A nurse is accumulating statistics from a consumer who has a chest tube in region to a closed
three-chamber drainage system to treat a pneumothorax. The nurse need to discover which of
the following findings as a demonstration of malfunction? - ANSContinuous effervescent within
the water seal chamber.
A nurse is helping in the care of the purchaser who has manifestations of sepsis. Which of the
following issuer prescriptions have to the nurse put in force first? - ANSInitiate oxygen at 4L/min
via nasal cannula.
A nurse is reinforcing discharge coaching for the caregivers of a client who has Parkinson's
disorder. Which of the following statistics have to the nurse encompass in the coaching? -
ANSRemind the patron to avoid looking their ft when on foot.
A nurse is reinforcing teaching approximately glycosylated hemoglobin (HbA1c) trying out with a
patron who has diabetes mellitus. Which of the following statements shows that the client
understands the teaching? - ANS"I may have my HbA1c checked twice per 12 months."
A nurse is helping with the care of a consumer who has a newly-inserted water-seal closed
chest tube. Which of the following findings should the nurse file to the provider? - ANSChest
drainage is more than 70mL/hr.
A nurse is contributing to the plan of take care of a purchaser who has multiple sclerosis and is
taking dantrolene to manage muscle spasms. Which of the following interventions ought to the
nurse encompass? - ANSEncourage the client to finish ADLs.
A nurse is reinforcing discharge teaching with a consumer who has cirrhosis. Which of the
following instructions ought to the nurse consist of? - ANS"Consume foods which might be low
in sodium."
A nurse is reinforcing teaching with a consumer who has systemic lupus erythematous (SLE)
and is to begin taking methylprednisolone orally. Which of the subsequent statements must the
nurse encompass within the teaching? - ANS"Limit touch with huge businesses of humans."
A nurse is being concerned for a client who has a records of breast cancer. The purchaser asks
the nurse about delivery manage. Which of the following methods of beginning manipulate is
contraindicated for this consumer? - ANSCombination oral contraceptives
A home health nurse is reinforcing coaching with a consumer about stopping headaches of
peripheral vascular disease. Which of the subsequent statements indicates that the consumer is
adhering to the nurse's instructions? - ANS"I do not cross my legs anymore."
,A nurse is caring for a purchaser who's publish-op and has an epidural infusion. Which of the
following findings ought to the nurse apprehend as the priority? - ANSDyspnea
A nurse is reinforcing coaching about home care with a customer who has knee arthroplasty.
Which of the following elements have to the nurse become aware of as an illustration that a
barrier to gaining knowledge of might be present? - ANSThe client stops the. Nurse and asks for
ache medication.
A nurse is assisting with the care of a consumer who's receiving zero.9% sodium chloride by
using continuous IV infusion. The customer reports ache and swelling at the IV site. In which
order must the nurse carry out the subsequent steps? - ANS- Check the IV site
- Stop the infusion
- Withdraw the IV catheter
- Elevate the affected arm
- Notify the fee nurse
A nurse is reinforcing teaching with the caregiver of a client who has a cervical damage and has
a halo vest in vicinity. Which of the subsequent protection precautions ought to the nurse
encompass in the teaching? - ANSChange the sheepskin liner weekly.
A nurse is reinforcing coaching with a purchaser who is taking insulin glargine. Which of the
following statistics need to the nurse include in the teaching? - ANS"This type of insulin must be
given at the identical time each day."
A nurse is contributing to the plan of care for a patron who is having difficulty consuming
following a stroke. Which of the subsequent movements should the nurse take first? -
ANSImplement hints from the speech language pathologist.
A nurse is contributing to the plan of care for a client who has COPD and is dyspneic. Which of
the subsequent intervention need to the nurse encompass within the plan? - ANSEncourage
stomach respiration.
A nurse is discussing health screening recommendations with an older person consumer. Which
of the subsequent statements have to the nurse consist of? - ANS"You ought to have a
pneumococcal immunization every 10 years."
A nurse is reinforcing discharge coaching approximately wound care with the caregiver of a
purchaser who's postoperative. Which of the following instructions have to the nurse encompass
inside the coaching? - ANSReport purulent drainage to the issuer.
A nurse in an oncology sanatorium is reinforcing coaching about Mohs surgical operation with a
patron who has skin most cancers. Which of the subsequent data need to the nurse consist of
within the teaching? - ANSMohs surgery is a horizontal shaving of thin layers of the tumor.
, A nurse is reviewing the lab effects of a customer who is scheduled for a CT experiment with an
IV contrast agent. Which of the following lab findings must the nurse file to the issuer prior to the
method? - ANSCreatinine 1.9 mg/dL
A nurse is caring for a purchaser who has a prescription for phenazopyridine. Which of the
following findings should the nurse pick out as a healing effect of the drugs? - ANSDecreases
pain in the course of urination.
A nurse is getting ready to get rid of a consumer's NG tube. Which of the subsequent
interventions ought to the nurse take to decrease the risk for aspiration? - ANSPinch the NG
tube.
A nurse is amassing facts from a customer who has hypokalemia. Which of the following
findings have to the nurse pick out as the priority? - ANSDysrhythmia
A nurse is accumulating information from a patron and notices numerous skin lesions. Which of
the subsequent findings have to the nurse document as feasible melanoma? - ANSIrregular
borders
A nurse is reinforcing coaching with a patron who is on a low-sodium eating regimen and asks
approximately how to improve the taste of bland meals. Which of the following ingredients
should the nurse endorse? - ANSLemon juice
A nurse is participating in a fitness truthful for older person clients. Which of the following
vaccines must the nurse advise for this age institution? - ANSHerpes Zoster
A nurse is reinforcing coaching about joint safety with a customer who has an acute
exacerbation of rheumatoid arthritis. Which of the subsequent facts have to the nurse include
within the coaching? - ANSApply cols packs to the inflamed joints
A nurse is contributing to the plan of cared for a patron who has a brand new prescription for
nystatin suspension for oral candidiasis. Which of the subsequent interventions need to the
nurse consist of inside the plan? - ANSInstruct the patron to switch the medicine of their mouth.
A nurse is helping a client who reports difficulty falling asleep. Which of the following activities
have to the nurse propose sell sleep? - ANSListen to gentle track before snoozing.
A nurse is caring for a client who reviews stomatitis. Which of the subsequent dietary
suggestions must the nurse make? - ANS"Eat soft foods."
A nurse is caring for a patron who's in Buck's traction. Which of the following interventions need
to the nurse perform to lessen pores and skin breakdown? - ANSKeep the skin dry and freed
from perspiration.
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