Evolve HESI Med surg

Evolve HESI Med surg The nurse observes that a male client has removed the covering from an ice pack applied to his knee. What action should the nurse take first? Observe appearance of the skin under the ice pack. The nurse mixes 50 mg of Nipride in 250 ml of D5W and plans to administer the solution at a rate of 5 mcg/kg/min to a client weighing 182 pounds. Using a drip factor of 60 gtt/ml, how many drops per minute should the client receive? 124 gtt/min The healthcare provider prescribes 1,000 ml of Ringer's Lactate with 30 Units of Pitocin to run in over 4 hours for a client who has just delivered a 10 pound infant by cesarean section. The tubing has been changed to a 20 gtt/ml administration set. The nurse plans to set the flow rate at how many gtt/min? 83 gtt/min Which assessment data provides the most accurate determination of proper placement of a nasogastric tube? Examining a chest x-ray obtained after the tubing was inserted Three days following surgery, a male client observes his colostomy for the first time. He becomes quite upset and tells the nurse that it is much bigger than he expected. What is the best response by the nurse? Instruct the client that the stoma will become smaller when the initial swelling diminishes. A female client with a nasogastric tube attached to low suction states that she is nauseated. The nurse assesses that there has been no drainage through the nasogastric tube in the last two hours. What action should the nurse take first? Reposition the client on her side A hospitalized male client is receiving nasogastric tube feedings via a small-bore tube and a continuous pump infusion. He reports that he had a bad bout of severe coughing a few minutes ago, but feels fine now. What action is best for the nurse to take? After clearing the tube with 30 mL of air, check the pH of fluid withdrawn from the tube A male client tells the nurse that he does not know where he is or what year it is. What data should the nurse document that is most accurate? Is disoriented to place and time. A client with chronic kidney disease (CKD) selects a scrambled egg for his breakfast. What action should the nurse take? Commend the client for selecting a high biologic value protein When assisting an 82-year-old client to ambulate, it is important for the nurse to realize that the center of gravity for an elderly person is the Upper torso. In developing a plan of care for a client with dementia, the nurse should remember that confusion in the elderly Often follows relocation to new surroundings. A postoperative client will need to perform daily dressing changes after discharge. Which outcome statement best demonstrates the client's readiness to manage his wound care after discharge? The client Demonstrates the wound care procedure correctly A client who is 5' 5" tall and weighs 200 pounds is scheduled for surgery the next day. What question is most important for the nurse to include during the preoperative assessment? What vitamin and mineral supplements do you take? During the initial morning assessment, a male client denies dysuria