TeeGrades

A nurse is caring for a client who is to have his chest tube removed. Which of the following actions should the nurse take? A. Cover the insertion site with a hydrocolloid dressing after removal B. Provide pain medication immediately after removal C. Instruct the client to perform the Valsalva maneuver during removal D. Delegate removal of the chest tube to a LPN - C The nurse should instruct the patient to perform the Valsalva maneuver during removal to maintain the appropriate amount ...

On initial assessment the patient is found to be quiet interested in asking questions about the nurse, evades personal questions, and is often silent while making no eye contact. These characteristics are more likely to be found in which behavior: 1 Withdrawn 2 Manipulative 3 Dependent 4 Hostile - ANS 1 Rationale: Patients displaying withdrawn behavior frequently are lonely and fearful, and set up barriers for contact, such as avoiding eye contact. Getting personal needs met is characte...

An adult client who is hospitalized after surgery reports sudden onset of chest pain and dyspnea. the client appears anxious, restless, and mildly cyanotic. the nurse should further assess the client for which condition? - Pulmonary embolism which information should the nurse obtain when performing an initial assessment of a client who presents to the emergency department with a painful ankle injury? (select all that apply) - Quality of the pain Signs of inflammation Ankle range of m...

A nurse has recently been assigned to a medical-surgical clinical rotation. According to the scope of medical-surgical nursing, what type of client assignments does the nurse expect to see? A. Hospitalized children with acute and chronic illnesses B. Hospitalized adults with acute and chronic illnesses C. Older adults in a nursing home D. Working adults in a corporate setting - B. Hospitalized adults with acute and chronic illnesses Rationale The scope of medical-surgical nursing, som...

A nurse working in an emergency dept. Is caring for a client who has benzodiazepine toxicity due to an overdose. Which actions is the nurses priority? A- administer flumazenil B- identify the clients level of orientation C- infuse iv fluids D- prepare the client for gastric lavage - B- identify the clients level of orientation A nurse is teaching a client who has a new prescription for escitalopram for treatment of generalized anxiety disorder. Which of the following statements by the ...

a nurse is planning care for a client who has - A nurse is monitoring a client following a thyroidectomy. Which of the following findings should the nurse identify as an indication of hypoparathyroidism? - Involuntary muscle spasms (occurs if the parathyroid glands are damaged or removed during a thyroidectomy. Muscle twitching and paresthesias can result due to decreased parathyroid hormone levels and calcium deficiency.) A nurse is reinforcing discharge teaching with a client wh...

1. The nurse requests the client to sign a surgical informed consent form for an emergency appendectomy. Which statement by the client indicates further teaching is needed? 1. "I will be glad when this is over so I can go home today." 2. "I will not be able to eat or drink anything prior to my surgery." 3. "I can practice relaxing by listening to my favorite music." 4. "I will need to get up and walk as soon as possible." - 1. "I will be glad when this is over so I can go hom...

The nurse is caring for four clients on a medical-surgical unit. Which client should the nurse see initially? 1. A client admitted with hepatitis A who has had severe diarrhea for the last 24 hours 2. A client admitted with pneumonia who is has small amounts of yellow productive sputum 3. A client admitted with fever of unknown origin (FUO) who has been without fever for the last 48 hours 4. A client admitted with a wound infection whose WBC is 8,500 mm3 - Answer: 1 Rationale...

The nurse is caring for a client who has as a son with a streptococcus throat infection. Which nurse recommendation would be best to advise the client to do in order to prevent acquiring the infection? - Frequently wash her hands and surfaces of the home. The nurse is caring for a client infected with Rocky Mountain spotted fever. The nurse should ask if the client has experienced which of the following? - Was bitten by a tick The nurse is caring for a client with a protozoa infectio...

1. A patient is being admitted to the hospital on the day before a scheduled surgery. What is the most appropriate initial question for the nurse to ask this preoperative patient? a) "What did your surgeon say to you about the type of surgery you are having?" b) "What questions do you have about your surgery?" c) "What type of surgery are you having and why are you having it done?" d) "What do you know about what will be done to you?" - c) "What type of surgery are you having and...