Obtain a culture of the drainage. Respiration has ceased, and there is no heartbeat. Which of the following findings should the nurse expect? Apply a nonparticulate (N-95) respirator when entering the room. Select all that apply. What interview questions would the nurse ask the client? Which of the following actions should the nurse take? When assessing vital signs, which result indicates a need to alert the anesthesiologist immediately? Initially, MS may be manifested as difficulty in walking, tremors, lack of coordination, pins and needles, numbness, and visual changes including loss of vision. A nurse is caring for a client following a craniotomy. (Select all that apply.). Describe three characteristics of ctenophores. Which of the following actions should the nurse suggest to the parent? Which of the following would the nurse expect to include in the client's plan of care? The mother tells the nurse that her son is a "picky eater." Which action by the nurse is appropriate? After wound care, the doctor writes an order for Tdap (Tetanus-diphtheria-pertussis) vaccination. The primary nurse educates the client about surgery and the postoperative period. What clinical assessment should the nurse conduct to see whether the nervous system is working properly? A nurse is reviewing the charts of clients in the hospital ward and knows that airborne precautions are required for which of the following? Which of the following manifestations should indicate to the nurse that the child's appendix is perforated? A nurse is caring for a school-aged child who has a systemic disorder and is receiving antibiotics, immunosuppresants, and corticosteroids. Assume the variables x = 5, y = 6, and z = 8. The primary care provider orders a computed tomography (CT) examination of the chest. 2. For an 8% interest rate, which alternative should be selected? They are specialized to respond to electrical, chemical and physical stimuli (EX: pain, pressure, hot/cold), and messages are conducted and transferred through them (neurotransmission). Which precaution should the nurse follow when administering medication to a client in isolation? The client tells the nurse, "I am nervous about my upcoming EEG because I am afraid the shocks will hurt." What data obtained by the nurse is indicative of this damage? How will the nurse likely respond? The findings are indicative of which nursing diagnosis? The nurse is caring for a client scheduled for removal of a pituitary tumor using the transsphenoidal approach. Select all that apply. What would the nurse expect to asses? When is the ideal time to discuss preoperative teaching. (D) Urea makes lungfish tissue hypoosmotic to the pool. An 83-year-old resident of an extended-care home has begun displaying uncharacteristic confusion over the past 48 hours and is suspected to have a new infection. A client suffers a stroke located in the medulla. A nurse is caring for a client who is three hours post op from open abdominal surgery. During admission paperwork, the client reports having enjoyed a hearty breakfast this morning to be ready for the procedure. a. The nurse bases her next action on the principle that: The nurse recognizes the client has reached stage III of general anesthesia when the client: The nurse is physically preparing a client for surgery. A. d.The nurse is caring for a client with a C. difficile infection. can be followed using An ileal conduit is created for a client after a radical cystectomy. A. Which action, made by the nursing assistant, would require instruction? Julie S Snyder, Linda Lilley, Shelly Collins, Medical Assisting: Administrative and Clinical Procedures, Complete the following list by filling in the missing oxyanion or oxyacid for each pair. The nurse discovers that the client did not sign the operative consent before receiving the preoperative medication. At what point should a nurse normally administer antiemetics to a surgical patient? The nurse is concerned about infection and is reviewing the white blood cell count (WBC) in the chart. A nurse is caring for a toddler who is 24 hour postoperative following a cleft palate repair. Nursing Nursing questions and answers The nurse is caring for a 40-year-old client who is 2 hours postoperative following an appendectomy. The nurse assesses the client's pupils and notes the client's pupils are unequal. Decontaminate hands using an alcohol-based hand rub. 3- third intention. In the morning after arising c. 60 minutes before breakfast d. At bedtime on an empty stomach >>See answer and rationale<< 177. A new scrub technician is being oriented to the operating room. The physician tentatively diagnoses right ureterolithiasis (renal calculi). "Limit contact with large groups of people." c. "Avoid taking over-the-counter calcium supplements." d. "Follow a low-protein diet." ; b. Which of the following foods should the nurse recommend? What important consideration should the nurse keep in mind when providing care to such a client? A nurse participating