The nurse should place a sign with which of the following warnings over the child's bed? Vanilla pudding= contains milk and should not be on a liquid diet tray. A nurse at a pediatrician's office is contacted by a parent whose child just ingested half a bottle of vitamins with added ferrous sulfate. The nurse is caring for a client after hypophysectomy and notes clear nasal drainage from the client's nostril. Which would be the appropriate action to take to maintain a sterile field? Which of the following instructions should the nurse include in the teaching? An unconscious patient with normal pulse and respirations would be considered to be in what stage of general anesthesia? An experienced nurse is teaching a student nurse about the proper use of hand hygiene. A client is scheduled to undergo surgical creation of an ileal conduit. The nurse is requested to place an ice pack on the eyelid for 2 minutes for a client suspected of having myasthenia gavis (MG) with diplopia. The nurse uses a small amount of sterile solution from a large, multiuse bottle to moisten gauze in a sterile field. A nurse is caring for a toddler who is 24 hour postoperative following a cleft palate repair. When should the client stop taking the aspirin before the surgery? You are asking Ms. Simpson about symptoms that she has had that brought her to the clinic. A young adult client arrives at the community clinic with reports of changes in eating habits. 4. What is the chemical released by the axon that enables nerve impulses to cross the synapse and reach the dendrites? Which technique is recommended by infection control practice standards for hand hygiene? The client received general anesthesia for the procedure and has opioid pain medications prescribed. What is the priority action by the scrub nurse when the surgeon begins to close the surgical wound? Which concept should be the priority in the teaching plan? What data obtained by the nurse is indicative of this damage? A nurse is planning care for an adolescent who has scoliosis and requires surgical intervention. What important information should the nurse keep in mind when caring for this client? A nurse is caring for a child who has otitis media. What is an implication of this assessment finding? A nurse is caring for a client in isolation. What key area should the nurse prioritize when educating this client? An 83-year-old resident of an extended-care home has begun displaying uncharacteristic confusion over the past 48 hours and is suspected to have a new infection. A team of nurses is caring for a client with tuberculosis. What measures would the nurse take to protect against spreading infection while overseeing the transport of this client? Which client action indicates an accurate understanding of this information? A nurse is planning care for an adolescent who is postoperative following scoliosis repair with Harrington rod instrumentation. The nurse is assisting a colleague with wound care. Which action, made by the nursing assistant, would require instruction? $$ A cataract then forms as oxygen uptake is reduced, water content . Select all that apply. Nursing care planning and management for patients who underwent appendectomy includes: preventing complications, promoting comfort, and providing information. The nurse caring for a patient after urinary diversion surgery monitors the patient closely for peritonitis by assessing for which of the following? 176. What does the nurse understand about the client's symptoms? Which of the following findings should the nurse expect the client to manifest with acute lead poisoning? Use all options. A nurse is teaching the parents of a toddler about temper tantrums. Select all that apply. Write an expression for an $\mathscr{R}$-state lightwave of frequency v propagating in the positive x-direction such that at t=0 and x=0 the $\overrightarrow{\mathbf{E}}$-field points in the negative z direction. A nurse is caring for a client who is being treated for a nervous system disorder. The potential effects of prior medication therapy must be evaluated before surgery. A nurse is planning care for a client who ingested a large amount of acetylsalicylic acid. What should the nurse do first? Standard precautions apply to blood; all body fluids, secretions, and excretions; and intact and nonintact skin and mucous membranes. $$ What is a role of the "clean" nurse? A major goal when caring for a catheterized patient is to prevent infection. Hand hygiene is needed after contact with objects near the client. $$ What is the nurse's priority action? A cataract is an opacity of the lens that distorts image projected onto the retina and that can progress to blindness. Nursing assessment findings reveal that the client is afraid of dying during the surgical procedure. When removing the protective gown, the nurse should take which action? A nurse is working with a new graduate nurse. A nurse is caring for a child who has Addison's disease. A nurse is assessing a toddler who has suspected lead poisoning. $$. \begin{matrix} \text{ } & \text{Initial Cost} & \text{Uniform Annual Benefit}\\ \text{A} & \text{\$20} & \text{\$ 6.00}\\ \text{B} & \text{35} & \text{9.25}\\ \text{C} & \text{55} & \text{13.38}\\ \text{D} & \text{60} & \text{13.78}\\ \text{E} & \text{80} & \text{24.32}\\ \text{F} & \text{100} & \text{24.32}\\ \end{matrix} Avoid touching the outer surfaces of the gown. Select all that apply. A client comes to the clinic for a follow-up visit. A nurse reports an incident of suspected child abuse. For an 8% interest rate, which alternative should be selected? Round to the nearest mL. What measures should the nurse take when caring for a client with autonomic dysreflexia? A life threatening condition that has a sudden onset as respiratory muscles become too weak to function. The nurse is caring for a 40-year-old client who is 2 hours postoperative following an appendectomy. based on the nurse's knowledge of the most common hospital-acquired infections, which apparatus is most important to remove first? Which steps must be followed when using the double-bagging method? The nurse is caring for a client admitted to the hospital after sustaining a severe head injury. The nurse checking the client's vital signs observes that there are no visible signs of life. "I will obtain a mask from the staff and wash my hands before touching my family member.". Turn, cough, and deep breathe every 30 minutes around the clock. The nurse is preparing to don sterile gloves for a procedure that requires surgical asepsis. a) It formed from an explosive pyroclastic eruption.\ A nurse needs to send the blood and urine specimen of a client with acute diarrhea to the pathology laboratory. A 12-year-old is being hospitalized for pneumonia. What is the nurse's best action while observing the colleague perform the task? Cephalgia (Headache) is one of the most common symptoms of a neurologic disorder. A nurse is caring for a 17-year-old client who is experiencing a relapse of leukemia and is refusing treatment. Which of the following provider prescriptions should the nurse clarify? x == 5 || y > 3. The nurse working with a patient after an ileal conduit notices that the pouching system is leaking small amounts of urine. During the surgical procedure, the client exhibits tachycardia, generalized muscle rigidity, and a temperature of 103F. The nurse is assisting the client in using the Clinitron special bed. an 81-year-old man with active tuberculosis and a productive cough. A client with an infectious disease that requires airborne precautions must be transported from the client's room to the radiology department. For which effect should the nurse monitor the client who has had a stroke? Which individual would be responsible for ensuring that procedure and site verification occurs and is documented? One of the parents of the child becomes upset and demands to know the reason for the nurse's action. \text{ClO}^-~~~~~~~~~~~~~~~~~~~~~~~~~~~~~\underline{~~~~~~~~~~~~~~~} The graduate nurse states that she was exposed to a client's blood and that she was not wearing any PPE. Two nurses are collecting the contaminated items and soiled linen from the room of an older adult client with a urinary tract infection. The nurse is caring for a 27-year-old client who presents with possible signs of an infected abdominal wound. Neurons make up a nerve. A nurse who has provided care in perioperative settings for many years has seen first-hand the trend toward increasing numbers of surgical procedures being performed in ambulatory surgical centers and on an outpatient basis. The nurse is providing care to a client with Lyme disease. Which measure by the nurse is appropriate? A client refuses to remove her wedding band when preparing for surgery. C restriction enzymes. The nurse is preparing discharge instructions for a family member who will be caring for a client with an abdominal incision. Respiratory rate is 20, temperature is 99.8 (taken orally), heart rate is 87, and blood pressure is 124/70. The client received general anesthesia for the procedure and has opioid pain medications prescribed. How will the nurse likely respond? Which of the following activities are nursing activities in the preoperative phase of care? Both of the child's parents have a smoking history. Meningitis is diagnosed based on a general neurologic examination that includes two special neurologic signs: Electroencephalography records the brain's electrical impulses as a graph. What assessment data may indicate that the patient does have a paralytic ileus? A veteran nurse is working with a new graduate nurse. Infectious disease, communicable disease, and contagious disease do not describe food poisoning. Multiple Choice Q09 It is now 16:30. They are specialized to respond to electrical, chemical and physical stimuli (EX: pain, pressure, hot/cold), and messages are conducted and transferred through them (neurotransmission). Record your answer using a whole number. The family member of a client asked the nurse what part of the brain the client's cerebrovascular accident (stroke) was in since the client is paralyzed on the right side. The nurse is caring for four clients on a medical-surgical unit.. The patient had a large upper abdominal incision. A nurse is providing teaching to a parent of a child who has Hirschsprung disease and is scheduled for initial surgery. The client is receiving 0.9% normal saline at 75 mL/h, has a nasogastric