During the surgical procedure, the client exhibits tachycardia, generalized muscle rigidity, and a temperature of 103F. The client has a history of anxiety, depression, high blood pressure, and exercise-induced asthma. Here are four (4) nursing care plans (NCP) and nursing diagnosis for patients who underwent appendectomy: ADVERTISEMENTS. A veteran nurse is working with a new graduate nurse. 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. In MS, the myelin sheath covering the nerves is destroyed. What assessment findings would be a priority for the nurse to alert the provider? What important consideration should the nurse keep in mind when providing care to such a client? A nurse is caring for a client, age 4 months, following surgical repair of a tracheoesophageal fistula. See Lumbar Puncture previously mentioned. The client is approximately 24 hr postoperative and describes the pain as "severe". Which would be considered significant blood exposures by occupational health? A client comes to the emergency department complaining of severe pain in the right flank, nausea, and vomiting. . a. Request that a respiratory therapist discuss the technique for incentive spirometry with the client. What is the advantage of this adaptation? When would surgery be contraindicated for this patient due to laboratory results? Which nursing action carries the greatest likelihood of contributing to the spread of vancomycin-resistant enterococci (VRE)? Which surgical team member would be most helpful in addressing the client's concern? Person A is stationary on the dock. (C ) Urea forms an insoluble precipitate. Acts as shock absorber for brain and spinal cord, Is a chronic, progressive disease affecting the dopamine-producing cells of the brain. The nurse knows that adequate preoperative teaching and learning is important for what reason? Here are six (6) nursing care plans (NCP) and nursing care plan for prostatectomy: Select all that apply. "Please get a mask from the staff upon entry and use a mask along with hand hygiene when visiting to prevent the spread of infection to your friend and others.". Which concept should be the priority in the teaching plan? Which of the following actions should the nurse take? When developing a teaching plan for a patient scheduled for ambulatory surgery with epidural anesthesia, which of the following would the nurse include? Before discharge, the nurse should provide which instruction? Which of the following interventions should the nurse include in the infant's plan of care? Place the procedure steps in correct order. This wound is healing by: 1- first intention. A nurse is teaching a parent of a 2-year-old about safe food choices. A nurse is caring for a client with rubella. Select all that apply. Which assessment finding is most suggestive of a malignant tumor of the bladder? A nurse has finished providing care for a client who is on contact precautions. Assume the variables x = 5, y = 6, and z = 8. What is one of the basic principles that should guide the preoperative nurse's assessment? A nurse is caring for a client following a craniotomy. A nurse in an emergency department is caring for an infant who has a 2-day history of vomiting and an elevated temperature. The nurse, in assessing a patient's newly created stoma, observes that the stoma color is now dark purple. 176. The ball is given a small displacement in a direction perpendicular to the cord and released. A nurse is caring for a client who underwent a skin biopsy and has three stitches in place. A nurse needs to send the blood and urine specimen of a client with acute diarrhea to the pathology laboratory. A nurse in a pediatric unit is talking with the mother of a preschool-age child. What would the nurses include in the teaching plan? A nurse is caring for a client with streptococcal pneumonia. What is the blood glucose level goal for a diabetic client who will be having a surgical procedure? Select all that apply. A noncommunicable disease is caused by food or environmental toxin. Do you think it will be ok?" (Select all that apply.). Assuming the tension $T$ in the cord to remain constant, $(a)$ write the differential equation of motion of the ball, $(b)$ determine the period of vibration. $$ Which finding would the nurse identify as the most common initial symptom? Inspection of his mouth reveals a white, milky plaque that does not come off with rubbing. The nurse is caring for a client who became very ill after ingesting seafood. The nurse is reviewing the plan of care for assigned clients. Teach the parents about cortisol replacement therapy. A post op client reports severe abdominal pain. A nurse is caring for a client who reports a loss of sense of smell. 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. What related complication should the nurse be aware of? Select all that apply. 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. A nurse is reviewing an adult client's chart and sees that the client is overdue for a tetanus booster. What nursing interventions are appropriate to decrease HCAIs? Which of the following nursing diagnoses would be a priority for this patient? The nurse should prepare to administer: A patient with renal failure is scheduled for a surgical procedure. An experienced nurse is teaching a student nurse about the proper use of hand hygiene. (Select all that apply.). \frac { d y } { d x } = \frac { 3 x + 2 y } { 3 x + 2 y + 2 } , \quad y ( - 1 ) = - 1 C. Provide a passive range of motion three times a day. A nurse is caring for a 55-year-old client with a left-sided stroke. 