Wood25

1. A male client with stomach cancer returns to the unit following a total gastrectomy. He has a nasogastric tube to suction and is receiving Lactated Ringer’s solution at 75 mL/hour IV. One hour after admission to the unit, the nurse notes 300 mL of blood in the suction canister, the client’s heart rate is 155 beats/minute, and his blood pressure is 78/48 mmHg. In addition to reporting the finding to the surgeon. Which action should the nurse implement first? a. Measure and document the cl...

1. Assessing orientation to person, place, and time helps determine State of consciousness 2. under most conditions, adult patients should be able to repeat a series of numbers. five to eight 3. Recent memory may be tested by showing the patient four items and asking him or her to list the items about 10 minutes later 4. Which condition is considered progressive rather than reversible? Dementia 5. An older adult is administered the Set Test and scores a 14. The nurse inte...

1. A client is brought to the emergency department following a motor-vehicle crash. Drug use is suspected in the crash, and a voided urine specimen is ordered. The client repeatedly refuses to provide the specimen. Which of the following is the appropriate action by the nurse? a. Tell the client that a catheter will be inserted. b. Document the client’s refusal in the chart. c. Assess the client for urinary retention. d. Obtain a provider’s prescription for a blood alcohol level. 2. A n...

1. A nurse is caring for a client who has left lower atelectasis. in which of the following positions should the nurse place the client for postural drainage? a. Supine and low-Fowler's position b. Right lateral in Trendelenburg position c. Side lying with the right side of the chest elevated d. Prone with pillows under the extremities 2. A nurse is caring for a client who is scheduled to have his alanine aminotransferase (ALT) level checked. The client asks the nurse to explain the la...

A client with eczema is using an OTC topical product with urea 10% OTC (Aqua Care Cream) to the affected skin areas. Which finding reflects the expected therapeutic response. A. Hydration of affected dry skin areas B. Healing with a return to normal skin appearance C. Reduced pain in eczematous areas D. Decreased weeping of ulcerations in affected area A male client who reports feeling chronically fatigued has a hemoglobin of 11.0 grams/dl (110 mmol/L or SI), hematocrit of 34% and mi...

Billy Johnson 13 yo “I hate school” With his mother Observations ● Fidgeting ● Warm, dry skin Last Visit One year ago, billy was seen for his well check. He was noted to be a little hyperactive at times; his parents had recently divorced and he was a little irritable and frustrated with having to go between his mother’s and father’s house. Had difficulty following his coach’s directions. Father has a history of cocaine abuse. History 1. How can I help you today? a. M...

1. muscle weakness increase uncordination confusion apathy incoherence decreased clotting Pneumothorax interventions MS physical assessment Frsotbite physical assessment Moderate hypothermia symptoms 2. worst headache ever subarachnoid hemorrhage symptom Spinal Cord Injury Intervention Right hemisphere stroke changes Guillian Barre Syndrome patho 3. infection vaccine autoimmun e ARF ABG's GBS causes ...

Question 51 The novice advanced practice psychiatric nurse working as a new nurse psychotherapist may become increasingly aware of being incompetent as progress is made. According to the Stages of Learning model the advanced practice psychiatric nurse is in which stage of learning? A. Unconscious incompetency B. Conscious incompetency C. Conscious competency D. Unconscious competency Question 52 According to Freud, failure to successfully accomplish the tasks of learning independence a...

1. A male client with stomach cancer returns to the unit following a total gastrectomy. He has a nasogastric tube to suction and is receiving Lactated Ringer’s solution at 75 mL/hour IV. One hour after admission to the unit, the nurse notes 300 mL of blood in the suction canister, the client’s heart rate is 155 beats/minute, and his blood pressure is 78/48 mmHg. In addition to reporting the finding to the surgeon. Which action should the nurse implement first? a. Measure and document the cl...

1. Assessing orientation to person, place, and time helps determine State of consciousness 2. under most conditions, adult patients should be able to repeat a series of numbers. five to eight 3. Recent memory may be tested by showing the patient four items and asking him or her to list the items about 10 minutes later 4. Which condition is considered progressive rather than reversible? Dementia 5. An older adult is administered the Set Test and scores a 14. The nurse inte...