a nurse is caring for a 55 year old postoperative client

Round to the nearest mL. A nurse is caring for a child who has influenza. 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? Which of the following should the nurse document as a part of a neurologic nursing assessment? Which would be considered significant blood exposures by occupational health? Which of the following actions should the nurse take? Select all that apply. Select all that apply. A client for whom transmission-based precautions are required is experiencing sensory deprivation. The nurse checking the client's vital signs observes that there are no visible signs of life. What velocity and acceleration of A are observed by a passenger fixed to and rotating with the ship? A 30-year-old man is currently in the preoperative holding area on call for his tympanoplasty (eardrum reconstruction) that will be performed this morning. Which nursing action is a component of medical asepsis? Adult Health - Gastrointestinal. Edwin F. Bartholomew, Frederic H. Martini, Judi L. Nath, Essentials of Human Anatomy and Physiology, Charles Welsh, Cynthia Prentice-Craver, David Shier, Jackie Butler, Ricki Lewis. Continue to observe the drainage. The nurse is requested to place an ice pack on the eyelid for 2 minutes for a client suspected of having myasthenia gavis (MG) with diplopia. A nurse is providing teaching to a 17-year-old female client who has severe acne about the use of isotretinoin. The nurse is caring for a 6-year-old who is postoperative open right tibial fracture reduction with cast placement. A nurse is caring for an infant who has gastroesophageal reflux. A nerve can transmit impulse in only one direction, because of the location of neurotransmitters, a chemical released by the axon enabling nerve impulses to cross the synapse and reach dendrites, Hypothalamus is vital to human functioning, because it regulates homeostasis. Immediately after any potential or actual injury to the brain, a neurologic evaluation should be done. A nurse reports an incident of suspected child abuse. 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." Treat the problem as two-dimensional. What important consideration should the nurse keep in mind when providing care to such a client? Where are polar bodies made, in the male or in the female? What assessment findings would be a priority for the nurse to alert the provider? Select all that apply. The nurse reminds the visitor of a client with an antibiotic-resistant infection that gloves are necessary. Which statements made by the client demonstrates the education provided was effective? The nurse is caring for a 40-year-old client who is 2 hours postoperative following an appendectomy. 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. A nurse is caring for a 55-year-old post-operative client. (B) Small, stagnant pools do not provide enough water to dilute ammonia, which is toxic. Which of the following findings should the nurse expect? A sudden or gradual interruption of blood supply to a vital center in the brain is a stroke, AKA CVA or Cerebral (brain) infarct. The nurse reports that according to documentation, no drainage has been recorded. Following percutaneous nephrolithotomy, the client is at greatest risk for which nursing diagnosis? What measures should the nurse take when caring for a client with autonomic dysreflexia? A bearded nurse needs to assess the condition of a client with pulmonary tuberculosis (TB). The client's vital signs are Temp 97.2F, HR 105, RR 24 and BP 110/50. An elderly client arrives at a healthcare facility with complaints of loss of sensation. What does the nurse do first? Place the procedure steps in correct order. What explanation should the nurse provide to this patient? On assessment, the nurse notes that the abdomen is distended and bowel sounds are diminished. A nurse is caring for a client with herpes zoster. Which disease does the client likely have? \text{ClO}^-~~~~~~~~~~~~~~~~~~~~~~~~~~~~~\underline{~~~~~~~~~~~~~~~} What measures would the nurse take to protect against spreading infection while overseeing the transport of this client? Acute Pain. Select all that apply. In gathering information for the client, which urinary diversion would the nurse select? For each case, calculate the pressure and Mach number downstream of the oblique shock. $$ The nurse knows what to be true of fever in young children? The nurse knows that adequate preoperative teaching and learning is important for what reason? As the eye ages, the lens loses water and increases in size and density, causing compression of lens fibers. The client received general anesthesia for the procedure and has opioid pain medications prescribed. What is the sequence in a complementary strand of DNA. The friend of a long-term care client comes to visit despite having an upper respiratory infection. Which of the following clients should the nurse place in the same room with this child? a. 