Nura 303 - Study guides, Class notes & Summaries

A preoperative nurse is preparing a patient for surgery for treatment of a ruptured spleen as the result of an automobile crash. For what type of surgery would the nurse prepare this patient? a. Minor, diagnostic b. Minor, elective c. Major, emergency d. Major, palliative - ANS c. Major, emergency A nurse is preparing a patient for a cesarean section and teaches her the effects of the regional anesthesia she will be receiving. Which effects would the nurse expect? Select all tha...

1. The nurse is listening to the patient's heart at the 2nd LSB. Which area is being auscultated? 1. Erb's point 2. Mitral area 3. Aortic area 4. Pulmonic area - ANS 4. Pulmonic area 2. A patient complains of pain in the calf when walking. Which question should the nurse ask for further data? 1. "Does your calf also swell when this pain occurs?" 2. "Does the pain go away when you stop walking?" 3. "Do you become short of breath when you're walking?" 4. "Do you feel d...

The nurse is developing a plan of care for a chair-bound patient. To prevent development of pressure ulcers, which intervention(s) must be implemented? (Select all that apply.) 1.Maintain postural alignment. 2.Use pressure-relieving devices. 3.Teach weight shifts every 15 minutes. 4.Use donut-type devices. 5.Shift pressure points every hour. - ANS 1, 2, 3, and 5 Which physiologic change(s) associated with aging predispose(s) older adults to skin breakdown? (Select all that apply....

What is clinical judgment - ANS - consist of both opinions and decisions based on theoretical knowledge and experience - a nurse knows what to look for, draws valid conclusions about what the signs mean, and knows what to do about it. Clinical reasoning - ANS Refers to ways of thinking about patient care issues - determining, preventing, managing patient problems Nursing Process: Assessment - ANS Collect and analyze date about a client, first step in deliver...