Study guides, Class notes & Summaries

Pediatric Asthma FUNDAMENTAL Reasoning Jared Johnson, 10 years old Primary Concept Gas Exchange Interrelated Concepts (In order of emphasis) 1. Inflammation 2. Clinical Judgment 3. Patient Education © 2016 Keith Rischer/ FUNDAMENTAL Reasoning: STUDENT Pediatric Asthma History of Present Problem: Jared Johnson is a 10 year-old African-American boy with a history of moderate persistent asthma. He is being admitted to the pediatric unit of the hospital from the walk-in clinic with an acute asthma ...

Breast Cancer/Complications of Chemotherapy SKINNY Reasoning Jan Leisner, 50 years old Primary Concept Infection Interrelated Concepts (In order of emphasis) • Fluid and Electrolyte Balance • Cellular Regulation • Immunity • Stress • Clinical Judgment NCLEX Client Need Categories Percentage of Items from Each Category/Subcategory Covered in Case Study Safe and Effective Care Environment □ Management of Care 17-23% • □ Safety and Infection Control 9-15...

1. A client returns to the unit after abdominal Nissen fundoplication for treat- ment of gastroesophageal reflux disease. After 4 hours, the nurse determines the client has no drainage from the nasogastric tube (NGT) and has absent bowel sounds. What action should the nurse implement? Notify the healthcare provider. Continue to monitor the client. Reposition the nasogastric tube. Irrigate the NGT with normal saline. ANS Irrigate the NGT with normal saline. Rationale After abdominal surgery,...

1. A client with asthma receives a prescription for high blood pressure during a clinic visit. Which prescription should the nurse anticipate the client to receive that is least likely to exacerbate asthma ANS The best antihypertensive agent for clients with asthma is metoprolol (Lopressor) (C), a beta2 blocking agent which is also cardioselective and less likely to cause bronchoconstriction. Pindolol (A) is a beta2 blocker that can cause bronchoconstriction and increase asthmatic symptoms. Al...

1. The nurse is monitoring neurological vital signs for a male client who lost consciousness after falling and hitting his head. Which assessment finding is the earliest and most sensitive indication of altered cerebral function? a. Unequal pupils. b. Loss of central reflexes. c. Inability to open the eyes. d. Change in level of consciousness. ANS : D 2. A nurse is planning to teach self-care measures to a female client about prevention of yeast infections. Which instructions should the nu...

1. Which type of management style is a case management model for nursing care delivery? a. Patient focused and primary nursing. b. Clinically oriented and business oriented. c. Centralized and decentralized systems models. d. Clinical pathways and patient classifications ANS : A 2. 2. The nurse is assessing a client with multiple trauma from a motorcycle crash who is being ventilated due to multiple organ dysfunction syndrome (MODS). Which system assessment should the nurse monitor as an i...

1. A client with deep partial-thickness and full-thickness burns of the face and chest is receiving wound care using the open method. The plan of care includes the Nsg Dx, "Risk for infection R/T impaired tissue integrity." Based on the expected outcome, "Client remains free of infections," which nursing interventions should the PN implement? A. Wear gown, cap, mask, and gloves during direct client care. B. Restrict visitors in order to prevent wound contamination. C. Use sterile water fo...

1. A client with asthma receives a prescription for high blood pressure during a clinic visit. Which prescription should the nurse anticipate the client to receive that is at least likely to exacerbate asthma ANS Metoprolol tartrate (Lopres- sor) Best antihypertensive med for asthmatics. Beta2 blocking agent -- also a cardiose- lective and less likely to cause bronchoconstriction. 2. A male client who has been taking propranolol (Inderal) for 18 months tells the nurse that the healthcare pr...

1. which assessment supplies the most accurate account of a patient's dietary habits ANS 3-day food diary 2. periodontal exam of 51 year old male confirms the development of a type II embrasure with localized areas of slight to moderate gingival recession. Which aid is recommended for effective interdental cleaning in this area ANS in- terdental proxy brush proxy brush for type II and III end-tufted brush - type III or proximal surfaces where a tooth is missing 3. what are the post op car...

Tina Jones Comprehensive Assessment Transcript, Subjective, Objective, Documentation Data