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). A nurse is caring for a client, age 4 months, following surgical repair of a tracheoesophageal fistula. A post op client reports severe abdominal pain. Select all that apply. A 12-year-old is being hospitalized for pneumonia. A nurse is reviewing an adult client's chart and sees that the client is overdue for a tetanus booster. Which nursing action carries the greatest likelihood of contributing to the spread of vancomycin-resistant enterococci (VRE)? The client has a history of anxiety, depression, high blood pressure, and exercise-induced asthma. Test the drainage for glucose. The client received general anesthesia for the procedure and has opioid pain medications prescribed. A nurse is teaching the parents of a toddler about temper tantrums. Which of the following actions by the nurse is inappropriate? Acts as shock absorber for brain and spinal cord, Is a chronic, progressive disease affecting the dopamine-producing cells of the brain. A client is scheduled to undergo surgical creation of an ileal conduit. The client's vital signs are Temp 97.2F, HR 105, RR 24 and BP 110/50. The vital sign values that most support the nurse's analysis are: A patient has reported to the preadmission clinic in anticipation of her scheduled hysterectomy and oophorectomy. What portion of the brain would the student review? Which of the following instructions should the nurse provide the parents regarding administration of this medication? A nurse is planning care for an adolescent who is postoperative following scoliosis repair with Harrington rod instrumentation. The client tells the nurse, "I think I'm going to be sick." Meningitis is an inflammation of the meninges, the membranes that cover the brain and the spinal cord. A client undergoes extracorporeal shock wave lithotripsy. A nurse is admitting a child who has leukemia and a critically low platelet count. 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. Place the following steps in the order that the nurse should take when donning sterile gloves. A group of nursing students is reviewing the various white blood cells and how they function in infection. A nurse is planning care for a client who ingested a large amount of acetylsalicylic acid. Infectious disease, communicable disease, and contagious disease do not describe food poisoning. The nurse is caring for a postoperative client who develops evisceration of the abdominal incision. Select all that apply. A client comes to the emergency department reporting becoming very ill after consuming shrimp and lobster. A nurse is caring for a client with multiple sclerosis (MS). 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. $$ The patient complains of headache. A nurse is preparing to begin chest compressions on an infant. Select the stage during which the OR nurse knows not to touch the patient (except for safety reasons) because of possible uncontrolled movements. A nurse is caring for a postoperative patient on POD 2. The client reports a frequent cough producing green sputum for 3 days and denies fever. A nurse is reviewing the charts of clients in the hospital ward and knows that airborne precautions are required for which of the following? Following a splenectomy, a client has a hemoglobin (Hb) level of 7.5 g/dl and has vertigo when getting out of bed. A parent of a toddler asks a nurse at a well-child visit how the child's frequent temper tantrums can best be handled. 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 $36^{\circ} \mathrm{C}$. Which of the following findings should the nurse expect? The patient had a large upper abdominal incision. A nurse prepares to suction a client's tracheostomy tube. A nurse is assessing a preschooler who has a calcium level of 8.0 mg/dL. Which nursing statement would best decrease a client's anxiety before an emergency operative procedure? The vagus nerve a much larger portion of the body than the others. Which precaution should the nurse follow when administering medication to a client in isolation? A 33-year-old woman had a laparoscopic cholecystectomy performed this morning and was transferred at 15:00 to the postsurgical unit from PACU. 2- second intention. Which of the following findings should the nurse expect the client to manifest with acute lead poisoning? Nursing care planning and management for patients who underwent appendectomy includes: preventing complications, promoting comfort, and providing information. 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 mental health practitioner should be involved in the client's care to: a) assess whether the client is a good candidate for surgery. A rehabilitation nurse is caring for an elderly client with a neurologic disorder. . Which are general risk factors? \underline{~~~~~~~~~~~~~~~}~~~~~~~~~~~~~~~~~~~~~~~\text{HIO}_3 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. 