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? The client becomes upset stating, "You did not wash your hands!" Preoperatively identifying a patient's individual needs and comorbidities can assist in this process. 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. Find True or False for the the following conditions: (Select all that apply.). A 17-year-old client is having same-day surgery. What condition might increased ICP indicate? 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 assessments is the nurse's priority? When preparing a sterile field, the nurse notes that the bottle of sterile saline was opened 48 hours ago and is half full. 1. The nurse is providing care to a client with Lyme disease. 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 should understand that these actions are developmentally appropriate at which of the following ages? 3. Which of the following interventions should the nurse include in the infant's plan of care? A nurse is providing teaching to a parent of a child who has a fracture of an epiphyseal plate. The nurse is caring for a 40-year-old client who is 2 hours postoperative following an appendectomy. Ms. Simpson, age 72 years, is being seen in the clinic with a suspected bladder tumor. A nurse is providing teaching about iron deficiency anemia to the parents of a toddler. Which of the following provider prescriptions should the nurse clarify? Which is the nurse's best action? A nurse is providing teaching to an adolescent who has type 1 diabetes mellitus. The nurse discovers that the client did not sign the operative consent before receiving the preoperative medication. Description. A. Discard the bottle and get a new one because the saline has expired. use of antibiotics in clients with viral infection. Solve the given initial-value problem. Which of the following instructions should the nurse provide to the parent? What is the patient most likely experiencing? Which statement accurately describes this process? A nurse is caring for a client who is diagnosed with increased intracranial pressure (ICP). The nurse is caring for a client who has been placed in strict isolation. If the transection is complete all sensation and voluntary movements below the site of injury are lost. What lobe of the cerebral cortex is largely responsible for the ability of humans to achieve higher levels of mental functioning and is also involved with motor functions that direct body movements? Select all that apply. observe the colleague and take no further action. A nurse is assessing a child and notes several bruises. What explanation should the nurse provide to this patient? A client sustains a head trauma after falling from a roof. Which of the following drug classifications may cause respiratory depression from an associated electrolyte imbalance during anesthesia? The client tells the nurse, "I am nervous about my upcoming EEG because I am afraid the shocks will hurt." What statement made by the client demonstrated understanding of the education? Medulla passes through the foramen magnum (great hole) in the occipital region of the skull; it lies just below the pons and rests on the floor of the skull. How will the nurse document this condition? $$ A nurse is collecting data from a child who is descending stairs by placing both feet on each step and holding on to the railing. The client reports a frequent cough producing green sputum for 3 days and denies fever. Write one possible RNA sequence that codes for the following amino acids: aspartic acid-glutamine-tryptophan. Meningitis is an inflammation of the meninges, the membranes that cover the brain and the spinal cord. A nurse is caring for a child who has suspected appendicitis. How many feet must be maintained between this client and other noninfected clients and visitors? What is your response to her situation as ordered by the physician? A nurse is assisting a neurosurgeon in performing positron emission tomography. 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). A nurse is planning care for a 10-month-old infant who is 8 hr postoperative following cleft palate repair. Which of the following foods should the nurse recommend? A nurse in a pediatric unit is talking with the mother of a preschool-age child. x == 5 || y > 3. Julie S Snyder, Linda Lilley, Shelly Collins. The nurse is providing postoperative care to a client with lung cancer who had a partial pneumonectomy. The patient informs you that he drinks six to eight beers each day and has for the last 15 years. A mental health practitioner should be involved in the client's care to: a) assess whether the client is a good candidate for surgery. The client is infected with a strain of Streptococcus pneumonia, which is particularly prone to cause infections, also referred to as what? Which technique is recommended by infection control practice standards for hand hygiene? What is one of the basic principles that should guide the preoperative nurse's assessment? 2. Review the scenario and respond to the following. The nurse knows that adequate preoperative teaching and learning is important for what reason? Huntington's disease is a chronic, progressive, hereditary condition in which brain cells in the basal ganglia prematurely die. The nurse is caring for a 40-year-old client who is 2 hours postoperative following an appendectomy. A client with a T6 injury reports a pounding headache, blurred vision, and nasal congestion. The nurse is reviewing the plan of care for assigned clients. $$ What would the nurse expect to asses? A. What does the nurse recognize that this client is experiencing? \underline{~~~~~~~~~~~~~~~}~~~~~~~~~~~~~~~~~~~~~~~\text{HIO}_3 The nurse is reinforcing education for a female client paralyzed from a spinal cord injury (SCI). A family member with a mild upper respiratory infection comes to visit a client in a long-term care facility. Place the following steps in the order that the nurse should take when donning sterile gloves. One of the parents of the child becomes upset and demands to know the reason for the nurse's action. A) Flashing lights in the visual field Which action by the nurse is appropriate? When assessing vital signs, which result indicates a need to alert the anesthesiologist immediately? Which nursing actions will be performed to assist in the prevention of health care-associated infections (HCAIs)? Which of the following is the most common symptom of bladder cancer? An older adult client tells the nurse, "I do not understand why I have had so many episodes of infection lately." Cover the wound with a sterile, saline - soaked dressing 4. Place a surgical mask on the client and transport to the CT department at the specified time. A nurse prefers to use an alcohol-based hand rub when providing care for clients. B plasmid transformation. While assessing the patient at the beginning of the shift, the nurse noted decreased breath sounds, crackles, and a mild cough. The client received general anesthesia for the procedure and has opioid pain medications prescribed. What clinical assessment should the nurse conduct to see whether the nervous system is working properly? 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. A nurse is wearing a cover gown. The client begins to complain of increased abdominal pain and begins to vomit. $$ The nurse is caring for a client diagnosed with bladder cancer and requiring a cystectomy. $$ What should a nurse be alert for when caring for such a client? 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? The nurse is caring for a client with a colostomy pouch. Which of the following should the nurse document as a part of a neurologic nursing assessment? Which assessment finding explains the absence of drainage? Which of the following amounts of urinary output should indicate to the nurse that the treatment has corrected the fluid imbalance? Select all that apply. 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 statements by the parent indicates an understanding of the teaching? Select all that apply. How should a nurse teach a patient to perform deep breathing and coughing to use postoperatively? The parents of a 6-year-old child with celiac disease tell the school nurse that their . Utilize a powered air, purifying respirator (PAPR). 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. A. When developing a teaching plan for a patient scheduled for ambulatory surgery with epidural anesthesia, which of the following would the nurse include? Select all that apply. A nurse is providing teaching to a 17-year-old female client who has severe acne about the use of isotretinoin. How will the nurse appropriately remove this personal protective equipment (PPE)? A swimmer moves through the water at an average speed of 0.22 m/s. Which of the following clinical manifestations should the nurse expect? Select all that apply. Round to the nearest mL. What action does the nurse take to ensure that the saline used is sterile? A general neurologic examination of a client with complaints of fever, chills, neck stiffness, and irritability confirms meningitis. The patient complains of headache. In MS, the myelin sheath covering the nerves is destroyed. What essential information does the nurse need to explain to the visitor to prevent transmission of the organism? A parent calls a clinic and reports to a nurse that his 2-month-old infant is hungry more than usual but is projectile vomiting immediately after eating.
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