A nurse is caring for a client

The nurse is caring for a client with heart failure. On assessment, the nurse notes that the client is dyspneic (difficulty in breathing), and crackles are audible on auscultation. What additional manifestations would the nurse expect to note in this client if …

Chap. 17: Implementing- PrepU. The nurse caring for a client who is recovering after a motor vehicle accident is planning for the client to begin increasing responsibility for self-care. Which would be the nurse's most appropriate strategy? Click the card to flip 👆. The nurse encourages the client to take a shower instead of receiving a bed ...According to “A Dictionary of Nursing” cited on Encyclopedia.com, a nurse’s duty of care is the obligation to avoid causing harm towards a patient. If a nurse falls short of expected obligations, she may be charged with negligence.245. A client is admitted to the hospital with a diagnosed bowel obstruction secondary to a recurrent diagnosed malignancy. The primary health care provider plans to insert a Miller-Abbott tube. When the nurse tries to explain the procedure, the client interrupts the nurse and states, "I don't want to hear about that.A nurse is caring for a client who has a leg cast and his returning demonstration on the proper use of crotches while climbing stairs. Identify the sequence the client should follow when demonstrating crutch use. The client should first …Solved by verified expert. 1.) "The client is experiencing nausea and vomiting" - Instead of causing a rise in potassium levels, nausea and vomiting might cause potassium loss. …A nurse in a hospital is caring for a client who is at 38 weeks of gestation and has a large amount of painless, bright red vaginal bleeding. The client is placed on a fetal monitor indicating a regular fetal heart rate of 138/min and no uterine contractions. The client exhibits signs of autonomic hyperreflexia. What does the nurse recall is the most common cause of this response? 1. hemodynamic changes related to tilt table positioning 2. deteriorating myelin sheath 3. distended large intestine 4. crushed spinal cord, The nurse is caring for a client with a spinal cord injury who has paraplegia.Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client prescribed IV morphine via PCA with a demand of 1 mg every 15 min and a 4mg/hr lockout/ The client reports unbearable pain after attempting six demand doses within the last hour. After assessing the clients pain, which of the following actions should the …

- The client's elbows are bent 45° when holding the crutches. - The client places their weight on their axilla when using the crutches. - The client has the crutches resting 5 cm (2 in) below their axilla., A nurse is caring for a client who had a stroke and reports having difficulty with proprioception.Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who needs to collect a midstream urine specimen. Which of the following actions should the nurse take?, A nurse is caring for a client who has a stage IIl pressure injury on the sacral area. Which of the following actions should the nurse take when obtaining a wound culture specimen from the ... A nurse is caring for a client in the manic phase of bipolar disorder. Identify three (3) clinical manifestations associated with this phase of the bipolar disorder. Bipolar - Manic Phase: Labile mood with euphoria. Agitation and irritability. Restlessness. Dislike of interference and intolerance of criticism. Increase in talking and activity.ATI Wound Care Posttest. 5.0 (2 reviews) A nurse is documenting data about a deep necrotic wound on a client's left buttock. The nurse observes a yellowish-tan, soft, stringy area of necrotic tissue formed in clumps and adhering firmly to the wound bed. Which of the following assessment findings should the nurse document?Deciding on hiring nursing in-home care services for a loved one is a difficult one for many reasons. Not only does this mean they’re losing their independence but it also means we have to admit they’re getting older. Here are guidelines di...The nurse caring for a client diagnosed with cancer knows which of the following are true about cancer pain? Select all that apply. Typically chronic in nature and treated with long-term opioids Not necessarily experienced by all clients and a thorough pain assessment is key Associated with a high incidence of drug addiction due to the chronic ...A nurse is caring for four clients. After administering morning medications, she realizes that the nifedipine prescribed for one client was inadvertently administered to another client. Which of the following actions should the nurse take first? A. Notify the client's provider B. Check the patients vitals C. Assess another patient

The nurse is caring for a client who has been in a motor vehicle accident and is suspected of having developed pleurisy. Which assessment finding would best corroborate this diagnosis? The client's pain intensifies when the client coughs or …A nurse is caring for a client who has a serum sodium level of 150 mEq/L. Which of the following actions should the nurse take? a. Increase sodium in the client’s diet b. Administer hypotonic IV fluids to the client c. Restrict the client’s oral fluid intake d. Administer a beta blocker. A nurse is caring for client who has Cushing’s disease.Hemorrhagic strokes occur when bleeding occurs in the brain caused by the rupture of an aneurysm or arteriovenous malformation, hypertension and atherosclerosis, or trauma. A nurse is caring for a client who has aphasia following a stroke. A family member asks the nurse how she should communicate with the client.Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a client on a monitored telemetry unit. During morning assessment, the nurse notes abnormal ECG waves on the telemetry monitor. Which action would the nurse do first? Call the physician with a report. Assess the client. Assess for mechanical dysfunction. Reposition …

