Contenthive76

A 23-year-old man sustains 4 stab wounds to the upper right chest during an altercation and is brought by ambulance to a hospital that has full surgical capabilities. His wounds are all above the nipple. He is endotracheally intubated, closed tube thoracostomy is performed, fluid resuscitation is initiated through 2 large-caliber IVs. FAST exam does not reveal intraabdominal injuries. His blood pressure now is 60/0 mm Hg, heart rate is 160 beats per minute, and respiratory rate is 14 breath...

The stratum basale or stratum germinativum is always the bottom (deepest) layer. Continuous cell division occurs here and produces all the other layers. o The stratum spinosum is a layer of 8–10 keratinocytes o The non-dividing cells of the 3rd layer (stratum granulosum) are filled with granules of keratin. o The stratum lucidum is the 4th layer but is only present in thick skin (the skin of the fingertips, palms, and soles). o The stratum corneum is always outermost, composed of appro...

A nurse us teaching a client about using a metered-dose rescue inhaler. Which of the following statements should the nurse include in the teaching Exhale fully before bringing the inhaler to your lips A nurse is admitting a client to the ED after a gunshot wound to the abd. Which of the following actions should the nurse take to help prevent the onset of acute kidney failure Admin IV fluids to the client A nurse is completing an assessment of an older adult client and notes reddened areas ...

A nurse is planning care for a client who is undergoing brachytherapy via a sealed vaginal implant to treat endometrial cancer.Which of the following actions should the nurse include in the client’s plan of care? Wear a lead apron while providing care to the client 10.A nurse is planning to provide discharge teaching for the family of an older adult client who has hemianopsia and is at risk for falls. Which of the following instructions should the nurse include? Remind the client to sca...

A nurse provided discharge teaching to new parents on how to care for their newborn following circumcision. Which of the following statements by the parents indicates the need for further clarification? Select one: a. "I should not remove the yellow exudate on the end of the penis." b. "I will clean his penis with each diaper change." c. "The circumcision will heal completely within a couple of weeks." d. "I can give him a tub bath in two days." d. "I can give him a tub bath in ...

A nurse is teaching a client about Rho(D) immunoglobulin (RhoGAM). Which of the following statements by the client indicated an understanding of the teaching? a. I will receive this medication if my baby is Rh-negative b. I will receive this medication at time of delivery c. I will need a second dose of this medication when my baby is 6 weeks old d. I will need this medication if I have an amniocentesis- Recommended because of the potential of fetal RBCs entering the maternal circulatio...

A nurse is teaching a client who has chronic low back pain about the use of alternative therapy tomanage pain. Which of the following by the client indicates an understanding of the use of distraction? I will have electrodes inserted in my skin to treat the painI should apply my heating blanket to my back to reduce tensionI should jog every morning to improve my circulation I will watch my favorite old movies when I want to reduce stress 228. A nurse is providing dietary teaching to a cli...

A client who has hypothyroidism and is breastfeeding tells the nurse that she is taking levothyroxine (Synthroid) and is concerned that it will be excreted in her breast milk. Which of the following responses by the nurse is appropriate? 3) You will need to take the medication after breastfeeding the infant each morning 4) You will need to decrease your medication while breastfeeding At 0900 a nurse is preparing a client's medications. Based on the chart findings, which of the following m...

lOMoAR cPSD| make? A) It is safe to take an enteric-coated aspirin B) Aspirin will inc the risk of bleeding C) Acetaminophen may be sub for aspirin D) The INR lab work must be monitored more frequently if aspirin is taken B) Aspirin will inc the risk of bleeding A nurse is teaching a client who has a new prescription for docusate sodium about the medication's mechanism of action. Which of the following information should the nurse include in the teaching? A) reduces the surface tensi...

A school nurse is teaching a high school health class about a possible cause of a negative nitrogen balance. Which of the following should the nurse include in the teaching? (Select all that apply): Illness, malnutrition, trauma. The client is interested in breastfeeding her infant but has to return to work once her maternity leave is over. How long does the American Academy of Pediatrics (AAP) recommend exclusive breastfeeding for an infant? The first 6 months of age Nausea and vomiting...

