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The nurse is assessing a patient with advance cirrhosis. The nurse should be alert for which sign of hepatic deterioration correct answers Altered Level of Consciousness This scenario describe hepatic encephalopathy. This cause central nervous system toxicity, Leading to Altered Level of Consciousness, Confusion, and coma Hepatic encephalopathy correct answers The loss of brain function when a damaged liver doesn't remove toxins from the blood. Cirrhosis correct answers Chronic liver ...

A nurse has recently been assigned to a medical-surgical clinical rotation. According to the scope of medical-surgical nursing, what type of client assignments does the nurse expect to see? A. Hospitalized children with acute and chronic illnesses B. Hospitalized adults with acute and chronic illnesses C. Older adults in a nursing home D. Working adults in a corporate setting correct answers B. Hospitalized adults with acute and chronic illnesses Rationale The scope of medical-surgical n...

A patient has a nursing diagnosis of ineffective airway clearance related to retained secretions, excessive mucus, and ineffective cough as evidenced by adventitious breath sounds. What should the nurse include in the NCP as an appropriate NOC outcome and NIC intervention for this nursing diagnosis? 1. Aspiration Prevention (NOC) and Aspiration Procedures (NIC) 2. Respiratory Status: Gas Exchange (NOC) and Oxygen Therapy (NIC) 3. Respiratory Status: Ventilation (NOC) and Respiratory Monitor...

A correct answers The nurse includes which nursing diagnosis in the plan of care for the patient admitted with pneumonia? A. Anxiety related to hypoxia B. Deficient knowledge related to cause of disorder C. Fear related to the threat of pain D. Ineffective breathing pattern related to decreased surfactant C correct answers The nurse is reviewing orders on the patient who is to receive supplemental oxygen. It is a priority for the nurse to follow up with the provider about which ord...

The nurse assesses a surgical patient the morning of the first postoperative day and notes redness and warmth around the incision. Which action by the nurse is most appropriate? a. Obtain wound cultures. b. Document the assessment. c. Notify the health care provider. d. Assess the wound every 2 hours correct answers Answer: B Rationale: The incisional redness and warmth are indicators of the normal initial (inflammatory) stage of wound healing by primary intention. A 24-year-old patie...

Which patients are at risk for fluid volume excess? A. 64 year old male with a diagnosis of kidney failure B. 46 year old male who is training for a marathon C. 35 year old male with diarrhea and vomiting for the past 2 days D. 83 year old female with a diagnosis of a stroke and has trouble talking correct answers A Which solution is considered a hypertonic IV solution? A. 0.9% sodium chloride B. Total parenteral nutrition C. 0.45% sodium chloride D. Lactated Ringers solution correc...

A new nurse is working with a preceptor on an inpatient medical-surgical unit. The preceptor advises the student that which is the priority when working as a professional nurse? a. Attending to holistic client needs b. Ensuring client safety c. Not making medication errors d. Providing client-focused care correct answers ANS: B All actions are appropriate for the professional nurse. However, ensuring client safety is the priority. Up to 98,000 deaths result each year from errors in hospital...

Nurse that coordinates and documents pt care in the operating room correct answers circulating nurse Pt often have alteration in mental status when suffering from this urinary disorder correct answers urosepsis the lab work order to monitor the effectiveness of Synthroid dosage correct answers TSH most serious complication of casting and splinting which occurs when increased pressure within a confined space compromises blood flow and low perfusion correct answers compartment syndrome ...

1. A patient is being admitted to the hospital on the day before a scheduled surgery. What is the most appropriate initial question for the nurse to ask this preoperative patient? a) "What did your surgeon say to you about the type of surgery you are having?" b) "What questions do you have about your surgery?" c) "What type of surgery are you having and why are you having it done?" d) "What do you know about what will be done to you?" correct answers c) "What type of surgery are you...

One hour after admission to the post anesthesia care unit (PACU), the postoperative patient has become very restless. What is the nurse's first action? A. Assess the oxygen saturation level B. Administer pain medication as ordered C. Call the surgeon to assess the patient D. Assess for bladder distention correct answers A Patient asks nurse what does this "thing" do and why do i have to use it. Nurse explains that using this thing (incentive spirometer) A. "The spirometer will help p...