication of DVT. Assessing the client's respiratory status, including auscultating bilateral breath sounds, is appropriate. The client's airway and breathing take priority.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 The nursing instructor is giving a class on assessing cardiac clients after thoracic surgery. What assessment is most important for the nurse to perform when caring for this client? A) Pulmonary artery pressure B) Temperature C) Skin and mentation D) Blood pressure, When discussing …Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client receiving chemotherapy. Which nursing action is most appropriate for handling chemotherapeutic agents? Wear disposable gloves and protective clothing. Break needles after the infusion is discontinued. Disconnect I.V. tubing with gloved hands. Throw I.V. tubing in the trash after the infusion is ...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.A nurse caring for a client is using active listening skills. Which of the following actions should the nurse take? Use intermittent eye contact. A nurse accidently administers the wrong medication to a client, which results in a severe allergic reaction and prolongs the client's hospitalization. A nurse is caring for a client at 37 weeks gestation. The client has gestational diabetes that is not well controlled. The nurse understands that the client is at risk for which of the following? 1. Delivering a large for gestational age newborn 2. Delivering a small for gestational age newborn 3. Placenta previa 4.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. After providing first aid, which of the following actions should the nurse take first? 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.Study with Quizlet and memorize flashcards containing terms like a nurse is caring for a client who is experiencing acute alcohol withdrawal. For which of the following client outcomes should the nurse administer chlordiazepoxide? a. minimize diaphoresis b. maintain abstinence c. lessen craving d. prevent delirium tremens, a nurse is teaching a …A nurse is caring for a client
A nurse is caring for a client who has heavy drainage from a moist red wound that is bleeding. Which of the following types of dressings should the nurse select to help promote hemostasis? Alginate [DEF: Alginate dressings help establish hemostasis while providing a moist environment for healing and absorption of exudate.Study with Quizlet and memorize flashcards containing terms like 36. The nurse is caring for a client with heart failure. On assessment, the nurse notes that the client is dyspneic and crackles are audible on auscultation. What additional signs would the nurse expect to note in this client if excess fluid volume is present? 1.Weight loss 2.Flat neck and hand veins 3.An increase in blood ...With the increasing need for more qualified nurses in the United States, even prestigious colleges and universities have made their nursing programs available online. The University of Cincinnati has a reputation across many educational rev...22 thg 8, 2016 ... The critically ill patient should receive comfort and provided privacy in a highly technological environment. In collaboration with other health ...4. Cereals. 1. The client with hypoparathyroidism is instructed to follow a calcium-rich diet and to restrict the amount of phosphorus in the diet. The client should limit meat, poultry, fish, eggs, cheese, and cereals. Vegetables are allowed in the diet. A nurse is caring for a client experiencing thyroid storm.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 ... concepts can co-exist. • Technology brings the patient closer to the nurse. Conversely, technology can also increase the gap between the nurse and nursed.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 …The nurse is caring for a client following an amniocentesis procedure. The nurse reviews the client's chart and notices that the client's blood type is O negative. Which does the nurse anticipate administering? The biophysical profile (BPP) is an ultrasound assessment of fetal status along with a non-stress test (NST). A score of 2/10 will ...Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a client with Clostridium difficile colitis. Which of the following infection control measures by the nurse are appropriate? Select all that apply: 1. Applies sterile gloves before performing client care 2. Ensures surgical masks are worn by staff in client's room 3. Requests that the client be assigned to ...A nurse would expect to note which interventions in the plan of care for a client with hypothyroidism? Select all that apply. 1. Provide a cool environment for the client. 2. Instruct the client to consume a high-fat diet. 3. Instruct the client about thyroid replacement therapy. 4. Encourage the client to consume fluids and high-fiber foods in ...Study with Quizlet and memorize flashcards containing terms like The nurse, caring for a client receiving a cholinergic drug, should observe for increased symptoms of which of the following processes? a) Cardiac dysrhythmias b) Asthma c) Heart failure d) Blood pressure, The client is receiving terazosin (Hytrin) for treatment of hypertension.The nurse caring for a client diagnosed with cancer knows which of the following are true about cancer pain? Select all that apply. Typically chronic in nature and treated with long-term opioids Not necessarily experienced by all clients and a thorough pain assessment is key Associated with a high incidence of drug addiction due to the chronic ...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. The nurse is assisting the client with transfer to a bedside commode. After the client stands and pivots, what should the nurse instruct the client to do next? Place hands on the armrests prior to sitting down. The nurse is caring for a female client who has used the bedside commode. What things should the nurse document for this client?a nurse is caring for a client who is 5 hr post op following a transurethral resection of the prostate. the nurse notes that the clients indwelling urinary catheter has not drained in the past hour. which of the following actions should the …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.The nurse is caring for a client newly prescribed crutches. Which finding indicates the need for further teaching? a. The axillary pads are torn and show signs of wear b. The client has a 30-degree bend at the elbow when walking c. The crutches and injured foot are moved simultaneously in a 3-point gait d. There is a 3 finger-width space noted ...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.1 thg 1, 2023 ... NCLEX-RN Management of Care: Answering questions that involve assigning a patient to a float nurse. · Comments9.Nursing is one of the most rewarding careers around. The role involves assisting doctors care for patients and providing treatment. There are many routes nurses can take, including specializing in various fields of medicine.