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the client who is being treated for pneumonia has a persistent called and Report severe pain on a cough which instruction should be given to help the client reduce discomfort - what your chest wall with a pillow when you cough a nurse is talking to a client with bulimia nervosa about the complications of laxative abuse which statement by the client indicates an initial understanding of risks associated with laxative abuse - using laxatives prevent my body from absorbing essential nutrients such as proteins fats and calcium which nursing action facilitates communication with a client who has conductive hearing loss caused by osteosclerosis - make sure to face the client when speaking for child with hemophilia what is the most important nursing goal - prevention of bleeding episodes the nurse is checking for rooting reflex in a newborn which response should the nurse expect to see - the neonate will turn the head to the side of a stroke cheek a client recovering from cocaine use is participating in group therapy which statement by the client indicates that he has benefited from the group - I finally realize the short high from cocaine isn't worth the depression which intervention does Nurse determine has the most impact in delaying the development of acquired immunodeficiency syndrome AIDS once a client has been infected with the human immunodeficiency virus HIV - compliance with the complete therapeutic regimen Vanessa changing a client's dressing in providing wound care which activity should the nurse perform first - wash hands thoroughlya client is admitted to the psychiatric unit with a diagnosis of functional neurological symptom disorder since witnessing the beating of his wife at gunpoint he has been unable to move his arms complaining that there are paralyzed when planning the clients care the nurse should incorporate nursing interventions with which Focus - helping the client identify and verbalize feelings about the incident a child Age 3 who test positive for HIV is placed in foster care the foster parents asked the nurse how to prevent HIV transmission to other family members how should the nurse respond - wear gloves when you're likely to come in contact with the child's blood or body fluids a nurse is caring for a client who has transurethral resection of the prostate one day prior and is on continuous bladder irrigation the nurse expects the catheter is blocked which nursing intervention is appropriate - using sterile technique to irrigate the catheter gently when collecting data on a client with cellulitis of the right leg which of the following would the nurse expect to find - warm red and swollen swollen skin cellulitis is an inflammation of soft tissues that can extend to surrounding tissues the skin becomes red and warm swollen and sometimes painful the skin would not be cold pill or necrotic a client receiving hemodialysis treatment Ted's had surgery to form a arteriovenous fistula which nursing consideration is most important for the nurse to be aware of when providing care for this client - taking a blood pressure reading on the effective arm can cause clotting of the fistula when prioritizing a clients plan of care based on Maslow's hierarchy of needs the nurses first priority would be - administering pain medication 25 year old client comes to the emergency department with clothes torn she has visible Cuts bruises and profuse vaginal bleeding and nurse expects that the client has been raped what should you the nurse do - collect forensic evidence I plan and skeletal traction reports pain even though receiving an energy 1 hour ago the nurse offers an alternative pain management measure which measure can be implemented within the nurses scope of practice practice - relaxation and imagerythe client comes to the client the clinic for a follow-up appointment after diagnostic test show gastro esophageal reflux disease which instruction should the nurse provide - avoid alcohol and caffeine treatment for a child with sinus bradycardia includes atropine 0.02 mg kilograms at the child weighs 20 kilograms how much is given per dose - 0.4 mg a client undergoing treatment for anxiety disorder is being cared for by a nursing student the nursing facility as the student when is such a disorder considered chronic and generalized what time frame does the student provide about the existence of the client's excessive anxiety and worry about two or more life circumstances - six months my clients membranes rupture during 36 weeks of pregnancy 8 hours later the nurse measures the clients temperature at 101.8 degrees Fahrenheit after initiating prescribed antibiotic therapy the nurse should prepare the client for - deliv