NUR 4110 Primary Concepts of Adult Nursing II

Which nursing action should the PACU nurse take to prevent postoperative complications in clients? - Answer Assist the client to do leg exercises to increase venous return. Which surgical client does the nurse in the preoperative setting anticipate has the greatest potential for surgical complications? - Answer A 76-year-old client with a history of renal failure and chronic bronchitis The nurse enters a postoperative client's room and finds that the client is bleeding profusely f...

Secretion of and role of acid in stomach - Answer o Chewing and swallowing saliva, salivary amylase o Gastric function: hydrochloric acid, pepsin, intrinsic factor o Small intestine: amylase, lipase, trypsin, bile Upper GI bleeding - Answer Peptic ulcers: a perforation or hole in the lining of the small intestine, lower esophagus, or stomach. Lower GI bleeding - Answer Colitis: which ours when your colon becomes inflamed Evidence of acute bleed - Answer Patients with acute...

Accountable care organizations - Answer Makes things cheaper and better quality throughout a system. Helped create a better model by offering incentives to provide integrated, well-coordinated care to patients which reduces cost. It is made up of several organizations that deliver care that come together to deliver the most efficient and quality care for the population served; only one bill is generated that covers all the care delivered across the various care settings. Psychological Stre...

A sputum study has been ordered for a client who has developed coarse chest crackles and a fever. At what time should the nurse best collect the sample? - First thing in the morning - At bedtime - After a period of exercise - Immediately after a meal - Answer - First thing in the morning A nurse enters a client's room and observes a container with sputum. Upon questioning about the specimen, which information from the client would necessitate the nurse to obtain a new specimen? - ...

A nurse is caring for a client who is scheduled for a thoracentesis. Prior to the procedure, which of the following actions should the nurse take? A. Position the client in an upright position, leaning over the bedside table. B. Explain the procedure. C. Obtain ABGs. D. Administer benzocaine spray. - Answer A. Position the client in an upright position, leaning over the bedside table. A nurse is reviewing ABG laboratory results of a client who is in respiratory distress. The results ...

A nurse on a medical unit is caring for a client who suddenly becomes confused and drowsy. Additional data includes pulse 100/min, respiratory rate 24/min, BP 132/76 mm Hg, and temperature 36.8º C (98.2º F). Which of the following actions should the nurse perform? - Answer Complete a neurological check. Neurological assessment is an appropriate nursing intervention when a client displays sudden confusion. Sensory alterations can occur when a client is experiencing multiple sensory stimuli ...

The nurse is caring for a client just diagnosed with neutropenia. What would be the priority intervention for the nurse to implement? -Hold all venipuncture sites for at least five minutes -Place the client in isolation -Limit fresh flowers coming to the room -Have the clients use a soft-bristle toothbrush - Answer -Place the client in isolation The nurse cares for a client who reports fatigue after their radiation treatment. Which response by the nurse to this statement by the client ...

Which goal has the highest priority in the plan of care for a 26-yr-old patient who is homeless who was admitted with viral hepatitis who has severe anorexia and fatigue? a.Increase activity level. b.Maintain adequate nutrition. c.Establish a stable environment. d.Identify source of hepatitis exposure - Answer B The highest priority outcome is to maintain nutrition because adequate nutrition is needed for hepatocyte regeneration. Finding a home for the patient and identifying the sourc...