Kenroger

1. A nurse is performing a vaginal exam on a client who is in active labor. The nurse notes the umbilical cord protruding through the cervix. Which of the following actions should the nurse take? Administer oxytocin to the client via intravenous infusion. Apply oxygen at 2 L/min via nasal cannula. Prepare for insertion of an intrauterine pressure catheter. Assist the client into the knee-chest position. 2. A nurse is assessing a newborn who is 48 hr old and is experiencing opioid withdrawals....

1) Inflammaandwardry Bowel Disease: Dietary Recommendations (583) • low fiber • download protein • decreased calories Ulcerative Colitis and Crohn’s Disease • Eat foods high in protein and calories, and low in fiber • Identify foods that trigger clinical manifestations • Joined caffeine and alcohol, take multivitamin w/ iron • Eat small frequent meals • Dietary supplements high in protein and low in fiber • Moniandwardr and electrolyte imbalance especially potassium...

1.A nurse is assessing a client who is 12hr postoperative following a colon resection. Which of the following findings should the nurse report to the surgeon? 1. Heart rate 90/min 2. Absent bowel sounds → normal findings after major bowel surgery; takes several days to return to normal. 3. Hgb 8.2 g/dl 4. Gastric pH of 3.0 Rationale: Normal Hgb is 13-18M g/dl, 12-16 g/dl. This may indicate a possible hemorrhaging. 2. A nurse is caring for a client who has diabetes insipidus. Which of t...

1) A nurse is caring for a client who is breastfeeding and states that her nipples are sore. Which of the following interventions should the nurse suggest? a) apply mineral oil to the nipples between feedings b) keep the nipples covered between breastfeeding sessions c) change the newborn’s position on the nipples with each feeding d) increase the length of time between feedings 2) A nurse is caring for a client who is 4 hr postpartum following a vaginal birth. The client has saturated ka...

1. A nurse is providing education to the parent of a child who has cystic fibrosis and has a prolapsed rectum. The nurse should teach that which of the following is a cause of this complication: a. Bulky stools b. Weakened rectal sphincter c. Elevated pancreatic enzymes d. Decreased intra-abdominal pressure 2. A pre-schooler is admitted to the emergency department with full thickness third degree burn over 45% of his body. Which of the following actions should the nurse take first: a. Ad...

Focused Review Notes Manifestations of Vitamin A Toxicity • Can cause teratogenic effects on fetuses • Blurred vision • Bone pain or swelling • Hypercalcemia • ICP • Liver damage • Skin peeling, itching • Nausea and vomiting • Abnormal softening of the skull bone (children) and bulging fontanels Planning Care for a Client Who Follows Seventh-Day Adventist Dietary Laws • Vegetarianism o Do not consume animal products of any type INCLUDING eggs and milk produc...

The nurse is caring for a client with schizophrenia. Which of the following outcomes is the least desirable? A) The client spends more time by himself B) The client doesn't engage in delusional thinking C) The client doesn't harm himself or others D) The client demonstrates ability to meet his own self-care needs The client with schizophrenia is commonly socially isolated and withdrawn; therefore, having the client spend more time by himself wouldn't be a desirable outcome. Rather,...

LOC • Alert: responsive, answer questions appropriately, opens eyes spontaneously. • Lethargic: open their eyes, can answer questions but easily falls asleep. • Stupor: barely responds to painful stimuli (like rubbing the patients’ sternum) • Comatose: unconscious/does not respond to painful stimuli • Decorticate: flexion/ internal rotation of upper extremities, joints and legs • Decerebrate: neck/elbows extension, wrist and finger flexion Torts: unintentional torts- negli...

Carbohydrate, protein and fat 3 main nutrients. Carbs: 45-65% of daily calories function: energy, regulate fat, cardiac and cns system, protein metabolism. Glycogen: stored carb in the liver and muscle and it release between the meals to regulate the Blood glucose level. Carbs 4 calories per gram per energy * Fiber intake 25gr women, for M 38gr per day * Protein 10-35% daily calories, 0.8 gr per kg body weight, tissue building, immune function, neutral nitrogen balance. Wound healing is im...

1) A nurse is contributing the plan of care for a client admitted with a paranoid personality disorder. What are important recommendations to make during this time? • When contributing to the plan of care, safety is priority. Some clients with PD are at risk for violence or self-injury. • Clients with personality disorder often have the comorbidity of substance abuse and/or a history of violent and nonviolent crimes. • The nurse should set limits, be consistent, and firm, yet supportiv...