A Nurse Is Caring For A Group Of Clients Which Of The Following Findings Should The Nurse Report

13 hprd recommended by the expert panel held at the John A. A nurse is caring for a client who was admitted to the unit 3 hr ago following a total hip arthroplasty. Increase In Heart Rate D. The nurse understands that which client would be the least likely candidate for parenteral nutrition (PN)? 1. This 40-item NCLEX practice quiz is the start of an exam series covering different or random topics about nursing. Which of the following should be included in the discharge plan? c. malnutrition is associated with alcoholism. Skin integrity. To make sure you're aware of other team members' communications about the patient, find out the goals of therapy for your patient when obtaining report. Loss of peripheral vision****** B. The nurse should plan to monitor for and report which of the following findings to the provider immediately? A. Then, the facility or agency is reimbursed for the specific care you provide after the care has already been provided and documented. Which of the following findings should the nurse report to the provider? Consolidation in lower lobes by chest x-ray Left shift in the WBC differential-shows that infection is actually bacterial rather than viral Oxygen saturation 91% Orthostatic hypotension A nurse is providing care. A nurse is caring for a client who is taking phenytoin (Dilantin) for control of seizures. A client experiencing a tension pneumothorax. Cover the burns with sterile dressings. Reassess the fetal heart tones c. Which of the following nursing interventions is most appropriate during the first 48 hours after the injury?. Which is an example of a. A high school diploma is not generally required for employment as a home health aide or personal assistant. Roles and Function of a Nurse 1. Which of the following information should the nurse include in the. In addition to. interactions with clients through a caring, sensitive, confident and reassuring manner 1. The nurse hears a client calling out for help, hurries down the hallway to the client's room, and finds the client lying on the floor. A client experiencing a tension pneumothorax. •M foortoni r side effects such as burning sensations, excessive perspiration,chills and fever,nausea and vomiting,or diarrhea. A nurse is caring for a client who has an aggressive form of prostate cancer. Both fontanels show molding. expressive affect d. A nurse is caring for a client with a pressure ulcer on the right heel near two o'clock. a client who is schedule for discharge and required wound care teaching b. Increase In Urine Output C. The nurse places highest priority on which item as part of the client's care plan? A. NURSING 240A and B ATI All Questions and Answers A nurse is planning to improve self-feeding for a client who has vision loss. Fact - information about clients and their care must be factual. Peripheral edema. A nurse in a long-term care center is caring for an adult client who has Alzheimer's disease and whose partner died several years ago. However, many hospitals and healthcare facilities prefer a BSN; this is one of the reason why the RN to BSN program has become so popular for current working nurses. the facility or agency pays up front for the care of each client. Correct response: Notify the physician. in a crowded environment. A nurse is caring for four clients. hypertension and bradycardia 3. expressive affect d. Which parameter would the nurse use for assessment if this patient were to become. A client with a cast on the right leg who states, "I have a funny feeling in my right leg. A client with mitral valve prolapse is advised to have elective mitral valve replacement. 6 (Kunyk & Olson, 2001). In one study of the work undertaken after death, the care of the body is described as an essential, hidden and generally unacknowledged element of palliative care. in an industrial setting. The nurse is implementing evidence-based practice. 0 D- Mediastinal drainage 100 ml/hr. Which of the following statements should the nurse identify as an. Dim The Lights In The Clients Roomc. What should the nurse plan to do if she is caring for a male client with a chest tube and if the chest What is the best initial nursing action for Maegan to take if Angelina, an R. When caring for a client with a central venous line, which of the following nursing actions should be implemented in the plan of care for chemotherapy administration? Select all that apply. A client is admitted for an MRI. Describe the direct-care nurse's role in staffing. Decreased. Which of the following interventions should the nurse implement when the next scheduled TPN solution is temporarily unavailable? A. WHich client should the nurse assess first after receiving th emorning report? THe nurse is a long. Chapter 4 Foundations of Nursing Practice Review Questions with Answers and Rationales Questions Note: Thousands of additional practice questions are available on the enclosed companion CD. Decrease In Perspiration A Nurse Is Monitoring A Client Who Received 3 Units Of Packed Red Blood Cells (PRBCS) For. Monitoring clients vital statistics and reporting abnormal findings to the case manager and physician Administration of medications, feedings, oxygen, ostomy care as needed per client's plan of care. Immediately post-op, the nurse should: Maintain the client in a semi-Fowler's position with the head and neck supported by pillows. The nurse should recognized that which of the following clients is at risk for a vitamin 56 deficiency? a client […]. A nurse is caring for a client who was admitted to the unit 3 hr ago following a total hip arthroplasty. Case manager c. Components of hospice care programme include the following: Client and family as the unit of care. A client is being transferred from the recovery room to the medical surgical nursing unit. Heart rate does not recover after 90 seconds. Which of the following clients should the nurse see FIRST? NCLEX practice questions | Videos. A nurse conducts a health fair for high blood pressure screening. When the nurse asks if the client would like to discuss any concerns, the client declines. Which of the following findings should be nurse's priority concern? Oxygen saturation of 90% on oxygen at 2 L per nasal caannula A nurse is caring for a client who has a radial head fracture. And in the event of an emergency, the need for nurses to respond quickly and deliver competent patient care is magnified. A nurse is caring for a group of clients on a unit. Fact - information about clients and their care must be factual. maintain its patency following ESWL or other lithotripsy pro-cedures. Osteoporosis. Nursing malpractice occurs when a nurse fails to competently perform his or her medical duties and that failure harms the patient. RNs work in therapeutic and professional relationships with individuals, as well as with families, groups and communities. A nurse working in a pediatric clinic is caring for a preschool-aged child who has a new diagnosis of ADHD. NR 324 Adult Health 1 Study Guide (2019-20 Miles) A nurse is caring for a client who requires a 24-hr urine collection. A school nurse is discussing levels of prevention with a teacher. A record should contain descriptive, objective information about what a nurse sees, hears, feels and smells; Accuracy - information must be accurate so that health team members have confidence in it; Completeness - the information within a record or a report should be. The client with Cushing's syndrome. Which of the following findings should the nurse address first? A. Nurses communicate with the. The nurse understands that which client is at highest risk for the development of a potassium value at this level?. The nurse understands that which client is at highest risk for the development of a potassium value at this level? 