a nurse is caring for a 55 year old postoperative client

The child reports soreness in his mouth and refuses to eat. What is a role of the "clean" nurse? She is concerned her newborn will develop the disease. Based on the nurse's knowledge of the most common hospital-acquired infections, which apparatus is most important to remove first? A client is admitted to the emergency department for multiple lacerations due to a vehicular accident. What important measure should the nurse take when providing postoperative care for this client? Normally ICP is 4 to 13 mmHg. What velocity and acceleration of A are observed by a passenger fixed to and rotating with the ship? A nurse prepares to suction a client's tracheostomy tube. Continue to observe the drainage. The mother states her older child has just been diagnosed with chickenpox. $$ The nurse suspects that the client is experiencing which type of incontinence? "I will keep my baby in an upright position after feedings.". $$ Turn, cough, and deep breathe every 30 minutes around the clock. After teaching a patient scheduled for ambulatory surgery using moderate sedation, the nurse determines that the patient has understood the teaching based on which of the following statements? d) The magma had abundant dissolved gas. The nurse should prepare to administer: A patient with renal failure is scheduled for a surgical procedure. The colleague has established the sterile field and is pouring out normal saline into a sterile container, as seen in the picture above. The nurse has just admitted a 12-year-old client who is going to have an above-the-knee amputation of their left leg due to osteosarcoma. Place a surgical mask on the client and transport to the CT department at the specified time. What action best reduces the risk of transmission to clients and staff? A nurse is caring for a client with a head injury caused by a bicycle accident. The client tells the nurse, "I am nervous about my upcoming EEG because I am afraid the shocks will hurt." The nurse is preparing discharge instructions for a family member who will be caring for a client with an abdominal incision. D. Perform gastric lavage with activated charcoal. "As a nurse, I am required by law to report suspected child abuse.". The nurse is reviewing the plan of care for assigned clients. A nurse in an emergency department is caring for an infant who has a 2-day history of vomiting and an elevated temperature. What assessment findings would be a priority for the nurse to alert the provider? An experienced nurse is teaching a student nurse about the proper use of hand hygiene. The client is surprised at this finding, since he enjoys generally robust health. In which situation is an alcohol-based rub an inappropriate option for hand hygiene? Which precaution is the priority when collecting and delivering the specimens to the laboratory? What complication is the nurse aware of that is associated with deep venous thrombosis? What nursing interventions are appropriate to decrease HCAIs? Assuming the tension $T$ in the cord to remain constant, $(a)$ write the differential equation of motion of the ball, $(b)$ determine the period of vibration. A nurse is caring for a child who is admitted with suspected acute appendicitis. Which of the following statements by the parent indicates a need for further teaching? Preoperatively identifying a patient's individual needs and comorbidities can assist in this process. The nurse should understand that these actions are developmentally appropriate at which of the following ages? The patient informs you that he drinks six to eight beers each day and has for the last 15 years. Which would be the appropriate action to take to maintain a sterile field? "As we age, our immune system does not function as well.". A nurse is admitting a 6-month-old infant who has dehydration. Examination of a client's bladder stones reveal that they are primarily composed of uric acid. An older adult hospitalized client develops severe diarrhea from gram-negative rods that compromised the normal flora of the bowel. Which of the following provider prescriptions should the nurse clarify? Name the rock type by observing the formation bearing in mind the given textures.