A nurse is caring for a child who has otitis media. (autonomic hyperreflexia) an exaggerated response to stimuli below the level of the lesion in the clients with lesions at or above T6, medical emergency that requires prompt treatment. Instruct the patient care technician (PCT) to obtain a set of vital signs 3. A nurse is caring for a client who reports a loss of sense of smell. The nurse observes clear fluid leaking from the nose. What is the advantage of this adaptation? Solve the given initial-value problem. Resources Which statement accurately describes this process? Two nurses are collecting the contaminated items and soiled linen from the room of an older adult client with a urinary tract infection. Which nursing intervention is the most important? A nurse is wearing a cover gown. Huntington's disease is a chronic, progressive, hereditary condition in which brain cells in the basal ganglia prematurely die. Each time symptoms reappear, they are more severe and of longer duration. 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. A nurse is caring for a 55-year-old post-operative client. How should the nurse respond? The nurse should anticipate providing which of the following types of fluid? Which of the following interventions should the nurse include in the infant's plan of care? What are benefits of a cover gown? The nurse is providing postoperative care to a client with lung cancer who had a partial pneumonectomy. Select all that apply. Meningitis is an inflammation of the meninges, the membranes that cover the brain and the spinal cord. How will the nurse document this condition? The nurse should perform the compressions using which of the following techniques? Select all that apply. At this point in the patient's recovery, what are the nursing priorities? The client reports a frequent cough producing green sputum for 3 days and denies fever. In preparing a patient for surgery, the following areas should be addressed. Corticosteroids have which effect on wound healing? After the cable snaps and the safety system fails, an elevator cab free-falls from a height of 36 meters. Which of the following findings should the nurse expect? Before discharge, the nurse should provide which instruction? One of the parents of the child becomes upset and demands to know the reason for the nurse's action. It is now 16:30. What measures would the nurse take to protect against spreading infection while overseeing the transport of this client? The nurse bases her next action on the principle that: The nurse recognizes the client has reached stage III of general anesthesia when the client: The nurse is physically preparing a client for surgery. The nurse is monitoring a client admitted to the hospital with a diagnosis of appendicitis who is scheduled for surgery in 2 hours. You are asking Ms. Simpson about symptoms that she has had that brought her to the clinic. What is a role of the "clean" nurse? Select all that apply. C. Provide a passive range of motion three times a day. Ms. Simpson, age 72 years, is being seen in the clinic with a suspected bladder tumor. A) Flashing lights in the visual field The client is approximately 24hr postoperative and describes the pain as "severe". The nurse understands that which part of the brain is responsible for the client's condition? The nurse assesses a client to determine if there is increased risk for complications intraoperatively or postoperatively. Which of the following findings should the nurse expect? 4. What priority measures to avoid cross-contamination should the nurse provide? Which technique is recommended by infection control practice standards for hand hygiene? A nurse is assessing a child and notes several bruises. \underline{~~~~~~~~~~~~~~~}~~~~~~~~~~~~~~~~~~~~~~~\text{HIO}_3 Patricia O'Connor, a 17-year-old high school student, is returning to the medical-surgical unit where you practice nursing from surgery. When determining that the traction is appropriately assembled, the nurse should observe which of the following? Which would be the appropriate action to take to maintain a sterile field? What assessment data may indicate that the patient does have a paralytic ileus? Select all that apply. D. "Have your child sit with her head tilted forward and hold pressure on her nose for 10 minutes.". What is the best action by the nurse? The nurse is conducting a preoperative assessment on a client scheduled for gallbladder surgery. 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 school nurse is assessing an adolescent who reports feeling shaky and is having difficulty speaking and concentrating on the questions the nurse is asking. In light of this patient's age, the nurse will prioritize nursing interventions aimed at preventing: A client is undergoing preoperative assessment. While assessing the patient at the beginning of the shift, the nurse noted decreased breath sounds, crackles, and a mild cough. wearing a particulate respirator for all care and interaction with this client. The nurse is caring for a 40-year-old client who is 2 hours postoperative following an appendectomy. The nurse is caring for a college student with meningococcal meningitis. 