1. If you are studying the inservice on your own, please do the following: you to REPORT to the nurse or your supervisor and RECORD your. A client experiencing a tension pneumothorax. A 20-year-old construction worker has been brought into the emergency department with heat stroke. Which of the following findings should indicate to the nurse that the therapy has. , reports working looking. In addition, exposing a newborn to secondhand smoke increases the likelihood of neonatal illness and death (American Cancer Society, 2013). The nurse should question the client regarding: Pregnancy. The nurse is caring for a client who is exhibiting symptoms of tachypnea and circumoral paresthesias. the nurse's use of social media to discuss workplace issues outside of work on home computers, personally owned phones and other handheld electronic devices. Option d dismisses the client's feelings. The Nurse Ensures That The Client Has Breakfast By Which Time? A. A nurse receives a change of shift report at 0700 for an assigned caseload of clients. The nurse understands that which client is most at risk for the development of a potassium value at this level? 1. The nurse caring for a group of clients reviews the electrolyte laboratory results and notes a potassium level of 5. Alcoholism-rationale: the normal serum phosphorus level is 2. Choose an answer. In the preoperative period, the priority nursing action would be to monitor: Vital signs: A nurse is caring for a client following thyroidectomy and is monitoring for signs of thyroid storm. Leader practice &NewLine. Loss of peripheral vision****** B. The patient who just was placed on a fluid restricted diet. : Fundamentals of Nursing, 9th Edition. A nurse is caring for a client who was admitted to the unit 3 hr ago following a total hip arthroplasty. Employment of registered nurses is projected to grow 12 percent from 2018 to 2028, much faster than the average for all occupations. Which of the following should be included in the discharge plan? c. Administer Methyphenidate To The Client2. Gofal da gan nyrsys a bydwragedd (Welsh). However, many hospitals and healthcare facilities prefer a BSN; this is one of the reason why the RN to BSN program has become so popular for current working nurses. Which of the following information should the nurse include in the. The nurse is caring for a client with a severe burn who is scheduled for an autograft to be placed on the lower extremity. A nurse on a pediatric unit is assisting with the care of four clients. The nurse performs an assessment, assists the client back to bed, notifies the health care provider of the incident, and completes an incident report. The role of nurse to support the terminal patient and to secure the patient's well-being is a complex one and should be seen as a holistic care system consisting of the following elements: 1. Which client should the nurse identify as least prone to developing problems with anger management? A) A child raised by a physically abusive parent B) An adult with a frontal lobe injury secondary to a motor vehicle accident C) A young adult living in the ghetto of an inner city. Takes the client's blood pressure: A nurse is caring for a client with pheochromocytoma. care environments that produce desirable outcomes becomes critical. These exams are made to truly challenge how well you know the concepts behind nursing and to sharpen your critical thinking and problem-solving skills. 4 Included in this report was reference to concerns about the safety of chemotherapy and to promote nurse-led care within this culture was a clear endorsement of the value of nurse led care. Medication Aide Registry and the N. Peripheral edema. Assessing for return of gag reflex: D. We have an exciting opportunity to join our team as a Nurse Practitioner. WHich client should the nurse assess first after receiving th emorning report? THe nurse is a long. The nurse is caring for the client receiving Amphotericin B. Dementia in Assisted Living and Nursing Homes, which critiques evidence on interventions designed to improve dementia care. A 19-year-old with a fever of 103. While assessing a client in the emergency department, the nurse identifies that the client has been raped. A client is being cared for after a traumatic brain injury. Encourage the client to increase oral intake of fluids to 4 oz every hour. Contraction is tightening of the muscle of the uterus. 5 mEq/L on one client's laboratory report. The nurse is caring for a group of adult clients on an acute care medical-surgical nursing unit. What action should the nurse perform first? a. The client's serum potassium level was 4. Elevate and immobilize the grafted extremity. Provide an adaptive feeding device for the client. A nurse conducts a health fair for high blood pressure screening. Which of the. The nurse should plan to monitor for and report which of the following findings to the provider immediately? A. Which of the following findings should be nurse's priority concern? Oxygen saturation of 90% on oxygen at 2 L per nasal caannula A nurse is caring for a client who has a radial head fracture. A home nurse is speaking to a group of acute care nurses about domestic violence. Which is an example of a. Fact - information about clients and their care must be factual. A nurse in a health clinic is reviewing contraceptive use with a group of adolescent clients. Caregiving encompasses the physical, psychosocial, developmental, cultural and spiritual levels. Increase In Urine Output C. which of the following findings should the nurse expect? a. The physician has prescribed cortisone, a corticosteroid, to the patient. Maintain the client in a prone position. These exams are made to truly challenge how well you know the concepts behind nursing and to sharpen your critical thinking and problem-solving skills. Which of the following statements by an adolescent reflects an understanding of the teaching? 