A PLUS EXCEL

A 5-year old child presents to the ED with bruises to the upper arms and buttocks in various stages of healing and multiple small, clean, round burns to the back. There are no abnormalities found based on the pediatric assessment triangle or primary survey. Which of the following is the priority nursing intervention? Answer: A - A) report your suspicion of the maltreatment in accordance with local regulations *** B) apply ice to the bruises and consult wound care C) engage in therapeutic co...

A patient seen in the clinic with shortness of breath and fatigue is being evaluated for a possible diagnosis of heart failure. Which laboratory result will be most useful to monitor? - B-type Natriuretic Peptide A patient who has endocarditis with vegetation on the mitral valve suddenly reports severe left foot pain. The nurse notes that no pulse is palpable in the left foot and that it is cold and pale. Which action should the nurse take next? - Notify the health care provider about the cha...

- A client with eczema is using an over-the-counter (OTC) topical product with urea 10% OTC (Aqua Care Cream) to the affected skin areas. Which finding reflects the expected therapeutic response? - Hydration of affected dry skin areas (Photo) The charge nurse observes a newly employed nurse gathering equipment to obtain a venous blood sample from a client's implanted port. The nurse has obtained the equipment seen in the photo. What actions should the charge nurse take? (Select all that appl...

"Activity intolerance R/T imbalance between O2 supply/demand AEB abnormal heart rate response to activity, exertional dyspnea, and fatigue" is an example of: A. NANDA-I approved diagnosis B. Signs and symptoms C. PES D. Nursing assessment - C. PES This is an example of a diagnostic statement following the PES pattern (P - problem, E - etiology, S - signs and symptoms). P: activity intolerance E: imbalance between O2 supply/demand S: abnormal heart rate response to activity, exerti...

3. A nurse is reviewing the arterial blood gas results of several clients. Which client's arterial blood gas result indicates metabolic acidosis? A. pH: 7.32 PaCO2: 32 HCO3: 16 B. pH: 7.34 PaCO2: 50 HCO3: 27 C. pH: 7.46 PaCO2: 33 HCO3: 18 D. pH: 7.48 PaCO2: 48 HCO3: 29 - A. pH: 7.32 PaCO2: 32 HCO3: 16 5. What condition does the nurse suspect? -Irregular heart rhythm -BP: 180/100 -Client reports: nausea, diarrhea, abd pain, muscle weakness -Lab results: K+ = 5.8, Na+ = 140, Ca = 9.0 ...

A client arrives at a health clinic stating, "I am here to have my tuberculin skin test read."m The nurse notes that there is a 7-mm indurated area at the injection site. Which statement made by the nurse correctly describes the result? A. "The result indicates that you have active tuberculosis." B. "The result indicates that you are infected with the tuberculosis organism." C. "The result Indicates that there are no tuberculin antibodies in your system." D. "The result indicates...

A charge nurse at a long-term care facility ensures that the workload is distributed equally among staff when making assignments. Wh following ethical principles is the nurse upholding? justice veracity Autonomy Fidelity - justice A charge nurse is observing a newly licensed nurse administer an enteral feeding to a client who has an established gastrostomy tube. Which of the following actions by the newly licensed nurse indicates that the charge nurse should intervene? The nur...

A good report will: A. Be neat and accurate B. Give your opinion C. Be legible D. A and C E. All of the above - D. A and C A person breaks into a car shop after it is closed and steals a set of mufflers. The offense he committed is: A. Arson B. Burglary C. Theft D. Assault - B. Burglary A person is yelling obscene remarks to an employee at a retail store. The security officer asks him to leave and he refuses. The suspect can be arrested for... A. Arson B. Aggravated assault C...

Texas Administrative Code CH. 35.1 - Definitions - The terms in this section have the following meanings when used in this chapter unless the context clearly indicates otherwise: (1) Act--Texas Occupations Code, Chapter 1702. (2) Application--Includes an application for an original, renewal, duplicate or updated registration, endorsement, commission, or license issued under the Act (3) Board--The Texas Private Security Board. (4) Department--The Texas Department of Public Safety. (5) Licens...

27. A nurse is preparing to implement cognitive reframing techniques for a client who has an anxiety disorder. Which of the following techniques should the nurse include in the plan of care? (Select all that apply) - -Priority restructuring -Monitoring thoughts -Journal keeping A charge nurse is discussing manifestations of schizophrenia with a newly licensed nurse. Which of the following manifestations should the charge nurse identify as being effectively treated by first generation antips...