Study guides, Class notes & Summaries

Larry receives a report on mr. white and recognizes that the report is incomplete. which of the following information should the nurse expect to receive when admitting this new client? (select all that apply.) - ANSWER-Medical history Current medications Current allergies Vital signs Mental status Larry obtained an initial set of vital signs from Mr. White. Given his medical history and current medications, which of the following findings should concern the nurse? - ANSWER-Blood pressure...

A nurse is discussing restorative health care with a newly licensed nurse, Which of the following examples should the nurse include in the teaching? - ANSWER-a) Home health care b) Rehabilitation facilities c) Skilled nursing facilities A nurse is explaining the various types of health care coverage that clients might have to a group of nursing students. Which of the following health care financing mechanisms are federally funded? - ANSWER-Medicare, Medicaid A nurse manager is developing...

The nurse is using a forced air warmer for a surgical patient preoperatively. Which goals are the nurse trying to achieve? (Select all that apply.) a. Induce shivering. b. Reduce blood loss. c. Induce pressure ulcers. d. Reduce cardiac arrests. e. Reduce surgical site infection. - ANSWER-b. Reduce blood loss d. reduce cardiac arrests e. reduce surgical site infection Evidence suggests that pre-warming for a minimum of 30 minutes may reduce the occurrence of hypothermia. Preventio...

Mood - ANSWER-provides information about the emotion that a client is feeling. Affect - ANSWER-an objective expression of mood, such as flat affect or lack of facial expression. Alert - ANSWER-client is responsive and able to fully respond by opening her eyes and attending to a normal tone of voice and speech. She answers questions spontaneously and appropriately lethargic - ANSWER-the client is able to open her eyes and respond but is drowsy and falls asleep readily. Stuporous - ANS...

What o2 equipment has the highest level of O2? - ANSWER-Non-rebreather Signs of depression - ANSWER-powerlessness and hopelessness What types of questions should be asked with someone who has asphagia - ANSWER-Closed ended question What should you inspect on a patient who is at risk for pressure ulcers - ANSWER-Skin What do you administer before a wound irrigation - ANSWER-Pain medications With COPD patients, should the air be hot or cold to lessen the work of breathing - ANSWER-C...

A nurse is assigned care of a client who has HIV. Which of the following infection control precautions should the nurse plan to use while caring for this client? - ANSWER-Standard precautions. HIV is not spread through cough or casual contact. A nurse is contributing to the plan of care for a client who has a pressure ulcer on his heel. Should the nurse: keep the ulcer bed dry, clean the ulcer with hydrogen peroxide, provide the client a diet high in vitamin C, or reposition them every 4 hour...

A nurse is assisting in the care of a client who is hypovolemic shock. While waiting for a unit of blood, the nurse should plan to administer which of the following IV solutions? - ANSWER-0.9% sodium chloride A nurse is caring for a client who has advanced heart failure Which of the following actions should the nurse take? - ANSWER-Enforce fluid restrictions A nurse is collecting data from a client who has abdominal aortic aneurysm. Which of the following manifestations should the nurse ex...

A nurse is assisting with the care of a patient who is receiving a unit of packed RBCs The patient has manifestations of ____ as evidenced by the patient's _____- - ANSWER-allergic reaction, itching A nurse in an emergency department (ED) is assisting with the care of a patient. What findings indicate the patient might be malnourished? - ANSWER-- patient is cachectic with flaccid muscle tone - skin is dry and scaly with bruises on extremities -pulse rate 118/min - abdomen...

A nurse is contributing to the plan of care for a client who is postoperative. In which of the following positions should the nurse place the client to prevent atelectasis? - ANSWER-Fowler's A nurse is assisting with preparing a poster presentation about the musculoskeletal system. The nurse should include that which of the following is responsible for body posture? - ANSWER-Muscles A nurse is preparing to transfer a client from a bed to a wheelchair. Which of the following actions by the...

Hypoxia s/s (4) - ANSWER-1. Fatigue (decreased energy production) 2. Tachypnea (increased respiratory rate) 3. Tachycardia (increased heart rate to circulate red blood cells more freely) 4. Pallor (pale skin and mucous membranes caused by decreased red blood cells in blood vessels) Note: Assess for anemia by checking inside of person's mouth for pale colored mucosa and gums. Indicators of severe Hypoxia (3) - ANSWER-d position of accessory muscles 3. cyanosis Symptoms of Hypoxia E...