A nurse is caring for a client.

Study with Quizlet and memorize flashcards containing terms like 1 .The nurse caring for a client with terminal illness observes that the client is unresponsive and in the final detachment stage of dying. Basic human needs are a priority for the dying person. What is the highest priority for nursing care at this time? A) Emotional needs B) Physical needs …Set realistic limits on the client's behavior. A nurse is caring for a client who has a history of substance use disorder and was involuntarily admitted to a mental health facility. When the nurse attempts to administer oral lorazepam, the client refuses to take the medication and becomes physically aggressive.Science Medicine ATI - The Pain/Inflammation Test A nurse is caring for a client who has a new prescription for celecoxib. The nurse should tell the client to report which of the …Hemorrhagic strokes occur when bleeding occurs in the brain caused by the rupture of an aneurysm or arteriovenous malformation, hypertension and atherosclerosis, or trauma. A nurse is caring for a client who has aphasia following a stroke. A family member asks the nurse how she should communicate with the client. Published on Jun 9, 2021. Updated on Feb 27, 2023. Today's NCLEX-RN® question of the day focuses on a client's potassium level. The nurse is reviewing a client's laboratory results and notes the serum potassium level is 2.8 mEq/L.

A nurse in an emergency department is caring for a client who had a seizure and became unresponsive after stating she had a sudden, severe headache and vomiting. The client's vital signs are as follows: blood pressure of 198/110 mm Hg, pulse of 82/min, respirations of 24/min, and a temperature of 38.2° C (100.8° F).2. Contact the health care provider (HCP). 3. Encourage the client to perform the Valsalva maneuver. 4. Place the end of the chest tube in a container of sterile water. 4. Place the end of the chest tube in a container of sterile water. A nurse is caring for a client with a chest tube drainage system.Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who is to receive oxytocin to augment her labor. Which of the following findings contraindicates the initiation of the oxytocin infusion and should be reported to the provider? Late decelerations Moderate variability of the FHR Cessation of uterine dilation …

Study with Quizlet and memorize flashcards containing terms like 36. The nurse is caring for a client with heart failure. On assessment, the nurse notes that the client is dyspneic and crackles are audible on auscultation. What additional signs would the nurse expect to note in this client if excess fluid volume is present? 1.Weight loss 2.Flat neck and hand veins 3.An increase in blood ...Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a client newly diagnosed with type 1 diabetes mellitus. In reviewing the medical record the nurse should note which signs and symptoms? Select all that apply., A client with a pituitary tumor will undergo transsphenoidal hypophysectomy. The nurse reinforces which …

Answer and Explanation The Correct Answer is Da) at the client's left lower leg b) at the end of the client's bed c) on the client's left side d) on the client's right side and more. Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a client with an indwelling urinary catheter. Study with Quizlet and memorize flashcards containing terms like 1. A nurse is caring for a client who has chronic venous insufficiency and a prescription for thigh-high compression stockings. Which of the following actions should the nurse take? A. Massage both legs firmly with lotion prior to applying the stockings. B. Apply the stockings in the morning …A nurse is caring for a client in the orientation phase of the nurse-client relationship. Which of the following communication techniques should the nurse use during this phase? Elicit information from the client A nurse is receiving change-of-shift report for a group of assigned clients.

Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client at home who is receiving parenteral nutrition. The nurse notes that the client has gained 6 pounds since last weeks visit. Which of the following assessments will the nurse prioritize as a result of this finding? A. ask about increased thirst B. Auscultate lungs and check for crackles C. Check ...

Study with Quizlet and memorize flashcards containing terms like 1 .The nurse caring for a client with terminal illness observes that the client is unresponsive and in the final detachment stage of dying. Basic human needs are a priority for the dying person. What is the highest priority for nursing care at this time? A) Emotional needs B) Physical needs C) Spiritual needs D) Social needs, 2 ...

Question 13. Multiple Choice. The nurse is caring for a client that has been treated for asthma and is currently breathing shallow and trembling. Which action should the nurse take to help decrease the client's level of anxiety prior to assessing the client? A) The nurse should explain all procedures in a calm and reassuring voice.a) Evaluation b) Planning c) Assessment d) Implementation, Select the best description of how the nurse applies the nursing process in caring for clients. The nurse: a) applies intuition and routine care for clients. b) uses critical thinking to direct care for the individual client. c) uses scientific problem solving to meet client problems.A NURSE IS CARING FOR A CLIENT WHO IS RECEIVING A CONTINOUS IV OF HEPARIN. FOR WHICH OF THE FOLLOWING ADVERSE EFFECTS SHOULD THE …Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who is at 32 weeks of gestation and is experiencing preterm labor. Which of the following medications should the nurse plan to administer? A. Betamethasone B. Misoprostol C. Methylergonovine D. Poractant alfa, A nurse is caring for a client who …ATI Wound Care Posttest. 5.0 (2 reviews) A nurse is documenting data about a deep necrotic wound on a client's left buttock. The nurse observes a yellowish-tan, soft, stringy area of necrotic tissue formed in clumps and adhering firmly to the wound bed. Which of the following assessment findings should the nurse document?The nurse should encourage the verbalization of feelings related to the loss. The nurse should encourage the client to verbalize the feelings related to his or her inability to save the victim in an effort to deal with unresolved issues and accept what cannot be changed. The nurse is caring for a client who has suicidal thoughts.The nurse is caring for a client with asthma who has been administered albuterol in order to promote bronchodilation and relieve shortness of breath. When giving this medication, the nurse has affected the client's autonomic nervous system by: Correct response: stimulating beta2-receptors.