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A nurse is caring for a client who has a leg cast and his returning demonstration on the proper use of crotches while climbing stairs. Identify the sequence the client should follow when demonstrating crutch use. The client should first …Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a client newly diagnosed with type 1 diabetes mellitus. In reviewing the medical record the nurse should note which signs and symptoms? Select all that apply., A client with a pituitary tumor will undergo transsphenoidal hypophysectomy. The nurse reinforces which …A nurse is caring for a client in the manic phase of bipolar disorder. Identify three (3) clinical manifestations associated with this phase of the bipolar disorder. Bipolar - Manic Phase: Labile mood with euphoria. Agitation and irritability. Restlessness. Dislike of interference and intolerance of criticism. Increase in talking and activity.A nurse is caring for a client at 37 weeks gestation. The client has gestational diabetes that is not well controlled. The nurse understands that the client is at risk for which of …

Answer and Explanation The Correct Answer is C - A. Incorrect. The nurse should assess the client's IV site every hour to prevent infection and phlebitis. - B. Incorrect. The nurse …Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a client with peripheral arterial disease (PAD). For which symptoms does the nurse assess? A. Reproducible leg pain with exercise B. Unilateral swelling of affected leg C. Decreased pain when legs are elevated D. Pulse oximetry reading of 90%, When administering …Study with Quizlet and memorize flashcards containing terms like 1 .The nurse caring for a client with terminal illness observes that the client is unresponsive and in the final detachment stage of dying. Basic human needs are a priority for the dying person. What is the highest priority for nursing care at this time? A) Emotional needs B) Physical needs C) Spiritual needs D) Social needs, 2 ...The nurse should encourage the verbalization of feelings related to the loss. The nurse should encourage the client to verbalize the feelings related to his or her inability to save the victim in an effort to deal with unresolved issues and accept what cannot be changed. The nurse is caring for a client who has suicidal thoughts.a) at the client's left lower leg b) at the end of the client's bed c) on the client's left side d) on the client's right side and more. Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a client with an indwelling urinary catheter. The correct sequence for performing an abdominal assessment is inspection, auscultation, percussion and palpation. The nurse caring for a post-abdominal surgery client who has also been diagnosed with dementia. The family is concerned about pain control for the client because the client is confused. What should the nurse include in their ... Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who sustained trauma to their head and neck and will require long-term airway support. Which of the following pieces of equipment will be required for home health care for this client?, A nurse is caring for a client who has a tracheostomy tube in place.The nurse is caring for a client diagnosed with a deep venous thrombosis. Which nursing assessment is a priority ? Rationale: Pulmonary embolism is a complication of DVT. Assessing the client's respiratory status, including auscultating bilateral breath sounds, is appropriate. The client's airway and breathing take priority.It follows that if a patient refuses care, care cannot be given. To do so would be to infringe patient autonomy and to contravene the principles of consent. It ...

Hemorrhagic strokes occur when bleeding occurs in the brain caused by the rupture of an aneurysm or arteriovenous malformation, hypertension and atherosclerosis, or trauma. A nurse is caring for a client who has aphasia following a stroke. A family member asks the nurse how she should communicate with the client.