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.A nurse is caring for a client who has a leg cast and is returning demonstration on the proper use of crutches while climbing stairs. Identify the sequence the client should following when demonstrating crutch use. A) Shifts weight from the crutches to the unaffected leg. B) Places body weight on the crutches.A nurse is caring for a client at 37 weeks gestation. The client has gestational diabetes that is not well controlled. The nurse understands that the client is at risk for which of the following? 1. Delivering a large for gestational age newborn 2. Delivering a small for gestational age newborn 3. Placenta previa 4.A nurse is administering aspirin 81 mg PO daily to a client who has a history of myocardial infarction. The medication is scheduled for 0800. Which of the following scenarios demonstrates proper use of one of the Ten Rights of Medication Administration? The nurse documents that the aspirin was given at 0825. A nurse id preparing to administer a ...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.A nurse is caring for a client in labor who is receiving Pitocin by IV infusion to stimulate uterine contractions. Which assessment finding would indicate to the nurse that the infusion needs to be discontinued? 1.Three contractions occurring within a 10-minute period 2.A fetal heart rate of 90 beats per minute 3.Adequate resting tone of the uterus palpated between …The nurse caring for a client diagnosed with cancer knows which of the following are true about cancer pain? Select all that apply. Typically chronic in nature and treated with long-term opioids Not necessarily experienced by all clients and a thorough pain assessment is key Associated with a high incidence of drug addiction due to the chronic ...A nurse caring for a client is using active listening skills. Which of the following actions should the nurse take? Use intermittent eye contact. A nurse accidently administers the wrong medication to a client, which results in a severe allergic reaction and prolongs the client's hospitalization. During the first 10 to 15 min of administration, which of the following assessments is the nurse's priority?, A nurse is caring for a client who is receiving dextrose in 5% water with 20 mEq of potassium chloride at 75 mL/hr. The provider has prescribed 1 g ceftriaxone IV. When preparing to administer this medication by intermittent IV bolus ...4.8 (4 reviews) A nurse is caring for a client who has tuberculosis. What actions should the nurse take. Click the card to flip 👆. - place the client in a room with negative-pressure airglow (airborne precautions) - wear gloves when assisting the client with oral care. - wear an N95 mask when providing client care. Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who has a dysfunctional gastrointestinal tract and requires enteral feeding. Which of the following should the nurse administer to the client? A. Modular B. Elemental C. Polymeric D. Specialty, A nurse is providing teaching about risk for aspiration with a …D) "Burn soiled dressings.", A nurse is caring for a client who has HIV. Which of the following laboratory values is the nurse's priority? A) Positive western blot test B) CD4-T-cell count 180 cells/mm C) Platelets 150,000/mm D) WBC 5,000/mm, A nurse is presenting a community-based program about HIV and AIDS.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 apply.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 is caring for a client in labor who is receiving Pitocin by IV infusion to stimulate uterine contractions. Which assessment finding would indicate to the nurse that the infusion needs to be discontinued? 1.Three contractions occurring within a 10-minute period 2.A fetal heart rate of 90 beats per minute 3.Adequate resting tone of the uterus palpated between …A nurse is caring for a client whose cultural background is different from her own. Which actions are appropriate? Select all that apply. A. Consider that nonverbal cues, such as eye contact, may have different meanings in different cultures B. Respect the client's cultural beliefs C. Ask the client if he has cultural or religious requirements that should be considered in his care D. Explain ...A client who has difficulty breathing should call emergency services and seek immediate care. The client will need to be treated with epinephrine and an antihistamine, such as diphenhydramine, to treat an anaphylactic reaction. Pharmacology Made Easy 4.0 Infection Test Learn with flashcards, games, and more — for free.1. The nurse encourages the client and family to identify and discuss feelings openly. 2. The nurse assists the client and family in carrying out spiritually meaningful practices. 3. The nurse makes decisions for the client and family to relieve them of unnecessary demands. 4.A nurse is caring for a client at risk for falls who does not have access to an activated bed or chair alarm. How often should the nurse assess this client? every 60 minutes. The charge nurse is observing a new nurse care for a client who is at high risk for falls. Which actions by the new nurse would require the charge nurse to intervene?A nurse is caring for a client with multiple sclerosis and neurogenic bladder who is receiving bethanechol. The nurse should identify that which of the following client …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. 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 ...Many factors contribute to the cost of nursing home care. Some of these include the services provided, location and length of care. The following guidelines will help you understand the various pricing and care plans for nursing homes.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 ...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 ...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 ... 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 requires total assistance with mobility. When using the Mobility Assessment Tool (MAT), which of the following pieces of equipment should the nurse use to transfer the client? Mechanical lift A nurse is caring for a client who requires maximum assistance to transfer from the bed to a chair.Use Doppler ultrasound to identify the pulses. A nurse in the rehabilitation unit is caring for an older adult client who is in cardiac rehabilitation following an MI. The nurse's plan of care calls for the client to walk for 10 minutes 3 times a day. The client questions the relationship between walking and heart function. 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. . Dream jeweled mickey pin