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During a home health assessment the nurse witnesses a school age child fall from a second story window. Which is the priority action? - correct answer Tell the child not to move *Do not rule out spinal cord injury* A unit manager observes several nurses working throughout the day.. Which ac...

an older adult client reports recurring calf pain after walking one block that disappears with rest. the client has weak pedal pulses and the skin on the left lower extremity is shiny and cool to touch. Which nursing intervention is appropriate at this time? 1. position left leg dependently 2. el...

Pt on long term corticosteroid therapy should get screen for________ - correct answer Osteoperosis What position for a thorocentesis________ - correct answer Leaning forward on pillows--spreads IC space in back to access lungs Nutrition for acute Diverticulitis - correct answer ...

Endometiral infection usually occurs - correct answer with a prolonged rupture of membranes, not vacuum-assisted births. Intenstinal gas is a common side effect of - correct answer clients following a cesarean birth Cervical lacerations are common complications from - correct answer ...

List the pertinent information that should be included in a transfer report. - correct answer Medical diagnosis, care providers, demographic information, overview of health status, plan of care, recent progress, alterations in health status that cause immediate concern, notifications of assessm...

Normal Lab Values: Potassium - correct answer 3.5-5.0 mEq/L Normal Lab Values: Sodium - correct answer 136-145 mEq/L Normal Lab Values: WBC - correct answer 5,000-10,000 Normal Lab Values: Platelets - correct answer 150,000-400,000 Normal Lab Values: Hemoglobin (Male ...

A client is receiving home oxygen. What teaching points should the nurse provide the client and the caregiver regarding home oxygen safety? - correct answer Since oxygen is combustible, the following nursing actions are important for the nurse to implement: Post ""No Smoking"" or ""Oxygen...

A nurse is caring for a client with severe peripheral arterial disease of the right lower extremity. Which intervention is appropriate? A.) Apply cold compresses to the affected extremity B.) Apply warm compresses to the affected extremity C.) Keep the affected extremity above the level of the ...

A nurse in a provider's office is preparing to test a client's cranial nerve function. What directions should she include when testing cranial nerve V? (was select all that apply) - correct answer "Close your eyes" "Clench your teeth" "Tell me when you feel a touch" A client asks t...

A charge nurse is discussing mental status exams with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching? (Select all that apply) A. "To assess cognitive ability, I should ask the client to count backwards by sevens." ...

a nurse reinforces teaching to a client about end-of-life decisions. which information about advance directives is correct? a. informed consent should be verified b. a health care proxy can be designated c. specific dietary restrictions are identified d. legal counsel is needed to make decisio...

A nurse is discussing restorative health care with a newly licensed nurse. Which of the following examples should the nurse include in the teaching? select all that apply Restorative health care involves intermediate follow up care for restoring health and promoting self care. Know the differe...

A nurse prepares a staff in-service on incident reports. Which of the following should the nurse include? Select all that apply. 1. Risk management investigates the incident. 2. A copy of report is placed in client's health record. 3. Reports include description of incident and actions taken ...

A nurse is caring for a client who is having surgery for the removal of an encapsulated acoustic tumor. Which of the following potential complication should the nurse monitor for postoperatively? SATAA. A. Increased ICP B. Hemorrhagic shock C. Hydrocephalus D. Hypoglycemia E. Seizures - correc...