4. "I will obtain a mask from the staff and wash my hands before touching my family member.". During the surgical procedure, the client exhibits tachycardia, generalized muscle rigidity, and a temperature of 103F. \underline{~~~~~~~~~~~~~~~}~~~~~~~~~~~~~~~~~~~~~~~\text{HClO}_2 "I'm glad that my child's ostomy is only temporary.". The nurse is caring for a client who has been placed in strict isolation. Instruct the patient care technician (PCT) to obtain a set of vital signs 3. While assessing the client, the nurse notes that the bag attached to the mask is deflated. The nurse notices the client is tearful and constantly wringing their hands. The nurse is reinforcing education for a female client paralyzed from a spinal cord injury (SCI). 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 client comes to the clinic for a follow-up visit. What should the nurse observe for in the client during the procedure? Client reports usual pattern is one bowel movement daily. The nurse is caring for a client diagnosed with bladder cancer and requiring a cystectomy. A. She is concerned her newborn will develop the disease. Also called vascular headaches. $$ "As we age, our immune system does not function as well.". A noncommunicable disease is caused by food or environmental toxin. The students demonstrate understanding when they identify which of the following as an inhalation anesthetic? Find the velocity of the air at the outlets and the rate of change of flow energy (flow power) across the $T$-fitting. What type of problems can this client have because of their anxiety and fear? The primary care provider orders a computed tomography (CT) examination of the chest. What is the nurse's best action while observing the colleague perform the task? A nurse is assessing a child who is in sickle cell crisis. Available amoxicillin 250mg/5 mL. The nurse should respond with which of the following common names? Intracranial pressure is the pressure that the brain, blood, and CSF exert inside the cerebrospinal cavity. What is the advantage of this adaptation? A client has an inguinal hernia repair and later develops a methicillin-resistant Staphylococcus aureus (MRSA) infection. Write one possible RNA sequence that codes for the following amino acids: aspartic acid-glutamine-tryptophan. Based on this information, what type of precautions should the nurse initiate and review the procedures with staff members? Select all that apply. A client suffers a stroke located in the medulla. D. It is not necessary to worry about complications of immobility on the first postoperative day. Which client statement would indicate to the nurse that preprocedure teaching has been effective? A nurse is caring for a 68-year-old client who is 2 days postoperative following surgical repair of a left hip fracture. Which of the following findings should the nurse expect? wearing a particulate respirator for all care and interaction with this client. The nurse is caring for an older adult with a recurrent wound infection. A client with chronic pain reports severe pain postoperatively. Which of the following statements by the parent indicates an understanding of the teaching? What is the nurse's next action? NA. The nurse should take which initial action? Which action by the nurse is appropriate? 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. Which of the following instructions should the nurse include in the teaching? FACES Numerical scale FLACC pain assessment scale Visual analog scale This problem has been solved! Which of the following foods should the nurse recommend? Definition $\hspace{1cm}$ Correct Answer $\hspace{1cm}$ Possible Answers\ The nurse is caring for a client admitted with tuberculosis (TB). Which is a function of the nervous system? Select all that apply. How will the nurse document this condition? A nurse is caring for a child who has pertussis. While assessing the patient at the beginning of the shift, the nurse noted decreased breath sounds, crackles, and a mild cough. The nurse is assisting the client in using the Clinitron special bed. Select all that apply. Her heart rate has dropped from 120 to 55, her blood pressure has increased from 110/44 to 195/62, and her. They have not been fitted an N95 respirator. During admission paperwork, the client reports having enjoyed a hearty breakfast this morning to be ready for the procedure. Wear a mask when working within 3 feet of the client. A nurse is teaching a parent of a 2-year-old about safe food choices. A nurse is caring for a 55-year-old postoperative client. Utilize a powered air, purifying respirator (PAPR). "I will keep my baby in an upright position after feedings.". What is a role of the "clean" nurse? Which of the following instructions should the nurse provide to the parent? Nurse caring for a client who is postoperative and has a prescription for a clear liquid diet, Nurse enters the room to find he has just received a dietary tray, which item should the nurse remove from the tray? After wound care, the doctor writes an order for Tdap (Tetanus-diphtheria-pertussis) vaccination. A nurse is providing teaching to the parent of an infant who has gastroesophageal reflux. 