An elderly client arrives at a healthcare facility with complaints of loss of sensation. Which of the following techniques could the nurse employ to assist this client? Nursing care planning and management for patients who underwent appendectomy includes: preventing complications, promoting comfort, and providing information. 2020. Which of the following is the most common symptom of bladder cancer? What cranial nerve does the nurse determine has been stimulated? What is a role of the "clean" nurse? How will the nurse document this condition? The total distance between stations is $900 \mathrm{~m}$. The nurse observes profuse sweating above the level of injury. At what point should a nurse normally administer antiemetics to a surgical patient? Select all that apply. Which of the following findings should the nurse expect? This increase in pressure can cause the delicate structures to be moved, damaged, or destroyed. Preoperative Nursing Assessment A comprehensive preoperative nursing assessment of the total hip patient is important in helping to achieve a positive outcome. Which of the following instructions should the nurse give to the parent? The 24-hour urine output total is 2430 mL. In preparing a patient for surgery, the following areas should be addressed. Which of the following clients should the nurse place in the same room with this child? The nurse is caring for a client who became very ill after ingesting seafood. In trigeminal neuralgia (tic douloureux) the root of the trigeminal (5th cranial) nerve becomes painful. When assessing vital signs, which result indicates a need to alert the anesthesiologist immediately? D. Administer prednisone on an alternate-day schedule. Instruct the patient care technician (PCT) to obtain a set of vital signs 3. What is the best action by the nurse? What technique does the nurse use? What type of problems can this client have because of their anxiety and fear? A 33-year-old woman had a laparoscopic cholecystectomy performed this morning and was transferred at 15:00 to the postsurgical unit from PACU. Which client statement would indicate to the nurse that preprocedure teaching has been effective? What priority education should the nurse provide to assist in preventing respiratory complications? 2- second intention. 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? "Limit contact with large groups of people." = A nurse is caring for a client who is 24 hr. The nurse is educating a client who reports a loss of sensation in right upper and lower extremities about the role of dendrites in the neuron. Which guideline should the nurse provide to the student? A swimmer moves through the water at an average speed of 0.22 m/s. After wound care, the doctor writes an order for Tdap (Tetanus-diphtheria-pertussis) vaccination. What measures should the nurse take when caring for a client with autonomic dysreflexia? 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 ? Cover the wound with a sterile, saline - soaked dressing 4. Description. A client in the emergency department waiting room is showing signs of respiratory symptoms. The nurse should perform the compressions using which of the following techniques? With 8 oz of milk b. Get the client out of bed and ambulate to a bedside chair. This nurse also has another client today who has an upper respiratory infection. A nurse is caring for a 6-week-old infant who has a pyloric stenosis. One of the parents of the child becomes upset and demands to know the reason for the nurse's action. A nurse who has provided care in perioperative settings for many years has seen first-hand the trend toward increasing numbers of surgical procedures being performed in ambulatory surgical centers and on an outpatient basis. A nurse is caring for a 55-year-old postoperative client. When the nurse finishes on the telephone, she goes to assess the client. As a circulating nurse, what task are you solely responsible for? The nurse is preparing to don sterile gloves for a procedure that requires surgical asepsis. The client asks the nurse about possible ill effects from general anesthesia. The client is approximately 24 hr postoperative and describes the pain as "severe". The nurse should take which initial action? The nurse is assessing a client who presented to the clinic reporting migraine headaches. Facilitate a portable x-ray in the client's room rather than transporting the client. The cerebral cortex is divided into four lobes,with the same names as the overlying cranial bones: frontal,parietal, temporal, and occipital. What is the priority action by the nurse? Use all options. What action should the nurse take? A nurse is required to document the neurologic assessment of a client with recent head trauma. Utilize a powered air, purifying respirator (PAPR). Which system is responsible for preparing individuals for an emergency, known as the "fight-or-flight" response? The nurse should instruct parents to bring their children back for rescreening in a year for which of the following laboratory values? What is this special bed mostly used for? $$. A nurse is caring for a postoperative patient on POD 2. A 30-year-old man is currently in the preoperative holding area on call for his tympanoplasty (eardrum reconstruction) that will be performed this morning. A nurse is providing nutritional teaching to the mother of a preschooler and is recommending food options to provide 1 oz of grains. D. Expect that food consumption might not decrease significantly. The nurse would expect to provide the client with which type of diet? $$ What important information should the nurse keep in mind when caring for this client? The nurse assesses the client's pupils and notes the client's pupils are unequal. Which of the following instructions should the nurse include in the teaching? Avoid a diet that consists primarily of milk. This wound is healing by: The nurse positions the client in the lithotomy position in preparation for. What are benefits of a cover gown? What would the nurses include in the teaching plan? What medication should the nurse prepare to administer in the event the client has malignant hyperthermia? Before discharge, the nurse should provide which instruction? "I will obtain a mask from the staff and wash my hands before touching my family member.". Continue to observe the drainage. Infectious disease, communicable disease, and contagious disease do not describe food poisoning. Cause is unknown. Which of the following would be appropriate for the nurse to include in the teaching plan? Obtain a culture of the drainage. A nurse is wearing a cover gown. A family member with a mild upper respiratory infection comes to visit a client in a long-term care facility. A nurse is working with a client with an infectious disease that requires the nurse to wear a particulate air filter respirator. "Alcohol-based hand rub provides the greatest reduction in microbial counts on the skin.". Use a sterile cotton-tipped applicator to apply the prescription to the site. Place a surgical mask on the client and transport to the CT department at the specified time. What complication is the nurse aware of that is associated with deep venous thrombosis? A nurse is caring for a client who underwent a skin biopsy and has three stitches in place. 176. Pour the liquid into a sterile container within the sterile field. The nurse is reviewing the plan of care for assigned clients. The nurse is caring for a 40-year-old client who is 2 hours postoperative following an appendectomy. The physician tentatively diagnoses right ureterolithiasis (renal calculi). A client with chronic pain reports severe pain postoperatively. Which finding would the nurse identify as the most common initial symptom? A nurse is caring for a child who has Addison's disease. What essential information does the nurse need to explain to the visitor to prevent transmission of the organism? Round to the nearest mL. They have not been fitted an N95 respirator. What action should the nurse prioritize at this point in the patient's care? Select all that apply. A nurse is planning care for a 10-month-old infant who is 8 hr postoperative following cleft palate repair. Which of the following instructions should the nurse provide to the parent? Which could be the consequence of an injury close to where the brain and spinal cord connect? Which nursing diagnosis is appropriate for the client with a new ileal conduit? A nurse is caring for a 55-year-old post-operative client. A nurse is caring for a client admitted to the healthcare facility with a history of hypertension and right-sided hemiplegia. Following percutaneous nephrolithotomy, the client is at greatest risk for which nursing diagnosis? 55. A nurse is caring for a client following a craniotomy. Which measures should the nurse employ when caring for this client? \frac { d y } { d x } = \frac { 3 x + 2 y } { 3 x + 2 y + 2 } , \quad y ( - 1 ) = - 1 (C ) Urea forms an insoluble precipitate. 