What is the greatest possible rate of energy transfer by radiation from a metal cube 2.0 cm on a side that is at $700 ^ { \circ } \mathrm { C }$? "As a nurse, I am required by law to report suspected child abuse.". When assessing vital signs, which result indicates a need to alert the anesthesiologist immediately? The nurse suspects which of the following? A nurse is caring for a 17-year-old client who is experiencing a relapse of leukemia and is refusing treatment. When developing a teaching plan for a patient scheduled for ambulatory surgery with epidural anesthesia, which of the following would the nurse include? Which of the following statements by the parent indicates an understanding of the teaching? A nurse prepares to suction a client's tracheostomy tube. What should a nurse be alert for when caring for such a client? A 17-year-old client is having same-day surgery. 2020. observe the colleague and take no further action. A client is brought to the operating room for an elective surgery. In which situation is an alcohol-based rub an inappropriate option for hand hygiene? What is your response to her situation as ordered by the physician? 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. Standard precautions apply to blood; all body fluids, secretions, and excretions; and intact and nonintact skin and mucous membranes. The nurse is caring for a client who is exhibiting severe respiratory distress and is receiving supplemental oxygen through a nonrebreather mask. During a teaching session, the nurse appropriately recommends that the pouch be emptied Correct Answer: when it is 1/3 to 1/2 full Rationale: If the pouch becomes more than half full it may separate from the flange 5. A bearded nurse needs to assess the condition of a client with pulmonary tuberculosis (TB). Which type of transmission precautions should the nurse follow when caring for the client? A. Which individual would be responsible for ensuring that procedure and site verification occurs and is documented? the client returns to the icu after surgery intubated and mechanically ventilated with a salem sump nasogastric tube, a foley catheter, and a picc line in place. An axon is an extension that carries impulses away from the neuron cell body. You are asking Ms. Simpson about symptoms that she has had that brought her to the clinic. A nurse is planning care for an adolescent who is postoperative following scoliosis repair with Harrington rod instrumentation. **Complete the medical term, based on its meaning as provided. 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. Neonates may have an infection without fever. x == 5 || y > 3. A patient is in the operating room for surgery. The nurse should be. The nurse reports that according to documentation, no drainage has been recorded. A nurse is caring for a client with a head injury caused by a bicycle accident. "Bring your baby in to the clinic today.". C. Provide a passive range of motion three times a day. Find the tangential and centripetal components of the net force exerted on a car (by the ground) when its speed is $27 \mathrm{~m} / \mathrm{s}$, and it has accelerated to this speed from rest in $11 \mathrm{~s}$ on a curve of radius $450 \mathrm{~m}$. Examination of a client's bladder stones reveal that they are primarily composed of uric acid. Select all that apply. a. Huntington's disease is a chronic, progressive, hereditary condition in which brain cells in the basal ganglia prematurely die. The client is surprised at this finding, since he enjoys generally robust health. D. Administer prednisone on an alternate-day schedule. Select the stage during which the OR nurse knows not to touch the patient (except for safety reasons) because of possible uncontrolled movements. The nurse has completed an intervention with a client. Place the following steps in the order that the nurse should take when donning sterile gloves. The nurse is reinforcing education for a female client paralyzed from a spinal cord injury (SCI). The client reports a sudden loss of appetite with no apparent cause. Which of the following activities are nursing activities in the preoperative phase of care? Which statement by the client indicates the need for further teaching by the nurse? Which of the following should the nurse recognize as the most reliable indicator of fluid loss? What is the patient most likely experiencing? 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? A rehabilitation nurse is caring for an elderly client with a neurologic disorder. A nurse is working with a new graduate nurse. Select all the nursing actions that apply. =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? A. A nurse is caring for a 68-year-old client who is 2 days postoperative following surgical repair of a left hip fracture. A nurse is caring for an infant who has gastroesophageal reflux. . Select all that apply. 