Wood25

A nurse is assisting with the selection of clients to discharge to make beds available following a tornado in the community. Which of the following clients should the nurse recommend for discharge? • A client who is recovering from a laparoscopic appendectomy that was performed 24 hr ago RATIONALE: A client who had an appendectomy without complications is often discharged the day of or the day after surgery. The nurse should recommend this client for discharge because this client has a lo...

1. A nurse is assessing a client who had a recent stroke. Which of the following findings should indicate to the nurse the need for referral to an occupational therapist? a. Facial drooping b. Receptive aphasia c. Unilateral neglect d. Memory loss 2. A charge nurse in the newborn nursery is delegating tasks to an assistive personnel (AP). Which of the following is an appropriate task for the AP? a. Show a new mother how to change the newborn’s diaper b. Inspect the skin of a newbo...

1. A nurse in the emergency department is performing triage for a group of clients following a motor crash. Which of the following should the nurse request the provider assess first? • A client who has arm contusions and manifests asymmetrical thoracic movement. 2. A nurse is caring for a client who has acute diverticulitis for surgery with the next 2 hr. The client tells the nurse that she has called a taxicab and is leaving the hospital. After notifying the surgeon, which of the following ...

The nurse is assessing a new mother's efforts to bond with her newly born infant. Identify three (3) factors that can impact effective bonding between mother and infant? 1) Mother’s physical and emotional condition 2) Baby's physical condition 3) Family being prepared for the baby The client enters the obstetrical clinic for birth control information on using a diaphragm. What five (5) instructions would be provided by the nurse to explain use of the diaphragm? 1) A client should be...

A nurse is caring for a client who is hospitalized and has expressive aphasia. The client's family reports that the nurse failed to obtain written informed consent before inserting an indwelling urinary catheter. Which of the following responses should the nurse make? "Procedures prescribed by the provider do not require consent." "This is a procedure that does not require written informed consent." • "You are right. I will discuss this issue with the charge nurse." "Would you mind s...

1. A nurse is reaching a client and his family how to care for the client’s tracheostomy at home. Which of the following should the nurse include in the teaching? a. Use tracheostomy covers when outdoors 2. A home health nurse is performing a follow-up visit for a client who has a gastrostomy tube through which they receive intermittent feedings and medications. The client has recently developed diarrhea. Which of the following findings should the nurse identify as a possible cause of the di...

1: Mr. Cooper is in the critical care unit and requires sedation for an emergency procedure. The prescription reads midazolam (Versed) 10 mcg/kg intravenous now. The patient weighs 220 pounds. How many micrograms of Versed do you give Mr. Cooper? A: 22 mcg. B: 1,000 mcg. C: 100 mcg. D: 2,200 mcg. 2: You are preparing to give Mr. Hamptou his Lopressor (metoprolol tartrate) 100 mg PO daily as prescribed. The pharmacy sends up Lipitor 50-mg tablets. How many tablets do you give to Mr. Ha...

1. The order is to give 60 mg of Garamycin (gentamicin) IM every 8hr. The vial is labeled 80 mg/ 2 mL. How many mL will you give? ? mL = 2mL/80 mg X 60 mg/(1) = 12/8 = 1.5 mL 2. The patient is to receive 65 Units of a drug. The vial is labeled 50 Units per 2 mL. How many mL will you give? ? mL = 2 mL/50 units X 65 units/(1) = 130/50 = 2.6 mL 3. The patient is to receive 0.6 g of a drug. How many mg will you give? ? mg = 1000 mg/1 g X 0.6 g/(1) = 600/1 = 600 mg 4. The patient ...

1. A nurse manager at a community agency is developing an orientation program for newly hired nurses. When discussing the differences between community-based and community-oriented nursing, the nurse should include which of the following as examples of community-based nursing? (Select all that apply.) A. A home health nurse performing wound care for a client who is immobile B. An occupational health nurse providing classes on body mechanics at a local industrial plant C. A school nurse teac...

A school nurse is educating a group of high school student about recommended dietary guidelines. Which of the following statements by a student indicates an understanding of the teaching? A.) "I can consume up to 25% of my daily calories from saturate fatty acids. B.) "I should consume less than 300mg / day of dietary cholesterol. C.) "I can increase my daily consumption of foods that contain refined grains." D.) "I should consume 800mg / day of dietary calcium." High levels of choleste...