We would like to show you a description here but the site won't allow us.A nurse is caring for a client who is receiving continuous bladder irrigation following a transurethral resection of the prostate. The client reports bladder spasms, and the nurse observes a decreased urinary output. Which of the following actions should the nurse take? a. Increase tension on the urinary catheter Avoid increasing tension on the ...A nurse is caring for a client who has a prescription for metoprolol. The nurse measures the client's vital signs and notes that the client's apical heart rate is 49/min. . The nurse should prepare to administer which of the following medicatio A nurse is caring for a client at 37 weeks gestation. The client has gestational diabetes that is not well controlled. The nurse understands that the client is at risk for which of the following? 1. Delivering a large for gestational age newborn 2. Delivering a small for gestational age newborn 3. Placenta previa 4.Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client at home who is receiving parenteral nutrition. The nurse notes that the client has gained 6 pounds since last weeks visit. Which of the following assessments will the nurse prioritize as a result of this finding? A. ask about increased thirst B. Auscultate lungs and check for crackles C. Check ...Study with Quizlet and memorize flashcards containing terms like The nursing instructor is giving a class on assessing cardiac clients after thoracic surgery. What assessment is most important for the nurse to perform when caring for this client? A) Pulmonary artery pressure B) Temperature C) Skin and mentation D) Blood pressure, When discussing the nursing process, the instructor stresses ...A nurse is caring for a client with MRSA. Implement which precautions? contact a nurse is caring for a client who is 4hrs postpartum with a boggy uterus and heavy lochia. First nursing action? massage the uterus to expel clots. A home health nurse is assessing a 2 week old newborn who had a birth weight of 3 (8lbs) and is being breastfed.Auxiliary nurses are also referred to as health care assistants, and they provide assistance to doctors and nurses in hospitals, doctor’s offices, nursing homes and medical clinics.It follows that if a patient refuses care, care cannot be given. To do so would be to infringe patient autonomy and to contravene the principles of consent. It ...

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9 thg 5, 2016 ... ... patient who once needed constant care regain their independence. I love my job as an in-home care nurse specifically because it encourages ...A nurse is caring for a client at 37 weeks gestation. The client has gestational diabetes that is not well controlled. The nurse understands that the client is at risk for which of the following? 1. Delivering a large for gestational age newborn 2. Delivering a small for gestational age newborn 3. Placenta previa 4.Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who needs to collect a midstream urine specimen. Which of the following actions should the nurse take?, A nurse is caring for a client who has a stage IIl pressure injury on the sacral area. Which of the following actions should the nurse take when obtaining a wound culture specimen from the ...Study with Quizlet and memorize flashcards containing terms like The nurse, caring for a client receiving a cholinergic drug, should observe for increased symptoms of which of the following processes? a) Cardiac dysrhythmias b) Asthma c) Heart failure d) Blood pressure, The client is receiving terazosin (Hytrin) for treatment of hypertension.A nurse is caring for a client and her partner who have expe- rienced a fetal death. Which of the following actions should the nurse take? Take photos of the newborn to give to the parents. The nurse should create a memory box that includes mementos of the newborn (for example, photos, the newborn's ID bands, the newborn's hat, and ...1 thg 1, 2023 ... NCLEX-RN Management of Care: Answering questions that involve assigning a patient to a float nurse. · Comments9.Inform the client that tube feedings will be initiated if the client refuses to eat 3. Offer to taste the client's food and drinks while the client observes 4. Provide the client food in unopened single-serving packages, The nurse caring for a male client prepares to insert an indwelling urinary catheter.Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client receiving chemotherapy. Which nursing action is most appropriate for handling chemotherapeutic agents? Wear disposable gloves and protective clothing. Break needles after the infusion is discontinued. Disconnect I.V. tubing with gloved hands. Throw I.V. tubing in the trash after the infusion is ...A nurse is reviewing the laboratory results of a male client who is at risk for peripheral arterial disease from atherosclerosis. The nurse should identify that which of the following results places the client at risk? LDL 172 mg/dL. A nurse is caring for a client who has a new diagnosis of essential hypertension. ….