2- second intention. Which of the following amounts of urinary output should indicate to the nurse that the treatment has corrected the fluid imbalance? Which of the following signs/symptoms is diagnostic for bladder cancer? "As we age, our immune system does not function as well.". Which type of transmission precautions should the nurse follow when caring for the client? Which of the following conditions should the nurse identify as the leading cause of death among this age group? As the eye ages, the lens loses water and increases in size and density, causing compression of lens fibers. **Complete the medical term, based on its meaning as provided. What action best reduces the risk of transmission to clients and staff? The nurse understands that a change in which part of the brain is responsible for changes in the client's ability to perceive sensation? Which precautions will the nurse begin? A client is admitted with infective endocarditis (IE). Six mutually exclusive alternatives, A-F, are being examined. What is a role of the "clean" nurse? Encourage the parents to rock the infant. Each alternative has a 6-year useful life. The nurse discovers that the client did not sign the operative consent before receiving the preoperative medication. When is the ideal time to discuss preoperative teaching. Meningitis is an inflammation of the meninges, the membranes that cover the brain and the spinal cord. What portion of the brain would the student review? What precautions should the nurse take when caring for this client? Which of the following findings should the nurse expect? When planning this client's care, the nurse should assign the highest priority to which nursing diagnosis? A nurse is assisting a neurosurgeon in performing positron emission tomography. 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. A nurse is caring for a child who ingested kerosene. The nurse is concerned that a postoperative patient may have a paralytic ileus. Which of the following statements by the parent indicates an understanding of the teaching? D. Initiate the use of a PCA pump for pain control. A client has an inguinal hernia repair and later develops a methicillin-resistant Staphylococcus aureus (MRSA) infection. Which client statement would indicate to the nurse that preprocedure teaching has been effective? You are asking Ms. Simpson about symptoms that she has had that brought her to the clinic. Nursing care planning and management for patients who underwent appendectomy includes: preventing complications, promoting comfort, and providing information. A nurse prefers to use an alcohol-based hand rub when providing care for clients. A client with a T6 injury reports a pounding headache, blurred vision, and nasal congestion. can be followed using B. The average drag force is 110 N. What average power is required of the swimmer? A cataract then forms as oxygen uptake is reduced, water content . Discard the bottle and get a new one because the saline has expired. Ms. Simpson, age 72 years, is being seen in the clinic with a suspected bladder tumor. A nurse is caring for a client with multiple sclerosis (MS). "I will keep my baby in an upright position after feedings.". While assessing this patient, what characteristic symptom would the nurse expect to find? Record your answer using a whole number. The nurse should suspect which of the following disorders? Which pieces of personal protective equipment should be removed first? Select all that apply. A nurse is caring for a 55-year-old postoperative client. A general neurologic examination of a client with complaints of fever, chills, neck stiffness, and irritability confirms meningitis. What measurement should the nurse report to the physician in the immediate postoperative period? For each case, calculate the pressure and Mach number downstream of the oblique shock. 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). Patricia O'Connor, a 17-year-old high school student, is returning to the medical-surgical unit where you practice nursing from surgery. A nurse is caring for a toddler who is 24 hour postoperative following a cleft palate repair. Following a splenectomy, a client has a hemoglobin (Hb) level of 7.5 g/dl and has vertigo when getting out of bed. The nurse is reinforcing education for a female client paralyzed from a spinal cord injury (SCI). Wear a mask when working within 3 feet of the client. Fentanyl is categorized as which type of intravenous anesthetic agent? What would the nurse expect to asses? Which of the following positions would the nurse expect the client to be positioned on the operating table for renal surgery? Which of the following techniques could the nurse employ to assist this client? 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. In the morning after arising c. 60 minutes before breakfast d. At bedtime on an empty stomach >>See answer and rationale<< 177. Which of the following findings should the nurse expect? A 79-year-old man is scheduled for surgical repair of an inguinal hernia. The nurse assesses the client's pupils and notes the client's pupils are unequal. The nurse should identify that which of the following manifestations indicates a tympanic membrane rupture? 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). A nurse is caring for a 2-month-old infant who is postoperative following repair of a cleft lip and palate. The nurse is completing a preoperative assessment. Which of the following should the nurse recommend as a method of preventing iron deficiency anemia? After the cable snaps and the safety system fails, an elevator cab free-falls from a height of 36 meters. Both of the child's parents have a smoking history. The nurse is assessing a client who presented to the clinic reporting migraine headaches. A) Flashing lights in the visual field Neurons make up a nerve. What measures should the nurse take when caring for a client with autonomic dysreflexia? Which finding requires priority action? A 55-year old client with benign prostatic hyperplasia doesn't respond to medical treatment and is admitted to the facility for prostate gland removal. What action should the nurse prioritize at this point in the patient's care? What is the best action by the nurse? Cover the wound with a sterile, saline - soaked dressing 4. The nurse is caring for a client scheduled for removal of a pituitary tumor using the transsphenoidal approach. Which test should the nurse expect the healthcare provider to order to confirm brain death in this client? The nurse is reviewing the medical record and notes that the patient has a history of osteoporosis in her lower back and hips. A nurse is performing a sterile dressing change on a client and notices that there is a hole in one of the sterile gloves. "Bring your baby in to the clinic today.". Cephalgia (Headache) is one of the most common symptoms of a neurologic disorder. The nurse is assisting in the transport of a client with an indwelling catheter to the diagnostic studies unit. What are benefits of a cover gown? Select all that apply. Respiratory rate is 20, temperature is 99.8 (taken orally), heart rate is 87, and blood pressure is 124/70. $(a)$ Sketch a graph of the velocity $v_x$ as a function of time over the full journey. Which of the following should be the primary medical management goal? The surgical client is at risk for injury related to positioning. Which precaution is the priority when collecting and delivering the specimens to the laboratory? 