A nurse is teaching about nutrition to a client who has a new diagnosis of chronic kidney disease. Which of the following recommend should the nurse include in the teaching? • Increase phosphorus intake • Limit calcium intake • Limit protein intake • Increase potassium intake 63. A nurse is caring for a client a major burn injury and is receiving TPN. Which of the following lab tests is the priority for the nurse to use to confirm the client is receiving adequate nutrition? • I...

lOMoARcPSD| A charge nurse is discussing the characteristics of a nurse-client relationship with a newly licensed nurse. Which of the following characteristics should the nurse include in the discussion? (Select all that apply) A. The needs of both participants are met. B. An emotional commitment exists between the participants. C. It is goal-directed. D. Behavioral change is encouraged. E. A termination date is established. A nurse is in the working phase of a therapeutic relationship...

A nurse is caring for a client in a mental health facility. The client is agitated and threatens to harm herself and others. Which of the following is the priority intervention? a) Place the client in restraints b) Administer an anti-anxiety medication to the client c) Put the client in seclusion d) Set limits on the client’s behavior A nurse is caring for a client who was involuntarily committed and is scheduled to receive electroconvulsive therapy (ECT). The client refuses the treatme...

The nurse has administered a preoperative medication to the patient going to surgery. Which action will the nurse take next? a. Notify the operating suite that the medication has been given. b. Instruct the patient to call for help to go to the restroom. c. Waste any unused medication according to policy. d. Ask the patient to sign the consent for surgery. ANS: B Once a preoperative medication has been administered, instruct the patient to call for help when getting out of bed to prevent...

Discuss contraceptive options with the client and her partner. Repeat information to ensure client understanding. Listen to the client and her partner as they reflect upon the birth experience. Demonstrate to the client how to perform a newborn bath. Demonstrating to the client how to perform a newborn bath occurs during the taking-hold phase. The new parent moves from being passively dependent to taking a stronger interest in her new role as a mother. She is now focusing on the care her n...

The OB-GYN nurse knows that the proliferative phase of the menstrual cycle includes what changes? Thin, clear cervical mucus Spinnbarkheit as ovulation nears A pH change to 7.5 The nurse is explaining the difference between meiosis and mitosis. Which statements would be best? Meiotic division leads to cells that halve the original genetic material. The nurse educator is discussing human chromosomes with her students, and knows that the teaching has been effective when a student states: H...

I should avoid breastfeeding for two weeks following the immunization d. I will report joint pain that develops after the immunization to my provider immediately 56. A nurse is reviewing the chart of a client who is 2 days postpartum following a vaginal delivery reports constipation. Which of the following findings should the nurse identify as a contraindication to the use of a suppository? a. vaginal candidiasis b. third-degree perineal laceration c. abdominal distension d. Afterpains ...

A charge nurse is planning a staff education and competence session about operating newly acquired cardiac monitoring equipment. Which of the following actions should the nurse plan to take? (Select all that apply.) Caution staff that the equipment is complicated to use. Wait to offer feedback on staff use of the equipment until the end of the session. Identify the current level of staff knowledge about the equipment. 234. A nurse is providing teaching to a client who is experiencing prete...

When performing nasotracheal suctioning what technique should be used? Sterile asepsis bc the trachea is considered sterile and prevents infections A nurse educator is presenting a module on basic first aid for newly licensed home health nurses. The nurse educator evaluates the teaching as effective when the newly licensed nurse states the client who has heat stroke will have which of the following? A. Hypotension B. Bradycardia C. Clammy skin D. Bradypnea A What do you do when a clien...

several nurses are developing a parish nurse group to help address the primary and secondary health care needs of the congregation. which of the following services should the nurses plan to provide to the congregation? 1. organize an influenza immunization clinic with the American red cross 2. perform wound care in the home of members 3. provide end of life care for members who are terminal 4. facilitate discharge from the facility to the home 36. a community health nurse is caring for cl...