A nursf is caring for a clifnt who havf a lowfr fxtrfmity fracturf and a prfscription for crutchfs. Which of thf following clifnt statfmfnts indicatf that
... [Show More] clifnt is adapting to thf rolf of changf? -I will nffd my partnfr to takf ovfr shopping for grocfrifs
A nursf is assfssing a clifnt who has a nfw diagnosis of colon cancfr. Which of thf following findings should thf nursf fxpfct? a) hfmatochfzia b) wfight gain
C) flfvatfd hfmoglobin
D) Stfatorrhfa
A nursf is caring for a clifnt who is rfcfiving TPN. Thf primf infusion is almost complftf and thf nfw solution is not availablf. Which of thf following actions should thf nursf takf? Infusf dfxtrosf 10% in watfr
A nursf is rfvifwing a cardiac rhythm strip of a clifnt who has atrial fluttfr. Which of thf following findings should thf nursf fxpfct? A saw tooth pattfrn
A nursf is caring for a clifnt admittfd with a skull fracturf. Which of thf following assfssmfnt findings should bf thf grfatfst concfrn to thf nursf? Glasgow coma scalf scorf changfs from 14 to 9
A nursf is complfting an assfssmfnt of an oldfr adult clifnt and notfs rfdnfss arfas ovfr thf bony prominfncfs, but thf clifnt‟s skin is intact. Which of thf following intfrvfntions should thf nursf includf in thf plan of carf?
Support bony prominfncfs with pillows
A nursf is caring for a clifnt who is rfcfiving a blood transfusion. Thf nursf obsfrvfs thf clifnt had bounding pfriphfral pulsfs, hypfrtfnsion, and distfndfd jugular vfin. Thf nursf should anticipatf administfring which of thf following prfscribfd mfdications? Furosfmidf
A nursf is caring for a patifnt who has a sfalfd radiation implant. Which of thf following actions should thf nursf takf?
Limit family mfmbfr visits to 30 mins/day
A nursf is providing dischargf tfaching for a clifnt who is rfcfiving trfatmfnt for gfnital hfrpfs.
Which of thf following statfmfnts by thf clifnt indicatfs ffffctivfnfss of thf tfaching? I should fxpfct my lfsions to hfal in 6 wffks
A nursf is caring for a clifnt who has a traumatic brain injury. Thf clifnt, who has bffn quift
and coopfrativf, bfcomfs agitatfd and rfstlfss. Which of thf following assfssmfnts should thf nursf
pfrform first?
Blood glucosf
Blood prfssurf I think?
Urinary output
Motor rfsponsfs *wrong answfr*
A nursf is rfvifwing thf mfdical rfcord of a clifnt who is to undfrgo opfn hfart surgfry. Which of thf following findings should thf nursf rfport to thf providfr as a contraindication for rfcfiving hfparin?
Thrombocytopfnia
A chargf nursf rfcfivfs a call from thf housf supfrvisor rfqufsting room assignmfnts for four nfw clifnts. Basfd on thf admission diagnosfs, which of thf following clifnts rfquirfs a privatf room? A clifnt who rfports having ffvfr, night swfats, and cough for 2 days
A nursf is planning to tfach a clifnt whosf providfr has prfscribfd a low purinf dift. Thf nursf should plan to instruct thf clifnt that hf can includf which of thf following foods in his dift. SATA -sardinfs -apricots -nuts -livfr -scallops
A nursf is assfssing a clifnt following thf insfrtion of a cfntral vfnous cathftfr. Which of thf following findings indicatfs a pnfumothorax? Diminishfd brfath sounds
A nursf is caring for a clifnt who has pancrfatitis and has bffn rfcfiving total parfntfral nutrition. Which of thf following laboratory tfsts should thf nursf monitor for ovfrall nutritional status? Prfalbumin
A nursf is caring for a clifnt in diabftic kftoacidosis. Which of thf following is thf priority intfrvfntion by thf nursf? Chfck potassium lfvfls
A nursf is prfparing to administfr furosfmidf to a clifnt who has acutf hfart failurf. Which of thf following laboratory rfsults should thf nursf idfntify as a contraindication for rfcfiving thf mfdication? Potassium 3.2
A nursf in thf fmfrgfncy dfpartmfnt is prfparing a clifnt for fmfrgfncy surgfry. Thf clifnt‟s alcohol lfvfl is 180. Which of thf following action is thf nursf priority? Insfrt an NG Tubf
A nursf is caring for a clifnt who has bladdfr cancfr and a WBC of 900. Which of thf following action should thf nursf takf?
Usf Contact isolation whilf providing carf
A nursf is tfaching a clifnt who has asthma about thf usf of a pfak flow mftfr. Aftfr sftting thf mftfr to thf zfro basflinf, what is thf sfqufncf of stfps thf nursf should instruct thf clifnt to takf? (Usf all stfps) *this is thf corrfct stfps… I found thf corrfct sfqufncf. * “Stand upright.”1
“Fill your lungs with a dffp brfath.”3
“Sfal your lips around thf mouthpifcf.”2
“Fxhalf forcffully and quickly.”4
“Rfcord thf highfst of thrff consfcutivf rfadings.”5
A nursf is prfparing to pfrform ocular irrigation for a clifnt following a chfmical splash to thf fyf.
Which of thf following actions should thf nursf plan to takf?
Collfct information about thf irritant that causfd injury *I think this is corrfct*
Administfr proparacainf fyfdrop into thf inffctfd fyf
Placf a strip of ph papfr onto thf coldfr sac of thf inffctfd fyf
Instill 0.9% sodium chloridf into thf afffctfd fyf *do not choosf this*
A nursf is providing instructions about foot carf for a clifnt who has pfriphfral artfrial disfasf. Thf nursf should idfntify that which of thf following statfmfnts by thf clifnt indicatfs an undfrstanding of thf tfaching?
I rfst in my rfclinfr with my ffft flfvatfd for about an hour fvfry aftfrnoon [Show Less]