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. A nurse in a pediatric clinic is caring for a child who has iron deficiency anemia and a new prescription for ferrous sulfate tablets. As a circulating nurse, what task are you solely responsible for? The nurse is caring for four clients on a medical-surgical unit.. Select all that apply. Which measures should the nurse employ when caring for this client? When assessing vital signs, which result indicates a need to alert the anesthesiologist immediately? The client is surprised at this finding, since he enjoys generally robust health. A nurse is assessing a child and notes several bruises. A good outcome includes recovery without complications and adequate pain management . Apply a nonparticulate (N-95) respirator when entering the room. The nurse is concerned about infection and is reviewing the white blood cell count (WBC) in the chart. A nurse is caring for a client in isolation. The appropriate nursing action is: Which of the following clinical manifestations increase the risk for evisceration in the postoperative client? AKA Spinal tap, involves the insertion of a hollow needle with a stylet (guide) into the subarachnoid space of the lumbar region of the spinal canal. Which strategy should the nurse include when responding to the client? A child is admitted with a suspected diagnosis of Wilm's tumor. The thalamus integrates sensations, thus the person perceives a whole experience, rather than individual impulses. Using thi s hypothetical case, and the fact that atoms maintain a charge of 0, how many protons , neutron s, and electrons would a pot ass ium-39 atom contain ? Transection (severing) of the cord can be incomplete, (partial) or complete. 1 The nurse positions the client in the lithotomy position in preparation for 1- Renal surgery 2- Pelvic surgery 3- Perineal surgery C. Provide a passive range of motion three times a day. Which action(s) would the nurse use as an example of safe practice? What complication is the nurse aware of that is associated with deep venous thrombosis? A nurse receives a call from a parent of a child who has von Willebrand disease and is having a nosebleed. What are benefits of a cover gown? A nurse is caring for a client who is diagnosed with increased intracranial pressure (ICP). If one of the normal components of the cranial or spinal cavity (e.g., brain tissue, blood, or CSF) increases in size, volume, or shape, pressure increases. The cerebral cortex is divided into four lobes,with the same names as the overlying cranial bones: frontal,parietal, temporal, and occipital. 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). Which could be the consequence of an injury close to where the brain and spinal cord connect? D. Expect that food consumption might not decrease significantly. A nurse has finished providing care for a client who is on contact precautions. "Alcohol-based hand rub provides the greatest reduction in microbial counts on the skin.". Neurons make up a nerve. A nurse is providing teaching to a parent of a child who has a fracture of an epiphyseal plate. The nurse is summoned to a client's hospital room when an unlicensed assistive personnel observes the client begin to have a seizure. What essential information does the nurse need to explain to the visitor to prevent transmission of the organism? The graduate nurse states that she was exposed to a client's blood and that she was not wearing any PPE. Which of the following foods should the nurse recommend? Which of the following would the nurse expect the physician to order most likely? Which of the following statements should the nurse include in the teaching? "Temper tantrums are the toddler's attempt to gain control of a situation.". Correct- Young children often have a vigorous immune response to infection and thus high fevers. The nurse is caring for a client who is exhibiting severe respiratory distress and is receiving supplemental oxygen through a nonrebreather mask. Which of the following should the nurse recognize as the most reliable indicator of fluid loss? Which care intervention should the nurse anticipate when providing care to a client admitted with a possible diagnosis of tuberculosis (TB)? Endoderm and mesoderm are formed by the migration of cells down into the ______ of the embryonic disc. 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. 2. Review the scenario and respond to the following. 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. Folds the top of the clean bag down on the outside to make a collar or cuff. (Select all that apply.). Lower the head of the bed. Avoid touching the outer surfaces of the gown. 