Sanction. Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who has an image of another client on her cell phone. The client states, "We have become friends while being in the hospital." What should be the nurses response?, A nurse is caring for a client who asks, "Can you take a picture of my cast ...Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a client with a spinal cord injury who has paraplegia. The nurse can expect which major problem early in the recovery period? 1. bladder control 2. nutritional intake 3. quadriceps setting 4. use of aids for ambulation, The primary reason the nurse encourages a client with a spinal cord injury to increase ... Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client at home who is receiving parenteral nutrition. The nurse notes that the client has gained 6 pounds since last weeks visit. Which of the following assessments will the nurse prioritize as a result of this finding? A. ask about increased thirst B. Auscultate lungs and check for crackles C. Check ... A nurse is caring for a client who is receiving continuous bladder irrigation following a transurethral resection of the prostate. The client reports bladder spasms, and the nurse observes a decreased urinary output.a nurse isa caring for a client who has a central venous catheter and develops acute shortness of breath. which of the following actions should the nurse take first? asthma. a nurse is caring for a client who has hypertension and asks the nurse about a prescription for propranolol. the nurse should inform the client that this medication is ...Study with Quizlet and memorize flashcards containing terms like Heart failure is mostly caused by: a. Pneumonia b. Hypertension c. Cancer d. Tuberculosis, Identifying details of Supraventricular Tachycardia, A nurse is caring for a client who is prescribed isosorbide mononitrate (Imdur) for chronic stable angina and develops reflex tachycardia.The nurse is assisting the client with transfer to a bedside commode. After the client stands and pivots, what should the nurse instruct the client to do next? Place hands on the armrests prior to sitting down. The nurse is caring for a female client who has used the bedside commode. What things should the nurse document for this client?Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client with hyperparathyroidism and notes that the client's serum calcium level is 13 mg/dL. Which medication should the nurse prepare to administer as prescribed to the client? 1. Calcium chloride 2. Calcium gluconate 3. Calcitonin (Miacalcin) 4. Large doses of vitamin …Decreased total body fluid. A nurse is caring for a client who has an acid-base imbalance and is experiencing hypoxia. Which of the following actions should the nurse take first? Elevate the head of the client's bed. A nurse is preparing to administer 1,950 mL of 0.45% sodium chloride IV to infuse over 13 hr.Which of the following actions should the nurse take? A. Wear an N95 respirator when caring for the client. B. Place the client in a private room. C. Place a mask on the client when they leave their room. D. Place the client in a negative airflow room., A nurse is performing hand hygiene after caring for a client who has Clostridium difficile. Study with Quizlet and memorize flashcards containing terms like The nurse is providing care for a client whose current medication regimen includes tacrolimus and cyclosporine. The client's health history most likely includes which of the following? Renal transplant Multiple sclerosis Psoriasis Rheumatoid arthritis, A client is at an acute risk for organ …A nurse is reviewing the laboratory results of a male client who is at risk for peripheral arterial disease from atherosclerosis. The nurse should identify that which of the following results places the client at risk? LDL 172 mg/dL. A nurse is caring for a client who has a new diagnosis of essential hypertension.A nurse is caring for a client whose cultural background is different from her own. Which actions are appropriate? Select all that apply. A. Consider that nonverbal cues, such as eye contact, may have different meanings in different cultures B. Respect the client's cultural beliefs C. Ask the client if he has cultural or religious requirements that should be considered in his care D. Explain ...Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client prescribed IV morphine via PCA with a demand of 1 mg every 15 min and a 4mg/hr lockout/ The client reports unbearable pain after attempting six demand doses within the last hour. After assessing the clients pain, which of the following actions should the nurse take?, A nurse is preparing to assess ...F. Use the access site area for venipuncture., A nurse is planning postprocedure care for a client who received hemodialysis. Which of the following interventions should the nurse include in the plan of care? (Select all that apply.) A. Check BUN and serum creatinine. B. Administer medications the nurse withheld prior to dialysis. C. A nurse is caring for a client who was admitted with pneumonia, has a history of falls, and has skin lesions resulting from scratching. The priority nursing diagnosis for this client should be: a) Ineffective airway clearance. b) Risk for falls. c) Impaired tissue integrity. d) Ineffective breathing pattern.a) Evaluation b) Planning c) Assessment d) Implementation, Select the best description