The nurse is assessing a new mother's efforts to bond with her newly born infant. Identify three (3) factors that can impact effective bonding between mother and infant? 1) Mother’s physical and emotional condition 2) Baby's physical condition 3) Family being prepared for the baby The client enters the obstetrical clinic for birth control information on using a diaphragm. What five (5) instructions would be provided by the nurse to explain use of the diaphragm? 1) A client should be...

1- A 58-year-old patient has an annual exam. A fecal occult blood test was used to screen for colon cancer. Three were ordered on separate days. The first test was positive; the last two were negative. How should the nurse practitioner proceed? Rescreen in one year. Perform a fourth exam. Refer him for a colonoscopy. Correct Examine him for hemorrhoids. Explanation: A fecal occult blood test is performed multiple times on different days because tumors don’t consistently excrete blood. ...

1. A nurse in an alcohol treatment facility is caring for a client who states, “My job is so stressful that the only way I can cope is to drink.” The nurse should recognize that the client is displaying which of the following defense mechanisms? A. Introjection (Unconscious adoption of the ideas or attitudes of others) B. Repression C. Rationalization D. Intellectualization Repression ● Unconsciously putting unacceptable ideas, thoughts, and emotions out of awareness ● ADAPTIVE US...

1. A chest radiograph film is ordered for a child with suspected cardiac problems. The child’s parent asks the nurse, “What will the radiograph show about the heart?” What knowledge about the x-ray should the nurse include in the response to the parents? a. Bones of chest but not the heart b. Measurement of electrical potential generated from heart muscle c. Permanent record of heart size and configuration d. Computerized image of heart vessels and tissues ANS: C A chest radiograph w...

What class of medication is amitriptyline and why is this medication used as an adjuvant medication for pain? • Therapeutic class: Antidepressant • Pharmacological class: Tricyclic Antidepressant (TCA) • Used as an adjuvant med for pain because it treats chronic pain syndromes, such as neuropathic pain, by potentiating both serotonin and norepinephrine in the CNS. A nurse is caring for a client prescribed the inhaled glucocorticoid beclomethasone (QVAR) for the treatment of asthma. W...

1. A nurse is preparing to administer ipratropium by metered dose inhaler. What adverse effects should the nurse instruct the client to monitor for? The adverse effects that the nurse should teach the client to watch for when taking ipratropium is dry mouth and hoarseness. The nurse should teach the client to sip fluids and suck on sugar-free hard candies to help with the dry mouth and hoarseness. 2. A client has a new prescription for salmeterol. The nurse is teaching the client about adver...

1.) A nurse is caring for a client who has hyponatremia and is receiving an infusion of a prescribed hypertonic solution. Which of the following findings should indicate to the nurse that the treatment is effective? a. Absent Chvostek’s sign b. Improved cognition c. Decreased vomiting d. Cardiac arrhythmias absent 2.) A nurse is reviewing he laboratory results of a client who has a prescription for sodium polystyrene sulfonate (Kayexalate) every 6 hr. which of the following should the nur...

1. A nurse is planning a primary prevention strategy for reducing obesity in a community. Which of the following strategies should the nurse use? educate children about nutrition and exercise at a daycare center 2. A community health nurse is developing health promotion activities for a community. Which of the following is the highest priority action? participate in community assessment to identify community health problems 3. A home health nurse is scheduling client visits for the day. Whi...

Above the knee amputation: • Assist patient to prone position every 4 hours • Wrap limb in distal to proximal direction • Do not elevate after 48hrs to prevent flexion contractures • Aphasia • Limits ability to communicate • Does not affect swallowing and eating • May occur suddenly after stroke ,head injury or develop slowly from a growing tumour or disease • Radiation therapy: • Can wash irradiated area with mild soap and water • Avoid applying lotion to irradi...

1. A nurse is teaching a group of older adults about expected changes of aging. Which of the following statements by a group member indicates that the teaching has been effective? "I should expect my heart rate to take longer to return to normal after excessive as I get older." 2. A nurse is caring for a client who is postoperative and has paralytic ileum. Which of the following abdominal assessments should the nurse expect? Absent bowel sounds with distention 3. A nurse is planning care f...