4. Use all options. What key area should the nurse prioritize when educating this client? 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. The nurse receives the client's culture and sensitivity report on her tracheal aspirate. What is the most important thing the nurse can do to prevent the client with HIV from acquiring the upper respiratory infection? Turn, cough, and deep breathe every 30 minutes around the clock. The nurse should take which initial action? Select all that apply. Neonates may have an infection without fever. Lower the head of the bed. A mental health practitioner should be involved in the client's care to: a) assess whether the client is a good candidate for surgery. A nurse is teaching the parents of a toddler about temper tantrums. 1. The client begins to complain of increased abdominal pain and begins to vomit. A healthcare provider performs the LP under strict sterile procedure. C. "I give my child aspirin to reduce his fever.". Its emissivity is 0.20. Loss of myelin (demyelination) results in weak electrical impulses and weak muscle contractions. Which assessment finding requires immediate nursing intervention? The healthcare provider confirms the diagnosis of acute transverse myelitis. What is the most important postoperative instruction a nurse must give to a client who has just returned from the operating room after receiving a subarachnoid block? When determining that the traction is appropriately assembled, the nurse should observe which of the following? How will the nurse appropriately remove this personal protective equipment (PPE)? The provider prescribes restraints. Round to the nearest mL. Which room assignment will the nurse make? Which nursing intervention is the most important? A nurse is caring for a client who underwent a skin biopsy and has three stitches in place. Which of the following is the best response by the nurse? As a circulating nurse, what task are you solely responsible for? Preoperatively identifying a patient's individual needs and comorbidities can assist in this process. Which of the following provider prescriptions should the nurse clarify? Which intervention should the nurse implement first? Get the client out of bed and ambulate to a bedside chair. Where are polar bodies made, in the male or in the female? The nurse suspects which of the following? Which would be the nurses' best action? Normally ICP is 4 to 13 mmHg. 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. What action does the nurse take to ensure that the saline used is sterile? A young adult client arrives at the community clinic with reports of changes in eating habits. The nurse checking the client's vital signs observes that there are no visible signs of life. A. 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. What type of precautions would this client require? A. A swimmer moves through the water at an average speed of 0.22 m/s. What should the client's nurse teach him about this diagnostic finding? For which effect should the nurse monitor the client who has had a stroke? During admission paperwork, the client reports having enjoyed a hearty breakfast this morning to be ready for the procedure. The child's parent asks the nurse what the common name for this disease is. What is the nurse's priority action? Ibuprofen (Advil) is prescribed for a client. Multiple Choice Q09 Instruct the patient care technician (PCT) to obtain a set of vital signs 3. Which action by the nurse is appropriate? This increase in pressure can cause the delicate structures to be moved, damaged, or destroyed. Which technique is recommended by infection control practice standards for hand hygiene? The nurse identifies the vector of this infection as: Julie S Snyder, Linda Lilley, Shelly Collins, Medical Terminology: Learning Through Practice. A client sustains a head trauma after falling from a roof. Inspection of his mouth reveals a white, milky plaque that does not come off with rubbing. The client states, "I'm really nervous about this surgery. The client received general anesthesia for the procedure and has opioid pain medications prescribed. A. A sudden or gradual interruption of blood supply to a vital center in the brain is a stroke, AKA CVA or Cerebral (brain) infarct. (B) Small, stagnant pools do not provide enough water to dilute ammonia, which is toxic. Question: A nurse is caring for a 9-year-old client who is immediately postoperative. When should the client stop taking the aspirin before the surgery? Based on the nurse's knowledge of the most common hospital-acquired infections, which apparatus is most important to remove first? She has just undergone an appendectomy. After reviewing the image, what is the most important step for the nurse to take? A 12-year-old is being hospitalized for pneumonia. Nursing assessment findings reveal urinary output < 30 ml/hr, tachycardia, tachypnea, decreased hemoglobin, and acute confusion. (Select all that apply.). It is now 16:30. The nurse is caring for a client who has active tuberculosis (TB) and is in Airborne Precautions. D. Administer sodium biphosphate/sodium phosphate. The procedure involves injecting a radiopaque substance into the femoral, brachial, or arterial artery. What technique is represented? A client has been admitted to the hospital with signs and symptoms that are characteristic of pulmonary tuberculosis and a STAT chest x-ray has been ordered. Cause is unknown. The nurse is concerned about infection and is reviewing the white blood cell count (WBC) in the chart. The nurse has completed an intervention with a client. \text{BrO}_2^-~~~~~~~~~~~~~~~~~~~~~~~~~~~~~\underline{~~~~~~~~~~~~~~~} 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? **Summarize** the difference between mafic and felsic magma. What type of problems can this client have because of their anxiety and fear? Select all that apply. (A) Urea takes less energy to synthesize than ammonia. When describing the types of bladder tumors that may occur, which type would the nurse identify as most common? While assessing the client, the nurse notes that the bag attached to the mask is deflated. Select all that apply. What is the priority action by the nurse? 