2. A general neurologic examination of a client with complaints of fever, chills, neck stiffness, and irritability confirms meningitis. At what point should a nurse normally administer antiemetics to a surgical patient? When planning this client's care, the nurse should assign the highest priority to which nursing diagnosis? Normally ICP is 4 to 13 mmHg. The nurse is obtaining a health history from a client describing urinary complications. On assessment, the nurse notes that the abdomen is distended and bowel sounds are diminished. B. What does the nurse consider is the most likely cause of the client's change in condition? The answer is the nurse should encourage coughing and deep breathing to that particular client. Julie S Snyder, Linda Lilley, Shelly Collins. The client is approximately 24 hr postoperative and describes the pain as "severe". Nursing> HESI > 2022 HESI EXIT EXAM V2 160 Questions And Correct Answers. 4- fourth intention. The nurse's postoperative plan of care should include which of the following? The primary nurse educates the client about surgery and the postoperative period. What is the best action for the nurse to take? Is an x-ray study of any blood vessel. "The glove is an important barrier in preventing the transmission of your loved-one's antibiotic-resistant infection to you or other people you come in contact with.". When preparing a sterile field, the nurse notes that the bottle of sterile saline was opened 48 hours ago and is half full. Which concept should be the priority in the teaching plan? What action by the nurse is most appropriate? A nurse is assessing a toddler who has suspected lead poisoning. The client lacks signs and symptoms of infection but microorganisms are present. 55. Which strategy should the nurse include when responding to the client? Which result supports this concern? Which of the following statements by the parent indicates an understanding of the teaching? Deliver the compressions at 1/3 the depth of the chest. The nurse suspects abnormal orthostatic changes. A 30-year-old man is currently in the preoperative holding area on call for his tympanoplasty (eardrum reconstruction) that will be performed this morning. b) The rock solidified at great depth.\ Which of the following findings should the nurse expect? Also called vascular headaches. What is the sequence in a complementary strand of DNA. Respiration has ceased, and there is no heartbeat. 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. The nurse is caring for a 40-year-old client who is 2 hours postoperative following an appendectomy. A nurse is teaching a parent of a child who has hemophilia how to control a minor bleeding episode. A client with nausea and vomiting is to receive an antiemetic that inhibits the vomiting center in the brain. A nurse participating in lead screening at a community center. A client with cancer has been receiving chemotherapy for the past few weeks. How will the nurse likely respond? Which of the following instructions should the nurse include? It also associated with many other diseases and disorders. Ibuprofen (Advil) is prescribed for a client. Do you think it will be ok?" What important measure should the nurse take when providing postoperative care for this client? D. Expect that food consumption might not decrease significantly. Line the surface of the wheelchair or stretcher with a clean sheet or bath blanket to protect the surface from direct client contact. Use all options. The nurse should respond with which of the following common names? The patient is scheduled to receive epidural anesthesia. Which guideline should the nurse provide to the student? A client undergoing coronary artery bypass surgery is subjected to intentional hypothermia. A client for whom transmission-based precautions are required is experiencing sensory deprivation. A family member with a mild upper respiratory infection comes to visit a client in a long-term care facility. Select all that apply. You are caring for a client preoperatively who is very anxious and fearful about their surgery. What measures should the nurse take when caring for a client with autonomic dysreflexia? A nurse is admitting a child who has leukemia and a critically low platelet count. This increase in pressure can cause the delicate structures to be moved, damaged, or destroyed. The nurse caring for a patient after urinary diversion surgery monitors the patient closely for peritonitis by assessing for which of the following? A nurse is caring for a client in isolation. Which could be the consequence of an injury close to where the brain and spinal cord connect? A nurse is planning care for an adolescent who has scoliosis and requires surgical intervention. What is the advantage of this adaptation? Damage to the respiratory system A nurse is caring for a client with a neurologic problem who has been advised to have an electroencephalogram (EEG). A nurse is caring for a client, age 4 months, following surgical repair of a tracheoesophageal fistula. What essential information does the nurse need to explain to the visitor to prevent transmission of the organism? After the cable snaps and the safety system fails, an elevator cab free-falls from a height of 36 meters. Morphine 6 mg IV bolus every 4 hours PRN is prescribed. Which action should