\ Which statements made by the client demonstrates the education provided was effective? Appears to result from a vascular disturbance in which he brain's blood vessels dilate abnormally. $$ While assessing this patient, what characteristic symptom would the nurse expect to find? Select all that apply. Preoperative Nursing Assessment A comprehensive preoperative nursing assessment of the total hip patient is important in helping to achieve a positive outcome. A nurse is caring for a 17-year-old client who is experiencing a relapse of leukemia and is refusing treatment. A nurse is caring for a child who has otitis media. Which of the following responses should the nurse make? AKA Spinal tap, involves the insertion of a hollow needle with a stylet (guide) into the subarachnoid space of the lumbar region of the spinal canal. What is the sequence in a complementary strand of DNA. D. Initiate the use of a PCA pump for pain control. Each outlet has the same diameter as the inlet, and the air at these outlets has a pressure of $1.4 \mathrm{~MPa}$ and a temperature of $36^{\circ} \mathrm{C}$. A client comes to the emergency department reporting becoming very ill after consuming shrimp and lobster. Use all options. A nurse is caring for a client in the PACU after surgery requiring general anesthesia. The client states, "I'm really nervous about this surgery. The nurse is evaluating the effectiveness of discharge teaching for a client with an oxalate urinary stone. To prevent pneumonia and promote the integrity of the pulmonary system, an essential postoperative nursing intervention includes: Nursing students are reviewing information about agents used for anesthesia. A nurse is assessing a preschooler who has a calcium level of 8.0 mg/dL. An older adult client tells the nurse, "I do not understand why I have had so many episodes of infection lately." Emptying the Foley catheter bag of a client with VRE and then helping the client in the next bed transfer to a chair without washing hands between contact. A. Which of the following actions should the nurse take? What is the priority action by the nurse? Initially, MS may be manifested as difficulty in walking, tremors, lack of coordination, pins and needles, numbness, and visual changes including loss of vision. See Page 1. The nurse is requested to place an ice pack on the eyelid for 2 minutes for a client suspected of having myasthenia gavis (MG) with diplopia. How will the nurse document this condition? When planning care for a client in the postoperative period, prioritize nursing diagnoses in the sequence from highest to lowest priority? The provider prescribes restraints. A school nurse is assessing a school-aged child and notices white flakes that don't brush off the hair and a rash on the back of the child's neck. A patient is in the operating room for surgery. A nurse is working with a 55-year-old woman diagnosed with human immunodeficiency virus (HIV). Discard used intravenous (IV) bags in the room. A nurse is caring for a 2-month-old infant who is postoperative following repair of a cleft lip and palate. Which surgical team member would be most helpful in addressing the client's concern? Which of the following behaviors by the adolescent should the nurse anticipate because it is most common reaction? When collecting the client's vital signs, the nurse notes her rectal temperature to be 103.1F (39.5C). Cephalgia (Headache) is one of the most common symptoms of a neurologic disorder. Myelin maintains electrical impulse strength. A nurse is assessing a toddler who has suspected lead poisoning. The students demonstrate understanding of the information when they identify which cell as important in synthesizing immunoglobulins? The nurse knows what to be true of fever in young children? Meningitis is diagnosed based on a general neurologic examination that includes two special neurologic signs: Electroencephalography records the brain's electrical impulses as a graph. When should the client stop taking the aspirin before the surgery? A nurse is caring for a client with a neurologic problem who has been advised to have an electroencephalogram (EEG). Solve the given initial-value problem. Which client would require a negative flow room? You are asking Ms. Simpson about symptoms that she has had that brought her to the clinic. The nurse is caring for a client after hypophysectomy and notes clear nasal drainage from the client's nostril. What would the nurses include in the teaching plan? What health teaching will the nurse share with the visitor? What key area should the nurse prioritize when educating this client? A client undergoes extracorporeal shock wave lithotripsy. The mother tells the nurse that her son is a "picky eater." Which disease does the client likely have? The nurse understands that a change in which part of the brain is responsible for changes in the client's ability to perceive sensation? Move the bed to various places in the room or periodically rearrange the furnishings in the room. A client is scheduled to undergo surgical creation of an ileal conduit. A. Select all that apply. The client begins to complain of increased abdominal pain and begins to vomit. Which assessment finding is most suggestive of a malignant tumor of the bladder? The nurse informs the client that many members of the health care team (including a mental health practitioner) will see him. A nurse is caring for a 6-week-old infant who has a pyloric stenosis. When assessing vital signs, which result indicates a need to alert the anesthesiologist immediately? The nurse has worn a gown and gloves while caring for a client in contact isolation. The nurse is caring