Study guides, Class notes & Summaries

a nurse reinforces teaching to a client about end-of-life decisions. which information about advance directives is correct? a. informed consent should be verified b. a health care proxy can be designated c. specific dietary restrictions are identified d. legal counsel is needed to make decisions - correct answer b. a health care proxy can be designated a client who has a terminal illness decides to discontinue treatment. what is the appropriate response from the nurse? a. why ar...

A charge nurse is discussing mental status exams with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching? (Select all that apply) A. "To assess cognitive ability, I should ask the client to count backwards by sevens." B. "To asses affect, I should observe the client's facial expression." C. "To assess language ability, I should instruct the client to write a sentence." D. "To assess remote memory, I should ...

A nurse in a provider's office is preparing to test a client's cranial nerve function. What directions should she include when testing cranial nerve V? (was select all that apply) - correct answer "Close your eyes" "Clench your teeth" "Tell me when you feel a touch" A client asks the nurse what her Snellen eye test results mean. Her visual acuity is 20/30. What is the appropriate response? - correct answer "Your eyes see at 20 feet what visually unimpaired eyes see at 30 ...

A nurse is caring for a client with severe peripheral arterial disease of the right lower extremity. Which intervention is appropriate? A.) Apply cold compresses to the affected extremity B.) Apply warm compresses to the affected extremity C.) Keep the affected extremity above the level of the heart D.) Keep the affected extremity below the level of the heart - correct answer ANSWER--->D.) Keep the affected extremity below the level of the heart RATIONALE: The nurse should NEVE...

A client is receiving home oxygen. What teaching points should the nurse provide the client and the caregiver regarding home oxygen safety? - correct answer Since oxygen is combustible, the following nursing actions are important for the nurse to implement: Post ""No Smoking"" or ""Oxygen in Use"" signs to alert others of the fire hazard. Know where to find the closest fire extinguisher. Educate about the fire hazard of smoking with oxygen use. Have clients wear a cotton gown becaus...

Normal Lab Values: Potassium - correct answer 3.5-5.0 mEq/L Normal Lab Values: Sodium - correct answer 136-145 mEq/L Normal Lab Values: WBC - correct answer 5,000-10,000 Normal Lab Values: Platelets - correct answer 150,000-400,000 Normal Lab Values: Hemoglobin (Male & Female) - correct answer M: 14-18 F: 12-16 Normal Lab Values: Hematocrit (Male & Female) TIP: HCT= 3 times the amount of Hemoglobin - correct answer M: 42%-52% F: 37%-37% Normal L...

List the pertinent information that should be included in a transfer report. - correct answer Medical diagnosis, care providers, demographic information, overview of health status, plan of care, recent progress, alterations in health status that cause immediate concern, notifications of assessments or care within the next few hours, recent vitals and medications (scheduled and PRN), allergies, diet and activity orders, specific equipment or adaptive devices, advance directives, emergency co...

Endometiral infection usually occurs - correct answer with a prolonged rupture of membranes, not vacuum-assisted births. Intenstinal gas is a common side effect of - correct answer clients following a cesarean birth Cervical lacerations are common complications from - correct answer vacuum-assisted birth are rare but can include perineal, vaginal, or cervical lacerations When a client is experiencing a wound evisceration... - correct answer the nurse should initially...

Pt on long term corticosteroid therapy should get screen for________ - correct answer Osteoperosis What position for a thorocentesis________ - correct answer Leaning forward on pillows--spreads IC space in back to access lungs Nutrition for acute Diverticulitis - correct answer IV nutrition for Bowel rest--progress to soft fiber After seeing urine while placing a foley cath, what should be done next - correct answer advance another 3 cm before filling balloon. ensure...

an older adult client reports recurring calf pain after walking one block that disappears with rest. the client has weak pedal pulses and the skin on the left lower extremity is shiny and cool to touch. Which nursing intervention is appropriate at this time? 1. position left leg dependently 2. elevate left leg above the heart 3. immobilize left leg to prevent further injury 4. assess dorsiflexion and extension of left foot - correct answer 1. position left leg dependently a client r...