Fowler 45 ng - Study guides, Class notes & Summaries

1) A nurse is assisting a child who has multiple closed fractures of the lower extremities due to a motor-vehicle crash. The nurse should monitor the child for which of the following complications during the first 24 hr. after the injury occurred? A. Osteomyelitis B. Compartment syndrome C. Volkmann ischemic contracture D. Renal calculi 2) A nurse is teaching the parent of a toddler who has phenylketonuria about meal planning. Which of the following information should the nurse inc...

The nurse is caring for a client with a severe nosebleed. The health care provider inserts a nasal sponge. What should the nurse teach the client about this intervention? A. The sponge creates a risk for viral sinusitis B. The sponge can stay in place for 3 to 4 days if needed C. The client should remain supine while the sponge is in place D. NSAIDs are contraindicated while the sponge is in place ANS: B _____________________________________________________________________________________...

Fracture left hip - Answer- - Manifestations: pain in hip/groin, bruising at hip, pain on movement, muscle spasms - Bucks traction (temporary to relieve pain, reduce muscle spasm and immobilize) - use is not routine - Surgery is usually done to reduce and fixate the fracture - Care is similar to that of a patient undergoing other orthopedic surgery or hip replacement surgery Care of Hip fracture - Health history and presence of concomitant problems - Pain - VS, respiratory status, LOC, a...

1. Upper GI Tract Dysphagia – Difficulty swallowing. Major concern for older adult & victims of stroke. Has trouble swallowing liquids or solids, coughs after eating or drinking, speech difficulty (dysphonia) • Barium Swallow – Swallows radioactive dye that shows areas of dysfunction. • Endoscopic Evaluation TX = Thickened liquids/foods. Elevate HOB 30-45 degrees. 2. Lower GI Tract Obstruction – Poop can’t go forward . ABG: HCO3 up, pH up = metabolic alkalosis •...

GI Exam Questions and Answers 2024 Tube feedings are given to a client after an oral surgery. The nurse manages tube feedings to minimize the risk of aspiration. Which measures should the nurse include in the care plan to reduce the risk of aspiration? - Answer ️️ -Place the client in a semi-Fowler position during and 30 to 60 minutes after an intermittent feeding. A client has a Salem Sump tube inserted for gastric decompression. The physician orders the tube to be attached to low int...

A nurse is caring for a client who is postoperative following a vaginal hysterectomy and asks for a drink. Her postoperative diet prescription reads: clear liquids; advance diet as tolerated. Which of the following responses should the nurse make? A. "lunch trays should be here within the hour" B. "I am going to listen to your abdomen" C. I'll get you some water to drink D. "I would wait a bit, or you could feel sick" - "I am going to listen to your abdomen" (make su...

PN LEADERSHIP EXAM QUESTIONS AND ANSWERS | NGN UPDATEThe nurse who slanders uses the spoken word to harm another professional's reputation Choose matching term Battery Slander Negligence Libel Don't know? 1 of 53 Definition Sanguineous drainage is bright red and indicates active bleeding Choose matching term purulent sanguineous battery serous Don't know? 2 of 53 Definition Monitoring for shortening of the affected leg is a nursing action that identifies dislocat...

GI Exam Questions and Answers 2024 Tube feedings are given to a client after an oral surgery. The nurse manages tube feedings to minimize the risk of aspiration. Which measures should the nurse include in the care plan to reduce the risk of aspiration? - Answer ️️ -Place the client in a semi-Fowler position during and 30 to 60 minutes after an intermittent feeding. A client has a Salem Sump tube inserted for gastric decompression. The physician orders the tube to be attached to low int...

A nurse is evaluating a client's use of a cane. Which of the following actions should the nurse identify as an indication of correct use? 1. The top of the cane is parallel to the client's waist. 2. When walking, the client moves the cane 46 cm forward. 3. The client holds the cane on the stronger side of the body. 4. The client moves her stronger limb forward with the cane. - 3. The client holds the cane on the stronger side of the body. - To increase support and maintain alignment...

What is the best indicator of fluid volume status? Daily Weight Urine specific gravity greater than _____ means urine is concentrated 1.025 Urine specific gravity less than _____ means urine is dilute 1.012 What are the 3 most important labs for fluid volume? Hct, BUN, Na Will Hct, BUN and Na increase or decrease with hypervolemia? Decrease Will Hct, BUN and Na increase or decrease with hypovolemia? Increase Normal urine output 0.5 mL/kg/hr normal skin turgor retraction time 2-3 s...