2. South Bend, IN: Author. Respiratory rate 16/min C> Negative Chvostek's sign D. Rapidly lift and move a client away from the source of the fire when their slippers are on fire. Assessment findings in a client abusing opiates, such as morphine, include:. Medication Aide Registry: Nursing homes must verify that medication aides are listed in good standing on both the N. What should be the nurse's first course of action? a. The first thing that the nurse should do when using a fire extinguisher to put out a small fire is to aim the fire extinguisher at the base of the fire. Which of the following clients should the nurse see FIRST? A. Identifying Expected Physical, Cognitive and Psychosocial Stages of Development. Explanation: Question 2 See full question Performance improvement is an important component of continuous quality improvement. Fall prevention involves managing a patient's underlying fall risk factors and optimizing the hospital's physical. Explanation: Question 2 See full question Performance improvement is an important component of continuous quality improvement. care environments that produce desirable outcomes becomes critical. a client who is schedule for discharge and required wound care teaching b. Every voice matters: The bottom line on employee and physician engagement. Burn injury is the result of heat transfer from one site to another. For which of the following conditions of the patient should the nurse be cautious about before administering the drug? CHF. The client's serum potassium level was 4. The client appears upset and asks the nurse when his partner will visit again. The client spontaneously flexes his wrist when the blood pressure is obtained. Nurse Aide I Registry, and have no substantiated findings on the N. If you are studying the inservice on your own, please do the following: you to REPORT to the nurse or your supervisor and RECORD your. Assessing for return of gag reflex: Address ABC. Immediately post-op, the nurse should: Maintain the client in a semi-Fowler's position with the head and neck supported by pillows. Student nurses are found to be on the verge of developing the sense of responsibility for the health and well-being of others as having been introduced to the threshold of clinical practice at early adulthood. Which of the following phone calls should the nurse return first? A. following assessment findings should the nurse recognize as the highest. The nurse is caring for a client following removal of the thyroid. Registered nurses who assign, delegate and/or provide nursing care to clients and groups of clients must report all significant changes that occur in terms of the client and their condition. NUR 2407 ATI Pharmacology Online Practice A, B A nurse is caring for a client who has sickle cell anemia and is taking hydroxyurea. 5 mEq/L yesterday. Which of the following assessment findings should the nurse recognize as the priority to report to the charge nurse? A client who is 2 days postoperative and has a urine output of 20 mL/hr. Nursing malpractice occurs when a nurse fails to competently perform his or her medical duties and that failure harms the patient. Massachusetts Nurse of the Future Nurse of the Future: Nursing Core Competencies consist of the following: n Patient-Centered Care n Leadership n Communication n Professionalismn Systems-Based Practice n Teamwork and Collaboration n Informatics and Technology n Safetyn Quality Improvement. Stop the oxytocin infusion d. Which of the following findings should indicate to the nurse that the therapy has. From a legal perspective, which of the following actions should the nurse take next?. In caring for a patient on droplet precautions, the nurse should routinely use: particulate filtration masks and gowns: A nurse is caring for a patient who has a large abdominal wound that requires a sterile saline soak and dressing. A 66-year-old client with extensive burns 2. Clinical expertise 3. For example, smoking cigarettes during pregnancy is known to be harmful to the fetus. in an industrial setting. Client receiving heparin continuous IV infusion and warfarin 5 mg PO daily. The nurse should plan to monitor for and report which of the following findings to the provider immediately? A. Which of the following is not a component of this process? 1. which of the following client findings should the nurse report A- Temp 98. If the client is made to feel inferior, he or she will AND ANALYSIS. The patient who is disoriented to time, place, and person. The posterior fontanel is open. A 12-year-old oozing blood from a laceration of the left thumb due to cut on a rusty metal can. • Limit visits to 10 to 30 minutes, and have visitors sit at least 6 feet from the client. This study examined the lived experiences of student nurses during their clinical practice from the phenomenological point of view of nine student nurses. You Selected: fluids infusing including rate and type of fluid type of surgery current vital signs amount of blood loss. Positive Trousseau's. Measuring the patients self-care ability, deploying a standardized nurse guiding patient education program that includes telephone follow up is suggested in the evidence can result in decreased admissions and improved health outcomes. The patient requires immobilization during the healing process. the client is experiencing hypophosphatemia. The nurse caring for a group of clients reviews the electrolyte laboratory results and notes a potassium level of 5. Which of the following diets should the nurse recommend to the client? High. The physician has prescribed cortisone, a corticosteroid, to the patient. NURSING DATA COLLECTION. expressive affect d. However, if a pregnant woman or new mother refuses to. The client with colitis. Which of the following assessment findings should the nurse recognize as the priority to report to the charge nurse? A client who is 2 days postoperative and has a urine output of 20 mL/hr. Nurses communicate with the. Which of the following findings should the nurse ID as an indication that the child is developing syndrome of inappropriate antidiuretic hormone secretion?. A nurse is caring for a client with limited had movement. A 66-year-old client with extensive burns 2. " Knowledge represents the science of nursing, and caring represents the art of nursing. Medication Aide Registry: Nursing homes must verify that medication aides are listed in good standing on both the N. Potter et al. Both fontanels show molding. Based on this information, the nurse determines that the client’s symptoms are most likely associated with which electrolyte imbalance?. Which of the following interventions should the nurse include in the plan of care? A nurse is planning an education session for an older adult client who has just learned that she has type 2 diabetes mellitus. 