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. A nurse is caring for a postoperative patient on POD 2. The thalamus integrates sensations, thus the person perceives a whole experience, rather than individual impulses. A client suffers a stroke located in the medulla. 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 older adult hospitalized client develops severe diarrhea from gram-negative rods that compromised the normal flora of the bowel. Based on the nurse's knowledge of the most common hospital-acquired infections, which apparatus is most important to remove first? The nurse is caring for a client with herpes zoster. 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." Which of the following instructions should the nurse include in the teaching? a. How will the nurse likely respond? The nurse overhears the physician instructing the client on the presence of a stoma with temporary pouch. Which conditions are the effects of aging on the nervous system? There are four stages of general anesthesia. What factors have contributed most significantly to this trend? 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. The Glasgow coma scale (GCS) is commonly used as a broad indicator of the severity of brain injury. 3- third intention. What is the priority action by the nurse? The vagus nerve a much larger portion of the body than the others. Julie S Snyder, Linda Lilley, Shelly Collins, Introduction to Maternity and Pediatric Nursing, Write the correct answer in the middle column.\ Solely during the intraoperative phase of perioperative care, the nurse: The nurse is preparing to discharge a patient from the PACU using a PACU room scoring guide. 1. The air flow in a compressed air line is divided into two equal streams by a $T$-fitting in the line. The client's vital signs are Temp 97.2F, HR 105, RR 24 and BP 110/50. They have not been fitted an N95 respirator. A. The nurse takes the opportunity to teach the family member about preventing the spread of the cold. You are caring for a client preoperatively who is very anxious and fearful about their surgery. Carefully open the inner package taking care not to touch the inner surface of the package or the gloves. Avoid touching the outer surfaces of the gown. The nurse is caring for four clients on a medical-surgical unit.. A major goal when caring for a catheterized patient is to prevent infection. A family member with a mild upper respiratory infection comes to visit a client in a long-term care facility. A new scrub technician is being oriented to the operating room. Write one possible RNA sequence that codes for the following amino acids: aspartic acid-glutamine-tryptophan. The client reports a sudden loss of appetite with no apparent cause. When preparing a sterile field, the nurse notes that the bottle of sterile saline was opened 48 hours ago and is half full. One hour after administration, the client demonstrates muscle rigidity with a heart rate of 180. 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 statements should the nurse make? The graduate nurse states that she was exposed to a client's blood and that she was not wearing any PPE. The findings are indicative of which nursing diagnosis? The client asks the nurse about possible ill effects from general anesthesia. The appropriate nursing intervention is to do which of the following? \begin{matrix} \text{ } & \text{Initial Cost} & \text{Uniform Annual Benefit}\\ \text{A} & \text{\$20} & \text{\$ 6.00}\\ \text{B} & \text{35} & \text{9.25}\\ \text{C} & \text{55} & \text{13.38}\\ \text{D} & \text{60} & \text{13.78}\\ \text{E} & \text{80} & \text{24.32}\\ \text{F} & \text{100} & \text{24.32}\\ \end{matrix} $$ What velocity and acceleration of A are observed by a passenger fixed to and rotating with the ship? The client received general anesthesia for the procedure and has opioid pain medications prescribed. "I will obtain a mask from the staff and wash my hands before touching my family member.". Which of the following instructions should the nurse provide to the parent? What is the priority action by the circulating nurse? The patient complains of headache. x == 5 || y > 3. What is an implication of this assessment finding? One bag of a contaminated item is placed within another. A nurse is assessing a preschooler who has a calcium level of 8.0 mg/dL. The client reports a frequent cough producing green sputum for 3 days and denies fever. Which of the following is a characteristic of a normal stoma? The nurse is mentoring a student as they prepare the client for a lumbar puncture procedure. 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 should identify that which of the following statements by the parent indicates the child has an increased risk for Reye syndrome? Test the drainage for glucose. 2020. "Temper tantrums are the toddler's attempt to gain control of a situation.". With what score can the patient be transferred out of the recovery room? Select all that apply. The neuron is the basic structural and functional cell of the nervous system. Continue to observe the drainage. The colleague has established the sterile field and is pouring out normal saline into a sterile container, as seen in the picture above. The client received general anesthesia for the procedure and has opioid pain medications prescribed. $$ A client having a surgical procedure takes aspirin 325 mg daily for prevention of platelet aggregation. When planning care for a client in the postoperative period, prioritize nursing diagnoses in the sequence from highest to lowest priority? This wound is healing by: The nurse positions the client in the lithotomy position in preparation for. The nurse would expect the healthcare provider to further assess the client for a midbrain disorder based on what function of the midbrain? The nurse notices the client is tearful and constantly wringing their hands. Dendrites are short, highly branched extensions of the cell body. $$. Appears to result from a vascular disturbance in which he brain's blood vessels dilate abnormally. What is the best action for the nurse to take? Adult Health - Gastrointestinal. Client reports usual pattern is one bowel movement daily. Which client would require a negative flow room? A nurse is planning care for an adolescent who has scoliosis and requires surgical intervention. The appropriate nursing intervention is which of the following? Place a surgical mask on the client and transport to the CT department at the specified time. She is concerned her newborn will develop the disease. Find the velocity of the air at the outlets and the rate of change of flow energy (flow power) across the $T$-fitting. Which assessment finding explains the absence of drainage? A nurse is caring for a client who has influenza and varicella. a) It formed from an explosive pyroclastic eruption.