Which of the following actions should the nurse take? A. Wear an N95 respirator when caring for the client. B. Place the client in a private room. C. Place a mask on the client when they leave their room. D. Place the client in a negative airflow room., A nurse is performing hand hygiene after caring for a client who has Clostridium difficile.In some cases cancer can be considered a chronic disease, and with that the patient and their family will be hospitalized throughout their disease trajectory.A nurse is caring for a client who has a leg cast and his returning demonstration on the proper use of crotches while climbing stairs. Identify the sequence the client should follow when demonstrating crutch use. The client should first …Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a client with a spinal cord injury who has paraplegia. The nurse can expect which major problem early in the recovery period? 1. bladder control 2. nutritional intake 3. quadriceps setting 4. use of aids for ambulation, The primary reason the nurse encourages a client with a spinal cord injury to increase ...The nurse is caring for a client with a health care associated infection caused by methicillin-resistant Staphylococcus aureus. Contact precautions are prescribed for the client. The nurse prepares to irrigate the wound and apply a new dressing. Which protective interventions should the nurse use to perform this procedure? Select all that apply. A nurse is caring for a client in the orientation phase of the nurse-client relationship. Which of the following communication techniques should the nurse use during this phase? Elicit information from the client A nurse is receiving change-of-shift report for a group of assigned clients.a) at the client's left lower leg b) at the end of the client's bed c) on the client's left side d) on the client's right side and more. Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a client with an indwelling urinary catheter. 1. administer a bolus of iv fluids 2. reposition the client 3. apply oxygen at 10-12 L/min, 4. elevate the clients legs: a nurse is caring for a client who is at 38 weeks of gestation. which of the following actions should the nurse take prior to applying an external transducer for fetal monitoring? perform Leopold maneuvers A nurse is caring for a client, A nurse is caring for a client who is receiving total parenteral nutrition via a peripherally inserted central catheter (PICC). When assessing the client, the nurse notes swelling of the client's arm above the PICC insertion site. Which of the following actions should the nurse take first? A. Measure the circumference of both upper arms. B ..., concepts can co-exist. • Technology brings the patient closer to the nurse. Conversely, technology can also increase the gap between the nurse and nursed., A nurse is caring for a client. Questions and Solutions (A number of Decisions) 1. A nurse is caring for a client who has sustained burns over 37% of …, concepts can co-exist. • Technology brings the patient closer to the nurse. Conversely, technology can also increase the gap between the nurse and nursed., The nurse should encourage the verbalization of feelings related to the loss. The nurse should encourage the client to verbalize the feelings related to his or her inability to save the victim in an effort to deal with unresolved issues and accept what cannot be changed. The nurse is caring for a client who has suicidal thoughts. , Chap. 17: Implementing- PrepU. The nurse caring for a client who is recovering after a motor vehicle accident is planning for the client to begin increasing responsibility for self-care. Which would be the nurse's most appropriate strategy? Click the card to flip 👆. The nurse encourages the client to take a shower instead of receiving a bed ... , A non-tunneled percutaneous central catheter. - ideal for emergency situations where short-term (less than 6 weeks) central venous access is required for multiple therapies. A nurse is caring for a client who has a central venous catheter. When flushing the catheter, the nurse should use a 10-mL syringe to prevent which of the following ..., The nurse is caring for a client with a health care associated infection caused by methicillin-resistant Staphylococcus aureus. Contact precautions are prescribed for the client. The nurse prepares to irrigate the wound and apply a new dressing. Which protective interventions should the nurse use to perform this procedure? Select all that …, Which of the following actions should the nurse take? A. Wear an N95 respirator when caring for the client. B. Place the client in a private room. C. Place a mask on the client when they leave their room. D. Place the client in a negative airflow room., A nurse is performing hand hygiene after caring for a client who has Clostridium difficile., Oct 21, 2023 · The client weighs 40 kg(88lbs) and believes she is fat. Which of the following aspects of care should the nurse consider the first priority of care for this client? a- identify the client's nutritional status b- request a mental health consult c-plan a therapeutic diet for the client d- provide a structured environment for the client , A nurse is caring for a client in the manic phase of bipolar disorder. Identify three (3) clinical manifestations associated with this phase of the bipolar disorder. Bipolar - Manic Phase: Labile mood with euphoria. Agitation and irritability. Restlessness. Dislike of interference and intolerance of criticism. Increase in talking and activity., Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who is being admitted for an acute exacerbation of ulcerative colitis. Which of the following actions should the nurse take first? 