2 hrs post-op following an ileal conduit procedure bladder cancer Dusky-colored stoma
Administering an INJ to a client even after the client states,
... [Show More] "I don't want that injection. The last time I got that I was sore for a week."
Admitting a client to the medical-surgical unit. Which of the follow- ing actions should the nurse first take?
Adolescent client who has no previous history of a seizure disor- der and is admitted after having a 3-min tonic-clonic seizure 2 wks after sustaining a mild concussion. EEG
Adolescent who has cystic fibrosis and has a prescription for pancrelipase
After evaluating the morning lab results on several clients, the provider writes prescriptions for 4 clients assigned to the nurses care?
After making morning round, the charge nurse on a surgical unit delegates the follow tasks to the AP.
AP reports to the nurse that another ap has spent the entire morn- ing on the phone and has not completed the morning assignment
Assessing client who systemic lupus erythematous SLE which of the following is an expected findings
At the start of an evening shift on a cardiac unit, a LPN brings the nurse a list of client reports
Benefit from a three-way indwelling catheter
Caring for a client who has a new prescription for chlorpromazine by IM injection
Caring for a client who was involved in a motor-vehicle crash. The client reports shortness of breath and chest pain and asks the nurse "Am I dying?"
Charge nurse creating assignments for next shift for several nurs- es and one of the nurses is pregnant - which pt the nurse should NOT be assigned to?
Charge nurse on pediatric unit is making assignments for a float nurse from the medical unit. Pt to see first?
Child who has pediculosis capitis Child who is unresponsive has ICP
A client ask the nurse if it is safe for him to take glucosamine supplement?
Battery
Observe the client's level of mobility
Explain that the client may not have coffee prior to the EEG Take w/ meals
Infuse 10 meQ/l potassium chloride IV over 1 hr to a client who has potassium of 3.2
Set up a room for an expected postoperative admission Redirect the AP to discuss the issue with the other AP Dry, raised facial rash
Indigestion
Prone to development of blood clots un the urine Check orthostatic BP 1 hr after admin
Admin pain meds
60 yr old who is recovering from shingles
10 yr old who has pneumonia & is receiving respiratory txs store non-washable items in plastic bags for 14 days
Pad the side of the bed Shellfish allergy
Client following an open colectomy
A client has just returned to the nursing unit following cardiac catheterization. In the immediate postoperative post procedure period which of the following is the priority nursing actions?
A client hopitialized for a bone marrow transplant is in protec- tive isolation while undergoing total body radiation and intense chemotherapy. The clients sibling comes to visit but has obvious manifestations of an upper respiratory infection.
Client recovering from closed head injury assumes a decerbrate posture in response to stimuli
Client reports chest pain. Which of the following lab findings indicates myocardial damage
Client who has a left femur fracture and is skeletal traction. The clients reports pain due to muscle spasms in affected leg
Client who has given birth to a stillborn
Uncontrolled pain Immobilizing the affect extremity
Allow the sibling to visit after donning a sterile gown, mask, gloves but prohibits physical contact
D lying flat ?? (Extentend extremities) The client rigidly extends his arm
Troponin 1.8
Realign the extremity in traction Acknowledging the reality of the newborn's death
Client who is 2 days postoperative following a lumbar laminectomy and is reporting nausea
Client who is 8hr postoperative following a right-modified radical mastectomy - which findings to report to provider? (SATA)
Client who is receiving a controlled epidural analgesia infusion Client who reports the use of chondroitin and glucosamine Community health nurse is completing a newborn home visit and
observes family members smoking cigarettes in the house
A community health nurse is evaluating eligibility for home assis- tance for a client who is quadriplegic
A community health nurse is planning to make home visits to several clients who all live within a few miles radius of the office - Who to see first?
Creating and activity plan for a home bound older adult client. In the planning, the nurse considers the physiologic changes that may affect pulmonary function r/t the normal aging process
Delegates the following tasks to the AP bathe four clients, distrib- ute fresh water, obtain morning vital signs
DI w/ severe head injury Diagnosis of antisocial personality disorder
Diagnosis of complete placenta previa is admitted to the labor and delivery suite at 36wks gestation w/ contractions 5 min in frequency and 1 min in duration
Dietary intervention for a client who is immobile due to pelvic and femur fractures
Admin an antiemetic (Aprepitant for nausea) Coughing
Frothy, pink secretions
Covering the insertion site with a transparent dressing Improve joint functioning
Review the effects of secondhand smoke w/ family members Determine the client living situation
An infant who has failure-to-thrive and was discharged from a facility yesterday to a foster home on daily weights
Decreased blood oxygenation
Set a clear time frame for the completion of each task Urine [Show Less]