\ 100% Correct (All) 1.The nurse is assessing a healthy child at the 2 year check up. The nurse states that she was exposed to a client's blood and that she was not wearing any PPE. How should a nurse teach a patient to perform deep breathing and coughing to use postoperatively? 55. Place the client on NPO status 2. NA. How will the nurse document this condition? A nurse is assessing a child and notes several bruises. Which statement by the client indicates the need for further teaching by the nurse? What statement made by the client demonstrated understanding of the education? The nurse is caring for a client during an intra operative procedure. Which are general risk factors? Based on the nurse's knowledge of the most common hospital-acquired infections, which apparatus is most important to remove first? A nurse is caring for a client who is diagnosed with increased intracranial pressure (ICP). . How will the nurse document this condition? The nurse assesses the incision and notes evisceration. An older adult client tells the nurse, "I do not understand why I have had so many episodes of infection lately." Which of the following statements by the parent indicates a need for further teaching? The patient is scheduled to receive epidural anesthesia. A client who is having a colonoscopy and suddenly the client's heart rate drops from 72 beats per minute (BPM) to 52 BPM. C restriction enzymes. For an 8% interest rate, which alternative should be selected? D. The buttocks is elevated slightly off the bed. A client undergoing coronary artery bypass surgery is subjected to intentional hypothermia. Which of the following findings should the nurse expect? One of the parents of the child becomes upset and demands to know the reason for the nurse's action. B. Immediately after any potential or actual injury to the brain, a neurologic evaluation should be done. What does the nurse recognize that this client is experiencing? The nurse is preparing discharge instructions for a family member who will be caring for a client with an abdominal incision. A nurse is caring for a child who has influenza. A nurse is assessing an adolescent who has an exacerbation of Graves' disease. Which of the following activities are nursing activities in the preoperative phase of care? Which of the following assessment findings should the nurse expect? A nurse in a pediatric clinic is caring for a child who has iron deficiency anemia and a new prescription for ferrous sulfate tablets. When explaining to the client about collecting the specimens, the nurse would inform the client that the specimens will be collected daily for: Every 2 hours, the nurse turns and repositions the client who is experiencing frequent diarrhea. What means of transmission do nurses use transmission barriers to protect themselves from? B plasmid transformation. 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. After wound care, the doctor writes an order for Tdap (Tetanus-diphtheria-pertussis) vaccination. 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? The goal of postoperative care is to ensure that patients have good outcomes after surgical procedures. 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 $50 \mathrm{~m} / \mathrm{s}$. The students demonstrate understanding when they identify which of the following as an inhalation anesthetic? The nurse has administered the preanesthetic as ordered. Nurses play a key role in reducing both the spread of disease and adverse outcomes for clients. Which of the following instructions would the nurse give the client? With 8 oz of milk b. Which system is responsible for preparing individuals for an emergency, known as the "fight-or-flight" response? A nurse is providing health promotion teaching to the parents of an infant. An elderly client arrives at a healthcare facility with complaints of loss of sensation. "I'm glad that my child's ostomy is only temporary.". The cerebral cortex is divided into four lobes,with the same names as the overlying cranial bones: frontal,parietal, temporal, and occipital. What clinical assessment should the nurse conduct to see whether the nervous system is working properly? The client's vital signs are Temp 97.2F, HR 105, RR 24 and BP 110/50. Which nursing interventions should the nurse implement when caring for elderly clients? A rehabilitation nurse is caring for an elderly client with a neurologic disorder. Two nurses are collecting the contaminated items and soiled linen from the room of an older adult client with a urinary tract infection. "Limit contact with large groups of people." c. "Avoid taking over-the-counter calcium supplements." d. "Follow a low-protein diet." ; b. An 11-year-old client is admitted to the healthcare facility with loss of sensation, generalized weakness of the extremities, and impaired bowel and bladder function. Apply and release elbow restraints every hour. What does the nurse consider is the most likely cause of the client's change in condition? The client received general anesthesia for the procedure and has opioid pain medications prescribed. d) The magma had abundant dissolved gas. Which statement accurately describes this process? What is the most important factor to prevent this infection? A patient undergoes surgery for removing a malignant tumor, followed by a urinary diversion procedure. 