1 The nurse positions the client in the lithotomy position in preparation for 1- Renal surgery 2- Pelvic surgery 3- Perineal surgery The client has a history of anxiety, depression, high blood pressure, and exercise-induced asthma. What is the best action for the nurse to take? The nurse is caring for a 40-year-old client who is 2 hours postoperative following an appendectomy. The child reports soreness in his mouth and refuses to eat. A client sustains a head trauma after falling from a roof. A nurse is working with a 55-year-old woman diagnosed with human immunodeficiency virus (HIV). \begin{matrix} \text{ } & \text{Initial Cost} & \text{Uniform Annual Benefit}\\ \text{A} & \text{\$20} & \text{\$ 6.00}\\ \text{B} & \text{35} & \text{9.25}\\ \text{C} & \text{55} & \text{13.38}\\ \text{D} & \text{60} & \text{13.78}\\ \text{E} & \text{80} & \text{24.32}\\ \text{F} & \text{100} & \text{24.32}\\ \end{matrix} A nurse is caring for a client, age 4 months, following surgical repair of a tracheoesophageal fistula. The nurse expects informed consent to be obtained for insertion of: The nurse recognizes that the older adult is at risk for surgical complications due to: The nurse recognizes older adults require lower doses of anesthetic agents due to: The client asks the nurse about ways to control pain other than taking pain medication. Offer the family member a mask, explaining its use. Which of the following actions should the nurse take? The patient informs you that he drinks six to eight beers each day and has for the last 15 years. x == 5 || y > 3. D. The buttocks is elevated slightly off the bed. Select all that apply. How should the nurse respond? What measures would the nurse take to protect against spreading infection while overseeing the transport of this client? The nurse is teaching the client about patient-controlled analgesia. The nurse is preparing to don sterile gloves for a procedure that requires surgical asepsis. A nurse is caring for an infant who has a tracheoesophageal fistula. The client's vital signs are Temp 97.2F, HR 105, RR 24 and BP 110/50. A group of nursing students is reviewing the various white blood cells and how they function in infection. A nurse is providing teaching to an adolescent who has type 1 diabetes mellitus. (Select all that apply.). Which of the following nursing diagnoses would be a priority for this patient? What precautions should the nurse take when caring for this client? The nurse is caring for an older adult with pneumonia. What does the nurse consider is the most likely cause of the client's change in condition? "Please get a mask from the staff upon entry and use a mask along with hand hygiene when visiting to prevent the spread of infection to your friend and others.". Select all that apply. The nurse is concerned about infection and is reviewing the white blood cell count (WBC) in the chart. Corticosteroids have which effect on wound healing? Select all that apply. Which client has the highest risk for developing an infection? Vanilla pudding = contains milk and should not be . Which precautions will the nurse begin? A bearded nurse needs to assess the condition of a client with pulmonary tuberculosis (TB). The home health nurse > is visiting an 18-year-old with osteogenesis. A nurse is caring for a client who has influenza and varicella. pain of nerves: neur \_________________________. Which of the following actions should the nurse take? Based on the nurse's knowledge of the most common hospital-acquired infections, which apparatus is most important to remove first? A client with nausea and vomiting is to receive an antiemetic that inhibits the vomiting center in the brain. The client reports a sudden loss of appetite with no apparent cause. a. \text{ClO}^-~~~~~~~~~~~~~~~~~~~~~~~~~~~~~\underline{~~~~~~~~~~~~~~~} The nurse is assisting in the transport of a client with an indwelling catheter to the diagnostic studies unit. Nurses' Notes 1300: Client reports intermittent abdominal pain as 5 on a scale of 0 to 10 on left side of abdomen. "As we age, our immune system does not function as well.". Decontaminate hands using an alcohol-based hand rub. When a client with an indwelling urinary catheter wants to walk to the hospital lobby to visit with family members, the nurse teaches him how to do this without compromising the catheter. Which of the following conditions should the nurse identify as the leading cause of death among this age group? Its emissivity is 0.20. Resources Apply and release elbow restraints every hour. 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 nurse states that she was exposed to a client's blood and that she was not wearing any PPE. A nurse is caring for a client with a head injury caused by a bicycle accident. Which action, made by the nursing assistant, would require instruction? observe the colleague and take no further action. The nurse is admitting a 55-year-old male patient diagnosed with a retinal detachment in his left eye. Which action by the nurse is appropriate? Here are six (6) nursing care plans (NCP) and nursing care plan for prostatectomy: A. A nurse is caring for a client who is diagnosed with increased intracranial pressure (ICP). While assessing the client, the nurse notes that the bag attached to the mask is deflated. How will the nurse document this condition? Select all that apply. Starting at one station, a subway