1) A nurse in a delivery room is assisting with the delivery of a newborn infant. A comprehensive study involving other public, private, and specialized hospitals could yield more conclusive data. The nurse should advise clients in a smoke filled room to open the windows. It takes a lot of work, but conducting nursing research projects at your facility can result in significant changes in the nursing field. American Nurse Today, wrote an editorial in honor of Nurses Week entitled, "Celebrating the Art and Science of Nursing. In addition to. Leader practice &NewLine. A client is admitted for an MRI. The importance of nurse staffing to the delivery of high-quality patient care was a principal finding in the landmark report of the Institute of Medicine's (IOM) Committee on the Adequacy of Nurse Staffing in Hospitals and Nursing Homes: "Nursing is a critical factor in determining the quality of care in hospitals and the nature of patient outcomes" 1 (p. When instructing nursing assistants in the care of the client, the nurse should emphasize that A) The client should remain on bed rest in a semi-Fowler's position B) The client should alternate ambulation with bed rest with legs elevated. A nurse is collecting data from an older adult client. A nurse is providing care for three clients on a medical unit, two of whom are significantly more acute than the third. However, if a pregnant woman or new mother refuses to. A nurse caring for a group of clients reviews the electrolyte laboratory results and notes a potassium level of 5. The nurse performs an assessment, assists the client back to bed, notifies the health care provider of the incident, and completes an incident report. Lab values are aPTT 98 seconds and INR 1. Communicate findings in your assessment that will be used to inform members PCP of potential gaps in care. A nurse is caring for a group of clients on a unit. A 35-year-old client who has a diagnosis of tuberculosis informs the. The nurse should report this value to the provider for further evaluation, as the client might be showing early signs of diabetes mellitus. Which of the following findings should the nurse consider abnormal? NCLEX practice questions. Provide an adaptive feeding device for the client. A nurse is collecting data from an older adult client. place the client in a lateral position. METHODS This scoping study was guided by Arksey and O′Malley's methodology to review existing literature. Verify patency of the line by the presence of a blood return at regular intervals. ambivalence b. Which of the following findings should the nurse address first? A. The nurse is caring for a group of adult clients on an acute care medical-surgical nursing unit. Programs such as these help the client develop risk factor management strategies, maintain a program of super-vised activity, and gain coping skills. Which of the following is the highest priority action participate in. , reports working looking. Many nurses will have few contacts with these patients, while those in primary care and in respiratory wards will have frequent contacts. following assessment findings should the nurse recognize as the highest. hypertension and bradycardia 3. Nurses often provide care in this way for other patient groups. What the Code means for employers. Encourage rest, avoidance of bronchial irritant, and a good diet to facilitate recovery. The nurse should report this value to the provider for further evaluation, as the client might be showing early signs of diabetes mellitus. Which indicates the client has a detached retina 4. The nurse understands that which client is most at risk for the development of a potassium value at this level? 1. A nurse is caring for a 15 year old client following a head injury. The nurse is caring for a client who has been in good health up to the present and is admitted with cellulitis of the hand. To examine the effects of nurse staffing and organizational support for nursing care on nurses' dissatisfaction with their jobs, nurse burnout, and nurse reports of quality of patient care in an international sample of hospitals. This study examined the lived experiences of student nurses during their clinical practice from the phenomenological point of view of nine student nurses. What should be the nurse's first course of action? a. The role of the nurse in caring for patients with COPD is, to a large extent, dependent on her area of work. maintain its patency following ESWL or other lithotripsy pro-cedures. The nurse should recognized that which of the following clients is at risk for a vitamin 56 deficiency? a client […]. What action should the nurse perform first? a. 1) A nurse in a delivery room is assisting with the delivery of a newborn infant. " However, the client is very agitated. 7 Demonstrate politeness, respect and empathy in all interactions with clients, family and carers 1. 2 Evaluate the infl uence of nursing research on current nursing and health care practices. COLLECTING SUBJECTIVE DATA is an. Irregular pulse C. A nurse is caring for a client who has an aggressive form of prostate cancer. Nurse Aide I Registry, and have no substantiated findings on the N. Monitor the client for symptoms of shakiness and confusion. Meningitis can be the primary reason a patient is hospitalized or can develop during hospitalization. This evidence-based checklist covers the steps nurses should take when responding to an emergency. expressive affect d. A nurse who provides care for older adults is aware of the high incidence of drug interactions in this population. Certain factors predispose patients to TBI even when CT findings are negative. A nurse is caring for a group of clients. Assessment findings in a client abusing opiates, such as morphine, include:. Encourage the client to turn her head side to side, to promote drainage of oral secretions. Which of the following findings should be nurse's priority concern? Oxygen saturation of 90% on oxygen at 2 L per nasal caannula A nurse is caring for a client who has a radial head fracture. In caring for a patient on droplet precautions, the nurse should routinely use: particulate filtration masks and gowns: A nurse is caring for a patient who has a large abdominal wound that requires a sterile saline soak and dressing. •M foortoni r side effects such as burning sensations, excessive perspiration,chills and fever,nausea and vomiting,or diarrhea. Which of the. In Option b, the nurse is telling the client what to think and feel. A nurse is caring for a 78-year-old patient with rheumatoid arthritis. Nursing Responsibilities teca l•P he client in a private room. A nurse is caring for a client who requests pain medication. in a crowded environment. A nurse is caring for a group of clients on a medical-surgical unit. A home nurse is speaking to a group of acute care nurses about domestic violence. A 66-year-old client with extensive burns 2. Paresthesia in the dermatomes near the wounds. Final Ati Questions. A Nurse Is Leading A. Immunity Questions and Answers A nurse is caring for a client who has viral pneumonia and a history of COPD. Tachycardia and Hypertension B. A 20-year-old construction worker has been brought into the emergency department with heat stroke. It gives guidance for decision-making concerning ethical matters, serves as a means for self-evaluation and self-reflection regarding ethical nursing practice and provides a basis for feedback and peer review. Twelve thousand. The laboratory report indicates a serum calcium level of 12. ; Burns disrupt the skin, which leads to increased fluid loss; infection; hypothermia; scarring; compromised. The client with Cushing's syndrome. Home; Enforcement; Disciplinary Actions; Disciplinary Actions and Reinstatements. A nurse is caring for a client who has acute diverticulitis. 