Tippingperotta

A nurse on a Medical Surgical unit is caring for a group of clients. The nurse should notify the rapid response team for which of the following clients? A. Client who has a pressure injury of the right heel whose blood glucose is 300mg/dL B. Client who reports right calf pain and shortness of breath C. Client who has blood on a pressure dressing in the femoral area following a cardiac catheterization D. Client who has dark red coloration of left toes and absent pedal pulse - B. Client who re...

MULTIPLE CHOICE 1. Which is true regarding perinatal nurses? a. They provide care for only childbearing persons and babies. b. They require advanced practice education beyond an entry to practice degree. c. They work with patients and families from preconception throughout the child-bearing year. d. They provide care for families with children up to age 18 years. ANS: C Perinatal nurses are those nurses who work collaboratively with patients and families from the preconception period th...

Newborn Pulse Rate - 80-180/min depending on activity 1 week to 3 months pulse rate: - 80-220/min 3 months to 2 years pulse rate: - 70-150/min 2-10 years pulse rate: - 50-90/min Newborn to 1 year respirations: - 30-35/min 1 to 2 years respirations: - 25-30/min 2 to 6 years respirations: - 21-25/min 6 to 12 years respirations: - 19-21/min 12 years and older respirations: - 16-19/min Temperature for age 3-6 months: - 37.5 C (99.5 F) Temperature for age 1 year: - 37.7 ...

a nurse is caring for a client who has restraints to each extremity. Which of the following assessments should the nurse perform first? - comfort level a charge nurse is monitoring the documentation of the medication by a Newley licensed nurse. The charge nurse should intervene if the Newley licensed nurse uses which of the following - SS for sliding scale or MS for magnesium sulfate a nurse is caring for a client who has TB. Which of the following precautions should the nurse plan to impl...

Serous - Consists of serum, water (fluid from a blister) Sanguineous - Large amount of deep dark blood (open wound) Serosanguineous - Bright red blood Purulent - Puss like, greenish/yellow Purosanguineous - Puss and blood (milky blood) pressure ulcer or decubitus ulcer - consists of injury to the skin and/or underlying tissue, usually over a bony prominence, as a result of force or movement. Pressure ulcers are due to localized ischemia (a deficiency in the blood supply to the tis...

Laceration - Tissue torn apart often by accidents Abrasion - Surface scrape either unintentional or intentional Contusion - Blow from a blunt instrument Avulsion - A wound that occurs when tissue is separated from the body Penetrating wound - Penetration of the skin and underlying tissue Skin tear - a break or rip in the outer layers of the skin; the epidermis separates from the underlying tissues Labs associated with wounds - WBC > hEMOGLOBIN < (O2 TO TISSUE) SERUM PRO...

A nurse in a provider's office is caring for a client who states that, for the past week, "I have felt tired during the day and cannot sleep at night." Which of the following responses should the nurse ask when collecting data about the client's difficulty sleeping? (Select all that apply) A. "Have your working hours changed recently?" B. "Do you feel confused in the late afternoon?" C. "Do you drink coffee, tea, or other caffeinated drinks? If so, how many cups per day?" D. "Ha...

1. A nurse observes an assistive personnel (AP) reprimanding a client for not using the urinal properly. The AP tells the client that diapers will be used next time the urinal is used improperly. Which of the following torts is the AP committing? A. Assault B. Battery C. False imprisonment D. Invasion of privacy - A. Assault Chapter 4 2. A nurse is caring for a competent adult client who tells the nurse, "I am leaving the hospital this morning whether the doctor discharges me or not...

A nurse is discussing with a client who has a sudden onset of severe back pain from unknown origin. What question should the nurse ask to encourage discussion with the client? - "What do you think caused the onset of your pain?" A nurse is caring for a client who has a history of dysrhythmias. Upon entering the room, the nurse discovers that the patient is unresponsive to verbal or painful stimuli, has no respirations, and is pulseless. What action should the nurse take first? - start chest...

A nurse is assessing a client who has an acute respiratory infection, increasing the risk for hypoxemia. Which of the following findings are early indications that should alert the nurse that the client is developing hypoxia? (Select all that apply) a. Restlessness b. Tachypnea c. Bradycardia d. Confusion e. Hypertension - a, b, d, e A provider is discharging a client who has a prescription for home oxygen therapy via nasal cannula. Client and family teaching by the nurse should include ...