Albert123

1. Which nursing diagnosis has the highest priority for a postpartum client who has developed disseminated intravascular coagulopathy (DIC) A. Anticipating Grieving B. High risk for infection C. Risk for deficient fluid volume D. Spiritual Distress 2. A newly delivered 9lb 4 ounce baby boy exhibits of respiratory distress. The nurse obtains a blood sample to assess the infant for which of the following? A. Hypoglycemia B. Pneumonia C. Sepsis D. Hyperbilirubinemia 3. The nurse explai...

1. The order is to give 60 mg of Garamycin (gentamicin) IM every 8hr. The vial is labeled 80 mg/ 2 mL. How many mL will you give? ? mL = 2mL/80 mg X 60 mg/(1) = 12/8 = 1.5 mL 2. The patient is to receive 65 Units of a drug. The vial is labeled 50 Units per 2 mL. How many mL will you give? ? mL = 2 mL/50 units X 65 units/(1) = 130/50 = 2.6 mL 3. The patient is to receive 0.6 g of a drug. How many mg will you give? ? mg = 1000 mg/1 g X 0.6 g/(1) = 600/1 = 600 mg 4. The patient ...

A nurse is assisting with the selection of clients to discharge to make beds available following a tornado in the community. Which of the following clients should the nurse recommend for discharge? • A client who is recovering from a laparoscopic appendectomy that was performed 24 hr ago RATIONALE: A client who had an appendectomy without complications is often discharged the day of or the day after surgery. The nurse should recommend this client for discharge because this client has a lo...

Intrapersonal communication is the communication within an individual. It is each person’s “self-talk,” the internal discussion when thinking but not outwardly verbalizing thoughts. Interpersonal communication is communication between two people. This form of communication is the most common in nursing and requires an exchange of information with another individual. Public communication is communication within groups of people. Transpersonal communication is communication that addresses s...

1. A nurse is assessing pressure ulcers on four clients to evaluate the effectiveness of a change in wound care procedure. Which of the following findings indicate wound healing? a. Erythema on the skin surrounding a client’s wound b. Inflammation noted on the tissue edges of a client’s wound c. Increase in serosanguinous exudate from a client’s wound d. Deep red color on the center of a client’s wound 2. A nurse received change-of-shift report at 0700 for four clients. Which of...

A nurse is caring for a client who is hospitalized and has expressive aphasia. The client's family reports that the nurse failed to obtain written informed consent before inserting an indwelling urinary catheter. Which of the following responses should the nurse make? "Procedures prescribed by the provider do not require consent." "This is a procedure that does not require written informed consent." • "You are right. I will discuss this issue with the charge nurse." "Would you mind s...

1. A nurse is reaching a client and his family how to care for the client’s tracheostomy at home. Which of the following should the nurse include in the teaching? a. Use tracheostomy covers when outdoors 2. A home health nurse is performing a follow-up visit for a client who has a gastrostomy tube through which they receive intermittent feedings and medications. The client has recently developed diarrhea. Which of the following findings should the nurse identify as a possible cause of the di...

1. A nurse manager at a community agency is developing an orientation program for newly hired nurses. When discussing the differences between community-based and community-oriented nursing, the nurse should include which of the following as examples of community-based nursing? (Select all that apply.) A. A home health nurse performing wound care for a client who is immobile B. An occupational health nurse providing classes on body mechanics at a local industrial plant C. A school nurse teac...

A school nurse is educating a group of high school student about recommended dietary guidelines. Which of the following statements by a student indicates an understanding of the teaching? A.) "I can consume up to 25% of my daily calories from saturate fatty acids. B.) "I should consume less than 300mg / day of dietary cholesterol. C.) "I can increase my daily consumption of foods that contain refined grains." D.) "I should consume 800mg / day of dietary calcium." High levels of choleste...

The nurse is assessing a new mother's efforts to bond with her newly born infant. Identify three (3) factors that can impact effective bonding between mother and infant? 1) Mother’s physical and emotional condition 2) Baby's physical condition 3) Family being prepared for the baby The client enters the obstetrical clinic for birth control information on using a diaphragm. What five (5) instructions would be provided by the nurse to explain use of the diaphragm? 1) A client should be...