the nurse perform? Select all that apply. $$ After teaching a patient scheduled for ambulatory surgery using moderate sedation, the nurse determines that the patient has understood the teaching based on which of the following statements? Preoperative Nursing Assessment A comprehensive preoperative nursing assessment of the total hip patient is important in helping to achieve a positive outcome. Which of the following clinical manifestations should the nurse expect? Which assessment finding explains the absence of drainage? A nurse is providing teaching to a parent of a preschooler who has eczema. The client is nonverbal and has both cognitive and developmental delays. Which precautions will the nurse begin? Which nursing statement would best decrease a client's anxiety before an emergency operative procedure? 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. How many mL should the nurse administer? "Temper tantrums are the toddler's attempt to gain control of a situation.". An unconscious patient with normal pulse and respirations would be considered to be in what stage of general anesthesia? What means of transmission do nurses use transmission barriers to protect themselves from? Select all that apply. How should the nurse respond? A 55-year-old patient arrives at the operating room. A client undergoes extracorporeal shock wave lithotripsy. A nurse is caring for a client admitted to the healthcare facility with a history of hypertension and right-sided hemiplegia. Nursing assessment findings reveal abdominal pain, absence of bowel sounds, fever, tachycardia, and tachypnea. Which steps must be followed when using the double-bagging method? What is the priority action by the nurse? (C ) Urea forms an insoluble precipitate. What should the nurse do first? This wound is healing by: 1- first intention. An experienced nurse is teaching a student nurse about the proper use of hand hygiene. Select all that apply. The compressed air enters this $2.5-\mathrm{cm}$ diameter fitting at $1.6 \mathrm{~MPa}$ and $40^{\circ} \mathrm{C}$ with a velocity of $50 \mathrm{~m} / \mathrm{s}$. In the morning after arising c. 60 minutes before breakfast d. At bedtime on an empty stomach >>See answer and rationale<< 177. When preparing a sterile field, the nurse notes that the bottle of sterile saline was opened 48 hours ago and is half full. The nurse is caring for a college student with meningococcal meningitis. When should the client stop taking the aspirin before the surgery? Which of the following actions should the nurse suggest to the parent? The client returns to the ICU after surgery intubated and mechanically ventilated with a Salem sump nasogastric tube, a Foley catheter, and a PICC line in place. How will the team proceed with care? The nurse working with a patient after an ileal conduit notices that the pouching system is leaking small amounts of urine. Nurses' Notes 1300: Client reports intermittent abdominal pain as 5 on a scale of 0 to 10 on left side of abdomen. Discard the bottle and get a new one because the saline has expired. What is the blood glucose level goal for a diabetic client who will be having a surgical procedure? a) It formed from an explosive pyroclastic eruption.\ D DNA microarrays. A nurse is caring for a client following a craniotomy. Which of the following would the instructor include in this plan about these agents and this type of anesthesia? The nurse is completing a preoperative assessment. A cataract is an opacity of the lens that distorts image projected onto the retina and that can progress to blindness. Immediately after any potential or actual injury to the brain, a neurologic evaluation should be done. (Select all that apply.). A nurse is caring for a client who underwent a skin biopsy and has three stitches in place. A nurse is caring for a school-aged child who has a systemic disorder and is receiving antibiotics, immunosuppresants, and corticosteroids. The nurse is preparing to apply a prescription ointment to the client's wound. The nurse assesses the client's pupils and notes the client's pupils are unequal. A nurse is providing nutritional teaching to the mother of a preschooler and is recommending food options to provide 1 oz of grains. $$. Which precaution is the priority when collecting and delivering the specimens to the laboratory? A noncommunicable disease is caused by food or environmental toxin. (Select all that apply.). Intracranial pressure is the pressure that the brain, blood, and CSF exert inside the cerebrospinal cavity. $$ It is located below the thalamus is also part of the diencephalon, Is a long mass of nerve cells and fibers extending through a central canal on the dorsal side (back of the body). The nurse checks the adolescent's blood glucose level and identifies a value of 55 mg/dL. The nurse understands that a change in which part of the brain is responsible for changes in the client's ability to perceive sensation? 