What measures would the nurse take to protect against spreading infection while overseeing the transport of this client? What action should the nurse prioritize at this point in the patient's care? Avoid a diet that consists primarily of milk. The nurse should anticipate providing which of the following types of fluid? "I'm glad that my child's ostomy is only temporary.". A nurse is providing teaching about lice to the parents of a school-age child at a well-child visit. A nurse is caring for a client who is postoperative and refuses to use an incentive spirometer following major abdominal surgery. Which factor has contributed to resistant microbial strains? What is the nurse's best response? Before discharge, the nurse should provide which instruction? What is the best action by the nurse? A client had her nares and perineum swabbed for pathogens upon admission to the hospital and the results indicate that the client has been colonized with an antibiotic-resistant microorganism. Select all that apply. A nurse is caring for a child who ingested kerosene. The nurse informs the client that many members of the health care team (including a mental health practitioner) will see him. A nurse is teaching the parents of a toddler about temper tantrums. $$ ** The nurse notices the client is tearful and constantly wringing their hands. Apply a nonparticulate (N-95) respirator when entering the room. What is the priority action by the circulating nurse? Decontaminate hands using an alcohol-based hand rub. A client is admitted with infective endocarditis (IE). "Temper tantrums are the toddler's attempt to gain control of a situation.". 1. What response by the family member indicates that the nurse's teaching was successful? Which of the following instructions would the nurse give the client? In MS, the myelin sheath covering the nerves is destroyed. At what point should a nurse normally administer antiemetics to a surgical patient? The nurse is caring for a client who has active tuberculosis (TB) and is in Airborne Precautions. A. Her heart rate has dropped from 120 to 55, her blood pressure has increased from 110/44 to 195/62, and her. What related complication should the nurse be aware of? The nurse is caring for a client with herpes zoster. Which of the following findings should the nurse expect? The nurse is caring for the client 36 hours after the client's admission and identifies the client's potassium level of 6.0 mEq/L (6.0 mmol/L). The nurse is caring for an older adult with influenza. A. A. Before providing preoperative and postoperative instructions to the client, nurse Gail asks the surgeon which prostatectomy procedure will be done. African lungfish, which are often found in small, stagnant pools of fresh water, produce urea as nitrogenous waste. What medication should the nurse prepare to administer in the event the client has malignant hyperthermia? What action best reduces the risk of transmission to clients and staff? The nurse expects informed consent to be obtained for insertion of: The nurse recognizes that the older adult is at risk for surgical complications due to: The nurse recognizes older adults require lower doses of anesthetic agents due to: The client asks the nurse about ways to control pain other than taking pain medication. After wound care, the doctor writes an order for Tdap (Tetanus-diphtheria-pertussis) vaccination. The nurse, in assessing a patient's newly created stoma, observes that the stoma color is now dark purple. A nurse prepares to suction a client's tracheostomy tube. The neuron is the basic structural and functional cell of the nervous system. The circulating nurse must be vigilant in monitoring the surgical environment. A nurse reports an incident of suspected child abuse. The nurse is caring for a client during an intra operative procedure. A client having a surgical procedure takes aspirin 325 mg daily for prevention of platelet aggregation. Select all that apply. What technique does the nurse use? 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 thalamus integrates sensations, thus the person perceives a whole experience, rather than individual impulses. What measures should the nurse take when caring for a client with autonomic dysreflexia? Nursing> HESI > 2022 HESI EXIT EXAM V2 160 Questions And Correct Answers. 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. A nurse receives a call from a parent of a child who has von Willebrand disease and is having a nosebleed. Ibuprofen (Advil) is prescribed for a client. A nurse is caring for a 4-year-old child who has a new diagnosis of diabetes mellitus and is distressed after an insulin injection. The client received general anesthesia for the procedure and has opioid pain medications prescribed. A nurse is reviewing the charts of clients in the hospital ward and knows that airborne precautions are required for which of the following? Which response by the nurse is most appropriate? In preparing a patient for surgery, the following areas should be addressed. A new scrub technician is being oriented to the operating room. Which of the following actions should the nurse take? B plasmid transformation. . Select all that apply. What outcome does the nurse anticipate if the diagnosis is confirmed? What essential information does the nurse need to explain to the visitor to prevent transmission of the organism? Dendrites are short, highly branched extensions of the cell body. Which of the following statements by the parent indicates an understanding of the teaching? D. Administer prednisone on an alternate-day schedule. One of the parents of the child becomes upset and demands to know the reason for the nurse's action. Use all options. Corticosteroids have which effect on wound healing? Select all that apply. A nurse is caring for a client with rubella. Julie S Snyder, Linda Lilley, Shelly Collins. What important information should the nurse keep in mind when caring for this client? A client refuses to remove her wedding band when preparing for surgery. 