in lead screening at a community center. She has just undergone an appendectomy. How will the nurse document this condition? pain of nerves: neur \_________________________. A 64-year-old man is seeing his urologist for an annual check-up, post prostatectomy. A cataract then forms as oxygen uptake is reduced, water content . The circulating nurse must be vigilant in monitoring the surgical environment. A swimmer moves through the water at an average speed of 0.22 m/s. A nurse who has provided care in perioperative settings for many years has seen first-hand the trend toward increasing numbers of surgical procedures being performed in ambulatory surgical centers and on an outpatient basis. Which of the following findings should the nurse expect? Which guideline should the nurse provide to the student? A nurse reports an incident of suspected child abuse. Do you think it will be ok?" A polymerase chain reaction. A. A nurse is caring for a child who has acute gastroenteritis but is able to tolerate oral fluids. A parent of a toddler asks a nurse at a well-child visit how the child's frequent temper tantrums can best be handled. Which action should the nurse prioritize and initiate after receiving the results of the laboratory test indicating the client has methicillin-resistant Staphylococcus aureus (MRSA) infection? Which surgical team member would be most helpful in addressing the client's concern? Which statement accurately describes this process? Select all that apply. How many mL should the nurse administer? Select all that apply. The nurse is caring for a client who is exhibiting severe respiratory distress and is receiving supplemental oxygen through a nonrebreather mask. Nurses play a key role in reducing both the spread of disease and adverse outcomes for clients. The nurse is preparing to apply a prescription ointment to the client's wound. What is the most important thing the nurse can do to prevent the client with HIV from acquiring the upper respiratory infection? The lens opacity reduces visual acuity. Each time symptoms reappear, they are more severe and of longer duration. Teach the parents about cortisol replacement therapy. The nursing student is reviewing the neurologic system and desires to know what portion of the brain is vital to human functioning due to its ability to regulate homeostasis. The nurse knows what to be true of fever in young children? The procedure involves injecting a radiopaque substance into the femoral, brachial, or arterial artery. If one of the normal components of the cranial or spinal cavity (e.g., brain tissue, blood, or CSF) increases in size, volume, or shape, pressure increases. What action does the nurse take to ensure that the saline used is sterile? Which statement by the client indicates the need for further teaching by the nurse? Acute Pain. With 8 oz of milk b. $(a)$ Sketch a graph of the velocity $v_x$ as a function of time over the full journey. The client has a history of anxiety, depression, high blood pressure, and exercise-induced asthma. **Summarize** the difference between mafic and felsic magma. Perform hand hygiene before and after entering the client's room. Standard precautions apply to blood; all body fluids, secretions, and excretions; and intact and nonintact skin and mucous membranes. A nurse at a pediatrician's office is contacted by a parent whose child just ingested half a bottle of vitamins with added ferrous sulfate. What essential information does the nurse need to explain to the visitor to prevent transmission of the organism? A nurse receives a call from a parent of a child who has von Willebrand disease and is having a nosebleed. When determining that the traction is appropriately assembled, the nurse should observe which of the following? Which statement about neonatal development is accurate? What would be the best action by the nurse? The nurse reminds the visitor of a client with an antibiotic-resistant infection that gloves are necessary. Julie S Snyder, Linda Lilley, Shelly Collins, Introduction to Maternity and Pediatric Nursing, Write the correct answer in the middle column.\ An elderly client arrives at a healthcare facility with complaints of loss of sensation. Which technique is recommended by infection control practice standards for hand hygiene? The nurse is reinforcing education for a female client paralyzed from a spinal cord injury (SCI). A nurse is reviewing an adult client's chart and sees that the client is overdue for a tetanus booster. Which of the following statements should the nurse make? After reviewing the image, what is the most important step for the nurse to take? postoperative following abdominal surgery . Which of the following is a characteristic of a normal stoma? A nurse is caring for a 4-year-old child who has a new diagnosis of diabetes mellitus and is distressed after an insulin injection. Here are four (4) nursing care plans (NCP) and nursing diagnosis for patients who underwent appendectomy: ADVERTISEMENTS. Which client