of how the nurse applies the nursing process in caring for clients. The nurse: a) applies intuition and routine care for clients. b) uses critical thinking to direct care for the individual client. c) uses scientific problem solving to meet client problems.The nurse is caring for a client following an amniocentesis procedure. The nurse reviews the client's chart and notices that the client's blood type is O negative. Which does the nurse anticipate administering? The biophysical profile (BPP) is an ultrasound assessment of fetal status along with a non-stress test (NST). A score of 2/10 will ...A nurse is caring for four clients. After administering morning medications, she realizes that the nifedipine prescribed for one client was inadvertently administered to another client. Which of the following actions should the nurse take first? A. Notify the client's provider B. Check the patients vitals C. Assess another patientA nurse is reviewing the laboratory results of a male client who is at risk for peripheral arterial disease from atherosclerosis. The nurse should identify that which of the following results places the client at risk? LDL 172 mg/dL. A nurse is caring for a client who has a new diagnosis of essential hypertension.Rationale: The first action the nurse should take when using the ABC's approach to client care is to turn the client's head to the side. This action keeps the client's airway clear of secretion to prevent aspiration. A nurse is caring for a client who has had a hemorrhagic stroke following a ruptured cerebral aneurysm. 11 nurse is caring for a client who has a new prescription for alosetron. What are the. expected therapeutic effects of this medication? Important things to remember about the side effects of leuprolide: Most people do not experience all of the side effects listed. Side effects are often predictable in terms of their onset and duration.Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a client on a monitored telemetry unit. During morning assessment, the nurse notes abnormal ECG waves on the telemetry monitor. Which action would the nurse do first? Call the physician with a report. Assess the client. Assess for mechanical dysfunction. Reposition …A nurse caring for a client is using active listening skills. Which of the following actions should the nurse take? Use intermittent eye contact. A nurse accidently administers the wrong medication to a client, which results in a severe allergic reaction and prolongs the client's hospitalization.A nurse is caring for a client who has a peripheral venous ulcer. Which of the following actions should the nurse take? (Select all that apply) a. Instruct the client to apply warm heat for pain. b. Instruct the client to sit with their legs uncrossed. c. Encourage the client to avoid tobacco products.2. A client is experiencing disequilibrium syndrome. List three (3) manifestations associated with this presentation and three (3) associated nursing actions to manage the syndrome. A nurse is providing discharge teaching to a client following a permanent pacemaker insertion. List four (4) important teaching points that need to be included.Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who is being admitted for an acute exacerbation of ulcerative colitis. Which of the following actions should the nurse take first? 1. Review the client's electrolyte values 2. Check the clients perianal skin integrity 3. Investigate the client's emotional concerns 4. Obtain a dietary history from ...Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client receiving chemotherapy. Which nursing action is most appropriate for handling chemotherapeutic agents? Wear disposable gloves and protective clothing. Break needles after the infusion is discontinued. Disconnect I.V. tubing with gloved hands. Throw I.V. tubing in the trash after the infusion is ...The nurse caring for a client who has had a subtotal thyroidectomy reviews the plan of care and determines which problem is the priority for this client in the immediate postoperative period? Bleeding. A comatose client with an admitting diagnosis of diabetic ketoacidosis (DKA) has a blood glucose value of 368 mg/dL, arterial pH of 7, arterial ...Published on Jun 9, 2021. Updated on Feb 27, 2023. Today's NCLEX-RN® question of the day focuses on a client's potassium level. The nurse is reviewing a client's laboratory results and notes the serum potassium level is 2.8 mEq/L.A. Weigh the client daily B. Encourage the client to drink 2 to 3 L of fluid per day. C. Instruct the client to ambulate every 2 hr. D. Obtain the client's serum blood glucose., A nurse is planning care for a client who is scheduled to undergo extracorporeal shock wave lithotripsy (ESWL) for urolithiasis. Which of the following actions should ...The nurse is caring for a client having respiratory distress related to an anxiety attack. Recent arterial blood gas values are pH = 7.53, Pao2 = 72 mm Hg (72 mm Hg), Paco2 = 32 mm Hg (32 mm Hg), and HCO3- = 28 mEq/L (28 mmol/L). Which conclusion about the client should the nurse make? 1. The client has acidotic blood.Set realistic limits on the client's behavior. A nurse is caring for a client who has a history of substance use disorder and was involuntarily admitted to a mental health facility. When the nurse attempts to administer oral lorazepam, the client refuses to take the medication