3. What is the most common first symptom of a malignant tumor of the bladder? What health teaching will the nurse share with the visitor? Which of the following statements by the parent indicates an understanding of the teaching? The patient had a large upper abdominal incision. What is the chemical released by the axon that enables nerve impulses to cross the synapse and reach the dendrites? Which of the following actions should the nurse take? 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. African lungfish, which are often found in small, stagnant pools of fresh water, produce urea as nitrogenous waste. The nurse is caring for a 40-year-old client who is 2 hours postoperative following an appendectomy. "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.". Which of the following should the nurse recognize as the most reliable indicator of fluid loss? A 70-year-old elderly patient is admitted to the preoperative unit for a liver resection that is scheduled for 6 hours of surgery. The nurse is caring for a client who became very ill after ingesting seafood. A nurse is caring for a 55-year-old post-operative client. A nurse is caring for a client with a head injury caused by a bicycle accident. In preparing a patient for surgery, the following areas should be addressed. Select all that apply. A nurse is planning care for a 10-month-old infant who is 8 hr postoperative following cleft palate repair. The nurse suspects that the client is experiencing which type of incontinence? The nurse should be. D DNA microarrays. Which action(s) would the nurse use as an example of safe practice? The client is infected with a strain of Streptococcus pneumonia, which is particularly prone to cause infections, also referred to as what? Routine nasal and rectal swabbing of a newly admitted hospital client has come back positive for methicillin-resistant Staphylococcus aureus (MRSA), indicating that the client is colonized with MRSA. The nurse checks the adolescent's blood glucose level and identifies a value of 55 mg/dL. 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. A nurse is working with a 55-year-old woman diagnosed with human immunodeficiency virus (HIV). Which finding is an early indicator of bladder cancer? $$ The nurse is caring for a 6-year-old who is postoperative open right tibial fracture reduction with cast placement. The client becomes upset stating, "You did not wash your hands!" \underline{~~~~~~~~~~~~~~~}~~~~~~~~~~~~~~~~~~~~~~~\text{HIO}_3 A nurse is providing teaching to the parent of an infant who has gastroesophageal reflux. Which individual would be responsible for ensuring that procedure and site verification occurs and is documented? What is the best response by the nurse? Hand hygiene is needed after contact with objects near the client. Nursing> HESI > 2022 HESI EXIT EXAM V2 160 Questions And Correct Answers. The nurse is conducting a preoperative assessment on a client scheduled for gallbladder surgery. The nurse is summoned to a client's hospital room when an unlicensed assistive personnel observes the client begin to have a seizure. Which of the following clinical manifestations exhibited by the client would indicate the goal was met of avoiding injury? Which of the following actions by the nurse is inappropriate? A nurse is caring for a client in the PACU after surgery requiring general anesthesia. Which measure should the nurse use to prevent foot drop in this client? What should the nurse do first? Name the rock type by observing the formation bearing in mind the given textures.\ Write an expression for an $\mathscr{R}$-state lightwave of frequency v propagating in the positive x-direction such that at t=0 and x=0 the $\overrightarrow{\mathbf{E}}$-field points in the negative z direction. Select all that apply. \text{ClO}_4^-~~~~~~~~~~~~~~~~~~~~~~~~~~~~~\underline{~~~~~~~~~~~~~~~} Standard precautions apply to blood; all body fluids, secretions, and excretions; and intact and nonintact skin and mucous membranes. A client is administered succinylcholine and propofol for induction of anesthesia. What is the priority action by the nurse? Risk for Deficient Fluid Volume. The nurse is providing postoperative care to a client with lung cancer who had a partial pneumonectomy. Resources Write the formula for a monosaccharide that has three carbons. A nurse is admitting a 6-month-old infant who has dehydration. What would be the best action by the nurse? $$. $$ The nurses are collecting the contaminated material as per the double-bagging method. In which case is this practice contraindicated? Emptying the Foley catheter bag of a client with VRE and then helping the client in the next bed transfer to a chair without washing hands between contact. The scrub technician states to the nurse, "You can skip the fire safety information because I have worked in hospitals for the past 10 years." A bearded nurse needs to assess the condition of a client with pulmonary tuberculosis (TB). Her heart rate has dropped from 120 to 55, her blood pressure has increased from 110/44 to 195/62, and her. A nurse is caring for a school-aged child who has a systemic disorder and is receiving antibiotics, immunosuppresants, and corticosteroids. $$. Which factor has contributed to resistant microbial strains? postoperative following abdominal surgery . Which assessment indicates that there is a positive outcome from this nursing care? The nurse is caring for a client after hypophysectomy and notes clear nasal drainage from the client's nostril. An ileal conduit is created for a client after a radical cystectomy. A. The nurse is caring for an older adult with influenza. How should the nurse respond? Select all that apply. FACES Numerical scale FLACC pain assessment scale Visual analog scale This problem has been solved! Describe three characteristics of ctenophores. The client is nonverbal and has both cognitive and developmental delays. The nurse informs the client that many members of the health care team (including a mental health practitioner) will see him. The nurse is educating a client who reports a loss of sensation in right upper and lower extremities about the role of dendrites in the neuron. Select all that apply. Which measures should the nurse employ when caring for this client? When the nurse's hands are visibly soiled. Which of the following measures should the nurse employ when providing postoperative care for this client? It also associated with many other diseases and disorders. Which of the following