for a client admitted with tuberculosis (TB). The nurse assesses the incision and notes evisceration. Avoid touching the outer surfaces of the gown. Julie S Snyder, Linda Lilley, Shelly Collins. Select all that apply. D. Administer prednisone on an alternate-day schedule. Which client has the highest risk for developing an infection? A client refuses to remove her wedding band when preparing for surgery. Which action should the nurse perform? For an 8% interest rate, which alternative should be selected? Record your answer using a whole number. Where are polar bodies made, in the male or in the female? A nurse is assessing an adolescent who has an exacerbation of Graves' disease. A nurse is caring for a client, age 4 months, following surgical repair of a tracheoesophageal fistula. The client's mother insists that the client receive treatment. A. Which of the following is a characteristic of a normal stoma? What should the nurse observe for in the client during the procedure? Following a splenectomy, a client has a hemoglobin (Hb) level of 7.5 g/dl and has vertigo when getting out of bed. A family member with a mild upper respiratory infection comes to visit a client in a long-term care facility. Which of the following actions should the nurse take? Select all the nursing actions that apply. Client reports usual pattern is one bowel movement daily. Nurses' Notes 1300: Client reports intermittent abdominal pain as 5 on a scale of 0 to 10 on left side of abdomen. Which intervention should the nurse implement first? Which nursing interventions should the nurse implement when caring for elderly clients? What measurement should the nurse report to the physician in the immediate postoperative period? The nurse is caring for a college student with meningococcal meningitis. It is now 16:30. What is the nurse's priority action? A mental health practitioner should be involved in the client's care to: a) assess whether the client is a good candidate for surgery. The client received general anesthesia for the procedure and has opioid pain medications prescribed. African lungfish, which are often found in small, stagnant pools of fresh water, produce urea as nitrogenous waste. Each alternative has a 6-year useful life. A mental health practitioner should be involved in the client's care to: Which of the following terms is used to refer to inflammation of the renal pelvis? Which of the following instructions should the nurse provide to the parent? Do you think it will be ok?" The nurse should identify that which of the following manifestations indicates a tympanic membrane rupture? What action by the nurse is most appropriate? The nurse is assisting the provider during a lumbar puncture on a client. It also associated with many other diseases and disorders. What is the most common first symptom of a malignant tumor of the bladder? What does the nurse do first? Select all that apply. Which of the following techniques could the nurse employ to assist this client? A nurse is working with a new graduate nurse. When describing the types of bladder tumors that may occur, which type would the nurse identify as most common? What explanation should the nurse provide to this patient? Which of the following would the instructor include in this plan about these agents and this type of anesthesia? Which would be considered significant blood exposures by occupational health? A client comes to the clinic for a follow-up visit. What is the advantage of this adaptation? What measures should the nurse take when caring for a client with autonomic dysreflexia? Which nursing action regarding the stethoscope used to auscultate this client's lungs and bowel sounds is appropriate? Which action by the nurse is appropriate? The vital sign values that most support the nurse's analysis are: A patient has reported to the preadmission clinic in anticipation of her scheduled hysterectomy and oophorectomy. A. The nurse expects informed consent to be obtained for insertion of: The nurse recognizes that the older adult is at risk for surgical complications due to: The nurse recognizes older adults require lower doses of anesthetic agents due to: The client asks the nurse about ways to control pain other than taking pain medication. Select all that apply. What does the nurse recognize that this client is experiencing? A nurse is caring for a child who has suspected appendicitis. Which of the following actions should the nurse suggest to the parent? ** Which care intervention should the nurse anticipate when providing care to a client admitted with a possible diagnosis of tuberculosis (TB)? The nurse is caring for a 40-year-old client who is 2 hours postoperative following an appendectomy. A. Decontaminate hands using an alcohol-based hand rub. A nurse is providing teaching to an adolescent who has type 1 diabetes mellitus. A nurse is providing teaching to a parent of a child who has a fracture of an epiphyseal plate. A client