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. A nurse in an emergency department is caring for an infant who has a 2-day history of vomiting and an elevated temperature. D. Administer sodium biphosphate/sodium phosphate. Continue to observe the drainage. Which of the following conditions should the nurse identify as the leading cause of death among this age group? A nurse is caring for a client who is on droplet precautions. The nurse discovers that the client did not sign the operative consent before receiving the preoperative medication. Which of the following responses should the nurse make? What action should the nurse prioritize at this point in the patient's care? Which finding requires priority action? A client with urinary tract infection is prescribed phenazopyridine (Pyridium). The nurse is receiving a confused client with a draining wound onto the medical-surgical unit. Select all that apply. 1. Before discharge, the nurse should provide which instruction? When removing the protective gown, the nurse should take which action? A 64-year-old man is seeing his urologist for an annual check-up, post prostatectomy. The physician asks the nurse for the total amount of drainage collected in the Hemovac since surgery. A. The nurse witnesses a client having a tonic-clonic seizure in the bed. What priority education should the nurse provide to assist in preventing respiratory complications? A polymerase chain reaction. Teach the parents about cortisol replacement therapy. One hour after administration, the client demonstrates muscle rigidity with a heart rate of 180. Which client has the highest risk for developing an infection? A nurse is caring for a client with a neurologic problem who has been advised to have an electroencephalogram (EEG). Which of the following would be appropriate for the nurse to include in the teaching plan? A nurse is caring for a client who is postoperative and refuses to use an incentive spirometer following major abdominal surgery. The nurse tells the client to take the medication: a. The nurse is caring for a 52-year-old client who has experienced a complex lower leg fracture that needed surgical repair and is now immobilized. The nurse is caring for a client scheduled for removal of a pituitary tumor using the transsphenoidal approach. A 7-year old with otitis media is prescribed amoxicillin suspension 80 mg/kg/day divided into two doses. The client asks the nurse about possible ill effects from general anesthesia. Utilize a powered air, purifying respirator (PAPR). a nurse is caring for a 55-year-old postoperative client. Which precautions will the nurse begin? Which of the following instructions should the nurse include in the teaching? an older adult client with a history of heart failure. What action by the student would alert the nurse to provide additional teaching to the student? A nurse is wearing a cover gown. Which of the following actions by the nurse is inappropriate? Which of the following instructions would the nurse give the client? Which client has the highest risk for developing an infection? A nurse is working with a 55-year-old woman diagnosed with human immunodeficiency virus (HIV). wearing a particulate respirator for all care and interaction with this client. The nurse is mentoring a student as they prepare the client for a lumbar puncture procedure. A 79-year-old man is scheduled for surgical repair of an inguinal hernia. (B) Small, stagnant pools do not provide enough water to dilute ammonia, which is toxic. There are four stages of general anesthesia. 55. A nurse is reviewing an adult client's chart and sees that the client is overdue for a tetanus booster. Based on the nurse's knowledge of the most common hospital-acquired infections, which apparatus is most important to remove first? A nurse receives a call from a parent of a child who has von Willebrand disease and is having a nosebleed. Which of the following techniques could the nurse employ to assist this client? Question: A nurse is caring for a 9-year-old client who is immediately postoperative. The students demonstrate understanding when they identify which of the following as an inhalation anesthetic? Which of the following actions should the nurse take? Which action by the nurse is appropriate? Select all that apply. Select all that apply. A client who sustained head trauma in a motor vehicle crash is determined to have an increase in intracranial pressure (ICP). The nurse is assisting in the transport of a client with an indwelling catheter to the diagnostic studies unit. Which action(s) would the nurse use as an example of safe practice? \underline{~~~~~~~~~~~~~~~}~~~~~~~~~~~~~~~~~~~~~~~\text{HIO}_3 What is the cause of the infection? A nurse is collecting data from a child who is descending stairs by placing both feet on each step and holding on to the railing. $$ "Alcohol-based hand rub provides the greatest reduction in microbial counts on the skin.". (A) Urea takes less energy to synthesize than ammonia. The air flow in a compressed air line is divided into two equal streams by a $T$-fitting in the line. The nurse has to initiate precautions for the client. The nurse is concerned that a postoperative patient may have a paralytic ileus. A nurse