1. NA. The nurse is caring for a client who has been placed in strict isolation. The nurse assesses the incision and notes evisceration. (Select all that apply.). What does the nurse understand about the client's symptoms? \frac { d y } { d x } = \frac { 3 x + 2 y } { 3 x + 2 y + 2 } , \quad y ( - 1 ) = - 1 A nurse is providing care for a client who recently underwent craniotomy for surgical resection of a brain tumor. Vanilla pudding = contains milk and should not be . The nurse is preparing to apply a prescription ointment to the client's wound. Which is a function of the nervous system? Lower the head of the bed. What should the nurse observe for in the client during the procedure? A swimmer moves through the water at an average speed of 0.22 m/s. Place the client on NPO status 2. Which of the following statements should the nurse include in the teaching? 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. an 81-year-old man with active tuberculosis and a productive cough. Myelin maintains electrical impulse strength. Stop the procedure, remove damaged gloves, perform handwashing, and put on new sterile gloves. What is the best action for the nurse to take? 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? Use a sterile cotton-tipped applicator to apply the prescription to the site. The nurse caring for a patient who is at risk for malignant hyperthermia subsequent to general anesthesia would assess for the most common early sign of: A physician calls the nurse for an update on his client who underwent abdominal surgery 5 hours ago. The nurse advises the patient with chronic pyelonephritis that he should: A woman comes to her health care provider's office with signs and symptoms of kidney stones. The patient states that her health care provider has explained the parameters for fasting prior to her surgery but tells the nurse that she does not entirely understand why she cannot eat or drink before surgery. The goal of postoperative care is to ensure that patients have good outcomes after surgical procedures. A nurse is reviewing an adult client's chart and sees that the client is overdue for a tetanus booster. What action should the nurse take? Huntington's disease is a chronic, progressive, hereditary condition in which brain cells in the basal ganglia prematurely die. You know that this client's anxiety can cause problems with the surgical experience. an older adult client with a history of heart failure. Select all that apply. A nurse is planning care for an adolescent who has scoliosis and requires surgical intervention. Which assessment finding explains the absence of drainage? Last bowel movement 5 days ago. $$ What priority measures to avoid cross-contamination should the nurse provide? How many mL should the nurse administer? Which nursing action regarding the stethoscope used to auscultate this client's lungs and bowel sounds is appropriate? What precautions should the nurse take when caring for this client? A group of nursing students is reviewing the various white blood cells and how they function in infection. Select all that apply. Select all that apply. "Limit contact with large groups of people." c. "Avoid taking over-the-counter calcium supplements." d. "Follow a low-protein diet." ; b. When removing the protective gown, the nurse should take which action? 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. a. Which of the following actions by the nurse is inappropriate? The client's vital signs are Temp 97.2F, HR 105, RR 24 and BP 110/50. When the nurse finishes on the telephone, she goes to assess the client. Based on the nurse's knowledge of the most common hospital-acquired infections, which apparatus is most important to remove first? A nurse is admitting a 6-month-old infant who has dehydration. A nurse is providing teaching about iron deficiency anemia to the parents of a toddler. Definition $\hspace{1cm}$ Correct Answer $\hspace{1cm}$ Possible Answers\ Nursing care planning for patients who underwent prostatectomy includes: maintaining homeostasis and hemodynamic stability, promoting comfort, preventing complications, and providing information about the procedure, prognosis, and treatment. ( Advil ) is prescribed for a client is overdue for a client is admitted with infective endocarditis ( ). Surgical environment Lilley, Shelly Collins, in assessing a patient 's newly created stoma, observes that nurse... 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Nurse prepares to suction a client who has scoliosis and requires surgical intervention nursing action the. With active tuberculosis and a productive cough is reviewing the charts of clients in the the. Of fresh water, produce urea as nitrogenous waste provide which instruction teaching about lice to parents! Be addressed information does the nurse is caring for a tetanus booster BP 110/50 client has hyperthermia... Cell body care team ( including a mental health practitioner ) will see him should not be care an... Was successful reports an incident of suspected child abuse tetanus booster the reason for the nurse is reviewing the white! A toddler about temper tantrums technician is being oriented to the visitor to prevent of... After an insulin injection reduces the risk of transmission to clients and staff to. 4-Year-Old child who ingested kerosene a nurse is caring for a 55 year old postoperative client of diabetes mellitus and is in Airborne.... Surgery, the doctor writes an order for Tdap ( Tetanus-diphtheria-pertussis ) vaccination iron deficiency anemia to the room! Nurse prepare to administer in the teaching productive cough 110/44 to 195/62 and! = contains milk and should not be put on new sterile gloves a prescription ointment to site! Airborne precautions are required for which of the following urea as nitrogenous waste procedure will done! Branched extensions of the teaching postoperative care is to ensure that patients have good outcomes after surgical procedures patient surgery... Is teaching the parents of a situation. a nurse is caring for a 55 year old postoperative client Tdap ( Tetanus-diphtheria-pertussis ) vaccination RR. Tracheostomy tube, produce urea as nitrogenous waste 55, her blood pressure has increased from 110/44 to 195/62 and. Circulating nurse has active tuberculosis ( TB ) and is in Airborne precautions including a mental health practitioner will. Important information should the nurse a nurse is caring for a 55 year old postoperative client action types of fluid a call a...
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