C121 (C121)

NR 302 Use the scenario below to fill in the Braden Scale for Predicting Pressure Sore Ris NR 302 Use the scenario below to fill in the Braden Scale for Predicting Pressure Sore Risk®.John (pronouns: he/him/his) is a 78-year-old resident at a local nursing home. Due to a stroke, he has decreased sensation on his left lower leg, which makes it difficult for him to walk long distances without assistance. He can shift his weight to change positions slightly and can reposition his left leg indepen...

NR 304 A client will be discharged with a prescription for client education and medication NR 304 A client will be discharged with a prescription for client education and medications. Which instructions should the client receive regarding the prescription for trimethoprim-sulfamethoxazole 160 mg / 800 mg twice daily? Select all that apply. Call if a sore throat or unusual bruising occurs. Take medication until feeling better. Use sunscreen and protective clothing while in direct sunlight. ...

NR 304 As the respiratory therapist (RT) leaves for the emergency department, the nurse re NR 304 As the respiratory therapist (RT) leaves for the emergency department, the nurse re-enters Charley™s room to reassess her. Focused assessment findings include respirations of 22 per minute and no longer labored; oxygen saturation of 90% on 2 L oxygen per nasal cannula; oriented X4 (person, place, time, and situation); lung sound decreased in all fields; Charley reports being more relaxed and havi...

NR 304 At 00:25, the nurse contacts the respiratory therapist (RT) and requests that an or NR 304 At 00:25, the nurse contacts the respiratory therapist (RT) and requests that an ordered PRN (as needed) breathing treatment needs to be administered. At 01:05, the RT exits the room and mentions to the nurse that the client is sleeping, and they will check on a new client in the intensive care unit and return in 45 minutes to administer the breathing treatment. The nurse looks in on Charley and no...

NR 304 The client reports numbness and tingling extending from the middle of the right ant NR 304 The client reports numbness and tingling extending from the middle of the right anterior thigh down to the right big toe and has a health history of elevated A1C, a decrease in hearing functioning with age, cataracts, and hypertension. The nurse is providing education to the client about lifestyle and the nervous system. Which statements about lifestyle made by the client indicate understanding? Se...

NR 304 The nurse ascultates a murmur that was not previously documented. What additional q NR 304 The nurse ascultates a murmur that was not previously documented. What additional questions will the nurse ask the client related to the murmur? Select all that apply.    Do you have a history of cardiac valve disease?    œWhen was your last chest x-ray?    œHow long has your foot been cool to the touch?    Have you ever been told you have a heart murmur?    œHave...

NR 304 The unlicensed assistive personnel (UAP) reports to the nurse that a client is repo NR 304 The unlicensed assistive personnel (UAP) reports to the nurse that a client is reporting pain and tingling in their right hand that started about 10 minutes ago. The nurse knows the client had an arterial blood gas (ABG) sample taken from their right brachial artery within the past 20 minutes. Which additional assessment data should the nurse anticipate if this client is experiencing an acute arter...

NR 304 Thirty minutes after applying the pulse oximeter, the nurse hears an alarm in Charl NR 304 Thirty minutes after applying the pulse oximeter, the nurse hears an alarm in Charley™s room. When the nurse enters the room and calls Charley™s name, there is no response. The nurse initiates an assessment and notes that Charley is unresponsive to shaking and shouting; her oxygen saturation is 78% on 2 L oxygen per nasal cannula; respirations are shallow and rapid; circumoral cyanosis is pres...

NR 325 1 Model Case on environmental theory created by the student and discussed substanti NR 325 1 Model Case on environmental theory created by the student and discussed substantively by demonstrating within the case each of the following areas:DefinitionAll identified attributesModel Case on Environmental TheoryThe Environmental Theory, proposed by Florence Nightingale, emphasizes the impact of the environment on a patient's health. It suggests that the environment can be altered to improve...

NR 325 Antecedent and Consequence of environmental theory ï‚·1 antecedent¯of environmental NR 325 Antecedent and Consequence of environmental theory ï‚·1 antecedent¯of environmental theory.ï‚·1 consequence¯of environmental theory.ï‚·Support from nursing literature is required.Antecedent of Environmental TheoryThe Environmental Theory was developed by Florence Nightingale, a pioneer in the field of nursing. The primary antecedent to this theory was the observation of the s...