Study guides, Class notes & Summaries

1. The nurse is caring for a pre-adolescent client in skeletal Dunlop traction. Which nursing intervention is appropriate for this child? A) Make certain the child is maintained in correct body alignment. B) Be sure the traction weights touch the end of the bed. C) Adjust the head and foot of the bed for the child's comfort D) Release the traction for 15-20 minutes every 6 hours PRN. A: Make certain the child is maintained in correct body alignment. 2. The nurse is assessing a health...

The nurse is providing teaching to a client with type 2 diabetes mellitus about important points for disease and symptom management. Which statement by the client indicates understanding? A Using salt, herbs, and spices will improve the flavor of foods. B Get an eye examination with an ophthalmologist annually. C Arrange diet schedule around three regular meals a day. D Inspect feet every month for ingrown nails, cuts, and calluses. B Get an eye examination with an ophthalmologist annually...

The nurse is has just admitted a client with severe depression. From which focus should the nurse identify a priority nursing diagnosis? A) Nutrition B) Elimination C) Activity D) Safety D: Safety While explaining an illness to a 10 year-old, what should the nurse keep in mind about the cognitive development at this age? A) They are able to make simple association of ideas B) They are able to think logically in organizing facts C) Interpretation of events originate from their own persp...

A pt presses the call bell and requests pain medication for a severe headache. To assess the quality of the pt. Pain, which approach should the nurse use? Ask the patient to describe the pain The nurse is wearing personal protective equipment while caring for a pt. When exiting the room, which PPE should be removed first? Gloves An older pt is brought to the ED with a sudden onset of confusion that occurred after experiencing a fall at home. The daughter, who has power of attorney, has bro...

Male client admitted the morning of scheduled surgery told nurse he drank water last night amount of water and what time was taken why would nurse apply pressure to lacrimal duct after optic meds reduce systemic effects comatose patient mouth care side lying position morning care client have seizure protect pt head charge nurse assign pn insulin injections 2 doses missing complete report pt on suicide ask about discharge increases suicide precautions photo of chest and locat...

1. A male client with stomach cancer returns to the unit following a total gastrectomy. He has a nasogastric tube to suction and is receiving Lactated Ringer's solution at 75 mL/hour IV. One hour after admission to the unit, the nurse notes 300 mL of blood in the suction canister, the client's heart rate is 155 beats/minute, and his blood pressure is 78/48 mmHg. In addition to reporting the finding to the surgeon. Which action should the nurse implement first? d. Increase the infusion rate of ...

A) Explain to the client that the dentures must come out as they may get lost or broken in the operating room B) Ask the client if there are second thoughts about having the procedure C) Notify the anesthesia department and the surgeon of the client's refusal D) Ask the client if the preference would be to remove the dentures in the operating room receiving area D: Ask the client if the preference would be to remove the dentures in the operating room receiving area

Following discharge teaching, a male client with duodenal ulcer tells the nurse the he will drink plenty of dairy products, such as milk, to help coat and protect his ulcer. What is the best follow-up action by the nurse? a. Remind the client that it is also important to switch to decaffeinated coffee and tea. b. Suggest that the client also plan to eat frequent small meals to reduce discomfort c. Review with the client the need to avoid foods that are rich in milk and cream. d. Reinforce th...

a client with a 40 pack year history of smoking is scheduled for a pulmonary function test. what should the nurse explain regarding this diagnostic test? this test shows if you would benefit from medication to improve your breathing A perioperative nurse is preparing to obtain consent from a group of clients that are scheduled for outpatient surgery. Which client Requires informed consent from next of kin. A 16 year old client with acetaminophen allergy rational: In order to provide inform...

DO NOT delegate what you can EAT! E - evaluate A - assess T - teach Addison's disease down, down, down, up, down hyponatremia, hypotension, decreased blood volume, hyperkalemia, hypoglycemia Cushing's disease up, up, up, down, up hypernatremia, hypertension, increased blood volume, hypokalemia, hyperglycemia No Pee, No K Do not give potassium without adequate urine output EleVate Veins; dAngle Arteries For better perfusion APGAR A = appearance ( color all pink, pink and blue...