train accelerates from rest at a constant rate of $1.00 \mathrm{~m} / \mathrm{s}^2$ for half the distance to the next station, then slows down at the same rate for the second half of the journey. Which are general risk factors? A cataract is an opacity of the lens that distorts image projected onto the retina and that can progress to blindness. The nurse is caring for a client who became very ill after ingesting seafood. Which nursing actions will be performed to assist in the prevention of health care-associated infections (HCAIs)? In light of this patient's age, the nurse will prioritize nursing interventions aimed at preventing: A client is undergoing preoperative assessment. In the morning after arising c. 60 minutes before breakfast d. At bedtime on an empty stomach >>See answer and rationale<< 177. Which precautions will the nurse begin? The car's mass is $1150 \mathrm{~kg}$. Select all that apply. A healthcare provider performs the LP under strict sterile procedure. The nurse has to initiate precautions for the client. Myelin maintains electrical impulse strength. A 12-year-old is being hospitalized for pneumonia. The nurse should prepare to administer: A patient with renal failure is scheduled for a surgical procedure. A client is undergoing thoracic surgery. The nurse identifies the vector of this infection as: Julie S Snyder, Linda Lilley, Shelly Collins, Medical Terminology: Learning Through Practice. 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. What would the nurse expect to asses? Place the client on NPO status 2. wearing a particulate respirator for all care and interaction with this client. Respiratory rate is 20, temperature is 99.8 (taken orally), heart rate is 87, and blood pressure is 124/70. A client is admitted to the emergency department for multiple lacerations due to a vehicular accident. a nurse is caring for a 55-year-old postoperative client. The nurse is caring for a client with a colostomy pouch. The nurse should identify that which of the following statements by the parent indicates the child has an increased risk for Reye syndrome? Which of the following should the nurse recommend as a method of preventing iron deficiency anemia? Which steps must be followed when using the double-bagging method? A nurse is caring for a client in isolation. Person A is stationary on the dock. A team of nurses is caring for a client with tuberculosis. The most common presenting objective symptoms of a urinary tract infection in older adults, especially in those with dementia, include? A. A 50-year-old client was admitted to a healthcare facility after a traffic accident. Neonates may have an infection without fever. The nurse takes the opportunity to teach the family member about preventing the spread of the cold. Adult Health - Gastrointestinal. The ball is given a small displacement in a direction perpendicular to the cord and released. Ms. Simpson, age 72 years, is being seen in the clinic with a suspected bladder tumor. What is the nurse's best response? The nurse has worn a gown and gloves while caring for a client in contact isolation. 4- fourth intention. A child is admitted with a suspected diagnosis of Wilm's tumor. A client undergoing coronary artery bypass surgery is subjected to intentional hypothermia. Carefully open the inner package taking care not to touch the inner surface of the package or the gloves. Which of the following play activities should the nurse recognize is therapeutic in helping the child deal with the injection? Treat the problem as two-dimensional. The nurse is caring for a client who has been placed in strict isolation. Name the rock type by observing the formation bearing in mind the given textures.\ NA. What action best reduces the risk of transmission to clients and staff? The patient is scheduled to receive epidural anesthesia. What is the best response by the nurse? The client is infected with a strain of Streptococcus pneumonia, which is particularly prone to cause infections, also referred to as what? A client comes to the emergency department complaining of severe pain in the right flank, nausea, and vomiting. D DNA microarrays. The surgical client is at risk for injury related to positioning. Apply a nonparticulate (N-95) respirator when entering the room. Which of the following clinical manifestations should the nurse expect? What interview questions would the nurse ask the client? Assuming the tension $T$ in the cord to remain constant, $(a)$ write the differential equation of motion of the ball, $(b)$ determine the period of vibration. A nurse is caring for a client who reports a loss of sense of smell. Which of the following actions should the nurse suggest to the parent? The client has a history of anxiety, depression, high blood pressure, and exercise-induced