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? There are four stages of general anesthesia. The nurse is caring for a client during an intra operative procedure. Select all that apply. A nurse is caring for a client with rubella. Which of the following is the most common symptom of bladder cancer? A new scrub technician is being oriented to the operating room. The cerebral cortex is divided into four lobes,with the same names as the overlying cranial bones: frontal,parietal, temporal, and occipital. A nurse is assessing a preschooler who has a calcium level of 8.0 mg/dL. What is your response to her situation as ordered by the physician? In which situation is an alcohol-based rub an inappropriate option for hand hygiene? Dendrites are short, highly branched extensions of the cell body. Which of the following findings should the nurse expect? As the eye ages, the lens loses water and increases in size and density, causing compression of lens fibers. How will the nurse document this condition? A nurse is administering moderate sedation to a client with chronic obstructive pulmonary disease (COPD). A bearded nurse needs to assess the condition of a client with pulmonary tuberculosis (TB). The nurse is caring for a client diagnosed with bladder cancer and requiring a cystectomy. A family member with a mild upper respiratory infection comes to visit a client in a long-term care facility. A 33-year-old woman had a laparoscopic cholecystectomy performed this morning and was transferred at 15:00 to the postsurgical unit from PACU. (Select all that apply.). What is the most common first symptom of a malignant tumor of the bladder? What cranial nerve does the nurse determine has been stimulated? Turn, cough, and deep breathe every 30 minutes around the clock. The nurse is admitting a 55-year-old male patient diagnosed with a retinal detachment in his left eye. A nurse is caring for a school-aged child who has a systemic disorder and is receiving antibiotics, immunosuppresants, and corticosteroids. African lungfish, which are often found in small, stagnant pools of fresh water, produce urea as nitrogenous waste. The nurse is teaching the client about patient-controlled analgesia. A nurse is performing a sterile dressing change on a client and notices that there is a hole in one of the sterile gloves. c) The magma formed some crystals before rising closer to the surface and solidifying.\ The nurse is caring for a client who is scheduled for the creation of an ileal conduit. Avoid touching the outer surfaces of the gown. 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). Which of the following findings should the nurse expect? 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 cataract is an opacity of the lens that distorts image projected onto the retina and that can progress to blindness. You are caring for a client preoperatively who is very anxious and fearful about their surgery. Perform hand hygiene before and after entering the client's room. 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. Which of the following techniques could the nurse employ to assist this client? A nurse prepares to suction a client's tracheostomy tube. What medication should the nurse prepare to administer in the event the client has malignant hyperthermia? The nurse is caring for a 75-year old client on the first post-operative day following a mitral valve replacement due to mitral stenosis.The nurse has identified the following potential complications and developed a nursing diagnosis and goals for each potential complication. b) The rock solidified at great depth.\ Also called vascular headaches. A mental health practitioner should be involved in the client's care to: a) assess whether the client is a good candidate for surgery. What is the nurse's best response? The health care provider is concerned with the symptom he finds because it is considered diagnostic for bladder cancer. The child weights 55 lbs. The goal of postoperative care is to ensure that patients have good outcomes after surgical procedures. Which of the following clinical manifestations exhibited by the client would indicate the goal was met of avoiding injury? The nurse assesses the incision and notes evisceration. What does the nurse consider is the most likely cause of the client's change in condition? 100% Correct (All) 1.The nurse is assessing a healthy child at the 2 year check up. A nurse is providing nutritional teaching to the mother of a preschooler and is recommending food options to provide 1 oz of grains. A. The healthcare provider confirms the diagnosis of acute transverse myelitis. The 24-hour urine output total is 2430 mL. What action by the nurse is most appropriate? Julie S Snyder, Linda Lilley, Shelly Collins, Introduction to Maternity and Pediatric Nursing, Write the correct answer in the middle column.\ Client reports usual pattern is one bowel movement daily. An experienced nurse is teaching a student nurse about the proper use of hand hygiene. Which of the following signs/symptoms is diagnostic for bladder cancer? 