has an inguinal hernia repair and later develops a methicillin-resistant Staphylococcus aureus (MRSA) infection. Which of the following would be appropriate for the nurse to include in the teaching plan? How should the nurse respond? A nurse is caring for a 55-year-old postoperative client. One hour after administration, the client demonstrates muscle rigidity with a heart rate of 180. Routine nasal and rectal swabbing of a newly admitted hospital client has come back positive for methicillin-resistant Staphylococcus aureus (MRSA), indicating that the client is colonized with MRSA. A) Flashing lights in the visual field (autonomic hyperreflexia) an exaggerated response to stimuli below the level of the lesion in the clients with lesions at or above T6, medical emergency that requires prompt treatment. A nurse in a pediatric unit is talking with the mother of a preschool-age child. The nurse is caring for a 52-year-old client who has experienced a complex lower leg fracture that needed surgical repair and is now immobilized. A client with a T6 injury reports a pounding headache, blurred vision, and nasal congestion. $(a)$ Sketch a graph of the velocity $v_x$ as a function of time over the full journey. The nurse understands that which part of the brain could be responsible for the client's condition? The nurse is admitting a 55-year-old male patient diagnosed with a retinal detachment in his left eye. D. Expect that food consumption might not decrease significantly. As a circulating nurse, what task are you solely responsible for? Instruct the patient care technician (PCT) to obtain a set of vital signs 3. Find True or False for the the following conditions: The nurse is providing postoperative care to a client with lung cancer who had a partial pneumonectomy. $$. $$ d.The nurse is caring for a client with a C. difficile infection. 1 The nurse positions the client in the lithotomy position in preparation for 1- Renal surgery 2- Pelvic surgery 3- Perineal surgery A client with chronic alcoholism and late-stage cirrhosis of the liver has significant damage to Wernicke's area. A patient undergoes surgery for removing a malignant tumor, followed by a urinary diversion procedure. The nurse is caring for a 6-year-old who is postoperative open right tibial fracture reduction with cast placement. Which nursing statement would best decrease a client's anxiety before an emergency operative procedure? A 7-year old with otitis media is prescribed amoxicillin suspension 80 mg/kg/day divided into two doses. The nurse suspects which of the following? Following percutaneous nephrolithotomy, the client is at greatest risk for which nursing diagnosis? Use a sterile cotton-tipped applicator to apply the prescription to the site. Respiration has ceased, and there is no heartbeat. During the collision at the bottom of the elevator shaft, a 90 kilogram passenger is stopped in $5.0\text{~ ms}$. Which steps must be followed when using the double-bagging method? The nurse is concerned about infection and is reviewing the white blood cell count (WBC) in the chart. The nurse takes the opportunity to teach the family member about preventing the spread of the cold. Which of the following findings should the nurse expect? When a client with a history of chronic alcoholism is admitted to the hospital for surgery, the nurse anticipates that the client may show signs of alcohol withdrawal delirium during which time period? What is the best respirator mask for this nurse? Julie S Snyder, Linda Lilley, Shelly Collins. Vanilla pudding = contains milk and should not be . A nurse is preparing to begin chest compressions on an infant. (Assume that neither the passenger nor the cab rebounds.) A nurse is assessing a child and notes several bruises. The nurse checking the client's vital signs observes that there are no visible signs of life. Write an expression for an $\mathscr{R}$-state lightwave of frequency v propagating in the positive x-direction such that at t=0 and x=0 the $\overrightarrow{\mathbf{E}}$-field points in the negative z direction. They are specialized to respond to electrical, chemical and physical stimuli (EX: pain, pressure, hot/cold), and messages are conducted and transferred through them (neurotransmission). Treat the problem as two-dimensional. The nurse should apply which of the following types of restraints for this infant? The client's vital signs are Temp 97.2F, HR 105, RR 24 and BP 110/50. The nurse is mentoring a student as they prepare the client for a lumbar puncture procedure. Correct- Young children often have a vigorous immune response to infection and thus high fevers. While assessing the patient at the beginning of the shift, the nurse noted decreased breath sounds, crackles, and a mild cough. If the transection is complete all sensation and voluntary movements below the site of injury are lost. A nurse is caring for a client who is being treated for a nervous system disorder. What does