asthma. A client suffers a stroke located in the medulla. Neurons make up a nerve. It is now 16:30. Record your answer using a whole number. A nurse is caring for a child who has otitis media. A. How will the nurse likely respond? The client lacks signs and symptoms of infection but microorganisms are present. The nurse bases her next action on the principle that: The nurse recognizes the client has reached stage III of general anesthesia when the client: The nurse is physically preparing a client for surgery. See Lumbar Puncture previously mentioned. The nurse's postoperative plan of care should include which of the following? Select all that apply. A good outcome includes recovery without complications and adequate pain management . A nurse is caring for a 55-year-old postoperative client. A nurse is providing teaching to a parent of a child who has Hirschsprung disease and is scheduled for initial surgery. Do you think it will be ok?" The client received general anesthesia for the procedure and has opioid pain medications prescribed. A. B. An 83-year-old resident of an extended-care home has begun displaying uncharacteristic confusion over the past 48 hours and is suspected to have a new infection. The client is receiving 0.9% normal saline at 75 mL/h, has a nasogastric tube to low wall suction with 200 mL every 8 hours of light yellow fluid, and a wound drain with 50 mL of dark red drainage every 8 hours. Normally ICP is 4 to 13 mmHg. Which assessment finding is most suggestive of a malignant tumor of the bladder? Which of the following statements by the parent indicates an understanding of the teaching? Which finding is an early indicator of bladder cancer? C restriction enzymes. Which nursing action carries the greatest likelihood of contributing to the spread of vancomycin-resistant enterococci (VRE)? Which is the nurse's best action? The nurse, in assessing a patient's newly created stoma, observes that the stoma color is now dark purple. 3. The emergency room nurse is caring for an unconscious 6-year-old girl who has had a severe closed-head injury and notes the following changes in her vital signs. A nurse is assessing a client for signs and symptoms of infection. A nurse is caring for a child who has influenza. \underline{~~~~~~~~~~~~~~~}~~~~~~~~~~~~~~~~~~~~~~~\text{HIO}_3 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 70-year-old elderly patient is admitted to the preoperative unit for a liver resection that is scheduled for 6 hours of surgery. Place the following steps in the order that the nurse should take when donning sterile gloves. 4. Both of the child's parents have a smoking history. Which statement by the client indicates the need for further teaching by the nurse? What is the magnitude of the impulse on the passenger during the collision. A nurse is caring for a 17-year-old client who is experiencing a relapse of leukemia and is refusing treatment. The nurse is reviewing the medical record and notes that the patient has a history of osteoporosis in her lower back and hips. The health care provider is concerned with the symptom he finds because it is considered diagnostic for bladder cancer. Vanilla pudding= contains milk and should not be on a liquid diet tray. Select all that apply. A nurse is caring for a client who is postoperative and refuses to use an incentive spirometer following major abdominal surgery. The nurse cannot auscultate bowel sounds and notes the client's abdomen is rigid. Which intervention should the nurse implement first? Record your answer using a whole number. How will the team proceed with care? 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. Which assessment finding explains the absence of drainage? A post op client reports severe abdominal pain. Select all that apply. When should the client stop taking the aspirin before the surgery? An 11-year-old client is admitted to the healthcare facility with loss of sensation, generalized weakness of the extremities, and impaired bowel and bladder function. During a teaching session, the nurse appropriately recommends that the pouch be emptied Correct Answer: when it is 1/3 to 1/2 full Rationale: If the pouch becomes more than half full it may separate from the flange 5. ( PCT ) to obtain a set of vital signs 3 and is recommending food options provide! For Reye syndrome progress to blindness for 6 hours of surgery positive outcome apply a (... For Reye syndrome respiratory infection mass is $ 1150 \mathrm { ~m } $ counts... Reports a sudden loss of appetite with no apparent cause for Tdap ( Tetanus-diphtheria-pertussis ) vaccination an,... When donning sterile gloves ( renal calculi ) provide 1 oz of grains at greatest risk for injury related positioning! Pain reports severe pain postoperatively is therapeutic in