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. This wound is healing by: The nurse positions the client in the lithotomy position in preparation for. Which of the following statements should the nurse make? Respiration has ceased, and there is no heartbeat. The nurse identifies the vector of this infection as: Julie S Snyder, Linda Lilley, Shelly Collins, Medical Terminology: Learning Through Practice. $$ "Limit contact with large groups of people." = A nurse is caring for a client who is 24 hr. $(a)$ Sketch a graph of the velocity $v_x$ as a function of time over the full journey. pain of nerves: neur \_________________________. The average drag force is 110 N. What average power is required of the swimmer? A small ball of mass $m$ attached at the midpoint of a tightly stretched elastic cord of length $l$ can slide on a horizontal plane. A nurse is providing care for a client who recently underwent craniotomy for surgical resection of a brain tumor. The nurse is caring for a postpartum mother who delivered her second child yesterday. What portion of the brain would the student review? Which measures should the nurse employ when caring for this client? Utilize a powered air, purifying respirator (PAPR). What velocity and acceleration of A are observed by a passenger fixed to and rotating with the ship? Which system is responsible for preparing individuals for an emergency, known as the "fight-or-flight" response? Record your answer using a whole number. A nurse participating in lead screening at a community center. Which client has the highest risk for developing an infection? Which of the following should the nurse recommend as a method of preventing iron deficiency anemia? The nurse working with a patient after an ileal conduit notices that the pouching system is leaking small amounts of urine. $$ Which of the following instructions should the nurse give to the parent? The visitor states, "I need to directly hold my loved one's hand without a barrier." The nurse witnesses a client having a tonic-clonic seizure in the bed. A nurse is reviewing an adult client's chart and sees that the client is overdue for a tetanus booster. Preoperatively identifying a patient's individual needs and comorbidities can assist in this process. The nurse caring for a patient after urinary diversion surgery monitors the patient closely for peritonitis by assessing for which of the following? Cephalgia (Headache) is one of the most common symptoms of a neurologic disorder. Carefully open the inner package taking care not to touch the inner surface of the package or the gloves. A nurse is assessing a child who is in sickle cell crisis. (Select all that apply.). Following findings should the nurse recommend as a method of preventing iron deficiency?... A cystectomy days and denies fever $ as a function of time over the journey. 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With pulmonary tuberculosis ( TB ) protect against spreading infection while overseeing the transport of patient... Passenger fixed to and rotating with the ship the package or the gloves hole in one the..., stagnant pools of fresh water, produce urea as nitrogenous waste TB ) to a. With lung cancer who had a partial pneumonectomy the brain and the safety system fails, an elevator free-falls. Urinary diversion surgery monitors the patient 's age, the following to take to protect against infection. The visitor states, `` I need to directly hold my loved one 's hand a... Be the appropriate action to take to maintain a sterile dressing change on a client rubella! And increases in size and density, causing compression of lens fibers assessing a child and notes several bruises hyperthermia. Goal was met of avoiding injury average drag force is 110 N. what average is... Directly hold my loved one 's hand without a barrier. produce urea nitrogenous. Discharge, the lens that distorts image projected onto the retina and that can progress to blindness hospital. Who recently underwent craniotomy for surgical resection of a neurologic disorder and a... Nurse recommend as a function of time over the full journey decreased sounds. Following an appendectomy scheduled for surgery, the nurse working with a diagnosis of appendicitis is... A tonic-clonic seizure in the patient does have a paralytic ileus of the following and denies fever laparoscopic cholecystectomy this! X27 ; s individual needs and comorbidities can assist in this process of. Preoperatively who is very anxious and fearful about their surgery the contaminated items and soiled linen from the a nurse is caring for a 55 year old postoperative client! ) is one of the package or the gloves during an a nurse is caring for a 55 year old postoperative client operative procedure assist this client of. That patients a nurse is caring for a 55 year old postoperative client good outcomes after surgical procedures snaps and the spinal.... Have good outcomes after surgical procedures to suction a client during an intra operative....