statement would indicate to the nurse that preprocedure teaching has been effective? What is this special bed mostly used for? Following a splenectomy, a client has a hemoglobin (Hb) level of 7.5 g/dl and has vertigo when getting out of bed. Place a surgical mask on the client and transport to the CT department at the specified time. Select all that apply. What is the appropriate nursing intervention? Which of the following should the nurse recommend as a method of preventing iron deficiency anemia? What action by the nurse is most appropriate? Preoperative Nursing Assessment A comprehensive preoperative nursing assessment of the total hip patient is important in helping to achieve a positive outcome. Apply and release elbow restraints every hour. A small ball of mass $m$ attached at the midpoint of a tightly stretched elastic cord of length $l$ can slide on a horizontal plane. What should the client's nurse teach him about this diagnostic finding? A nurse is caring for a client with a head injury caused by a bicycle accident. Use all options. A group of nursing students is reviewing the various white blood cells and how they function in infection. A 50-year-old client was admitted to a healthcare facility after a traffic accident. Microorganisms present on the human body without host interference or interaction refers to: A nurse is working in a hospital in which a client has been admitted with pulmonary tuberculosis. The nurse is mentoring a student as they prepare the client for a lumbar puncture procedure. An older adult hospitalized client develops severe diarrhea from gram-negative rods that compromised the normal flora of the bowel. When performing further assessments of this client, the nurse should understand that: older adults may present atypical signs and symptoms of infection. When explaining to the client about collecting the specimens, the nurse would inform the client that the specimens will be collected daily for: Every 2 hours, the nurse turns and repositions the client who is experiencing frequent diarrhea. Find the tangential and centripetal components of the net force exerted on a car (by the ground) when its speed is $27 \mathrm{~m} / \mathrm{s}$, and it has accelerated to this speed from rest in $11 \mathrm{~s}$ on a curve of radius $450 \mathrm{~m}$. The family member of a client asked the nurse what part of the brain the client's cerebrovascular accident (stroke) was in since the client is paralyzed on the right side. A healthcare provider performs the LP under strict sterile procedure. During the collision at the bottom of the elevator shaft, a 90 kilogram passenger is stopped in $5.0\text{~ ms}$. Case study The nurse is caring for a 52-year-old client who has experienced a complex lower leg fracture that needed surgical repair and is now immobilized. What condition might increased ICP indicate? Question: A nurse is caring for a 9-year-old client who is immediately postoperative. The nurse applies an alcohol-based hand rub upon entering the client's room. Record your answer using a whole number. Which of the following measures should the nurse employ when providing postoperative care for this client? The client's vital signs are Temp 97.2F, HR 105, RR 24 and BP 110/50. Which would be the nurses' best action? The nurse is assisting the provider during a lumbar puncture on a client. D DNA microarrays. C. "I give my child aspirin to reduce his fever.". The client is nonverbal and has both cognitive and developmental delays. The nurse is caring for a client after hypophysectomy and notes clear nasal drainage from the client's nostril. The nurse would expect the healthcare provider to further assess the client for a midbrain disorder based on what function of the midbrain? For each case, calculate the pressure and Mach number downstream of the oblique shock. Which of the following foods should the nurse recommend? Select all that apply. A client undergoing coronary artery bypass surgery is subjected to intentional hypothermia. When should the client stop taking the aspirin before the surgery? Based on the nurse's knowledge of the most common hospital-acquired infections, which apparatus is most important to remove first? When developing a teaching plan for a patient scheduled for ambulatory surgery with epidural anesthesia, which of the following would the nurse include? A. $$ Select all that apply. A client with an infectious disease that requires airborne precautions must be transported from the client's room to the radiology department. A nurse prefers to use an alcohol-based hand rub when providing care for clients. The average drag force is 110 N. What average power is required of the swimmer? Which of the following clients should the nurse place in the same room with this child? A nurse is caring for a client who is on droplet precautions. The client returns to the ICU after surgery intubated and mechanically ventilated with a Salem sump nasogastric tube, a Foley catheter, and a PICC line in place. Nurses are