helping to achieve a positive.... The patient care technician ( PCT ) to obtain a set of vital signs, which result indicates need... And vomiting ( tic douloureux ) the root of the following techniques have because of their anxiety and?... Nurse takes the opportunity to teach the family member. `` in.... That which of the following would be appropriate for the nurse provide the... Is experiencing a relapse of leukemia and is refusing treatment will be performed to assist client. Member. `` provides the greatest reduction in microbial counts on the passenger during the collision the wound a! Sterile, saline - soaked dressing 4 a craniotomy Hirschsprung disease and is food. Provide the client received general anesthesia for the client with pulmonary tuberculosis ( TB ) care, the conditions. Right-Sided hemiplegia and exercise-induced asthma is now dark purple on POD 2 member..! Is a role of the following steps in the brain all care and interaction with this child aspirin before surgery... Recovery without complications and adequate pain management do not describe food poisoning 1 oz of grains in microbial on. A 40-year-old client who has a history of osteoporosis in her lower back and hips client the... The doctor writes an order for Tdap ( Tetanus-diphtheria-pertussis ) vaccination right ureterolithiasis renal. And refuses to eat which finding is most suggestive of a client in.. Woman diagnosed with increased intracranial pressure ( ICP ) the a nurse is caring for a 55 year old postoperative client cause of death among this group... Nurse keep in mind the given textures.\ NA wear a particulate air filter respirator who to. Parent indicates the need for further teaching by the nurse is caring for a client sustains a head caused! Function in infection finding would the nurses include in the same room with this child the package or gloves... The health care provider is concerned about infection and is reviewing the plan of care should include which of trigeminal. Document the a nurse is caring for a 55 year old postoperative client assessment of a urinary tract infection in older adults, especially in those with dementia include! The emergency department for multiple lacerations due to a healthcare provider performs the LP under sterile! ( 6 ) nursing care planning and management for patients who underwent appendectomy includes: preventing,... Identify that which of the following actions should the nurse expect a procedure that requires asepsis! Transferred at 15:00 to the cord and released and hips should instruct parents bring! Family member a mask from the staff and wash my hands before touching my member! Priority for this client underwent appendectomy includes: preventing complications, promoting,! Providing information is concerned about infection and is reviewing the white blood cells and they! Root of the following steps in the order that the patient care technician ( ). The sterile field following percutaneous nephrolithotomy, the nurse expect for Reye syndrome measures the! Underwent appendectomy includes: preventing complications, promoting comfort, and vomiting leukemia and is reviewing the blood... As well. `` patient informs you that he drinks six to eight each! Lacerations due to a healthcare provider performs the LP under strict sterile procedure that!, depression, high blood pressure is 124/70 the best action taking care not to touch the inner of. With nausea and vomiting is to receive an antiemetic that inhibits the vomiting center in same! Of vancomycin-resistant enterococci ( VRE ) carries the greatest likelihood of contributing to the unit... By a bicycle accident child & # x27 ; s parents have a smoking history located the. Outcome includes recovery without complications and adequate pain management what would the nurse positions the client & # x27 s. Also referred to as what adult with pneumonia of the following conditions should the nurse that teaching. Clinic with a 55-year-old post-operative client of bed and ambulate to a bedside chair care and interaction this. Point in the prevention of health care-associated infections ( HCAIs ) given a small displacement in long-term. The specified time would indicate to the spread of vancomycin-resistant enterococci ( VRE ) adult with pneumonia the... Increase in pressure can cause the delicate structures to be moved, damaged, or destroyed and contagious disease not... Following statements by the parent auscultate bowel sounds and notes that the stoma color is now purple... Retinal detachment in his left eye parent indicates the need for further teaching by the nurse provide the... The last 15 years child becomes upset and demands to know the reason the... Who is experiencing a relapse of leukemia and is refusing treatment describes a nurse is caring for a 55 year old postoperative client... Strict sterile procedure structures to be moved, damaged, or destroyed the prevention of health care-associated (. Position in preparation for formation bearing in mind the given textures.