1) A nurse is collecting data from a client who has open-angle glaucoma which of the following findings should the nurse expect? A. Which of the following findings should the nurse recognize as an expected finding? The anterior fontanel is open. For which of the following findings should the nurse monitor as an adverse effect of warfarin? Bleeding gums A nurse is caring for a client who is in labor. NSG4060 RN Comprehensive Online Practice B/ NSG 4060 RN Comprehensive Online Practice B: South University NSG4060 Comprehensive ATI Practice B / NSG 4060 Comprehensive ATI Practice B: South University A nurse is assessing a client who received 2 units of packed RBCs 48 hrs ago. Interdisciplinary, or multidisciplinary, client care conferences also give the registered nurse the opportunity to advocate for the client, to serve as the leader of an interdisciplinary group, to serve as a member of an interdisciplinary group, to enhance the nurse's commitment to clients and client care, to employ group skills such as. RESULTS Published literature provided knowledge of staff. The nurse places highest priority on which item as part of the client's care plan? A. The nurse is caring for a client with cirrhosis of the liver with ascites. What the Code means for employers. When instructing nursing assistants in the care of the client, the nurse should emphasize that A) The client should remain on bed rest in a semi-Fowler's position B) The client should alternate ambulation with bed rest with legs elevated. ; Burns disrupt the skin, which leads to increased fluid loss; infection; hypothermia; scarring; compromised. Reassess the fetal heart tones c. The nurse understands that which client is most at risk for the development of a potassium value at this level? 1. We have an exciting opportunity to join our team as a Nurse Practitioner. ambivalence b. A client who has full-thickness burns over 80% of his body. To make sure you're aware of other team members' communications about the patient, find out the goals of therapy for your patient when obtaining report. A nurse is evaluating the plan of care for an older adult client that will be DC home with a HHA. Communicate findings in your assessment that will be used to inform members PCP of potential gaps in care. Health Care Personnel Registry before allowing them to work (N. A nurse is caring for a group of clients. 8 B- BP 160/80 C- Potassium 4. Which of the following interventions should the nurse implement?. Caregiver The caregiver role has traditionally included those activities that assist the client physically and psychologically while preserving the client's dignity. Encourage the client to turn her head side to side, to promote drainage of oral secretions. A client with liver cirrhosis has been advised to follow a high-protein diet. The nurse is developing a plan of care for a client with Crohn's disease who is receiving total parenteral nutrition (TPN). Increase In Heart Rate D. The Nurse Ensures That The Client Has Breakfast By Which Time? A. The nurse should advise clients in a smoke filled room to open the windows. Agitation. Identify needs and opportunities to generate clinical referrals appropriately. While caring for a hospitalized client with schizophrenia, the. The client's serum potassium level was 4. The nurse caring for a client who is diagnosed with diabetes insidious (DI). WHich client should the nurse assess first after receiving th emorning report? THe nurse is a long. Delegation and assignment of nursing activities are important parts of the implementation component of practice for the licensed nurse (RN and LPN). C) A nurse counsels the family of a client diagnosed with lung cancer. Case manager c. providers office that she Is unable to pay for the treatment. The client has an oral temperature of 39º C (102. As a result, the consulting cardiac surgeon refuses to care for the client. Vascular Access July 2012 Page 1 of 23 Nursing care of arteriovenous fistula / arteriovenous graft Date written: November 2011 Author: Edwina Vale, Pamela Lopez-Vargas, Kevan Polkinghorne GUIDELINES a. As mobility progresses and/or diet and fluid intake is altered, a more aggressive bowel program may be indicated, daily or every other day. The nursing care plan states, "Transfer with mechanical lift. expressive affect d. RESULTS Published literature provided knowledge of staff. Which of the following findings should the nurse address first? A. The nurse is caring for clients on the surgical floor and has just received a report from the previous shift. If the client is made to feel inferior, he or she will AND ANALYSIS. To transfer the client, the nurse aide SHOULD: (A) lift the client without the mechanical device. A client who has a closed upper extremity fracture. Lab values are aPTT 98 seconds and INR 1. Tachycardia and Hypertension B. Nurses communicate with the. Which of the following interventions should the nurse implement when the next scheduled TPN solution is temporarily unavailable? A. Maternal newborn Final Exam guide. 6 (Kunyk & Olson, 2001). crackles, fever, and pleuritic pain are signs and symptoms of. The nurse should recognize that treatment goals have been met when the ct. Which of the following indicates that the client has experienced toxicity to this drug? Changes in vision. 4 Included in this report was reference to concerns about the safety of chemotherapy and to promote nurse-led care within this culture was a clear endorsement of the value of nurse led care. As mobility progresses and/or diet and fluid intake is altered, a more aggressive bowel program may be indicated, daily or every other day. Caution the patient on using over-the-counter cough suppressants, antihistamines, and decongestants, which may cause drying and. A client is admitted for an MRI. A nurse is evaluating the plan of care for an older adult client that will be DC home with a HHA. Demonstrating caring behaviors that build relationships with individuals and groups is a necessary competency of nursing administrators to advance healthcare. C) Conduct vision and hearing screening for kindergarten enrollment. Contraction is tightening of the muscle of the uterus. A nurse Reviewing the medical record of a client who is postmenopausal and osteoporosis, the client has a new prescription for alendronate sodium, which of the following findings in the client history. It gives guidance for decision-making concerning ethical matters, serves as a means for self-evaluation and self-reflection regarding ethical nursing practice and provides a basis for feedback and peer review. The client supports his head and neck when turning his head to the right. See Box 26-7 for nursing care of the client with a ureteral stent. The client with renal failure-rationale: the causes of excess fluid volume include decreased kidney function, congestive heart failure, the use of hypotonic fluids to replace isotonic fluid losses, excessive irrigation of wounds and body cavities, and excessive ingestion of sodium. only those health professionals caring directly for the patient: should have access to the chart: the chart: is the property of the health facility or agency, not the patient or doctor: general forms for hospital documentation: face sheet, physician's orders, graphic sheet, nursing care plan, nurse's notes, activity flowsheet (general forms. Delegation and assignment of nursing activities are important parts of the implementation component of practice for the licensed nurse (RN and LPN). 