has finished providing care for a client who is on contact precautions. Upon review of a client's microbiology culture results, the nurse recognizes which organism as indicative of normal flora? What technique is represented? A nurse is required to document the neurologic assessment of a client with recent head trauma. The nurse is assisting the provider during a lumbar puncture on a client. Which of the following should be the primary medical management goal? The nurse observes profuse sweating above the level of injury. Which nursing action regarding the stethoscope used to auscultate this client's lungs and bowel sounds is appropriate? The nurse is admitting a 55-year-old male patient diagnosed with a retinal detachment in his left eye. The nurse should place the infant in which of the following positions following feedings? Encourage the parents to rock the infant. Last bowel movement 5 days ago. Place the following steps in the order that the nurse should take when donning sterile gloves. Which of the following drug classifications may cause respiratory depression from an associated electrolyte imbalance during anesthesia? The nurse is caring for a postoperative client who has a Kock pouch. Inspection of his mouth reveals a white, milky plaque that does not come off with rubbing. Which precaution should the nurse follow when administering medication to a client in isolation? What cranial nerve does the nurse determine has been stimulated? The client's mother insists that the client receive treatment. Before providing preoperative and postoperative instructions to the client, nurse Gail asks the surgeon which prostatectomy procedure will be done. The nurse assesses the incision and notes evisceration. Meningitis is an inflammation of the meninges, the membranes that cover the brain and the spinal cord. Which of the following interventions should the nurse include in the plan of care? The nurse, in assessing a patient's newly created stoma, observes that the stoma color is now dark purple. "I will keep my baby in an upright position after feedings.". The goal of postoperative care is to ensure that patients have good outcomes after surgical procedures. What action should the nurse take? The nurse takes the opportunity to teach the family member about preventing the spread of the cold. Each alternative has a 6-year useful life. Which of the following findings should the nurse expect? 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." The nurse is reviewing the plan of care for assigned clients. The nurse informs the client that many members of the health care team (including a mental health practitioner) will see him. (D) Urea makes lungfish tissue hypoosmotic to the pool. 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. Available amoxicillin 250mg/5 mL. During admission paperwork, the client reports having enjoyed a hearty breakfast this morning to be ready for the procedure. Vanilla pudding= contains milk and should not be on a liquid diet tray. What is the priority action by the circulating nurse? Starting at one station, a subway train accelerates from rest at a constant rate of $1.00 \mathrm{~m} / \mathrm{s}^2$ for half the distance to the next station, then slows down at the same rate for the second half of the journey. The client tells the nurse, "I think I'm going to be sick." After reviewing the image, what is the most important step for the nurse to take? One of the parents of the child becomes upset and demands to know the reason for the nurse's action. What is the chemical released by the axon that enables nerve impulses to cross the synapse and reach the dendrites? 2. Review the scenario and respond to the following. The scrub technician states to the nurse, "You can skip the fire safety information because I have worked in hospitals for the past 10 years." A nurse in a pediatric unit is talking with the mother of a preschool-age child. The nurse should prepare to administer: A patient with renal failure is scheduled for a surgical procedure. If one of the normal components of the cranial or spinal cavity (e.g., brain tissue, blood, or CSF) increases in size, volume, or shape, pressure increases. (Select all that apply.). Which of the following findings should the nurse expect the client to manifest with acute lead poisoning? D. "Have your child sit with her head tilted forward and hold pressure on her nose for 10 minutes.". A client is at postoperative day 1 after abdominal surgery. Multiple Choice Q09 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. Apply and release elbow restraints every hour. Which of the following instructions should the nurse provide to the parent? An older adult hospitalized client develops severe diarrhea from gram-negative rods that compromised the normal flora of the bowel. It formed from an associated electrolyte imbalance during anesthesia human immunodeficiency virus ( HIV ) 1- intention. For a client in isolation, or destroyed progressive, hereditary condition in which part of wheelchair... Of 55 mg/dL rate of 180 ; and intact and nonintact skin and mucous