Chrisdavetest

Maternal A nurse is performing a vaginal exam on a client who is in active labor. The nurse notesthe umbilical cord protruding through the cervix. Which of the following actions shouldthe nurse take? Administer oxytocin to the client via intravenous infusion. Apply oxygen at 2 L/min via nasal cannula. Prepare for insertion of an intrauterine pressure catheter. Assist the client into the knee-chest position. 1. A nurse is assessing a newborn who is 48 hr old and is experiencing opioid wi...

Management of Surgical Unit The nurse manager is the charge nurse on a busy surgical unit in a major metropolitan hospital. The charge nurse is working with a team composed of registered nurses (RNs), practical nurses (PNs), and unlicensed assistive personnel (UAPs). The charge nurse for the previous night shift is giving verbal report to Ms. Hatch and the oncoming staff nurses. During the report, one of the UAPs interrupts to state that a client is vomiting. How should Ms. Hatch respond...

Management of an Oncology Unit RN Case Study This scenario demonstrates leadership and management on an oncology unit. Using effective leadership skills, the charge nurse demonstrates skill in priority setting, delegation, supervision, and client care assignments. Students on the oncology unit have the opportunity to observe effective communication and team collaboration resulting in the provision of safe client care. Ms. Young asks the nurse about the lab data and the nurse responds by s...

Management of a Pediatric Unit Which phone message requires the most immediate response by Ms. Sanku? A school social worker who is reporting that a local teenager who often hangs out around the clinic has made death threats and expressed thoughts of suicide. Which situation requires the most immediate follow-up by the nurse? A mother expressing concern that her baby refuses to take formula, stating that the infant's "soft spot" seems more sunken. Which child requires the most immedi...

Management of a Medical Unit RN Case Study The nurse manager is the 7:00 a.m. to 7:00 p.m. charge nurse on a general medical unit that includes five telemetry-monitored rooms. The nursing staff includes experienced nurses, newly-licensed nurses, practical nurses (PNs), unlicensed assistive personnel (UAPs), and a unit secretary. Each newly-licensed nurse has an assigned staff nurse as a preceptor. In addition to the nursing staff, a respiratory therapist, case manager, and pharmacist are ...

LPN HESI MATERNAL Which physiological cause(s) for constipation during pregnancy should the practical nurse (PN) explain to a client in the first trimester? (Select all that apply.) 1. Displacement of the colon. 2. Tightening of the anal sphincter. 3. Change in nutrient absorption. 4. Shifting of liver placement. 5. Decrease in peristalsis. 6. Increase bile production. 1. Displacement of the colon. 5. Decrease in peristalsis. During pregnancy, the enlarging uterus compresses and disp...

Hypertension

Section 1 Nursing Process: Assessment The nurse admits Raymond to a private room at the end of the hall. According to hospital protocol, the nurse puts on a mask before starting the admission process. Raymond tells the nurse that his significant other is downstairs and that he would like for him to stay in the room with him. How should the nurse respond? "Your healthcare provider (HCP) wants you to get some rest." Raymond is requesting an opportunity for psychosocial support, which sh...

Maternal 1. A nurse is assessing a client who has gestational diabetes and is experiencing hyperglycemia. Which of the following findings should the nurse expect? a. Reports increased urinary output b. Diaphoresis c. Reports blurred vision d. Shallow respirations 2. A nurse is caring for a client who is at 22 weeks of gestation and is HIV positive. Which of the following actions should the nurse take? a. Administer penicillin G 2.4 million units IM to the client b. Instruct the client ...

HESI RN Medical Surgical EXAM The nurse is assessing a clients laboratory values following the administration of chemotherapy. Which lab value leads the nurse to suspect that the client is experiencing tumor lysis syndrome? A. Hemoglobin of 10 g/dl B. Serum calcium of 5mg/dl C. Serum PTT of 10 seconds D. Oxygen saturation of 90% Answer: B TLS results in hyperkalemia, hypocalcemia, hyperuricemia, and hyperphosphatemia. A serum calcium level of 5 is low and so is an indicator of possibl...