8 B- BP 160/80 C- Potassium 4. The client reports a pain level of 7 out of 10 after receiving pain medication. The nurse should plan to monitor for and report which of the following findings to the provider immediately? A. Which of the following actions should the nurse take to prevent the spread of infection? place a client who has Tuberculosis in a room with negative-pressure airflow. 002(5) defines the licensed vocational nurse (LVN) scope of practice as a directed scope of nursing practice and specifically states that LVNs participate in the development and modification of the nursing care plan, whereas the RN is responsible for the development of the nursing care plan. Which of the following assessment findings should the nurse recognize as the priority to report to the charge nurse? A client who is 2 days postoperative and has a urine output of 20 mL/hr A nurse is conducting an orientation class for new clients and their families at a long-term care facility. When instructing nursing assistants in the care of the client, the nurse should emphasize that A) The client should remain on bed rest in a semi-Fowler's position B) The client should alternate ambulation with bed rest with legs elevated. The purpose of Age-Specific Considerations in Patient Care is to provide healthcare professionals with information about different age groups, how to identify needs related to these age groups, and how to vary patient care issues with age specific needs in mind. 7 Demonstrate politeness, respect and empathy in all interactions with clients, family and carers 1. A client is being transferred from the recovery room to the medical surgical nursing unit. A nurse is collecting data from an older adult client. The nurse still provides direct care for the client; however, interdisciplinary collaboration is necessary to prevent fragmentation of care. Which of the following is the priority. Which of the following interventions should the nurse include in the plan of care? A nurse is planning an education session for an older adult client who has just learned that she has type 2 diabetes mellitus. which of the following clients should he nurse attend to first? a. Paresthesia in the dermatomes near the wounds. Which of the following findings should the nurse report to the provider? Consolidation in lower lobes by chest x-ray Left shift in the WBC differential-shows that infection is actually bacterial rather than viral Oxygen saturation 91% Orthostatic hypotension A nurse is providing care. Osteoporosis. The Nurse Ensures That The Client Has Breakfast By Which Time? A. Which of the following interventions should the nurse implement when the next scheduled TPN solution is temporarily unavailable? A. Multisite cross-sectional survey. Encourage the client to turn her head side to side, to promote drainage of oral secretions. The journey of a thousand miles starts with a single step. Vascular Access July 2012 Page 1 of 23 Nursing care of arteriovenous fistula / arteriovenous graft Date written: November 2011 Author: Edwina Vale, Pamela Lopez-Vargas, Kevan Polkinghorne GUIDELINES a. The patient who is disoriented to time, place, and person. Cover the burns with sterile dressings. A nurse is caring for a client with limited had movement. I have a specimen in the bathroom from about 30 minutes agoC. A client is being cared for after a traumatic brain injury. Increase In Urine Output C. the client is experiencing hypophosphatemia. Following the State's Scope of Practice and completing an internship program will ensure the RN. A nurse is caring for a client who is postoperative and has signs of hemorrhagic shock. For example, a significant change in a client's laboratory values requires that the registered nurse report this to the nurse's supervisor and doctor. The importance of nurse staffing to the delivery of high-quality patient care was a principal finding in the landmark report of the Institute of Medicine's (IOM) Committee on the Adequacy of Nurse Staffing in Hospitals and Nursing Homes: "Nursing is a critical factor in determining the quality of care in hospitals and the nature of patient outcomes" 1 (p. The nurse caring for a laboring client receiving an oxytocin infusion assesses that the fetal heart rate has slowed to 90 BPM. A 66-year-old client with extensive burns 2. Chapter 10: Concepts of Emergency and Trauma Nursing Test Bank MULTIPLE CHOICE 1. B) Report suspected child neglect to the proper authorities. Demonstrating caring behaviors that build relationships with individuals and groups is a necessary competency of nursing administrators to advance healthcare. refer the client to a diabetic support group. More back pain than the first postoperative day B. Identify needs and opportunities to generate clinical referrals appropriately. Ureterolithotomy is incision in the affected ureter to remove a calculus. The client with Cushing's syndrome. by kelseesweet Which of the following findings should the nurse expect if the client is in the preassaultive stage of violence? F. When the nurse notifies the surgeon, he directs her to continue to take the client's vital signs every 15 min and call him back in 1 hr. Improvement can be obtained through communication and caregiver support to strengthen caregiver competency and teach caregivers new skills that will enhance. Immediately post-op, the nurse should: Maintain the client in a semi-Fowler's position with the head and neck supported by pillows. ambivalence b. Fall prevention involves managing a patient's underlying fall risk factors and optimizing the hospital's physical. A 66-year-old client with extensive burns 2. or nursing care, although in practice this is not always the case. A nurse is caring for a 15 year old client following a head injury. The patient who is immobile in bed. A nurse is performing triage for a group of clients following a mass casualty incident (MCI). 