Doctor HannahGray

When selecting an NCLEX answer or determining the order of priority what should you remember or use and what is the exception? - ANSWER Use the ABC rule: Airway breathing, and circulation. The exception to the rule is with actual CPR, use C-A-B for CPR. Also remember safety first and acute before chronic. If the pt. is not in distress then you assess. If the pt is in distress then you should do something. If the pt has diaphorisis you should always do something. How should you address q...

The nurse who is caring for a client with kidney failure notes that the client is dyspneic, and crackles are heard on auscultation of the lungs. Which additional signs/symptoms should the nurse expect to note in this client? - ANSWER 4. An increase in blood pressure The nurse is reviewing the health records of assigned clients. The nurse should plan care knowing that which client is at risk for a potassium deficit? - ANSWER 4. The client receiving nasogastric suction The nurse reviews ...

A woman who's 36 weeks pregnant comes into the labor & delivery unit with mild contracts. Which of the following complications should the nurse watch out for when the client informs her that she has placenta prevue? a. sudden rupture of membranes b. vaginal bleeding c. emesis d. fever - ANSWER b. vaginal bleeding contractions may disrupt the microvascular network in the placenta of a client with placenta prevue and result in bleeding. If the separation of the placenta occurs at the m...

The nurse checks the postoperative client for signs of infection. Which observations are indicative of a potential infection? Select all that apply. 1.Slight redness along the incision 2.The presence of purulent drainage 3.A temperature of 98.8° F (37.1° C) 4.The client states that he feels cold. 5.The client states that the incision itches. 6.Tender firmness palpable around the incision - ANS 2.The presence of purulent drainage 6.Tender firmness palpable around the incision Ra...

2. Slow the IV infusion - ANSWER A client had a 1000 mL bag of 5% dextrose in 0.9% sodium chloride hung at 3pm. The nurse making rounds at 3:45 pm finds that the client is complaining of a pounding headache and is dyspneic, is experiencing chills, and is apprehensive, with an increased pulse rate. The IV bag has 400 mL remaining. The nurse should take which action first? 1. Call the physician 2. Slow the IV infusion 3. Sit the client up in bed 4. Remove the IV catheter 1.Rotate the bag...

The nurse is teaching a client who has iron deficiency anemia about foods she should include in her diet. The nurse determines that the client understands the dietary modifications if she selects which items from her menu? 1. Nuts and ilk 2. Coffee and tea 3. Cooked rolled oats and fish 4. Oranges and dark green leafy vegetables - ANSWER 4. Dark green leafy vegetables are a good source of iron nad oranges are a good source of vitamin C, which enhances iron absorption The nurse is pla...

A 38-year-old female is brought to the Emergency Department with complaints of her "heart beating out of her chest". She is diaphoretic, tachypneic and her BP is 70/40. The cardiac monitor shows supraventricular tachycardia. Valsalva maneuvers and three doses of Adenosine have not been successful. The nurse should immediately: a.) prepare the patient for synchronized cardioversion. b.) give Epinephrine 1 mg IV and repeat in 3 minutes. c.) give Adenosine 6 mg IV per protocol. d.) perf...

The health care provider prescribes ibuprofen (children's Motrin) 5 mg per kg for a child who weighs 13 pounds. How many milligrams (mg) should the nurse administer to the child? Fill in the blank. Record your answer using one decimal place. - ANSWERS 143 A client with sickle cell anemia is being treated for sickle cell crisis. The health care provider prescribes morphine sulfate 2 mg. The concentration of the vial is 10 mg/mL of solution. How many milliliters of solution should the nu...