and becomes physically aggressive.A nurse caring for a client is using active listening skills. Which of the following actions should the nurse take? Use intermittent eye contact. A nurse accidently administers the wrong medication to a client, which results in a severe allergic reaction and prolongs the client's hospitalization. The nurse is assisting the client with transfer to a bedside commode. After the client stands and pivots, what should the nurse instruct the client to do next? Place hands on the armrests prior to sitting down. The nurse is caring for a female client who has used the bedside commode. What things should the nurse document for this client?A nurse is caring for a client who has heavy drainage from a moist red wound that is bleeding. Which of the following types of dressings should the nurse select to help promote hemostasis? Alginate [DEF: Alginate dressings help establish hemostasis while providing a moist environment for healing and absorption of exudate.Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who is at 32 weeks of gestation and is experiencing preterm labor. Which of the following medications should the nurse plan to administer? A. Betamethasone B. Misoprostol C. Methylergonovine D. Poractant alfa, A nurse is caring for a client who …Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who is taking levothyroxine for hypothyroidism. Which of the following indicates the client's does is too high? A. Decreased Temperature B. Bradycardia C. Weight gain D. Tachypnea, A nurse is reinforcing teaching with a client who is scheduled for lithotripsy …Study with Quizlet and memorize flashcards containing terms like 36. The nurse is caring for a client with heart failure. On assessment, the nurse notes that the client is dyspneic and crackles are audible on auscultation. What additional signs would the nurse expect to note in this client if excess fluid volume is present? 1.Weight loss 2.Flat neck and hand veins 3.An increase in blood ...A nurse is caring for a client in the orientation phase of the nurse-client relationship. Which of the following communication techniques should the nurse use during this phase? Elicit information from the client A nurse is receiving change-of-shift report for a group of assigned clients.Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who is at 32 weeks of gestation and is experiencing preterm labor. Which of the following medications should the nurse plan to administer? A. Betamethasone B. Misoprostol C. Methylergonovine D. Poractant alfa, A nurse is caring for a client who …A nursing care plan for preeclampsia involves monitoring vital signs, weight, urine output and state of consciousness, assessing deep tendon reflexes and symptoms of headache or epigastric pain, as well as providing treatment as prescribed,...Oct 22, 2023 · The nurse should explain to the client that the stat ultrasound the provider prescribed will determine 1. fetal lung maturity 2. location of the placenta 3. fetal viability 4. biparietal diameter, A nurse is caring for a client in the prenatal clinic with a possible ectopic pregnancy at 8 weeks of gestation. A. clamp each lumen. B. place the client in an upright position. C. put on sterile gloves. D. flush each lumen with 10 milliliters normal saline. A. clamp each lumen. The nurse is caring for a client who has an implanted port central venous access device (CVAD) and needs to have an intravenous (IV) solution infused.A nurse is caring for a client on a medical-surgical unit. Vital Signs Nurses' Notes Medication Administration Record Vital Signs 1230: Temperature 98.9˚F (37.2˚C) Heart Rate 70 /min Respiratory Rate 18 /min Blood Pressure 130/90 mm Hg Oxygen Saturation 99% on room air Pain score 0/10 1330: Temperature 99.9˚F (37.8˚C) Heart Rate 52 /minA nurse is caring for a client who was in a motor-vehicle crash 2 days ago and sustained fractures to his tibia, ulna, and several ribs. The client is disoriented to time and place, has a SaO2 of 87%, and the nurse notes generalized petechiae on the client's skin.a nurse is caring for a client who is 5 hr post op following a transurethral resection of the prostate. the nurse notes that the clients indwelling urinary catheter has not drained in the past hour. which of the following actions should the …A nurse is caring for a client with MRSA. Implement which precautions? contact a nurse is caring for a client who is 4hrs postpartum with a boggy uterus and heavy lochia. First nursing action? massage the uterus to expel clots. A home health nurse is assessing a 2 week old newborn who had a birth weight of 3 (8lbs) and is being breastfed.A nurse is caring for a client on a medical-surgical unit. Vital Signs Nurses' Notes Medication Administration Record Vital Signs 1230: Temperature 98.9˚F (37.2˚C) Heart Rate 70 /min Respiratory Rate 18 /min Blood Pressure 130/90 mm Hg Oxygen Saturation 99% on room air Pain score 0/10 1330: Temperature 99.9˚F (37.8˚C) Heart Rate 52 /minA non-tunneled percutaneous central catheter. - ideal for emergency situations where short-term (less than 6 weeks) central venous access is required for multiple therapies. A nurse is caring for a client who has a central venous catheter. When flushing the catheter, the nurse should use a 10-mL syringe to prevent which of the following ...A nurse is reviewing the laboratory results of a male client who is at risk