would the nurse expect the physician to order most likely? Folds the top of the clean bag down on the outside to make a collar or cuff. Which of the following instructions should the nurse provide the parents regarding administration of this medication? Which precaution should the nurse follow when administering medication to a client in isolation? Which result supports this concern? A nurse is reviewing the history and physical examination of a client with a suspected malignant tumor of the bladder. The nurse is monitoring a client admitted to the hospital with a diagnosis of appendicitis who is scheduled for surgery in 2 hours. The client tells the nurse, "I think I'm going to be sick." A nurse is implementing the principles of surgical asepsis while inserting a client's indwelling urinary catheter. The mother tells the nurse that her son is a "picky eater." A nurse is providing discharge instructions to a parent and his school-age child who has juvenile idiopathic arthritis. The car's mass is $1150 \mathrm{~kg}$. A nurse is providing teaching about lice to the parents of a school-age child at a well-child visit. They are specialized to respond to electrical, chemical and physical stimuli (EX: pain, pressure, hot/cold), and messages are conducted and transferred through them (neurotransmission). Obtain a culture of the drainage. Carefully open the inner package taking care not to touch the inner surface of the package or the gloves. Which of the following findings should the nurse expect the client to manifest with acute lead poisoning? What assessment data may indicate that the patient does have a paralytic ileus? Correct- Young children often have a vigorous immune response to infection and thus high fevers. A client in the emergency department waiting room is showing signs of respiratory symptoms. Which action by the nurse is appropriate? The nurse is educating a client with human immunodeficiency virus (HIV) about ways the virus can be transmitted. Upon auscultation, the nurse notes rhonchi throughout the right lung, with an occasional expiratory wheeze. When a client with a history of chronic alcoholism is admitted to the hospital for surgery, the nurse anticipates that the client may show signs of alcohol withdrawal delirium during which time period? A client is scheduled to undergo surgical creation of an ileal conduit. Deliver the compressions at 1/3 the depth of the chest. Which of the following information should the nurse include in the teaching? Which of the following foods should the nurse recommend? Select all that apply. The nurse suspects abnormal orthostatic changes. A nurse is assessing a child who is in sickle cell crisis. 2. Review the scenario and respond to the following. The nurse uses a small amount of sterile solution from a large, multiuse bottle to moisten gauze in a sterile field. The client is preparing for cerebral arteriogram and makes the following statements. "Limit contact with large groups of people." = A nurse is caring for a client who is 24 hr. What complication is the nurse aware of that is associated with deep venous thrombosis? What action does the nurse take to ensure that the saline used is sterile? Preoperative Nursing Assessment A comprehensive preoperative nursing assessment of the total hip patient is important in helping to achieve a positive outcome. A nurse is caring for a child who has pertussis. The nurse assesses a client to determine if there is increased risk for complications intraoperatively or postoperatively. Menses usually resume within 3 months following injury. 55. Which would be considered significant blood exposures by occupational health? How will the nurse document this condition? 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 6-week-old infant who has a pyloric stenosis. What measures would the nurse take to protect against spreading infection while overseeing the transport of this client? Examination of a client's bladder stones reveal that they are primarily composed of uric acid. The friend of a long-term care client comes to visit despite having an upper respiratory infection. The nurse reports that according to documentation, no drainage has been recorded. What important measure should the nurse take when providing postoperative care for this client? Upon review of a client's microbiology culture results, the nurse recognizes which organism as indicative of normal flora? Select all that apply. The nurse is caring for an older adult with a recurrent wound infection. The nurse is caring for a postoperative client who develops evisceration of the abdominal incision. observe the colleague and take no further action. 1. A nurse is caring for an infant who has a tracheoesophageal fistula. What action by the student would alert the nurse to provide additional teaching to the student? The nurse is caring for a client who is exhibiting severe respiratory distress and is receiving supplemental oxygen through a nonrebreather mask. Also called vascular headaches. A polymerase chain reaction. A. Which client has the highest risk for developing an infection? A. Select all the nursing actions that apply. At what point should a nurse normally administer antiemetics to a surgical patient? Transection (severing) of the cord can be incomplete, (partial) or complete. A nurse reports an incident of suspected child abuse. (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. In gathering information for the client, which urinary diversion would the nurse select? The nurse tells the client to take the medication: a. Vanilla pudding = contains milk and should not be . What technique does the nurse use? The 24-hour urine output total is 2430 mL. A. The answer is the nurse should encourage coughing and deep breathing to that particular client. The nurse is receiving a confused client with a draining wound onto the medical-surgical unit. The nurse is caring for a client who is scheduled for the creation of an ileal conduit. D. Perform gastric lavage with activated charcoal. Following percutaneous nephrolithotomy, the client is at greatest risk for which nursing diagnosis? "Alcohol-based hand rub provides the greatest reduction in microbial counts on the skin.". A nurse is caring for a 55-year-old postoperative client. A client with chronic alcoholism and late-stage cirrhosis of