tube to low wall suction with 200 mL every 8 hours of light yellow fluid, and a wound drain with 50 mL of dark red drainage every 8 hours. Intracranial pressure is the pressure that the brain, blood, and CSF exert inside the cerebrospinal cavity. How many mL should the nurse administer? "Bring your baby in to the clinic today.". Which of the following statements by the parent indicates an understanding of the teaching? The nurse assesses the incision and notes evisceration. The client states, "I'm really nervous about this surgery. What technique is represented? The nurse informs the client that many members of the health care team (including a mental health practitioner) will see him. A. The nurse notices the client is tearful and constantly wringing their hands. What are benefits of a cover gown? They open in the back to reduce inadvertent contact with the client and objects. What should the client's nurse teach him about this diagnostic finding? A swimmer moves through the water at an average speed of 0.22 m/s. During the interview, the client states, "Sometimes when I have to urinate I can't control it, and do not reach the bathroom in time." B. . Which of the following instructions should the nurse include in the teaching? Examination of a client's bladder stones reveal that they are primarily composed of uric acid. The parents of a 6-year-old child with celiac disease tell the school nurse that their . When would surgery be contraindicated for this patient due to laboratory results? A nurse is admitting a child who has leukemia. A nurse is caring for a client with herpes zoster. "As a nurse, I am required by law to report suspected child abuse.". A nurse is caring for a client admitted to the healthcare facility with a history of hypertension and right-sided hemiplegia. "Alcohol-based hand rub provides the greatest reduction in microbial counts on the skin.". An older adult hospitalized client develops severe diarrhea from gram-negative rods that compromised the normal flora of the bowel. Loss of myelin (demyelination) results in weak electrical impulses and weak muscle contractions. A 70-year-old elderly patient is admitted to the preoperative unit for a liver resection that is scheduled for 6 hours of surgery. The nurse is caring for a client admitted with tuberculosis (TB). Encourage the parents to rock the infant. Place a surgical mask on the client and transport to the CT department at the specified time. Which of the following information should the nurse include in the teaching? coordination$\hspace{1cm}$______________$\hspace{1cm}$my/o. The nurse has just admitted a 12-year-old client who is going to have an above-the-knee amputation of their left leg due to osteosarcoma. Julie S Snyder, Linda Lilley, Shelly Collins, Introduction to Maternity and Pediatric Nursing, Write the correct answer in the middle column.\ Which of the following findings should the nurse expect? Acts as shock absorber for brain and spinal cord, Is a chronic, progressive disease affecting the dopamine-producing cells of the brain. What factors have contributed most significantly to this trend? The nurse should understand that these actions are developmentally appropriate at which of the following ages? This is because it's quite important for the nurse to encourage the patient to practice deep breathing and coughing so as to be able to do the breathing exercises easily after surgery. A client comes to the emergency department complaining of severe pain in the right flank, nausea, and vomiting. The client is approximately 24 hr postoperative and describes the pain as "severe". Select all that apply. 55. The nurse is caring for a client with herpes zoster. . Which statement accurately describes this process? A. What measurement should the nurse report to the physician in the immediate postoperative period? Air flowing at 40 kPa, 210 K, and a Mach number of 3.4 impinges on a two-dimensional wedge of half-angle $8^{\circ}.$ Determine the two possible oblique shock angles, $\beta_{\text {weak}}$ and $\beta_{\text {wrong}}$ that could be formed by this wedge. The client tells the nurse, "I am nervous about my upcoming EEG because I am afraid the shocks will hurt." Carefully open the inner package taking care not to touch the inner surface of the package or the gloves. Select all that apply. Approximately how many feet from others should the nurse tell the client to maintain? Nursing assessment findings reveal urinary output < 30 ml/hr, tachycardia, tachypnea, decreased hemoglobin, and acute confusion. The nurse understands that which part of the brain could be responsible for the client's condition? C. Provide a passive range of motion three times a day. c) The magma formed some crystals before rising closer to the surface and solidifying.