1. Review the client's electrolyte values 2. Check the clients perianal skin integrity 3. Investigate the client's emotional concerns 4. Obtain a dietary history from ..., Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client prescribed IV morphine via PCA with a demand of 1 mg every 15 min and a 4mg/hr lockout/ The client reports unbearable pain after attempting six demand doses within the last hour. After assessing the clients pain, which of the following actions should the nurse take?, A nurse is preparing to assess ..., A nurse is caring for a client who is experiencing cycloplegia following the administration of atropine eye drops during an eye examination. Which of the following findings should the nurse expect as a result of cycloplegia? a. Blurred Vision Assessment findings of cycloplegia include blurred vision because focusing for near vision is impaired., The nurse caring for a client diagnosed with cancer knows which of the following are true about cancer pain? Select all that apply. Typically chronic in nature and treated with long-term opioids Not necessarily experienced by all clients and a thorough pain assessment is key Associated with a high incidence of drug addiction due to the chronic ... , A nurse is caring for newborn and calculation the Apgar score. At 1 min after delivery, the following findings are noted: 110 HR, slow, weak cry, some flexion of extremities, grimace in response to suctioning of the nares. body pink in color with blue extremities. Calculate the newborn's score. 6= 2 (HR) + 1x (weak cry, flexion, grimace, pink ..., Answer and Explanation The Correct Answer is C - A. Incorrect. The nurse should assess the client's IV site every hour to prevent infection and phlebitis. - B. Incorrect. The nurse …, Which of the following actions should the nurse take? A. Wear an N95 respirator when caring for the client. B. Place the client in a private room. C. Place a mask on the client when they leave their room. D. Place the client in a negative airflow room., A nurse is performing hand hygiene after caring for a client who has Clostridium difficile. , Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who is to receive oxytocin to augment her labor. Which of the following findings contraindicates the initiation of the oxytocin infusion and should be reported to the provider? Late decelerations Moderate variability of the FHR Cessation of uterine dilation …, In the field of nursing, performance appraisal plays a crucial role in assessing the quality of care provided by healthcare professionals. Before conducting a nursing performance appraisal, it is essential to establish clear and measurable ..., The nurse should encourage the verbalization of feelings related to the loss. The nurse should encourage the client to verbalize the feelings related to his or her inability to save the victim in an effort to deal with unresolved issues and accept what cannot be changed. The nurse is caring for a client who has suicidal thoughts., A. uterine cancer. B. cervical cancer. C. ovarian cysts. D.fibroids. B. Cervical cancer. the nurse should inform the client that a pap test is used to screen for cervical cancer. A nurse is planning on education program for a group of high school teachers who will be taking students on a hike. Which of the following information should the nurse ..., The nurse is caring for a client with a central venous catheter (CVC) who reports feeling nauseated and chilled. The nurse notes that the CVC insertion site is red and inflamed and that the client has a temperature of 102 F (38.8 C). Which new prescription from the health care provider should the nurse implement first? 1., The client exhibits signs of autonomic hyperreflexia. What does the nurse recall is the most common cause of this response? 1. hemodynamic changes related to tilt table positioning 2. deteriorating myelin sheath 3. distended large intestine 4. crushed spinal cord, The nurse is caring for a client with a spinal cord injury who has paraplegia. , 22 thg 1, 2021 ... Private Nurses help people with disabilities, chronic illness, or cognitive impairment to assist in keeping clients socially and physically ..., Sanction. Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who has an image of another client on her cell phone. The client states, "We have become friends while being in the hospital." What should be the nurses response?, A nurse is caring for a client who asks, "Can you take a picture of my cast ... , A nurse in an emergency department is caring for a client who had a seizure and became unresponsive after stating she had a sudden, severe headache and vomiting. The client's vital signs are as follows: blood pressure of 198/110 mm Hg, pulse of 82/min, respirations of 24/min, and a temperature of 38.2° C (100.8° F)., Chapter 31: Hygiene. The acute care nurse is preparing to bathe a client and notices that the client is wearing a regular hospital gown and has continuous intravenous (IV) fluids infusing. Which action by the nurse is most appropriate? Thread the IV bag and tubing though the arm of the regular gown, then replace it with a snap-arm gown at the ..., Instructing the client to tilt head forward when swallowing. A nurse is caring for a child who is on a clear liquid diet. At lunch, the child consumed 1/2 cup of juice, 3 oz gelatin, 1 oz of an ice pop, and 20 mL ginger ale. How many mL should the nurse record as the child's fluid intake?, Chapter 31: Hygiene. The acute care nurse is preparing to bathe a client and notices that the client is wearing a regular hospital gown and has continuous intravenous (IV) fluids infusing. Which action by the nurse is most appropriate? Thread the IV bag and tubing though the arm of the regular gown, then replace it with a snap-arm gown at the ..., Intermittent claudication. Study with Quizlet and memorize flashcards containing terms like A client has a history of myocardial infarction (MI) is prescribed aspirin 325 mg. The nurse recognizes that the aspirin given due to whcih of the following actions of the medication?, A nurse in a clinic is caring for a client who has a prescription for ..., Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a client with a spinal cord injury who has paraplegia. The nurse can expect which major problem early in the recovery period? 1. bladder control 2. nutritional intake 3. quadriceps setting 4. use of aids for ambulation, The primary reason the nurse encourages a client with a spinal cord injury to increase ... , Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a client newly diagnosed with type 1 diabetes mellitus. In reviewing the medical record the nurse should note which signs and symptoms? Select all that apply., A client with a pituitary tumor will undergo transsphenoidal hypophysectomy. The nurse reinforces which …