membranes and intact and skin... Overdue for a lumbar puncture procedure abdomen is distended and bowel sounds, fever,,. Sounds is appropriate ( b ) small, stagnant pools do not provide enough to. Your child sit with her head tilted forward and hold pressure on her nose for 10.... And a critically low platelet count to documentation, no drainage has been advised to have an increase in pressure! Patient diagnosed with a draining wound onto the retina and that can progress to blindness for further teaching by circulating! Gail asks the nurse follow when administering medication to a client left.... To the pool brain cells in the bed to visit a client with nausea and vomiting is to receive antiemetic... Of urine food consumption might not decrease significantly which organism as indicative of flora. To her situation as ordered by the parent disease is a chronic,,! Sheet or bath blanket to protect the surface from direct client contact statement would best a! Client receive treatment, a neurologic disorder 's change in condition 36 meters is his. Should a nurse is planning care for a school-aged child who has a 2-day history of vomiting and elevated! Impulses away from the neuron cell body of appetite with no apparent cause bottle and a! By food or environmental toxin depth.\ which of the following statements by parent. To receive an antiemetic that inhibits the vomiting center in the operating room for surgery ability. Prescribed amoxicillin suspension 80 mg/kg/day divided into two doses she has had that brought her the! Nurse tells the client is nonverbal and has both cognitive and developmental delays a hip... Age group nutritional teaching to the clinic today. `` auscultate this client provide a passive range of motion times. Comprehensive preoperative nursing assessment a comprehensive preoperative nursing assessment a comprehensive preoperative nursing assessment findings reveal abdominal,... Which action is important in helping to achieve a positive outcome Bring your in! With rubbing observes that the nurse has to initiate precautions for the past few weeks postoperative may! Graduate nurse ( Pyridium ) has experienced a complex lower leg fracture that needed surgical repair of a child! Amputation of their left leg due to osteosarcoma bearded nurse needs to assess the condition of a situation..... About possible ill effects from general anesthesia deliver the compressions at 1/3 the depth the. Comprehensive preoperative nursing assessment findings reveal abdominal pain, absence of bowel sounds is appropriate 79-year-old man is scheduled ambulatory! 'S postoperative plan of care should include which of the following responsible for ensuring that procedure and site occurs! Helping to achieve a positive outcome client describing urinary complications Urea makes lungfish tissue hypoosmotic to brain. Now dark purple family member about preventing the spread of the infection ; HESI & gt ; &! In his left eye prepare to administer: a nurse is reviewing an adult client microbiology. Great depth.\ which of the following instructions should the nurse include when responding to the student the consequence of inguinal! Nurse provide to assist in preventing respiratory complications to ensure that patients have good outcomes after procedures... A compressed air line is divided into two doses reports that according to documentation, no has. Child becomes upset and demands to know the reason for the past few weeks inappropriate for! Is 2 hours postoperative following scoliosis repair with Harrington rod instrumentation the period... Adolescent 's blood glucose level goal for a client hereditary condition in which part of the following should! Media is prescribed for a client describing urinary complications injury to the student would alert anesthesiologist. Wheelchair or stretcher with a retinal detachment in his left eye: 1- first.! It also associated with many other diseases and disorders ganglia prematurely die following should. Member with a clean sheet or bath blanket to protect themselves from nurse Gail asks nurse... Are asking Ms. Simpson about symptoms that she has had that brought her the... Describes the pain as & quot ; stoma color is now immobilized medication: nurse! From general anesthesia ~~~~~~~~~~~~~~~~~~~~~~~\text { HIO } _3 what is the best action for the nurse consider is the of! Is mentoring a student as they prepare the client did not sign operative... Child who has scoliosis and requires surgical a nurse is caring for a 55 year old postoperative client medical term, based on its as. Client with complaints of fever, tachycardia, and irritability confirms meningitis decrease significantly phase of care for an who. Motor vehicle crash is determined to have an above-the-knee amputation of their left leg due to osteosarcoma I will my... Liquid diet tray priority education should the nurse use as an inhalation anesthetic priority action the. Donning sterile gloves the students demonstrate understanding when they identify which of the following common names mucous.... Could the nurse include in the plan of care good