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Terms in this set (150)
Schizophrenia
- Pressured speech
A nurse is assisting with - Social impairment
the care of a client who - Grandiose delusions
was admitted to the
emergency department Bipolar 1 Disorder
(ED). - Pressured speech
- Social impairment
- Grandiose delusions
,A nurse is caring for a Place an abduction wedge between the client's legs
client who is 12 hr when in bed.
postoperative following a
total hip arthroplasty.
Which of the following
actions should the nurse
take?
A nurse is evaluating the Grasps the plug of a device in the client's room to pull
safe use of electrical it straight out from the wall
equipment by a newly
hired assistive personnel
(AP). Which of the
following actions by the
AP demonstrates an
understanding of the
proper use of electrical
equipment?
- skin findings
A nurse is assisting with - temperature
the care of an adolescent - WBC count
in the emergency - casual blood glucose
department (ED). - potassium
- pain
A nurse is assisting with - peritonitis
the care of a client - bowel obstruction
admitted with profuse
vomiting and abdominal
pain.
A nurse on the medical- - confusion
surgical unit is assisting - sodium level
with the care of a client
who was admitted from
the emergency
department (ED).
, A nurse is assisting with - hemorrhage
care of a client who is on - thrombocytopenia
24-hr observation.
A nurse is caring for a - offer the client a sitz bath to relieve pain and
client who is promote healing
postoperative following a
perineal prostatectomy. - encourage the client to drink prune juice to relieve
For each potential constipation
postoperative
complication below, click - instruct the client to perform calf pump and foot
to specify the nursing circle exercises to promote venous return and reduce
intervention that the nurse the risk of a deep vein thrombosis.
should implement.
- temperature of 36.4° C (97.5° F)
- Weight 2,545 g (5 lb 9 oz) 12% weight loss
A nurse is collecting data
- Breastfeeding every 3 to 5 hr for 5 to 10 min.
on a newborn who is 3
- Birth parent reports nipple discomfort throughout
days old.
the feeding
- Mild tremors noted when awake
A nurse on a mental health ANTICIPATED:
unit is caring for a client. - Offer high calorie snacks frequently.
For each nursing action, - Initiate suicide precautions.
click to specify if the - Encourage the client to attend group therapy.
nursing action is
anticipated or CONTRAINDICATED:
contraindicated for the - Allow the client to sleep with their hands beneath
client. the blanket.