Hurst Physiological Adaptation Study Guide.

Hurst Physiological Adaptation Study Guide. Which signs/symptoms should the nurse assess for in the client admitted with a diagnosis of myasthenia gravis? -difficulty holding head erect -limited facial expression -ptosis The nurse should teach the client with chronic pancreatitis how to monitor for which problem that can occur as a result of the disease? -diabetes An elderly client is admitted to the outpatient unit with anemia and is receiving a blood transfusion. What is the nurse's priority assessment? -assess breath sounds The nurse is observing a new RN explain phototherapy to the mother of a newborn with a bilirubin of 12 mg/dL one day after birth. The nurse determines the new RN understands the phototherapy process when what statements are made to the mother? - the infants eyes must be covered throughout the light session -body temperature must be checked frequently to monitor for fever -we check bilirubin levels several times daily to be sure its decreasing The nurse is caring for a client with cirrhosis of the liver and suspects that the client may be developing hepatic encephalopathy. Which assessments by the nurse suggest that the client is developing this complication? -asterixis -lethargy -amnesia -behavioral changes A client is transported to the emergency department following a 20 foot fall from a ski lift. The nurse records initial assessment findings on the chart. Based on that data, what actions should the nurse implement immediately? -initiate large gauge IV line -preparre for chest tube placement -administer high flow oxygen The nurse should assess for what signs of toxicity in a child who is admitted with salicylate overdose? -vomiting -tinnitus -diaphoresis -dehydration What signs/symptoms would the nurse expect to assess in a client diagnosed with tabes dorsalis neurosyphilis due to untreated syphilis? -abnormal gait -blindness A client is admitted from the emergency department to a medical unit. What acid base imbalance do the lab values indicate? pH: 7.44 PaCO2: 30 HCO3: 20 -compensated respiratory alkalosis