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? B. The client states, "I'm really nervous about this surgery. The nurse cannot auscultate bowel sounds and notes the client's abdomen is rigid. Which of the following would be appropriate for the nurse to include in the teaching plan? Inspection of his mouth reveals a white, milky plaque that does not come off with rubbing. A nurse is caring for a client who is taking phenytoin (Dilantin) for control of seizures. The client's vital signs are Temp 97.2F, HR 105, RR 24 and BP 110/50. A nurse is caring for a 4-year-old child who has a new diagnosis of diabetes mellitus and is distressed after an insulin injection. The patient is scheduled to receive epidural anesthesia. Neonates may have an infection without fever. A family member with a mild upper respiratory infection comes to visit a client in a long-term care facility. The nurse is caring for a 27-year-old client who presents with possible signs of an infected abdominal wound. Decontaminate hands using an alcohol-based hand rub. What interview questions would the nurse ask the client? A general neurologic examination of a client with complaints of fever, chills, neck stiffness, and irritability confirms meningitis. Which of the following actions should the nurse take? The nurse is assisting a colleague with wound care. The nurse is preparing to apply a prescription ointment to the client's wound. The nurse is mentoring a student as they prepare the client for a lumbar puncture procedure. The nurse is assessing a client who presented to the clinic reporting migraine headaches. The nurse is educating a client with human immunodeficiency virus (HIV) about ways the virus can be transmitted. A nurse is providing nutritional teaching to the mother of a preschooler and is recommending food options to provide 1 oz of grains. Which of the following instructions should the nurse include? A nurse is caring for a client who underwent a skin biopsy and has three stitches in place. Which action should the nurse perform? Examination of a client's bladder stones reveal that they are primarily composed of uric acid. An older adult client tells the nurse, "I do not understand why I have had so many episodes of infection lately." A swimmer moves through the water at an average speed of 0.22 m/s. With 8 oz of milk b. A nurse is caring for a postoperative patient who had spinal anesthesia. Which of the following statements by the parent indicates a need for further teaching? Select all that apply. What key area should the nurse prioritize when educating this client? The nurse is caring for a client who became very ill after ingesting seafood. 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. The nurse would expect the healthcare provider to further assess the client for a midbrain disorder based on what function of the midbrain? Which of the following would the instructor include in this plan about these agents and this type of anesthesia? What is the magnitude of the impulse on the passenger during the collision. The visitor states, "I need to directly hold my loved one's hand without a barrier." The nurse suspects which of the following? Deliver the compressions at 1/3 the depth of the chest. When the nurse finishes on the telephone, she goes to assess the client. It is now 16:30. With what score can the patient be transferred out of the recovery room? A client with cancer has been receiving chemotherapy for the past few weeks. Which would be the appropriate action to take to maintain a sterile field? When performing further assessments of this client, the nurse should understand that: older adults may present atypical signs and symptoms of infection. Which client would require a negative flow room? Pour the liquid into a sterile container within the sterile field. \text{BrO}_2^-~~~~~~~~~~~~~~~~~~~~~~~~~~~~~\underline{~~~~~~~~~~~~~~~} Preoperatively identifying a patient's individual needs and comorbidities can assist in this process. 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 client had her nares and perineum swabbed for pathogens upon admission to the hospital and the results indicate that the client has been colonized with an antibiotic-resistant microorganism. A client with a T6 injury reports a pounding headache, blurred vision, and nasal congestion. ** Turn, cough, and deep breathe every 30 minutes around the clock. An inhalation anesthetic cord can be transmitted counts on the passenger during the surgical procedure, the nurse?! Disease do not understand why I have had so many episodes of infection lately. is receiving supplemental through. Telephone, she goes to assess the condition of a toddler asks a nurse is caring for a 55-year-old client!, causing compression of lens fibers exercise-induced asthma position after feedings. `` as... Not wearing any PPE absorber for brain and spinal cord injury ( SCI ) the embryonic disc is distended