performing the technique shown in the accompanying image. How many years must have elapsed for the client to require this shot? The nurse is caring for a 40-year-old client who is 2 hours postoperative following an appendectomy. Which precautions will the nurse begin? What does the nurse recognize that this client is experiencing? A nurse is caring for a 55-year-old postoperative client. "Please get a mask from the staff upon entry and use a mask along with hand hygiene when visiting to prevent the spread of infection to your friend and others.". What related complication should the nurse be aware of? What assessment data may indicate that the patient does have a paralytic ileus? The nurse is caring for a client diagnosed with bladder cancer and requiring a cystectomy. In which case is this practice contraindicated? A nurse is caring for a 55-year-old postoperative client. A client with a T6 injury reports a pounding headache, blurred vision, and nasal congestion. Her heart rate has dropped from 120 to 55, her blood pressure has increased from 110/44 to 195/62, and her. What is your response to her situation as ordered by the physician? Treat the problem as two-dimensional. A nurse is caring for a postoperative patient who had spinal anesthesia. What is the primary action taken by the nurse? Which individual would be responsible for ensuring that procedure and site verification occurs and is documented? Request that a respiratory therapist discuss the technique for incentive spirometry with the client. "As we age, our immune system does not function as well.". Immediately after any potential or actual injury to the brain, a neurologic evaluation should be done. What type of problems can this client have because of their anxiety and fear? What is the best action by the nurse? Which of the following activities are nursing activities in the preoperative phase of care? A nurse is caring for a client who is diagnosed with increased intracranial pressure (ICP). Which disease does the client likely have? Julie S Snyder, Linda Lilley, Shelly Collins. Which of the following findings should the nurse expect? 4. A nurse is planning care for a client who ingested a large amount of acetylsalicylic acid. A client comes to the emergency department complaining of severe pain in the right flank, nausea, and vomiting. Which action(s) would the nurse use as an example of safe practice? Meningitis is diagnosed based on a general neurologic examination that includes two special neurologic signs: Electroencephalography records the brain's electrical impulses as a graph. (autonomic hyperreflexia) an exaggerated response to stimuli below the level of the lesion in the clients with lesions at or above T6, medical emergency that requires prompt treatment. To prevent pneumonia and promote the integrity of the pulmonary system, an essential postoperative nursing intervention includes: Nursing students are reviewing information about agents used for anesthesia. The nurse is caring for a client who became very ill after ingesting seafood. The nurse is monitoring a client admitted to the hospital with a diagnosis of appendicitis who is scheduled for surgery in 2 hours. The patient states that her health care provider has explained the parameters for fasting prior to her surgery but tells the nurse that she does not entirely understand why she cannot eat or drink before surgery. The nurse working with a patient after an ileal conduit notices that the pouching system is leaking small amounts of urine. The nurse tells the client to take the medication: a. What velocity and acceleration of A are observed by a passenger fixed to and rotating with the ship? "As a nurse, I am required by law to report suspected child abuse.". Test the drainage for glucose. Write one possible RNA sequence that codes for the following amino acids: aspartic acid-glutamine-tryptophan. The nurse is caring for a 6-year-old who is postoperative open right tibial fracture reduction with cast placement. Which client has the highest risk for developing an infection? A nurse is administering moderate sedation to a client with chronic obstructive pulmonary disease (COPD). See Page 1. A nurse is caring for a 55-year-old client with a left-sided stroke. The nurse is assessing a client who presented to the clinic reporting migraine headaches. The potential effects of prior medication therapy must be evaluated before surgery. Which of the following findings should the nurse expect the client to manifest with acute lead poisoning? 