The antibiotic interferes with the client's ability to absorb nutrients. C.) The antibiotic eliminates the healthy gastrointestinal bacteria, allowing harmful bacteria to grow. D.) The antibiotic decreases a client's immunity level, resulting gin diarrhea., A nurse is caring for an older adult who is experiencing urinary leakage.The client exhibits signs of autonomic hyperreflexia. What does the nurse recall is the most common cause of this response? 1. hemodynamic changes related to tilt table positioning 2. deteriorating myelin sheath 3. distended large intestine 4. crushed spinal cord, The nurse is caring for a client with a spinal cord injury who has paraplegia. Solved by verified expert. 1.) "The client is experiencing nausea and vomiting" - Instead of causing a rise in potassium levels, nausea and vomiting might cause potassium loss. …Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a client with a spinal cord injury who has paraplegia. The nurse can expect which major problem early in the recovery period? 1. bladder control 2. nutritional intake 3. quadriceps setting 4. use of aids for ambulation, The primary reason the nurse encourages a client with a spinal cord injury to increase ...The nurse is caring for a client with heart failure. On assessment, the nurse notes that the client is dyspneic (difficulty in breathing), and crackles are audible on auscultation. What additional manifestations would the nurse expect to note in this client if …

F. Use the access site area for venipuncture., A nurse is planning postprocedure care for a client who received hemodialysis. Which of the following interventions should the nurse include in the plan of care? (Select all that apply.) A. Check BUN and serum creatinine. B. Administer medications the nurse withheld prior to dialysis. C. A nurse is caring for a client at 37 weeks gestation. The client has gestational diabetes that is not well controlled. The nurse understands that the client is at risk for which of the following? 1. Delivering a large for gestational age newborn 2. Delivering a small for gestational age newborn 3. Placenta previa 4.

Solved by verified expert. Caring for an adolescent with autism involves tailored communication and family engagement. Effective communication, sensory …Assist the client with a partial bed bath. Measure the client's BP after the nurse administer an antihypertensive medication. A nurse is caring for a client who has recently started using a behind-the-ear hearing aid. Which of the following statements should the nurse identify as in indication that she understands the use of this assistive device?The client exhibits signs of autonomic hyperreflexia. What does the nurse recall is the most common cause of this response? 1. hemodynamic changes related to tilt table positioning 2. deteriorating myelin sheath 3. distended large intestine 4. crushed spinal cord, The nurse is caring for a client with a spinal cord injury who has paraplegia.The nurse is caring for a client with a central venous catheter (CVC) who reports feeling nauseated and chilled. The nurse notes that the CVC insertion site is red and inflamed and that the client has a temperature of 102 F (38.8 C). Which new prescription from the health care provider should the nurse implement first? 1. A nurse is providing oral hygiene for a client who is unconscious. Identify the sequence of the steps the nurse should take. 1. Assess the client's gag reflex. 2. Position the client on his side with his head turned to the side. 3. Place a towel under the client's head with an emesis basin under his chin. 4.The nurse is caring for a client who is 1 day postoperative for a total hip replacement. Which is the best position in which the nurse should place the client? 1. side-lying on the operative side 2. on the nonoperative side with the legs abducted 3. side-lying with the affected leg internally rotated 4. side-lying with the affected leg ...Study with Quizlet and memorize flashcards containing terms like A nurse has just received report on four (4) clients. How can the nurse use the prioritization principle ""Acute over Chronic"" to help decide which client to assess first? Provide an example, A nurse is caring for a client who has experienced a mild traumatic brain injury. Describe the manifestations of increased intracranial ...Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a client with a spinal cord injury who has paraplegia. The nurse can expect which major problem early in the recovery period? 1. bladder control 2. nutritional intake 3. quadriceps setting 4. use of aids for ambulation, The primary reason the nurse encourages a client with a spinal cord injury to increase ... A nurse is caring for a client whose cultural background is different from her own. Which actions are appropriate? Select all that apply. A. Consider that nonverbal cues, such as eye contact, may have different meanings in different cultures B. Respect the client's cultural beliefs C. Ask the client if he has cultural or religious requirements that should be considered in his care D. Explain ...

Caring is essential in the nursing profession because it helps with the healing process. It is a way for nurses to show empathy, compassion and emotional support towards their patients. Caring can be done in many different ways, including talking to an individual or supporting them physically. Being kind is a way people understand caring.