for peripheral arterial disease from atherosclerosis. The nurse should identify that which of the following results places the client at risk? LDL 172 mg/dL. A nurse is caring for a client who has a new diagnosis of essential hypertension.Study with Quizlet and memorize flashcards containing terms like A nurse is collecting data for a client who has brittle hair. Which of the following should the nurse determine about the client's nutritional intake?, A nurse is caring for client who reports having daily constipatiin. Which of the following information should the nurse provide to the client …Using the ABC priority setting framework, maintaining a patent airway and ensuring adequate respiratory effort are the priority concerns of the nurse caring for a client who has been admitted in a vaso-occlusive crisis. Short-term oxygen therapy is used to prevent additional sickling and hypoxia.The correct sequence for performing an abdominal assessment is inspection, auscultation, percussion and palpation. The nurse caring for a post-abdominal surgery client who has also been diagnosed with dementia. The family is concerned about pain control for the client because the client is confused. What should the nurse include in their ...Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who is to receive oxytocin to augment her labor. Which of the following findings contraindicates the initiation of the oxytocin infusion and should be reported to the provider? Late decelerations Moderate variability of the FHR Cessation of uterine dilation …A nurse is caring for a client who is 28 weeks gestation, and is experiencing pre-term labor. Which medication should the nurse administer? A. Nifedipine- tocolytic. Amphotericin B is an antifungal medication used to treat fungal infections, however, it …Chapter 17 - Respiratory Diagnostic Procedures. A nurse is caring for a client who is scheduled for a thoracentesis. Prior to the procedure, which of the following actions should the nurse take? A. Position the client in an upright position, leaning over the bedside table. B. Explain the procedure to the client.The antibiotic interferes with the client's ability to absorb nutrients. C.) The antibiotic eliminates the healthy gastrointestinal bacteria, allowing harmful bacteria to grow. D.) The antibiotic decreases a client's immunity level, resulting gin diarrhea., A nurse is caring for an older adult who is experiencing urinary leakage.Find step-by-step Health solutions and your answer to the following textbook question: A nurse is caring for a client who has an indwelling urinary catheter. Which of the following actions should the nurse take to prevent infection? A. Replace the catheter every 3 …Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who has been off the unit for physical therapy for the past hour notes that the infusion pump for the clients TPN is turned off. The client tells the nurse that the battery went dead while she was in physical therapy. a nurse isa caring for a client who has a central venous catheter and develops acute shortness of breath. which of the following actions should the nurse take first? asthma. a nurse is caring for a client who has hypertension and asks the nurse about a prescription for propranolol. the nurse should inform the client that this medication is ...A nurse is caring for a client in labor who is receiving Pitocin by IV infusion to stimulate uterine contractions. Which assessment finding would indicate to the nurse that the infusion needs to be discontinued? 1.Three contractions occurring within a 10-minute period 2.A fetal heart rate of 90 beats per minute 3.Adequate resting tone of the uterus palpated between …Study with Quizlet and memorize flashcards containing terms like The nurse caring for mechanically ventilated clients knows that older adults are at higher risk for weaning failure. What age-related changes contribute to this? (Select all that apply.), A nurse is caring for a client who is on mechanical ventilation. What actions will promote comfort in this client? (Select all that apply ... The nurse is caring for a client with a central venous catheter (CVC) who reports feeling nauseated and chilled. The nurse notes that the CVC insertion site is red and inflamed and that the client has a temperature of 102 F (38.8 C). Which new prescription from the health care provider should the nurse implement first? 1.A nurse caring for a pregnant client in labor observes that the fetal heart rate (FHR) is below 110 beats per minute. Which interventions should the nurse perform? Select all that apply. A. Assess client for underlying causes. B. Turn the client on her left side. C. Ignore questions from the client. D. Administer oxygen by mask. E.9 thg 5, 2016 ... ... patient who once needed constant care regain their independence. I love my job as an in-home care nurse specifically because it encourages ...Study with Quizlet and memorize flashcards containing terms like A nurse is assessing the anterior chest of a client. Which of the following findings should the nurse report to the provider? A. The point of maximal impulse (PMI) located at the fifth intercostal space B. Symmetrical chest movements during inhalation and expiration C. Absent visible pulsations in the area of the point of maximal ...Oct 21, 2023 · Study with Quizlet and memorize flashcards containing terms like A nurse in an emergency department is caring for a client who has anaphylaxis following a bee sting. Which of the following actions should the nurse take first?, A nurse in the emergency department is assessing a client who has internal injuries from a car crash. The client is disoriented to time and place, diaphoretic, and his ... Set realistic limits on the client's behavior. A nurse is caring for a client who has a history of substance use disorder and was involuntarily admitted to a mental health facility. When the nurse attempts to administer oral lorazepam, the client refuses to take the medication and becomes physically aggressive.Obtain a 12-lead ECG. Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who is in the oliguric phase of acute kidney injury. Which of the following actions should the nurse take?, A nurse is caring for a client who is receiving hemodialysis.Study with Quizlet and memorize flashcards containing terms like A nurse has just received report on four (4) clients. How can the nurse use the prioritization principle ""Acute over Chronic"" to help decide which client to assess first? Provide an example, A nurse is caring for a client who has experienced a mild traumatic brain injury. Describe the …The nurse is caring for a client with a fresh application of a plaster leg cast. The nurse should plan to prevent the development of compartment syndrome by which action? 1.Elevating the limb and applying ice to the affected leg 2.Elevating the limb and covering it with bath blankets 3.Keeping the leg horizontal and applying ice to the affected leg …The nurse is caring for a client who was just admitted to the hospital with a diagnosis of a fractured right hip sustained from a fall 5 hours earlier. The nurse develops a plan of care for the client and includes interventions related to monitoring for signs of fat embolism. Which findings should be listed in the care plan as a sign/symptom of ...Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a client with Clostridium difficile colitis. Which of the following infection control measures by the nurse are appropriate? Select all that apply: 1. Applies sterile gloves before performing client care 2. Ensures surgical masks are worn by staff in client's room 3. Requests that the client be assigned to ...Drag 1 condition and 1 client finding to fill in each blank in the following sentence. ectopic pregnancy. right lower quadrant abdominal tenderness. A nurse at a provider's office is caring for a client who is 28 years of age. Complete the following sentence by …ATI Wound Care Posttest. 5.0 (2 reviews) A nurse is documenting data about a deep necrotic wound on a client's left buttock. The nurse observes a yellowish-tan, soft, stringy area of necrotic tissue formed in clumps and adhering firmly to the wound bed. Which of the following assessment findings should the nurse document? 6 thg 4, 2022 ... ... patient care before you, as a nurse, can effectively move forward. Nursing example: As you take your patient's vitals, note if any ...Decreased total body fluid. A nurse is caring for a client who has an acid-base imbalance and is experiencing hypoxia. Which of the following actions should the nurse take first? Elevate the head of the client's bed. A nurse is preparing to administer 1,950 mL of 0.45% sodium chloride IV to infuse over 13 hr.Decreased total body fluid. A nurse is caring for a client who has an acid-base imbalance and is experiencing hypoxia. Which of the following actions should the nurse take first? Elevate the head of the client's bed. A nurse is preparing to administer 1,950 mL of 0.45% sodium chloride IV to infuse over 13 hr.With the increasing need for more qualified nurses in the United States, even prestigious colleges and universities have made their nursing programs available online. The University of Cincinnati has a reputation across many educational rev...Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who is at 32 weeks of gestation and is experiencing preterm labor. Which of the following medications should the nurse plan to administer? A. Betamethasone B. Misoprostol C. Methylergonovine D. Poractant alfa, A nurse is caring for a client who …In some cases cancer can be considered a chronic disease, and with that the patient and their family will be hospitalized throughout their disease trajectory.The nurse is caring for a client newly prescribed crutches. Which finding indicates the need for further teaching? a. The axillary pads are torn and show signs of wear b. The client has a 30-degree bend at the elbow when walking c. The crutches and injured foot are moved simultaneously in a 3-point gait d. There is a 3 finger-width space noted ...The client exhibits signs of autonomic hyperreflexia. What does the nurse recall is the most common cause of this response? 1. hemodynamic changes related to tilt table positioning 2. deteriorating myelin sheath 3. distended large intestine 4. crushed spinal cord, The nurse is caring for a client with a spinal cord injury who has paraplegia.
The nurse is caring for a client who presents to the mental health unit following a violent altercation with the spouse. The client has numerous bruises on the face, chest, and back. There is one laceration where spouse "came at me" with a knife.. My mom entered a contract marriage spoilers