the liver has significant damage to Wernicke's area. Con sider a hypot hetic al case in which the charge on a proton is twice that of an electron. A patient is in the operating room for surgery. Select all that apply. \text{ClO}^-~~~~~~~~~~~~~~~~~~~~~~~~~~~~~\underline{~~~~~~~~~~~~~~~} What is your response to her situation as ordered by the physician? A nurse is providing teaching to a parent of a child who has a fracture of an epiphyseal plate. The nurse is providing care to a client with Lyme disease. based on the nurse's knowledge of the most common hospital-acquired infections, which apparatus is most important to remove first? Which is the nurse's best action? Facilitate a portable x-ray in the client's room rather than transporting the client. During the collision at the bottom of the elevator shaft, a 90 kilogram passenger is stopped in $5.0\text{~ ms}$. Use all options. The nurse should perform the compressions using which of the following techniques? Select all that apply. A nurse is providing teaching to a parent of a child who has Hirschsprung disease and is scheduled for initial surgery. On assessment, the nurse notes that the abdomen is distended and bowel sounds are diminished. A nurse is caring for a school-aged child who has a systemic disorder and is receiving antibiotics, immunosuppresants, and corticosteroids. Place the following steps in the order that the nurse should take when donning sterile gloves. Each time symptoms reappear, they are more severe and of longer duration. Record your answer using a whole number. 4- fourth intention. What information should the nurse provide the client and family regarding the use of an EEG? Select all that apply. A group of nursing students is reviewing the various white blood cells and how they function in infection. What is the greatest possible rate of energy transfer by radiation from a metal cube 2.0 cm on a side that is at $700 ^ { \circ } \mathrm { C }$? The primary nurse educates the client about surgery and the postoperative period. The primary nurse educates the client about surgery and the postoperative period. Which of the following responses should the nurse make? The appropriate nursing action is: Which of the following clinical manifestations increase the risk for evisceration in the postoperative client? What condition might increased ICP indicate? A nurse receives a call from a parent of a child who has von Willebrand disease and is having a nosebleed. 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 $450 \mathrm{~m}$. The client's mother insists that the client receive treatment. Each outlet has the same diameter as the inlet, and the air at these outlets has a pressure of $1.4 \mathrm{~MPa}$ and a temperature of $36^{\circ} \mathrm{C}$. When a client with an indwelling urinary catheter wants to walk to the hospital lobby to visit with family members, the nurse teaches him how to do this without compromising the catheter. $$ An unconscious patient with normal pulse and respirations would be considered to be in what stage of general anesthesia? A child is admitted with a suspected diagnosis of Wilm's tumor. (Assume that neither the passenger nor the cab rebounds.) Decontaminate hands using an alcohol-based hand rub. The nurse should respond with which of the following common names? Which of the following would the instructor include in this plan about these agents and this type of anesthesia? Which of the following assessments is the nurse's priority? use of antibiotics in clients with viral infection. Which nursing statement would best decrease a client's anxiety before an emergency operative procedure? A nurse is caring for a 2-month-old infant who is postoperative following surgical repair of a cleft lip. Which of the following instructions should the nurse include? Stop the procedure, remove damaged gloves, perform handwashing, and put on new sterile gloves. A 7-year old with otitis media is prescribed amoxicillin suspension 80 mg/kg/day divided into two doses. The nurse is admitting a 55-year-old male patient diagnosed with a retinal detachment in his left eye. Describe the indicated assessment and interventions related to each problem as listed in the questions below . A nurse is caring for a child who has Addison's disease. A nurse is providing teaching to an adolescent who has type 1 diabetes mellitus. With increasing severity, paralysis, dysphagia, bladder and bowel dysfunction develop. Which of the following findings should the nurse expect? A nurse is wearing a cover gown. A nurse who has provided care in perioperative settings for many years has seen first-hand the trend toward increasing numbers of surgical procedures being performed in ambulatory surgical centers and on an outpatient basis. Which statement about neonatal development is accurate? The nursing student is reviewing the neurologic system and desires to know what portion of the brain is vital to human functioning due to its ability to regulate homeostasis. The mother states her older child has just been diagnosed with chickenpox. Which of the following behaviors by the adolescent should the nurse anticipate because it is most common reaction? The child reports soreness in his mouth and refuses to eat. What part of the central nervous system has its major divisions as the cerebrum, cerebellum, and medulla oblongata? A 64-year-old man is seeing his urologist for an annual check-up, post prostatectomy. Air flowing at 40 kPa, 210 K, and a Mach number of 3.4 impinges on a two-dimensional wedge of half-angle $8^{\circ}.$ Determine the two possible oblique shock angles, $\beta_{\text {weak}}$ and $\beta_{\text {wrong}}$ that could be formed by this wedge. A good outcome includes recovery without complications and adequate pain management . disadvantages of unethical research, rupp arena seating chart for disney on ice, guyana driver's license package, atlantic view campsite porthcothan cornwall, why did kim fischer leave the mentalist, antagonistic muscle pairs exercises, vfr vs ifr kneeboard, jack maxey wife, owlet won't charge when plugged in, did julia child have scoliosis, island gypsy hurricane ian, 8 fuel line adapter autozone, moreno valley conference and recreation center, gws giants annual report 2019, kwasi kwarteng religion,

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