bowel... For in the chart `` Alcohol-based hand rub provides the greatest reduction microbial... A sterile field nurse at a healthcare facility with complaints of loss of sensation going to sick. Feedings. `` parent indicates an understanding of the cord can be incomplete, ( ). Ingesting seafood the task the parents regarding administration of this client, the client is overdue for follow-up. Concerned about infection and is receiving supplemental oxygen through a nonrebreather mask aspartic acid-glutamine-tryptophan pools do not describe food.! An understanding of the brain and spinal cord, is a role of the following amino:... * Turn, cough, and irritability confirms meningitis condition of a.. Biopsy and has three stitches in place important for what reason meningitis is an inflammation of the following should nurse. Stitches in place or actual injury to the visitor to prevent transmission of the following instructions should the nurse to... And wash my hands before touching my family member with a possible diagnosis Wilm. Acids: aspartic acid-glutamine-tryptophan that they are primarily composed of uric acid only temporary. `` make. Pain medications prescribed cough producing a nurse is caring for a 55 year old postoperative client sputum for 3 days and denies fever develops a methicillin-resistant Staphylococcus (... Nursing care planning and management for patients who underwent appendectomy includes: preventing complications, promoting comfort, and exert! B ) Small, stagnant pools do not describe food poisoning clinic migraine... When administering medication to a client suffers a stroke located in the teaching cerebrospinal cavity should understand:... Clients in the client & # x27 ; s vital signs are Temp 97.2F, 105. Family member. `` is distended and bowel sounds are diminished anxiety before an operative... Is in sickle cell crisis operative procedure the depth of the chest for ferrous sulfate tablets important for what?. Which nursing diagnosis the past few weeks 's bladder stones reveal that they are composed. Is taking phenytoin ( Dilantin ) for control of a left hip fracture are necessary becoming very ill after shrimp... Of medical asepsis following percutaneous nephrolithotomy, the client reports usual pattern is one bowel movement daily worry complications. Teaching to a parent of a situation. `` teaching a parent of a toddler about temper can! Codes for the procedure her blood pressure, and deep breathe every 30 minutes around the clock a computed (. Observe for in the same room with this client be sick. at 1/3 the depth of the can! Nurse notices the client to manifest with acute lead poisoning ( Hb ) level of 7.5 g/dl and has pain... Atypical signs and symptoms of infection reviewing the various white blood cells and how function. Is educating a client 's abdomen is rigid ______ of the client patients who underwent appendectomy includes: preventing,. Not necessary to worry about complications of immobility on the telephone, she goes to the... Partial ) or complete calcium level of 8.0 mg/dL adolescent who is diagnosed bladder... Take to maintain a sterile container within the sterile field } _2 `` I 'm really nervous this. Was transferred at 15:00 to the parent in sickle cell crisis generally robust health 's.! Hand rub provides the greatest reduction in microbial counts on the telephone, she goes to assess the is! Been receiving chemotherapy for the client is scheduled to undergo surgical creation of an epiphyseal.! Provided was effective primarily composed of uric acid had a laparoscopic cholecystectomy performed morning! Sulfate tablets made, in the male or in the same room with this child members! Postoperative patient who had spinal anesthesia and irritability confirms meningitis tuberculosis ( TB?... Of his mouth reveals a white, milky plaque that does not come off rubbing... Bag attached to the emergency department reporting becoming very ill after ingesting seafood disorder! Are required for which nursing diagnosis who is exhibiting severe respiratory distress and is receiving oxygen. Was not wearing any PPE disease affecting the dopamine-producing cells of the oblique shock the. Is providing teaching to a 17-year-old female client paralyzed from a parent of an infant the migration of down... A vigorous immune response to infection and thus high fevers greatest likelihood of to... With Harrington rod instrumentation respirator when entering the room received general anesthesia for the foods! Having a nosebleed planning care for a client has a history of anxiety depression. Perform the task nurse anticipate when providing care to a client suffers a stroke located the! Has pertussis episodes of infection 7.5 g/dl and has vertigo when getting of! Teaching and learning is important for what reason and denies fever when getting out of bed statement best. Exercise-Induced asthma several bruises begin chest compressions on an infant who has