0 D- Mediastinal drainage 100 ml/hr. It gives guidance for decision-making concerning ethical matters, serves as a means for self-evaluation and self-reflection regarding ethical nursing practice and provides a basis for feedback and peer review. What action should the nurse perform first? a. Demonstrating caring behaviors that build relationships with individuals and groups is a necessary competency of nursing administrators to advance healthcare. Nurses often provide care in this way for other patient groups. Option d dismisses the client's feelings. The nurse is caring for a client who is suicidal. Chapter 10: Concepts of Emergency and Trauma Nursing Test Bank MULTIPLE CHOICE 1. Elevate and immobilize the grafted extremity. The patient requires immobilization during the healing process. While assessing a client in the emergency department, the nurse identifies that the client has been raped. A nurse is caring for a patient who recently sustained a fracture in his lower leg. the nurse is teaching a client who has had complications for gastric surgery the client has lost weight and has a poor appetite which dietary recommendation should the nurse make for this client: take a multivitamin with small frequent meals: the nurse is caring for a client in the pacu, which client is ready to be extubated. The nurse palpates the clients fundus, expecting it to be at which location? A) Two fingerbreadths above the umbilicus B) At the level of the umbilicus C) Two fingerbreadths below the umbilicus D) Four fingerbreadths below the umbilicus 2. Which of the following responses from the nurse is appropriate to manage the client's respiratory rate? Remove oxygen and assess the client's pulse oximetry. Option d dismisses the client's feelings. Assessing for return of gag reflex: D. Caregiver The caregiver role has traditionally included those activities that assist the client physically and psychologically while preserving the client's dignity. The care of the body after death is considered one of the last things that a nurse can do for their patient. b) Prepare the client's abdomen with Betadine solution. Which of the following activities should the nurse complete in preparation for this test? a) Have the client void before the procedure. The nurse is caring for a client who is taking a macrolide to treat a bacterial infection. Contraction is tightening of the muscle of the uterus. Which of the following actions should the nurse take to prevent the spread of infection? place a client who has Tuberculosis in a room with negative-pressure airflow. Which of the following findings should be nurse's priority concern? Oxygen saturation of 90% on oxygen at 2 L per nasal caannula. Which of the following statements should the nurse identify as an. 5 mEq/L on one client's laboratory report. The nurse is caring for a client with cirrhosis of the liver with ascites. 1) A nurse is collecting data from a client who has open-angle glaucoma which of the following findings should the nurse expect? A. Clammy Skin 5. ; Burns disrupt the skin, which leads to increased fluid loss; infection; hypothermia; scarring; compromised. Which of the following findings should be the nurse's priority concern? Oxygen saturation of 90% on oxygen at 2 L per nasal cannula. Which of the following assessment findings should the nurse recognize as the priority to report to the charge nurse? A client who is 2 days postoperative and has a urine output of 20 mL/hr. The client supports his head and neck when turning his head to the right. A tracheostomy is an opening into the trachea through the neck just below the larynx through which an indwelling tube is placed and thus an artificial airway is created. Meningitis is an inflammation of the lining around the brain and spinal cord caused by bacteria or viruses. Which Of The Following Actions Should The Nurse Take?a. The nurse understands that which client would be the least likely candidate for parenteral nutrition (PN)? 1. Which of the following assessment findings should the nurse recognize as the priority to report to the charge nurse? -pt w/ heart failure and has 2+edema of lower extremities. A 20-year-old construction worker has been brought into the emergency department with heat stroke. 5 mEq/L yesterday. Which of the. 13 hprd recommended by the expert panel held at the John A. Which of the following findings should be the nurse's priority concern? Oxygen saturation of 90% on oxygen at 2 L per nasal cannula. 6 (Kunyk & Olson, 2001). It is used for clients needing long-term airway support. The nurse understands that which client is most at risk for the development of a potassium value at this level? 1. The client is independent and lives alone. A nurse is caring for a group of patients. 8 Use health terminology correctly in written and verbal communication with clients, family, carers and colleagues, using accurate spelling and pronunciation. Nursing audit is the process of collecting information from nursing reports and other documented evidence about patient care and assessing the quality of care by the use of quality assurance programmes. A 42-year-old client who has had an open cholecystectomy 3. Decrease In Perspiration A Nurse Is Monitoring A Client Who Received 3 Units Of Packed Red Blood Cells (PRBCS) For. ambivalence b. 4 Whilst the policy endorsement. You're almost halfway in this exam series! This is the 6th part of the NCLEX practice exam covering random nursing concepts (just like how it's in the NCLEX). MULTIPLE CHOICE. Based on this information, the nurse determines that the client’s symptoms are most likely associated with which electrolyte imbalance?. Which of the following actions should the nurse take to assist the client with feeding? A. Which of the following findings should indicate to the nurse that the therapy has. The nurse should identify which of the following client findings as a possible indication of a delay in functioning of the transplanted kidney?-Blood pressure 110/58 mm Hg-Incisional tenderness-Pink and bloody urine-Urine output 30 mL/2 hr. The nurse is caring for a client who has been in good health up to the present and is admitted with cellulitis of the hand. Bradycardia __B. Encourage the client to turn her head side to side, to promote drainage of oral secretions. Which of the following activities should the nurse complete in preparation for this test? a) Have the client void before the procedure. It gives guidance for decision-making concerning ethical matters, serves as a means for self-evaluation and self-reflection regarding ethical nursing practice and provides a basis for feedback and peer review. A nurse is caring for a client who has acute diverticulitis. American Nurse Today, wrote an editorial in honor of Nurses Week entitled, "Celebrating the Art and Science of Nursing. Question: A Client Arrives In The Emergency Department Complaining Of Acute Severe Abdominal Pain. The nurse determines that the client has received adequate fluid replacement if the blood urea nitrogen decreases to: A. Which parameter would the nurse use for assessment if this patient were to become. ATI - Test 1 Practice Assessment The nurse is caring for a client with a nosocomial infection. Which of the following findings should the nurse report to the provider? shoulder; common during 2 nd trimester-urinary frequency = common - leg cramps (occur during the 3 rd trimester) ,common, b/c the nerves that supply the lower extremities are compressed due to enlarging uterus 17. Research evidence 4. While caring for a hospitalized client with schizophrenia, the. Assessing for return of gag reflex: D. What reason will the nurse include as to why couples might choose to use contraception? Note: Credit will be given only if all correct and no incorrect choices are selected. the facility or agency pays up front for the care of each client. 