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The nurse knows that which statement by the mother indicates that the mother understands safety precautions with her four-month-old infant and her 4-year-old child? Upon completing the admission documents, the nurse learns that the 87-year-old client does not have an advance directive. What action should the nurse take? A nurse administers the influenza vaccine to a client in a clinic. Within 15 minutes after the immunization was given, the client complains of itchy and watery eyes, increased ...

A nurse is teaching staff members about the legal terminology used in child abuse. What definition of battery should the nurse include in the teaching? Which nursing interventions require a nurse to wear gloves? (Select all that apply.) A nurse is caring for a client with hemiplegia who is frustrated. How can the nurse motivate the client toward independence? A health care provider prescribes a standard walker (pick-up walker with rubber tips on all four legs). The nurse identifies what clini...

A client is receiving furosemide (Lasix) to relieve edema. The nurse should monitor the client for which response to the medication? A routine urinalysis is prescribed for a client. What should the nurse do if the specimen cannot be sent immediately to the laboratory? A nurse is notified that the latest potassium level for a client in acute renal failure is 6.2 mEq. What action should the nurse take? A client with a diagnosis of uncontrolled diabetes began receiving Lasix (Furosemide) two day...

A home care nurse is instructing a client with hyperemesis gravidarum about measures to ease nausea and vomiting. The nurse tells the client to: A nurse is caring for a client with preeclampsia who is receiving a magnesium sulfate infusion to prevent eclampsia. Which finding indicates to the nurse that the medication is effective? A client with preeclampsia who is receiving magnesium sulfate in an intravenous infusion exhibits signs of magnesium toxicity. The nurse immediately prepares for the...

A nurse on the psychiatric unit of the hospital has been assigned four clients for the shift. The assignment includes an 84-year-old client who is severely depressed, a 73-year-old client who is being discharged, a 53-year-old client who was admitted for lithium toxicity, and a 48-year-old client who has panic attacks. Which client should the nurse evaluate first after receiving report? A young female client admitted to the trauma center after being sexually assaulted continues to talk about th...

When the implementation of a plan of care does not produce the desired outcome effectively, the plan should be changed. Time is not relevant in the revision of a plan of care. Client response to care is the determining factor, not the validity of the health problem. Various methods may have the same outcome; their effectiveness is most important. A client with a dysrhythmia is admitted to telemetry for observation. In the morning, the client asks for a cup of coffee. What is the nurse’s best ...

A inurse iis icaring ifor ia iclient iwho ihas isickle icell ianemia iand iis itaking ihydroxyurea. iWhich iof ithe ifollowing ifindings ishould ithe inurse ireport ito ithe iprovider i(SATA)? Hemoglobin i7.0 ig/dl iPlatelets i75,000/mm3 iPotassium i5.2 imeq/l A inurse iis iproviding iteaching ifor ia iclient iwho ihas imultiple isclerosis iand ia inew iprescription ifor imethylprednisone. iWhich iof ithe ifollowing iinstructions isho...

1. Two idays iafter idelivery, ia ipostpartum iclient iprepares ifor idischarge. iWhat ishould ithe inurse iteach iher iabout ilochia iflow? Incorrect: iLochia idoes ichange icolor ibut igoes ifrom ilochia irubra i(bright ired) ion idays i1-3, ito ilochia iserosa i(pinkish ibrown) ion idays i4-9, ito ilochia ialba i(creamy iwhite) idays i10-21. Incorrect: iNumerous iclots iare iabnormal iand ishould ibe ireported ito ithe iphysician. ...

ATI iNursing iCare iof iChildren iProctored iExam A inurse iin ithe iemergency idepartment iis icaring ifor ia i2-year-old ichild iwho iwas ifound iby ihis iparents icrying iand iholding ia icontainer iof itoilet ibowl icleaner. iThe ichild's ilips iare iedematous iand iinflamed, iand ihe iis idrooling. iWhich iof ithe ifollowing iis ithe ipriority iaction iby ithe inurse? a. iRemove ithe ichild's icontaminated iclothing. i b. ...

ATI Mental Health Proctored Exam 1. A nurse is caring for a client whose child has a terminal illness. The client requests information about how to deal with the upcoming loss. Which of the following statements should the nurse make a. "It is not uncommon to feel angry toward yourself or others Reason: Feelings of blame and anger towards oneself or others are an expected reaction when a client is experiencing a loss. 2. A nurse is teaching a client who has bipolar disorder and a presc...