Maven

A nurse is reinforcing teaching about expected withdrawal manifestations with a client who has enrolled in a smoking cessation course. Which of the following client statements indicates an understanding of the information?"I will probably feel irritable within 24 hours of my last cigarette." A nurse is attempting to establish a therapeutic relationship with a newly admitted client. Which of the following actions should the nurse plan to take during the working phase of the nurseclien...

A nurse is caring for a client who has clinical manifestations of an ectopic pregnancy. Which of the following findings is a risk factor for an ectopic pregnancy?Pelvic Inflammatory Disease. An ectopic pregnancy occurs when the fertilized egg implants in tissue outside of the uterus, and the placenta and fetus begin to develop there. The most common site is within a fallopian tube, but ectopic pregnancies can occasionally occur in the ovary or the abdomen. Most cases are a result of sca...

A nurse is completing documentation on the computer at the nurses station when an assistive personnel (AP) requests to use the computer to enter morning vital signs. Which of the following actions should the nurse take?Ask the AP to find another computer A nurse is caring for a client who is recovering following a total hip arthroplasty. The nurse receives a telephone call from the client's sibling requesting information about the client's status. Which of the following actions should...

A nurse is caring for a client who is receiving continuous NG tube feedings. The nurse listens to the client's bowel sounds. Which of the following actions should the nurse take? (Click on the audio button to listen to the clip.)Decrease the rate of the feeding - Rationality: The nurse should expect to hear bowel sounds every 5 to 35 seconds. This audio clip indicates hypermotility because there are greater than 40 bowel sounds/min. Hypermotility leads to diarrhea and is an indication ...

A nurse is assisting in the care of a client who is 1 hr postpartum. Exhibit 1 Nurses' Notes 1200: Large amount of lochia rubra noted on perineal pad. Fundus boggy at two fingerbreadths above the umbilicus.Oxytocin 20 units being administered via continuous IV infusion 1215: Large amount of lochia rubra with several large clots noted. Client reports feeling anxious. Skin cool and clammy. Provider notified. Exhibit 2 Vital Signs 1200: Temperature 37.5° C (99.5° F)Heart rate 92/mi...

A nurse is caring for a client who has a prescription for famotidine 160 mg PO every 6 hr. Available is famotidine oral suspenision 40 mg/5 mL. How many mL should the nurse administer per dose?20 mL A nurse is collecting data from a client who has an iron deficiency anemia. Which of the following findings should the nurse expect?Difficulty concentrating *In clients who have iron deficiency anemia, body cells do not receive the required oxygen because there is less hemoglobin for bindi...

The LPN/LVN is planning care for the a client who has fourth degree midline laceration that occurred during vaginal delivery of an 8 pound 10 ounce infant. What intervention has the highest priority? A. Administer Prescribed stool softener B. Administer prescribed PRN sleep medications. C. Encourage breastfeeding to promote uterine involution D. Encourage use of prescribed analgesic perineal spraysA. Administer Prescribed stool softener The LPN/LVN is palpating the right upper hypo...

Droplet precautionA nurse is assisting with admission of a toddler who is bacterial meningitis caused by Haemophilus influenza type B. Which of the following isolation guidelines for the nurse plan to initiate? Frequent rinsed the mouth with chlorhexidine mouthwashA nurse is reinforcing teaching to the guardian of a toddler who is receiving chemotherapy and has developed stomatitis. Which of the following instruction should the nurse include in the teaching? Wait one week before giving...

A nurse is caring for a client who has clinical manifestations of an ectopic pregnancy. Which of the following findings is a risk factor for an ectopic pregnancy?Pelvic Inflammatory Disease. An ectopic pregnancy occurs when the fertilized egg implants in tissue outside of the uterus, and the placenta and fetus begin to develop there. The most common site is within a fallopian tube, but ectopic pregnancies can occasionally occur in the ovary or the abdomen. Most cases are a result of sca...

A nurse is reinforcing teaching about expected withdrawal manifestations with a client who has enrolled in a smoking cessation course. Which of the following client statements indicates an understanding of the information?"I will probably feel irritable within 24 hours of my last cigarette." A nurse is attempting to establish a therapeutic relationship with a newly admitted client. Which of the following actions should the nurse plan to take during the working phase of the nurseclien...