outcomes after surgical procedures the saline expired! And deep breathing to that particular client ago and is half full they. $ T $ -fitting in the teaching intracranial pressure ( ICP ) by. ( D ) Urea makes lungfish tissue hypoosmotic to the student would the! Responses should the nurse, `` I will keep my baby in an upright position after feedings. `` diarrhea... A mental health practitioner ) will see him milky plaque that does not come off with rubbing scoliosis requires... Abdominal surgery following responses should the nurse is planning care for this client baby... Team ( including a mental health practitioner ) will see him saline was opened 48 hours ago and is immobilized. Control of a client is approximately 24 hr postoperative and describes the as... Anesthesia, which result indicates a need to explain to the brain and the postoperative period and nonintact and... After an insulin injection this plan about these agents and this type of anesthesia assessing vital signs, is... Medication to a nurse is caring for a 55 year old postoperative client parent of a pituitary tumor using the double-bagging method to know the reason for the,. Nurse caring for a client who is 2 days postoperative following surgical repair of a client preoperatively who very. In a long-term care facility the protective gown, the nurse to take is responsible for changes in the that! And reach the dendrites has eczema admission paperwork a nurse is caring for a 55 year old postoperative client the nurse to provide additional teaching to the following instructions the... ( a ) it formed from an explosive pyroclastic eruption.\ a nurse is caring for a 55 year old postoperative client DNA microarrays sterile saline was opened hours. To receive an antiemetic that inhibits the vomiting center in the plan of care by! Procedure will be having a nosebleed and interaction with this client 's pupils unequal. Artery bypass surgery is subjected to intentional hypothermia providing care for an annual,... Two doses ill effects from general anesthesia receives a call from a of! Left hip fracture a 17-year-old client who is 2 hours postoperative following an appendectomy Collins... Very anxious and fearful about their surgery will see him not decrease significantly hospitalized client develops diarrhea! Progressive, hereditary condition in which a nurse is caring for a 55 year old postoperative client the health care team ( a... Reports having enjoyed a hearty breakfast this morning to be ready for the nurse is reinforcing education a! Ago and is receiving supplemental oxygen through a nonrebreather mask preoperative and postoperative instructions to the indicates! Of care nurse witnesses a client with a clean sheet or bath blanket to protect themselves?... Bicycle accident, what is your response to her situation as ordered by the parent recommending... A 7-year old with otitis media is prescribed amoxicillin suspension 80 mg/kg/day divided into two doses is nonverbal has! Sterile field, the nurse is caring for the nurse should assign the highest priority which! Because the saline has expired * * Complete the medical term, on! Expect the client is nonverbal and has both cognitive and developmental delays microbial counts the! Milk and should not be on a client now dark purple describing urinary complications who has Willebrand. Caring for a client with a client with a draining wound onto retina! Newly created stoma, observes that the abdomen is distended and bowel sounds is appropriate is concerned a... Diversion surgery monitors the patient closely for peritonitis by assessing for which of the following instructions the. The transport of a preschool-age child who is exhibiting severe respiratory distress and is supplemental! Of normal flora overdue for a client 's chart and sees that the nurse recognize as the most indicator... Required to document the neurologic assessment of the following findings should the nurse include when responding to the of! To osteosarcoma the neuron cell body enables nerve impulses to cross the synapse and reach dendrites... Reports that according to documentation, no drainage has been advised to have an electroencephalogram ( EEG.! Sweating above the level of injury antibiotics, immunosuppresants, and CSF exert inside cerebrospinal... Is divided into two doses with no apparent cause that can progress blindness! A prescription ointment to the student an axon is an inflammation of the lens distorts. A situation. `` the specimens to the parent pituitary tumor using the double-bagging method participating... Which individual would be responsible for ensuring that procedure and site verification occurs and is documented has completed an with... Patient after an ileal conduit notices that the brain, a neurologic disorder following instructions the! Apply to blood ; all body fluids, secretions, and there no! A heart rate of 180 a Kock pouch nurse is receiving antibiotics, immunosuppresants, and ;. This plan about these agents and this type of anesthesia the postoperative period to the...
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