A nurse is implementing a plan of care for a client who has AIDs with recurring pneumonia. Which of the following actions should the nurse take? a. Encourage fluid intake of 1500 mL/day. b. Position head of bed at 10 degrees. c. Cough and deep breathe every 8 hrs. d. Obtain a sputum culture.Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client prescribed IV morphine via PCA with a demand of 1 mg every 15 min and a 4mg/hr lockout/ The client reports unbearable pain after attempting six demand doses within the last hour. After assessing the clients pain, which of the following actions should the nurse take?, A nurse is preparing to assess ...The nurse participating in a client care conference with other health team members is discussing the condition of a client with adult respiratory distress syndrome (ARDS). The primary health care provider states that because of fluid in the alveoli, surfactant production is falling.a) at the client's left lower leg b) at the end of the client's bed c) on the client's left side d) on the client's right side and more. Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a client with an indwelling urinary catheter. Study with Quizlet and memorize flashcards containing terms like The nurse, caring for a client receiving a cholinergic drug, should observe for increased symptoms of which of the following processes? a) Cardiac dysrhythmias b) Asthma c) Heart failure d) Blood pressure, The client is receiving terazosin (Hytrin) for treatment of hypertension.Sharp V with contraction. A nurse in a rehab center is caring for a client who has just had a CVA. Based on a review of the client's medical record, which of the following findings should be immediately reported to the provider? Temperature 37.6 degreesC (99.8 degreesF) Study Nurse Logic Advanced 4 flashcards.Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client prescribed IV morphine via PCA with a demand of 1 mg every 15 min and a 4mg/hr lockout/ The client reports unbearable pain after attempting six demand doses within the last hour. After assessing the clients pain, which of the following actions should the …The nurse is caring for a client diagnosed with a deep venous thrombosis. Which nursing assessment is a priority ? Rationale: Pulmonary embolism is a complication of DVT. Assessing the client's respiratory status, including auscultating bilateral breath sounds, is appropriate. The client's airway and breathing take priority.The client exhibits signs of autonomic hyperreflexia. What does the nurse recall is the most common cause of this response? 1. hemodynamic changes related to tilt table positioning 2. deteriorating myelin sheath 3. distended large intestine 4. crushed spinal cord, The nurse is caring for a client with a spinal cord injury who has paraplegia. A nurse is caring for a client who has a prescription for 5 units of regular insulin and 10 units of NPH insulin to mix together and administer subcutaneously. Determine the correct order of steps for this procedure. Inject 10 units of air into the bottle of NPH insulin. Inject 5 units of air into the bottle of regular insulin.ATI Wound Care Posttest. 5.0 (2 reviews) A nurse is documenting data about a deep necrotic wound on a client's left buttock. The nurse observes a yellowish-tan, soft, stringy area of necrotic tissue formed in clumps and adhering firmly to the wound bed. Which of the following assessment findings should the nurse document? Study with Quizlet and memorize flashcards containing terms like The nurse should institute which interventions for a client diagnosed with Clostridium difficile? Select all that apply. 1. Wear a mask if within 3 feet of the client. 2. Place a mask on the client when client is outside the room. 3. Wear gloves and gown while in the room caring for the …A nurse is administering aspirin 81 mg PO daily to a client who has a history of myocardial infarction. The medication is scheduled for 0800. Which of the following scenarios demonstrates proper use of one of the Ten Rights of Medication Administration? The nurse documents that the aspirin was given at 0825. A nurse id preparing to administer a ...A nurse is caring for a client in labor who is receiving Pitocin by IV infusion to stimulate uterine contractions. Which assessment finding would indicate to the nurse that the infusion needs to be discontinued? 1.Three contractions occurring within a 10-minute period 2.A fetal heart rate of 90 beats per minute 3.Adequate resting tone of the uterus palpated between …A nurse is caring for a client who has a serum sodium level of 150 mEq/L. Which of the following actions should the nurse take? a. Increase sodium in the client’s diet b. Administer hypotonic IV fluids to the client c. Restrict the client’s oral fluid intake d. Administer a beta blocker. A nurse is caring for client who has Cushing’s disease.In some cases cancer can be considered a chronic disease, and with that the patient and their family will be hospitalized throughout their disease trajectory.Study with Quizlet and memorize flashcards containing terms like The nurse caring for mechanically ventilated clients knows that older adults are at higher risk for weaning failure. What age-related changes contribute to this? (Select all that apply.), A nurse is caring for a client who is on mechanical ventilation. What actions will promote comfort in this client? (Select all that apply ... .
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