Samuelochieng

1An oriented patient has recently had surgery. Which action is best for the nurseto take to assess this patient’s pain? a. Assess the patient’s body language. b. Ask the patient to rate the level of pain. c. Observe the cardiac monitor for increased heart rate. d. Have the patient describe the effect of pain on the ability to cope. ANS: B One of the most subjective and therefore most useful characteristics for reporting pain is its severity. Therefore, the best way to assess ...

1. At 34- weeks gestation, a primigravida is assessed at her bimonthly clinic visist,. Which assessment 2. finding is important for the nurse to report to the hcp? D. Weight gain of 7 pounds 3. A newborn infant is receiving immunization prior to discharge. Which action should the nurse implement? D. Obtain signed consent from the mother for administration of hepatitis B vaccine 4. A multiparous woman at 38-weeks gestation with a history of rapid progression of labor is admitted for ind...

2. When assessing patient with nutritional needs, which patients will require follow-up from the nurse? (Select all that apply.) a. A patient with infection taking tetracycline with milk b. A patient with irritable bowel syndrome increasing fiber c. A patient with diverticulitis following a high-fiber diet daily d. A patient with an enteral feeding and 500 mL of gastric residual A patient with dysphagia being referred to a speech-language e. pathologist ANS: A, C, D The nurse sho...

1. A nurse is assigned the following four clients for the current shift. Which of the following clients should the nurse assess first? A. A client who has a hip fracture and is in Buck’s traction B. A client who has aspiration pneumonia and a respiratory rate of 28/min C. A client who has diabetes mellitus stage 2 pressure ulcer on his foot D. A client who has a C diff infection and needs a stool specimen collected 2. A nurse is caring for a client who fell and is reporting pain in the le...

1. A parish nurse is visiting an older adult client who was recently widowed. The client tells the nurse that he no longer has a way to get to the grocery store or the doctor. Which of the following responses by the nurse is appropriate “How would you feel about me contacting a local service that helps older adults with transportation?” 2. A case manager nurse is caring for a client being discharged post total hip arthroplasty. Which of the following activities is an example of the nurse f...

A client who is admitted with emphysema is having difficulty breathing. In which position should the nurse place the client? A.High Fowler's position without a pillow behind the head B.Semi-Fowler's position with a single pillow behind the head C.Right side-lying position with the head of the bed elevated 45 degrees D.Sitting upright and forward with both arms supported on an over the bed table D Adequate lung expansion is dependent on deep breaths that allow the respiratory muscles to in...

An oriented patient has recently had surgery. Which action is best for the nurse to take to assess this patient’s pain? a. Assess the patient’s body language. b. Ask the patient to rate the level of pain. c. Observe the cardiac monitor for increased heart rate. d. Have the patient describe the effect of pain on the ability to cope. ANS: B One of the most subjective and therefore most useful characteristics for reporting pain is its severity. Therefore, the best way to assess a ...

37. Which assessment finding in a patient who has received omalizumab (Xolair) is most important to report immediately to the health care provider? a. Pain at injection site c. Peak flow reading 75% of normal b. Flushing and dizziness d. Respiratory rate 24 breaths/minute ANS: B Flushing and dizziness may indicate that the patient is experiencing an anaphylactic reaction, and immediate intervention is needed. The other information should also be reported, but do not indicate possibly life- th...

Passages that you might have: King Henry VII- Expository •0 The word infamous in the passage means – Notorious Social Media- Persuasive •1 It’s talking how now of days there’s a lot of news on the internet, which some are true and some are fakes. People just share them depends on how they feel about it. •2 It’s trying to get people to fact checking before just posting random information. (By Tamika Y.) UFO- Narrative •3 It’s talking about aliens, and an old man that...

The nurse is caring for a client who has a fiberglass long leg cast on the right leg. Which nursing actions should be implemented in the cast care of this client? SATA a) Smelling the cast and feeling for the presence of hot spots on the cast. b) Checking neurovascular status of the right exposed foot and toes every four hours. c) Using a soft cotton-tipped 6-inch swab to help scratch beneath the cast. d) Placing the nurse's finger in the client's cast while performing cast care. e) Cov...