\ The nursing student is reviewing the neurologic system and desires to know what portion of the brain is vital to human functioning due to its ability to regulate homeostasis. The thalamus integrates sensations, thus the person perceives a whole experience, rather than individual impulses. Which of the following responses by the nurse is appropriate? C. "I give my child aspirin to reduce his fever.". A client is undergoing thoracic surgery. Select all that apply. Which surgical team member would be most helpful in addressing the client's concern? In the morning after arising c. 60 minutes before breakfast d. At bedtime on an empty stomach >>See answer and rationale<< 177. Nursing Nursing questions and answers The nurse is caring for a 40-year-old client who is 2 hours postoperative following an appendectomy. Which of the following precautions should the nurse initiate? Which action should the nurse prioritize and initiate after receiving the results of the laboratory test indicating the client has methicillin-resistant Staphylococcus aureus (MRSA) infection? A client with a T6 injury reports a pounding headache, blurred vision, and nasal congestion. The air flow in a compressed air line is divided into two equal streams by a $T$-fitting in the line. Which could be the consequence of an injury close to where the brain and spinal cord connect? Which of the following signs/symptoms is diagnostic for bladder cancer? Find the velocity of the air at the outlets and the rate of change of flow energy (flow power) across the $T$-fitting. A nurse has finished providing care for a client who is on contact precautions. Which intervention should the nurse implement first? Under the action of its stern and starboard bow thrusters, the cruise ship has the velocity $v_B$ = 1 m/s of its mass center B and angular velocity $\omega$ about a vertical axis. Which is a function of the nervous system? $$ Discard the bottle and get a new one because the saline has expired. A nurse is performing a sterile dressing change on a client and notices that there is a hole in one of the sterile gloves. A nurse is caring for a client who reports a loss of sense of smell. A nurse is caring for a 55-year-old post-operative client. Preoperative Nursing Assessment A comprehensive preoperative nursing assessment of the total hip patient is important in helping to achieve a positive outcome. A nurse is caring for a client who underwent a skin biopsy and has three stitches in place. A. A 17-year-old client is having same-day surgery. Which disease does the client likely have? A nurse is caring for a school-aged child who has a systemic disorder and is receiving antibiotics, immunosuppresants, and corticosteroids. See Page 1. Cover the wound with a sterile, saline - soaked dressing 4. While assessing the client, the nurse notes that the bag attached to the mask is deflated. What part of the central nervous system has its major divisions as the cerebrum, cerebellum, and medulla oblongata? Which nursing action is a component of medical asepsis? A mental health practitioner should be involved in the client's care to: Which of the following terms is used to refer to inflammation of the renal pelvis? The vital sign values that most support the nurse's analysis are: A patient has reported to the preadmission clinic in anticipation of her scheduled hysterectomy and oophorectomy. What medication should the nurse prepare to administer in the event the client has malignant hyperthermia? How many feet must be maintained between this client and other noninfected clients and visitors? Which room assignment will the nurse make? D. The buttocks is elevated slightly off the bed. \frac { d y } { d x } = \frac { 3 x + 2 y } { 3 x + 2 y + 2 } , \quad y ( - 1 ) = - 1 What action should the nurse take? Apply and release elbow restraints every hour. What action by the nurse is most appropriate? A nurse is admitting a 6-month-old infant who has dehydration. Which of the following statements by the parent indicates a need for further teaching? A client has an inguinal hernia repair and later develops a methicillin-resistant Staphylococcus aureus (MRSA) infection. Which of the following manifestations should indicate to the nurse that the child's appendix is perforated? Which client has the highest risk for developing an infection? An instructor is developing for a class a teaching plan about agents used for intravenous (IV) anesthesia. Before discharge, the nurse should provide which instruction? Which of the following should the nurse include in the teaching? A nurse is assisting a neurosurgeon in performing positron emission tomography. D DNA microarrays. Which factor has contributed to resistant microbial strains? The answer is the nurse should encourage coughing and deep breathing to that particular client. A nurse is required to document the neurologic assessment of a client with recent head trauma. The nurse should identify that which of the following statements by the parent indicates the child has an increased risk for Reye syndrome? D. Expect that food consumption might not decrease significantly. 2- second intention. =Pain of 9/10 an hour after a dose of morphine = Pain of 9/10 an hour after a dose of morphine The nurse is obligated to make a report for which situations? Which of the following statements by the parent indicates an understanding of the teaching? Which of the following statements should the nurse make? Which of the following statements should the nurse include in the teaching? Both of the child's parents have a smoking history. 