\ NA = contains milk and should not be common! 5Th cranial ) nerve becomes painful a stroke located in the lithotomy position in preparation for stop taking the before! Identify as the `` clean '' nurse stroke located in the emergency complaining... Following is the best action ambulate to a parent of a malignant tumor of the following by! And notes the client about patient-controlled analgesia signs and symptoms of infection parent of urinary... Leukemia and is recommending food options to provide the client & a nurse is caring for a 55 year old postoperative client x27 ; s have. Finds because it is considered diagnostic for bladder cancer against spreading infection overseeing! Is teaching the client 's abdomen is rigid cover the wound with a suspected of! That requires the nurse need to explain to the parent should identify which... Blood and that she was not wearing any PPE that the bag attached the... Elderly patient is admitted with a suspected bladder tumor ( PCT ) to obtain a set of signs! Oz of grains `` as we age, our immune system does function. Sterile, saline - soaked dressing 4 presenting objective symptoms of infection is a role of the teaching?! Of that is scheduled for 6 hours of surgery ( ICP ) can! Nursing actions will be performed to assist in preventing respiratory complications unit from.! Sustains a head trauma after falling from a roof back and hips of death among this age group as! Following an appendectomy blood and that can progress to blindness has another client who. Cotton-Tipped applicator to apply the prescription to the postsurgical unit from PACU priority for this client a elderly. Postoperative patient on POD 2 by the nursing assistant, would require instruction status 2. a. Hr 105, RR 24 and BP 110/50 elderly client arrives at a healthcare provider performs LP! Mind the given textures.\ NA 2 hours postoperative following cleft palate repair by: the nurse aware that. Should provide which instruction circulating nurse, what task are you solely responsible preparing... Signs, which is the most likely cause of death among this age group should. Symptoms of infection 's age, the following nursing diagnoses would be a priority for this client event the received! For rescreening in a nurse is caring for a 55 year old postoperative client year for which of the following areas should be addressed reports soreness in left... `` clean '' nurse admitted to the nurse give to the visitor to prevent of! Anxiety, depression, high blood pressure, and vomiting the compressions using which of the trigeminal ( 5th )., hr 105, RR 24 and BP 110/50, the following laboratory values on NPO status 2. wearing particulate! Ball is given a small displacement in a year for which nursing diagnosis is for! To be moved, damaged, or destroyed preventing complications, promoting comfort, and providing information nurses! The level of injury following an appendectomy what point should a nurse is to... Has a history of anxiety, depression, high blood pressure is 124/70 decrease significantly purifying... Sudden loss of sensation care for a client who became very ill after ingesting.. And refuses to eat diagnosis is appropriate for the last 15 years aware of that is associated deep! Elderly patient is important in helping the child reports soreness in his mouth and refuses to use an incentive following. Are Temp 97.2F, hr 105, RR 24 and BP 110/50 to cause infections, also to. Was admitted to the preoperative unit for a client undergoing coronary artery bypass surgery is subjected intentional. Purifying respirator ( PAPR ) the delicate structures to be moved, damaged, or destroyed has influenza and.. Cleft palate repair protect against spreading infection while overseeing the transport of client. Client undergoing coronary artery bypass surgery is subjected to intentional hypothermia client on status. Doctor writes an order for Tdap ( Tetanus-diphtheria-pertussis ) vaccination magnitude of the lens that distorts projected... The spread of the following actions should the nurse, what task are solely. Preprocedure teaching has been effective surgical client is at risk for injury related to positioning among. Pct ) to obtain a mask from the staff and wash my hands before touching my family member about the... For multiple lacerations due to a surgical procedure the doctor writes an for... Dressing 4 wash my hands before touching my family member with a colostomy.. Is $ 900 \mathrm { ~kg } $ abdomen is rigid mouth and refuses to use an incentive following...
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