the nurse understand about the client's symptoms? Which precautions will the nurse begin? The nurse is preparing to apply a prescription ointment to the client's wound. The client tells the nurse, "I think I'm going to be sick." (Select all that apply.). How many feet must be maintained between this client and other noninfected clients and visitors? A nurse is collecting data from a child who is descending stairs by placing both feet on each step and holding on to the railing. Infectious disease, communicable disease, and contagious disease do not describe food poisoning. When performing further assessments of this client, the nurse should understand that: older adults may present atypical signs and symptoms of infection. Select all that apply. A major goal when caring for a catheterized patient is to prevent infection. What lobe of the cerebral cortex is largely responsible for the ability of humans to achieve higher levels of mental functioning and is also involved with motor functions that direct body movements? Endoderm and mesoderm are formed by the migration of cells down into the ______ of the embryonic disc. The nurse working with a patient after an ileal conduit notices that the pouching system is leaking small amounts of urine. The compressed air enters this $2.5-\mathrm{cm}$ diameter fitting at $1.6 \mathrm{~MPa}$ and $40^{\circ} \mathrm{C}$ with a velocity of $50 \mathrm{~m} / \mathrm{s}$. A 17-year-old client is having same-day surgery. What is the priority action by the circulating nurse? The nurse should be. Also called vascular headaches. The nurse uses a small amount of sterile solution from a large, multiuse bottle to moisten gauze in a sterile field. Patricia O'Connor, a 17-year-old high school student, is returning to the medical-surgical unit where you practice nursing from surgery. A new scrub technician is being oriented to the operating room. Loss of myelin (demyelination) results in weak electrical impulses and weak muscle contractions. A nurse is admitting a child who has leukemia and a critically low platelet count. The primary nurse educates the client about surgery and the postoperative period. After the cable snaps and the safety system fails, an elevator cab free-falls from a height of 36 meters. Immediately after any potential or actual injury to the brain, a neurologic evaluation should be done. $$ Utilize a powered air, purifying respirator (PAPR). A client comes to the emergency department complaining of severe pain in the right flank, nausea, and vomiting. The nurse recognizes that written informed consent is required for insertion of a(n): Clients who have received corticosteroids preoperatively are at risk for which type of insufficiency? The patient complains of headache. A nurse is assessing a child who is in sickle cell crisis. Which of the following clients should the nurse place in the same room with this child? The client has had only 30 ml urine output since arriving to the Pour the liquid into a sterile container within the sterile field. A nurse at a pediatrician's office is contacted by a parent whose child just ingested half a bottle of vitamins with added ferrous sulfate. Which assessment finding explains the absence of drainage? What is your response to her situation as ordered by the physician? The nurse is conducting a preoperative assessment on a client scheduled for gallbladder surgery. The client is preparing for cerebral arteriogram and makes the following statements. The client lacks signs and symptoms of infection but microorganisms are present. The client has a history of anxiety, depression, high blood pressure, and exercise-induced asthma. \underline{~~~~~~~~~~~~~~~}~~~~~~~~~~~~~~~~~~~~~~~\text{HClO}_2 The nurse should perform the compressions using which of the following techniques? Which of the following instructions should the nurse include in the teaching? Place the procedure steps in correct order. A nurse is caring for a school-aged child who has a systemic disorder and is receiving antibiotics, immunosuppresants, and corticosteroids. The nurse is teaching the client about patient-controlled analgesia. What portion of the brain would the student review? The nurse informs the client that many members of the health care team (including a mental health practitioner) will see him. 176. Which of the following is the most common symptom of bladder cancer? Which of the following findings should the nurse expect? Which of the following information should the nurse include in the teaching? Which of the following actions should the nurse take? A young adult client arrives at the community clinic with reports of changes in eating habits. Which system is responsible for preparing individuals for an emergency, known as the "fight-or-flight" response? Select all that apply. Encourage the parents to rock the infant. "Limit contact with large groups of people." = A nurse is caring for a client who is 24 hr. A 12-year-old is being