Sodium (NA) - ANSWER 135-145 meq Potassium (K) - ANSWER 3.5-5 meq Calcium (Ca) - ANSWER 9.0-10 mg/dl Magnesium (Mg) - ANSWER 1.3-2.1 mg/dl Phosphorus (PO) - ANSWER 3.0-4.5 Glucose (fasting) - ANSWER 70-105 pH - ANSWER 7.35-7.45, over 90 years 7.25-7.45 Pa CO2 - ANSWER 35-45 mmHg Pa O2 - ANSWER >80-100mm Hg HCO3 (bicarb) - ANSWER 21-26 meq Cl (chloride) - ANSWER 98-106 meq RBC's males - ANSWER 4.7-6.1 million RBC's females - ANSWER 4.2-5.4 million HGB - ANSWER males: 14-18 fe...

A registered nurse arrives at work and is told to "float" to the ICU for the day because the ICU is understaffed and needs an additional nurse to care for the clients. The nurse has never worked in the ICU. Which of the following is the most appropriate nursing action? A. refuse to float in the ICU B. call the hospital lawyer C. call the nursing supervisor D. report to the ICU and identify tasks that can be safely performed - ANS Answer: D Rationale - floating is acceptable and legal...

The nurse is administering a dose of digoxin (Lanoxin) to a patient with heart failure (HF). The nurse would become concerned with the possibility of digitalis toxicity if the patient reported which symptom(s)? A. Muscle aches B. Constipation C. Pounding headache D. Anorexia and nausea - ANSWER D. Anorexia and nausea Anorexia, nausea, vomiting, blurred or yellow vision, and cardiac dysrhythmias are all signs of digitalis toxicity. The nurse would become concerned and notify the health...

Alteplase (t-PA) - ANSWER *class*: thrombolytics *Indication*: MI, acute ischemic stroke, occluded central lines *Action*: converts plasminogen to plasmin which degrades the fibrin found *Nursing Considerations*: - contraindicated in active bleeding -monitor for anaphylaxis - use caution with uncontrolled hypertension Atorvastatin (Lipitor) - ANSWER *class*: lipid-lowering agent *Indication*: management of high cholesterol (hypercholesterolemia), primary prevention of cardiovascular ...

A patient with a diagnosis of major depression who has attempted suicide says to the nurse, "I should have died! I've always been a failure. Nothing ever goes right for me." Which response demonstrates therapeutic communication? A "You have everything to live for." B "Why do you see yourself as a failure?" C "Feeling like this is all part of being depressed." D. "You've been feeling like a failure for a while?" - ANSWER D Responding to the feelings expressed by a patient is ...

the nurse is caring for a client scheduled for removal of a pituitary tumor using the transsphenoidal approach. the nurse should be particularly alert to: A. Nasal congestion B. Abdominal Tenderness C. Muscle Tetany D. Oliguria - ANS A. Nasal congestion why? removal of the pituitary gland is usually done by transsphernoidal approach through the nose. Nasal congestion further interferes with the airway. A client with cancer is a, admitted to the oncology unit. Stat lab values revel Hgb...

Is a process of learning a different culture to adapt to a new or changing environment. - ANSWER Acculturation. It is a subjective perspective of the person's heritage and a sense of belonging to a group - ANSWER Ethnic identity Include meditation, relaxation techniques, imagery, music therapy, massage, touch, laughter, humor, & spiritual measures (prayer). - ANSWER Low-risk therapies: Because of their health & dietary practices, Native Americans, Latino Americans, Hispanic Americans...

Pitocin: Indication? Adverse Effects/Monitoring? - ANSWER Given to strengthen contractions and labor. Can cause uterine hyperstimulation. Contractions should be NO LONGER than 90 seconds and no closer than 2 minutes apart. If they are any more than that; slow pitocin How to Mix insulins (step 1-5) - ANSWER 1. Draw up the total amount of (AIR) 2. Air into N 3. Air into R 4. Draw up R 5. Draw up N IM injection - Needle size + length? Sub-Q Size + length? - ANSWER IM: 21g 1 inch n...

Bundled Exams for WGU C182: Exam solutions: verified and graded A

Bundled Exams for WGU C211: Exam solutions: verified and graded A

Bundled Exams for WGU C214: Exam solutions: verified and graded A

Bundled Exams for WGU C963: Exam solutions: verified and graded A