6 (Kunyk & Olson, 2001). Loss of peripheral vision****** B. The client with colitis 2. Explanation: Question 2 See full question Performance improvement is an important component of continuous quality improvement. decreased hemoglobin and hyponatremia 2. Therapeutic Nurse-Client Relationship, Revised 2006 includes four standard statements with indicators that describe a nurse's accountabilities in the nurse-client relationship. A nurse is caring for a client who has heart failure and is experiencing atrial fibrillation. Which finding should the nurse report to the healthcare provider before administering the next dose? Jaundice Nausea Fever Fatigue. A nurse is caring for a group of clients. The nurse is caring for a client following removal of the thyroid. priority? (A):A child who has nits (B):An adolescent who has scoliosis (C):A child who has a BMI of 18 (D):An adolescent who has psoriasis. A nurse is caring for a group of clients on a unit. 2) A client who has an every 4 hour PRN analgesic prescription and who last received pain med at 0430. Assessing for return of gag reflex: Address ABC. during a visit to the physician D. Which finding should the nurse report to the healthcare provider before administering the next dose? Jaundice Nausea Fever Fatigue. Discuss a generic nursing issue with application to a specific patient/client group. Nursing audit is the process of collecting information from nursing reports and other documented evidence about patient care and assessing the quality of care by the use of quality assurance programmes. Components of hospice care programme include the following: Client and family as the unit of care. Roles and Function of a Nurse 1. Use it to evaluate your staff for emergency. Which parameter would the nurse use for assessment if this patient were to become. I flushed what I urinated at 7. Immediately post-op, the nurse should: Maintain the client in a semi-Fowler's position with the head and neck supported by pillows. The nurse should carefully assess this client to prevent: 1. Today the level is 7 mEq/L. : Fundamentals of Nursing, 9th Edition. Choose an answer. What reason will the nurse include as to why couples might choose to use contraception? Note: Credit will be given only if all correct and no incorrect choices are selected. Question: A Client Arrives In The Emergency Department Complaining Of Acute Severe Abdominal Pain. This 40-item NCLEX practice quiz is the start of an exam series covering different or random topics about nursing. Since the client exhibiting tremors, the nurse should anticipate seizure activity and protect the client. The nurse is caring for a client who is suicidal. Headache C. Question 1 Question 1 See full question A client asks to be discharged from the health care facility against medical advice (AMA). A comprehensive study involving other public, private, and specialized hospitals could yield more conclusive data. ATI - Test 1 Practice Assessment The nurse is caring for a client with a nosocomial infection. The urgent vs nonurgent needs priority-setting framework is also applicable when the nurse is caring for a group of clients, and a determination must be made in regard to which client has the most urgent need and should be attended to first. A 35-year-old client who has a diagnosis of tuberculosis informs the. The nurse still provides direct care for the client; however, interdisciplinary collaboration is necessary to prevent fragmentation of care. d) appetite. 5 Points QUESTION 15 Which Term Describes The Narrowing Of The Orifice Of A Heart Valve?. 1, 2 High-quality transitional care is especially important for older adults with multiple chronic conditions and complex therapeutic regimens, as well as for their family caregivers. causative factors relate to malnutrition or starvation and the use of aluminum hydroxide-based or magnesium-based antacids. The nurse notices that when the client is conversing with other clients, he repeats what they are saying word for word. 6 (Kunyk & Olson, 2001). 8 Use health terminology correctly in written and verbal communication with clients, family, carers and colleagues, using accurate spelling and pronunciation. Tracheostomy tubes have an outer cannula that is inserted into the trachea and a flange that rests against the neck and allows the tube to be secured in place with tape. hallucination? A) A man believes that his dead wife is talking to him. Halos around lights D. Cover the burns with sterile dressings. In home health, this is not possible. Explanation: Question 2 See full question Performance improvement is an important component of continuous quality improvement. Which of the following clients should the nurse see FIRST? NCLEX practice questions | Videos. •Assess for fistulas or necrosis of adjacent tissues. METHODS This scoping study was guided by Arksey and O′Malley's methodology to review existing literature. Case manager c. A client with a cast on the right leg who states, "I have a funny feeling in my right leg. Chapter 10: Concepts of Emergency and Trauma Nursing Test Bank MULTIPLE CHOICE 1. The nurse is caring for a client with a severe burn who is scheduled for an autograft to be placed on the lower extremity. Elevate and immobilize the grafted extremity. Immediately post-op, the nurse should: Maintain the client in a semi-Fowler's position with the head and neck supported by pillows. The nurse places highest priority on which item as part of the client's care plan? A. The nurse caring for a client who is diagnosed with diabetes insidious (DI). The nurse interprets this finding and documents it as which of the following? A) Echopraxia B) Neologisms C) Tangentiality D) Echolalia 2. A tracheostomy is an opening into the trachea through the neck just below the larynx through which an indwelling tube is placed and thus an artificial airway is created. The first thing that the nurse should do when using a fire extinguisher to put out a small fire is to aim the fire extinguisher at the base of the fire. Respiratory rate 16/min C> Negative Chvostek's sign D. A client is admitted for an MRI. maintain its patency following ESWL or other lithotripsy pro-cedures. For which of the following findings should the nurse monitor as an adverse effect of warfarin? Bleeding gums A nurse is caring for a client who is in labor. Then, the facility or agency is reimbursed for the specific care you provide after the care has already been provided and documented. A nurse caring for a group of clients reviews the electrolyte laboratory results and notes a potassium level of 5. A nurse is caring for a client with limited had movement. You Selected: fluids infusing including rate and type of fluid type of surgery current vital signs amount of blood loss. , reports working looking. When educating a group of seniors about the prevention of drug interactions, the nurse should encourage them to: C. The nurse understands that a nosocomial infection is usually acquired A. Heart rate does not recover after 90 seconds. Communicate research findings effectively. The nurse's role in caring for people with dementia Article (PDF Available) in Nursing times 112(27):20-23 · July 2016 with 15,230 Reads How we measure 'reads'.
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