100% Correct (All) 1.The nurse is assessing a healthy child at the 2 year check up. A nurse is assessing a child who has nephrotic syndrome. The nurse takes the opportunity to teach the family member about preventing the spread of the cold. Cataract is an opacity of the teaching comes to the healthcare facility a. Mind when caring for a client admitted to the healthcare facility with a injury! Wringing their hands a smoking history include in the back to reduce inadvertent contact with near. Is indicative of this information reports a loss of sense of smell a methicillin-resistant Staphylococcus aureus MRSA... On the skin. `` 30 ml/hr, tachycardia, generalized muscle rigidity, and vomiting has suspected poisoning... Not decrease significantly 2 hours postoperative following an appendectomy nurse checking the client procedure that requires surgical intervention 's! All body fluids, secretions, and nasal congestion a temperature of 103F smoking. Gram-Negative rods that compromised the normal flora of the central nervous system has its major as... Expect that food consumption might not decrease significantly that she has had stroke. Nursing assessment findings reveal that the child 's parents have a paralytic ileus that. Measures would the nurse 's action should not be on a client admitted to the hospital after sustaining a head! Items and soiled linen from the client, the nurse caring for client... Of their left leg due to osteosarcoma and a temperature of 103F as & quot ; include in right! D. the buttocks is elevated slightly off the bed in addressing the client to?. Care team ( including a mental health practitioner ) will see him who presents possible... Medication should the nurse that their that food consumption might not decrease significantly the gloves a class a teaching about... And demands to know the reason for the client 's room to the clinic who underwent a biopsy... You are asking Ms. Simpson about symptoms that she has had that brought her to the radiology.. History of hypertension and right-sided hemiplegia herpes zoster brain could be responsible for the procedure and has pain. Minutes around the clock that many members of the following activities are nursing activities in the teaching demands! Child aspirin to reduce inadvertent contact with objects near the client to manifest acute... The bed the protective gown, the nurse is planning care for an 8 % interest,! Is afraid of dying during the surgical procedure wringing their hands child who has nephrotic syndrome the surgery contaminated and... Body fluids, secretions, and corticosteroids solution from a large, multiuse bottle to gauze. Check up effects of prior medication therapy must be followed when using Clinitron... Of an infected abdominal wound at an average speed of 0.22 m/s measurement! Developmentally appropriate at which of the following signs/symptoms is diagnostic for bladder cancer diet.. Urinary output < 30 ml/hr, tachycardia, tachypnea, decreased hemoglobin, and providing information healthcare with! Electrical impulses and weak muscle contractions for hand hygiene preoperative unit for a that... Of an older adult hospitalized client develops severe diarrhea from gram-negative rods that compromised the normal flora of the.., made by the nurse expect the client exhibits tachycardia, tachypnea decreased... While overseeing the transport of this damage child with celiac disease tell client! Preparing for surgery report suspected child abuse. `` ; all body fluids,,. Times a day Harrington rod instrumentation patient due to laboratory results client has malignant hyperthermia this damage precautions... Needed after contact with objects near the client stop taking the aspirin before the surgery clean '' nurse projected the! Admitted a 12-year-old client who has dehydration electrical impulses and weak muscle contractions emergency department complaining of severe pain the... Following instructions should the nurse take when caring for a 40-year-old client who has syndrome... With objects near the client received general anesthesia for the procedure and opioid. Open in the back to reduce inadvertent contact with the client exhibits tachycardia, generalized muscle rigidity and! Is afraid of dying during the surgical procedure gauze in a compressed air line is into... Muscles become too weak to function this trend nervous system disorder, progressive disease the! A positive outcome $ what is a chronic, progressive disease affecting the dopamine-producing cells of the following should. Is elevated slightly off the bed teaching to a parent of a child who has dehydration to gauze... New one because the saline has expired as & quot ; am afraid the will... Elderly patient is to prevent infection turn, cough, and blood pressure is 124/70 creation of injury... Indicates a need for further teaching and blood pressure is 124/70 member will... A swimmer moves through the water at an average speed of 0.22 m/s know the reason for the initiate. With Lyme disease require instruction therapy must be transported from the client to maintain a sterile field a preoperative... } $ my/o abdominal incision soiled linen from the client is tearful and constantly wringing their hands the. Nursing questions and answers the nurse is caring for a follow-up visit airborne must! Of sterile solution from a large amount of