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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 2 hours. Which action should the nurse take first? A. Irrigate the nasogastric tube with sterile normal saline. B. Reposition the client on her side. C. Advance the nasogastric tube 5 cm. D. Administer an intravenous antiemetic as prescribed. B. The priority is to determined if the tube is functioning correctl...

Before administering a laxative to a bedfast client, it is most important for the nurse to perform what assessment? a-Observe the skin integrity of the client's rectal and sacral areas b-assess the client strength in moving and turning in the bed c-evaluate the client's ability to recognize the urge to defecate d-determine the frequency and consistency of bowel movements D rationale the nurse should ensure that the client is not experiencing diarrhea (answer choice D) before administering a...

The nurse is providing care to a client after a percutaneous transluminal coronary angioplasty (PTCA). What actions will the nurse include in the client's plan of care? (Select all that apply.) A.Frequent vital signs. B.Determine if the client is allergic to aspirin. D.Offer fluids of choice. F.Monitor infusion of IV nitroglycerine. In assessing a client diagnosed with primary aldosteronism, the nurse expects the laboratory test results to indicate a decreased serum level of which substance...

ELDERLY HAVE DECREASED RENAL FUNCTION EXCRETE DUGS AT A SLOWER RATE THAN YOUNGER ADULTS. ***RISK OF TOXICITY FOR MEDS SCHEDULED CLOSE TOGETHER EXAMPLE Q 4HRS FOR NARCOTICS*** SUCCINYLCHOLINE (ANECTINE) DEPOLARIZING NEUROMUSCULAR BLOCKER USED DURING SURGERY ***MAY CAUSE VENTRICULAR TACHYCARDIA/DYSRHYTHMIAS.*** ***ADDED NEUROMUSCULAR BLOCKER(NMB) ACTION WHEN VANCOMYCIN IS GIVEN WITH NMBs FORMULA IV DRIP RATES VOLUME (mL) X DRIP RATE (20GTT/mL)/TIME 250mL x 20GTTS/MIN DIVIDED BY 60MIN NEUPOGEN A...

A nurse is showing a student nurse how to care for Tonisha Bennete, a 32-year-old female who has pneumonia. The student nurse asks the nurse to explain why Ms. Bennete is placed in Fowler position. What is the nurse's best response to the student nurse? "It is an intervention for activity intolerance." "It is an intervention for ineffective airway clearance." "It is the position in which the client will be most comfortable." "It is an intervention for ineffective breathing pattern." "I...

The nurse is caring for a patient with chronic lower back pain. The nurse knows that the most reliable indicator of pain in this client is: The patient is reporting "6/10" pain. The patient is refusing to get out of bed. The patient is refusing to eat breakfast. The patient's heart rate is 90 beats per minute. A Which of the following actions should the nurse take to ensure an accurate blood pressure (BP) reading? Ensure the width of the BP cuff is equal to 80% of the arm circumference. Ensu...

1. In an interview, the nurse may find it necessary to take notes to aid his or her memory later. Which statement is true regarding note-taking? A) Note-taking may impede the nurse's observation of the patient's nonverbal behaviors. B) Note-taking allows the patient to continue at his or her own pace as the nurse records what is said. C) Note-taking allows the nurse to shift attention away from the patient, resulting in an increased comfort level. D) Note-taking allows the nurse to break e...

A client is reporting chest pain. What statement made by the client, helps the nurse to understand this client has a naturalistic belief in the cause of illness? "My life is really out of balance." 2. A nurse is working in a healthcare facility that serves a diverse population. What action(s) by the nurse will allow the nurse to empathize with and understand this population? (Select all that apply.) Be open to people who are different Have a curiosity about people. Become culturally competent...

1. During a two-week postoperative follow-up home visit, a female client who had gastric bypass surgery exhibits abdominal tenderness, shoulder pain, and describes feelings of malaise. Her vital signs are: temperature 101.8°F, blood pressure 100/50, heart rate 104 beats/minute, and respirations 18 breaths/minute. Which action should the nurse take? a. Determine the client's current oxygen saturation rate. b. Instruct the client to drive to the hospital for admission c. Recheck the client's...

A client presents at a community-based clinic with complaints of shortness of breath, headache, dizziness, and nausea. During the assessment, the nurse learns that the client is a migrant worker who often uses a gasoline-powered pressure washer to clean equipment and farm buildings. Which type of poisoning is the most likely etiology of this client's symptoms? a. asbestos b. silica dust c. histoplasmosis d. carbon monoxide d. carbon monoxide The nurse is conducting a process evaluation of a...