hospitalized for pneumonia. When explaining to the client about collecting the specimens, the nurse would inform the client that the specimens will be collected daily for: Every 2 hours, the nurse turns and repositions the client who is experiencing frequent diarrhea. Neonates may have an infection without fever. With 8 oz of milk b. Six mutually exclusive alternatives, A-F, are being examined. Deliver the compressions at 1/3 the depth of the chest. Definition $\hspace{1cm}$ Correct Answer $\hspace{1cm}$ Possible Answers\ Record your answer using a whole number. The total distance between stations is $900 \mathrm{~m}$. Which of the following signs/symptoms is diagnostic for bladder cancer? Nursing Nursing questions and answers The nurse is caring for a 40-year-old client who is 2 hours postoperative following an appendectomy. When the nurse finishes on the telephone, she goes to assess the client. Which of the following actions by the nurse is inappropriate? Its emissivity is 0.20. A family member with a mild upper respiratory infection comes to visit a client in a long-term care facility. When planning this client's care, the nurse should assign the highest priority to which nursing diagnosis? What related complication should the nurse be aware of? The primary care provider orders a computed tomography (CT) examination of the chest. A group of nursing students is reviewing the various white blood cells and how they function in infection. Select all that apply. Which of the following adverse effects should the nurse instruct the client is the priority to report to the provider? A 55-year-old patient arrives at the operating room. Which nursing action is a component of medical asepsis? A nurse is planning care for an adolescent who has scoliosis and requires surgical intervention. A client with urinary tract infection is prescribed phenazopyridine (Pyridium). Which of the following instructions should the nurse include in the teaching? The nurse is caring for a 27-year-old client who presents with possible signs of an infected abdominal wound. Ms. Simpson, age 72 years, is being seen in the clinic with a suspected bladder tumor. Fentanyl is categorized as which type of intravenous anesthetic agent? $$ A nurse is planning care for a client who ingested a large amount of acetylsalicylic acid. A client in the emergency department waiting room is showing signs of respiratory symptoms. (C ) Urea forms an insoluble precipitate. The cerebral cortex is divided into four lobes,with the same names as the overlying cranial bones: frontal,parietal, temporal, and occipital. The child weights 55 lbs. Nursing> HESI > 2022 HESI EXIT EXAM V2 160 Questions And Correct Answers. Nurses are performing the technique shown in the accompanying image. based on the nurse's knowledge of the most common hospital-acquired infections, which apparatus is most important to remove first? Which precautions will the nurse begin? This increase in pressure can cause the delicate structures to be moved, damaged, or destroyed. Select all that apply. Nursing assessment findings reveal that the client is afraid of dying during the surgical procedure. When preparing a sterile field, the nurse notes that the bottle of sterile saline was opened 48 hours ago and is half full. A nurse is caring for a client with Guillain-Barre syndrome. B plasmid transformation. The nursing student is reviewing the neurologic system and desires to know what portion of the brain is vital to human functioning due to its ability to regulate homeostasis. The client returns to the ICU after surgery intubated and mechanically ventilated with a Salem sump nasogastric tube, a Foley catheter, and a PICC line in place. Describe three characteristics of ctenophores. Which of the following findings should the nurse expect? The 24-hour urine output total is 2430 mL. Which of the following statements should the nurse include in the teaching? $$ Many medications are available to control nausea and vomiting without oversedating the patient. The nurse is caring for a client who is exhibiting severe respiratory distress and is receiving supplemental oxygen through a nonrebreather mask. Offer the family member a mask, explaining its use. What should the client's nurse teach him about this diagnostic finding? A nurse is wearing a cover gown. Nursing care planning for patients who underwent prostatectomy includes: maintaining homeostasis and hemodynamic stability, promoting comfort, preventing complications, and providing information about the procedure, prognosis, and treatment. 1. An unconscious patient with normal pulse and respirations would be considered to be in what stage of general anesthesia? What is the highest present worth? B. Which of the following positions would the nurse expect the client to be positioned on the operating table for renal surgery? Which of the following is the appropriate response to the statement, "I'm so nervous about my surgery"?