When assessing a restless - Study guides, Class notes & Summaries

Chapter 20: Nursing Management: Postoperative Care MULTIPLE CHOICE 1. A 42-year-old patient is recovering from anesthesia in the postanesthesia care unit (PACU). On admission to the PACU, the blood pressure (BP) is 124/70. Thirty minutes after admission, the blood pressure falls to 112/60, with a pulse of 72 and warm, dry skin. The most appropriate action by the nurse at this time is to a. increase the rate of the IV fluid replacement. b. continue to take vital signs every 15 minutes....

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 _____________________________________________________________________________________...

A nurse is assessing a client who received 2 units of packed RBCs 48 hrs ago. Which of the following findings should indicate to the nurse that the therapy has been effective? - ANSWER hemoglobin 14.9 g/dL a nurse working in an emergency department is triaging four clients. which of the following clients should the nurse recommend for treatment first? - ANSWER a middle adult client who has unstable vital signs a nurse is caring for a client who has fluid volume overload. which of the follo...

RN ATI Fundamentals (10.0) Chapter 1 1. A nurse is discussing restorative health care with a newly licensed nurse. Which of the following examples should the nurse include in the teaching? (Sele ct all that apply.) a. Home health care b. Rehabilitation facilities c. Diagnostic centers d. Skilled nursing facilities e. Oncology centers 2. A nurse is explaining the various types of health care coverage clients might have to a group of nurses. Which of the following health care financing mechanisms ...

HESI PN EXIT EXAM NGN Q&A 2023/24 UPDATE HESI PN EXIT EXAM NGN Q&A 2023/24 UPDATE I HAVE MERGED 3 FILES WHICH THEY ARE TESTING FROM INCLUDING SOME CASE STUDIES NORMAL QUESTIONS ON ACTUAL TEST IS 90% WHILE NGN IS ABOUT 10% THIS FILES CONTAINS SOME RATIONALES TOO ...

  1. A nurse is assessing for compartment syndrome in ANSWER;Pain that client who has a short leg cast. Which of the following increas-es with findings should the nurse identify as a manifestation of this condition? Bounding pedal pulse Capillary refill less than 2 seconds Pain that increases with passive movement Areas of warmth on the cast 2. A nurse is providing teaching to a client who has a severe form of stage II Lyme disease. Which of the following statements made by th...

The nurse is caring for a client who is dying. The nurse overhears the client saying, "God, if you will only let me live to see my daughter get married, I promise I will start going to church again." The nurse understands that the client is in which stage of grief according to Kübler-Ross? A. Depression B. Bargaining C. Anger D. Denial - answer-B When assessing a patient who is grieving, the nurse identifies several emotional indicators. Which of the following would be consistent w...

A nurse is providing discharge instructions to a client following an upper gastrointestinal series with barium contrast. Which of the following information should the nurse provide? Increase fluid intake Rationale: Increasing fluid intake will help to prevent constipation. Therefore, the nurse should instruct the client to increase fluid intake to facilitate the elimination of the barium used during the test. A nurse is caring for a client who has hepatic encephalopathy that is being tr...

ECCO Caring for Patients with Neurologic Disorders: Part 1 Questions and Answers 100% Pass What vital sign assessments herald impending brainstem herniation? Increased SBP w/widening pulse pressure, changes in respirations, and bradycardia A patient is admitted after sustaining traumatic brain injury in a motorcycle crash. The patent's GCS score on admission is E 2, M 3, V 1T = 6T. Which of the following should the nurse perform to prepare the patient for ICP monitoring? Prior to placement of ...

HESI HEALTH ASSESSMENT 2022-2024 TEST BANK REVISED QUESTIONS AND ANSWERS 100% CORRECT. 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...