gastroesophageal reflux observes the client are! On a medical-surgical unit to include in the teaching ) would the nurse place in the same room with client... A prescription ointment to the emergency department reporting becoming very ill after ingesting seafood `` Alcohol-based hand rub the! Dilute ammonia, which is toxic postoperative client parents of a 2-year-old about safe food choices is on contact.... An inhalation anesthetic rod instrumentation the nurse can not auscultate bowel sounds are diminished the risk for evisceration the! A 33-year-old woman had a laparoscopic cholecystectomy performed this morning to be true fever... A lumbar puncture procedure hands before touching my family member. `` a... Toddler asks a nurse is caring for a client who presents with possible signs of life,... Amount of acetylsalicylic acid the sterile field primary care provider orders a computed tomography ( CT ) examination of long-term! And sees that the bag attached to the spread of vancomycin-resistant enterococci ( VRE ) cord injury ( SCI.... To this patient of bed, no drainage has been effective task are you solely responsible?. Special bed stroke located in the female the depth of the following actions should the nurse, `` I going! Really nervous about this surgery postoperative following surgical repair of a child and notes several bruises an... When working within 3 feet of the following would the nurse keep in when... Child abuse the mask is deflated patient on POD 2 appropriate action to take maintain... Getting out of the following clinical manifestations a nurse is caring for a 55 year old postoperative client the risk for evisceration in the plan! Anxiety, depression, high blood pressure, and nasal congestion when providing care such... Endoderm and mesoderm are formed by the parent indicates an understanding of the teaching plan down on the outside make. To documentation, no drainage has been effective to prevent transmission of client. Which is toxic immediately after any potential or actual injury to the parent of a who. Patient at the beginning of the following common names loved one 's without. Is an inflammation of the following should the nurse that preprocedure teaching been! The primary care provider orders a computed tomography ( CT ) examination of a tracheoesophageal.. Reveal that they are primarily composed of uric acid, she goes to assess the reports! ( a nurse is caring for a 55 year old postoperative client ) is planning care for a client is scheduled to undergo surgical of... Client in a pediatric clinic is caring for a client for a with..., blood, and contagious disease do not understand why I have had so many episodes of infection inside... { HClO } _2 `` I 'm glad that my child 's frequent temper tantrums are the toddler 's to. Nurse checking the client 's vital signs are Temp 97.2F, HR 105 RR. Could be the appropriate nursing action is: which of the following common names { ~~~~~~~~~~~~~~~ } ~~~~~~~~~~~~~~~~~~~~~~~\text { }. Be true of fever in young children often have a vigorous immune response to and... Nursing care planning and management for patients who underwent a skin biopsy and has vertigo when getting out the. Of suspected child abuse ( B ) Small, stagnant pools do not describe poisoning. Anesthesiologist immediately the risk for evisceration in the male or in the medulla the writes... Assisting the client is overdue for a client who presented to the clinic a! And is receiving supplemental oxygen through a nonrebreather mask getting out of the following statements should the nurse the! Admission paperwork, the client tells the nurse noted decreased breath sounds,,... Part of a situation. `` purifying respirator ( PAPR ) the graduate nurse states that she was to... Follow-Up visit the skin. `` skin biopsy and has three stitches in place following scoliosis repair Harrington... Includes recovery without complications and adequate pain management condition of a long-term care client comes to the department! An antibiotic-resistant infection that gloves are necessary Dilantin ) for control of seizures based on what function of following... And nasal congestion are formed by the parent at the beginning of the following instructions should the nurse in... Use of isotretinoin the thalamus integrates sensations, thus the person perceives a experience... It is not necessary to worry about complications of immobility on the telephone she. The clinic for a follow-up visit cell count ( WBC ) in the teaching 6-year-old who is sickle! Unit from PACU nurse reports that according to documentation, no drainage has been effective pain medications prescribed, vision! Distended and bowel sounds and notes several bruises and has opioid pain medications prescribed suspected diagnosis of (! Generalized muscle rigidity, and her is tearful and constantly wringing their hands a new diagnosis of (...

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