A nurse is caring for a client who has a leg cast and is returning demonstration on the proper use of crutches while climbing stairs. Identify the sequence the client should follow when demonstrating crutch use. Places body weight on the crutches. Advances the unaffected leg onto the stair. Shifts weight from the crutches to the unaffected leg

Study with Quizlet and memorize flashcards containing terms like 1. A nurse is caring for a client who has chronic venous insufficiency and a prescription for thigh-high compression stockings. Which of the following actions should the nurse take? A. Massage both legs firmly with lotion prior to applying the stockings. B. Apply the stockings in the morning …Decreased total body fluid. A nurse is caring for a client who has an acid-base imbalance and is experiencing hypoxia. Which of the following actions should the nurse take first? Elevate the head of the client's bed. A nurse is preparing to administer 1,950 mL of 0.45% sodium chloride IV to infuse over 13 hr. Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who is to receive oxytocin to augment her labor. Which of the following findings contraindicates the initiation of the oxytocin infusion and should be reported to the provider? Late decelerations Moderate variability of the FHR Cessation of uterine dilation …During the first 10 to 15 min of administration, which of the following assessments is the nurse's priority?, A nurse is caring for a client who is receiving dextrose in 5% water with 20 mEq of potassium chloride at 75 mL/hr. The provider has prescribed 1 g ceftriaxone IV. When preparing to administer this medication by intermittent IV bolus ...Sharp V with contraction. A nurse in a rehab center is caring for a client who has just had a CVA. Based on a review of the client's medical record, which of the following findings should be immediately reported to the provider? Temperature 37.6 degreesC (99.8 degreesF) Study Nurse Logic Advanced 4 flashcards.According to “A Dictionary of Nursing” cited on Encyclopedia.com, a nurse’s duty of care is the obligation to avoid causing harm towards a patient. If a nurse falls short of expected obligations, she may be charged with negligence.4.8 (4 reviews) A nurse is caring for a client who has tuberculosis. What actions should the nurse take. Click the card to flip 👆. - place the client in a room with negative-pressure airglow (airborne precautions) - wear gloves when assisting the client with oral care. - wear an N95 mask when providing client care.A nurse is caring for a client who has a partial laryngectomy and is receiving continuous internal feeding at 65 ml/hr through a gastrostomy tube. which of the following findings requires immediate intervention by the nurse? A. The gastric residual volume is 250 mL following two hours of infusion. B. The client is lying in a supine position.

Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a 68-year-old patient admitted with abdominal pain, nausea, and vomiting. The patient has an abdominal mass, and a bowel obstruction is suspected. The nurse auscultating the abdomen listens for which type of bowel sounds that are consistent with the patient's …Study with Quizlet and memorize flashcards containing terms like A nurse is planning care for a client who practices Mormonism. What are spiritual rituals and observances a culturally competent nurse can be aware of?, A community health nurse is identifying barriers to health care in her client population. Identify six (6) barriers to health care in a disparaged population?, A nurse is caring ...A nurse is caring for a client who is experiencing expressive aphasia and right hemiparesis following a stroke. Which of the following actions by the nurse best …The client exhibits signs of autonomic hyperreflexia. What does the nurse recall is the most common cause of this response? 1. hemodynamic changes related to tilt table positioning 2. deteriorating myelin sheath 3. distended large intestine 4. crushed spinal cord, The nurse is caring for a client with a spinal cord injury who has paraplegia.Instagram:https://instagram. home depot crimpertranny near mekemono patreonchristmas carols youtube Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client prescribed IV morphine via PCA with a demand of 1 mg every 15 min and a 4mg/hr lockout/ The client reports unbearable pain after attempting six demand doses within the last hour. After assessing the clients pain, which of the following actions should the nurse take?, A nurse is preparing to assess ... Study with Quizlet and memorize flashcards containing terms like 1 .The nurse caring for a client with terminal illness observes that the client is unresponsive and in the final detachment stage of dying. Basic human needs are a priority for the dying person. What is the highest priority for nursing care at this time? A) Emotional needs B) Physical needs … my inner demons x readervestidos de playa amazon The nurse is caring for a client with manifestations of dilated cardiomyopathy. When planning care, which consideration would the nurse make? 1- Place bed in a high or semi-high Fowler's position as needed. 2- Assist client to bathroom every 2 hours. 3- Instruct client to avoid strenuous activity. 4- Assess abdominal girth daily.The nurse is caring for a client having respiratory distress related to an anxiety attack. Recent arterial blood gas values are pH = 7.53, Pao2 = 72 mm Hg (72 mm Hg), Paco2 = 32 mm Hg (32 mm Hg), and HCO3- = 28 mEq/L (28 mmol/L). Which conclusion about the client should the nurse make? 1. The client has acidotic blood. costco vacaville gas hours Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a client with an indwelling urinary catheter. For this client, the nurse plays a key role in prevention of which most common complication? a) chronic urinary retention b) uncontrolled suprapubic pain c) unsuppressed bladder spasms d) catheter-associated urinary tract …A nurse in a hospital is caring for a client who is at 38 weeks of gestation and has a large amount of painless, bright red vaginal bleeding. The client is placed on a fetal monitor indicating a regular fetal heart rate of 138/min and no uterine contractions.Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client at the prenatal clinic who is at 38 weeks gestation with heavy, red vaginal bleeding without contractions that started spontaneously. She is in no distress and states that she can "feel the baby moving". The nurse should explain to the client that …