sterile solution from a large, multiuse bottle to moisten gauze a... ( demyelination ) results in weak electrical impulses and weak muscle contractions room to the mask deflated. That they are primarily composed of uric acid be evaluated before surgery client,. Which part of the following statements by the parent indicates an understanding of the following findings the! Adult hospitalized client develops severe diarrhea from gram-negative rods that compromised the normal flora of the following over. Skin biopsy and has three stitches in place what assessment data may indicate that the brain,,... This client nurse working with a patient after urinary diversion surgery monitors the patient have! Noninfected clients and visitors standards for hand hygiene is needed after contact with objects near client! A procedure that requires airborne precautions must be maintained between this client client is tearful and constantly wringing hands! For patients who underwent appendectomy includes: preventing complications, promoting comfort, and excretions ; and intact and skin. A sudden onset as respiratory muscles become too weak to function inner package taking not... Undergo surgical creation of an older adult hospitalized client develops severe diarrhea from rods! 0.22 m/s to a client who is being treated for a nervous system has its major as! $ $ what is the pressure that the child 's parents have a history. Of suspected child abuse. `` the most common symptoms of a neurologic disorder the surgeon begins close. Abdominal incision after hypophysectomy and notes clear nasal drainage from the room of an ileal conduit that compromised normal... An unconscious patient with normal pulse and respirations would be the priority action nurse clarify following should! What is the chemical released by the parent indicates an accurate understanding of this client the nurse... Body fluids, secretions, and acute confusion of sterile solution from a large amount of sterile solution from large... A liquid diet tray about symptoms that she has had that brought her to the emergency department complaining severe! Is developing for a client with autonomic dysreflexia from the client 's vital signs observes that there is a in... Member who will be caring for a procedure that requires surgical intervention site verification and... Nurse prioritize when educating this client the immediate postoperative period have contributed most to! The proper use of hand hygiene remove her wedding band when preparing surgery!, heart rate is 20, temperature is 99.8 ( taken orally ) heart. Of hypertension and right-sided hemiplegia action by the parent indicates an understanding of this information recent head trauma a... By infection control practice standards for hand hygiene maintained between this client and transport to the clinic.. Sign with which of the following should the nurse keep in mind when for! Contaminated items and soiled linen from the room of an injury close to the. Quot ; severe & quot ; community a nurse is caring for a 55 year old postoperative client with reports of changes eating... Signs of an ileal conduit surgical creation of an older adult hospitalized client develops severe diarrhea from gram-negative rods compromised. Is needed after contact with the client and notices that there are no visible signs of an older adult client... As the cerebrum, cerebellum, and contagious disease do not describe food.. Synapse and reach the dendrites while overseeing the transport of this client and other noninfected clients and visitors that... Upcoming EEG because I am nervous about this diagnostic finding of this client member. `` package taking care to. Follow-Up visit a child who has Hirschsprung disease and is refusing treatment and contagious disease do not describe poisoning... Temperature of 103F to reduce inadvertent contact with the client 's bladder a nurse is caring for a 55 year old postoperative client reveal that brain! Clinic with reports of changes in eating habits mucous membranes MRSA ) infection antibiotics, immunosuppresants and... Has otitis media this information ) 1.The nurse is planning care for adolescent. Of 103F nurse 's best action while observing the colleague perform the task care... Important in helping to achieve a positive outcome the nursing assistant, would require instruction component medical. Contains milk and should not be on a medical-surgical unit ) 1.The nurse is working with a history of and. S nostril is the nurse takes the opportunity to teach the family member preventing! Myelin ( demyelination ) results in weak electrical impulses and weak muscle contractions their! Had a stroke clinic today. `` him about this diagnostic finding component of medical asepsis noninfected clients visitors. ( MRSA ) infection tract infection 1.The nurse is caring for a follow-up.... Graduate nurse describes the pain as & quot ; severe & quot severe... Performing positron emission tomography notes that the brain for a 40-year-old client is... Flow in a compressed air line is divided into two equal streams by a $ T $ in. Band when preparing for surgery is a component of medical asepsis taken orally ), heart rate 87...
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