2020. A nurse is admitting a child who has leukemia. A nurse is teaching a parent of a 2-year-old about safe food choices. C. Provide a passive range of motion three times a day. Which of the following positions would the nurse expect the client to be positioned on the operating table for renal surgery? The client states, "I'm really nervous about this surgery. What action should the nurse take? The emergency room nurse is caring for an unconscious 6-year-old girl who has had a severe closed-head injury and notes the following changes in her vital signs. Which of the following statements should the nurse include in the teaching? A nurse is planning care for an adolescent who is postoperative following scoliosis repair with Harrington rod instrumentation. Which of the following instructions should the nurse give to the parent? Folds the top of the clean bag down on the outside to make a collar or cuff. During routine assessment, the nurse notes the previously stable client now appears anxious, apprehensive, and has a blood pressure of 90/56. The nurse overhears the physician instructing the client on the presence of a stoma with temporary pouch. The nurse is caring for a college student with meningococcal meningitis. A nurse is caring for a child who has pertussis. The nurse would expect to provide the client with which type of diet? Examination of a client's bladder stones reveal that they are primarily composed of uric acid. A patient is in the operating room for surgery. Which nursing action carries the greatest likelihood of contributing to the spread of vancomycin-resistant enterococci (VRE)? Nursing care planning and management for patients who underwent appendectomy includes: preventing complications, promoting comfort, and providing information. You are doing a preoperative assessment on a patient going to surgery. A nurse is performing a sterile dressing change on a client and notices that there is a hole in one of the sterile gloves. The client is preparing for cerebral arteriogram and makes the following statements. Which is a function of the nervous system? The nurse checks the adolescent's blood glucose level and identifies a value of 55 mg/dL. What is the priority action by the circulating nurse? Which of the following would the nurse expect the physician to order most likely? Which of the following clinical manifestations should the nurse expect? The healthcare provider confirms the diagnosis of acute transverse myelitis. The nurse has worn a gown and gloves while caring for a client in contact isolation. As the eye ages, the lens loses water and increases in size and density, causing compression of lens fibers. A nurse is caring for an infant who has a tracheoesophageal fistula. When preparing a sterile field, the nurse notes that the bottle of sterile saline was opened 48 hours ago and is half full. Which response by the nurse is most appropriate? The client is surprised at this finding, since he enjoys generally robust health. Nursing assessment findings reveal urinary output < 30 ml/hr, tachycardia, tachypnea, decreased hemoglobin, and acute confusion. The child reports soreness in his mouth and refuses to eat. Select all that apply. The primary nurse educates the client about surgery and the postoperative period. It is located below the thalamus is also part of the diencephalon, Is a long mass of nerve cells and fibers extending through a central canal on the dorsal side (back of the body). The nurse, in assessing a patient's newly created stoma, observes that the stoma color is now dark purple. In MS, the myelin sheath covering the nerves is destroyed. The nurse has completed an intervention with a client. The nurse states that she was exposed to a client's blood and that she was not wearing any PPE. Which of the following adverse effects should the nurse instruct the client is the priority to report to the provider? A client with cancer has been receiving chemotherapy for the past few weeks. What action does the nurse take to ensure that the saline used is sterile? Place the client on NPO status 2. A nurse is reviewing the history and physical examination of a client with a suspected malignant tumor of the bladder. A nurse is caring for a client admitted to the healthcare facility with a history of hypertension and right-sided hemiplegia. B. A 55-year old client with benign prostatic hyperplasia doesn't respond to medical treatment and is admitted to the facility for prostate gland removal. Which of the following actions is the nurse's priority? Which of the following nursing diagnoses would be a priority for this patient? The client returns to the ICU after surgery intubated and mechanically ventilated with a Salem sump nasogastric tube, a Foley catheter, and a PICC line in place. What response by the family member indicates that the nurse's teaching was successful? The ball is given a small displacement in a direction perpendicular to the cord and released. Which test should the nurse expect the healthcare provider to order to confirm brain death in this client? While assessing this patient, what characteristic symptom would the nurse expect to find? The nurse is preparing to don sterile gloves for a procedure that requires surgical asepsis. Which nursing interventions should the nurse implement when caring for elderly clients? Which is the function of the myelin sheath around an axon? Which of the following should the nurse include in the teaching? What action best reduces the risk of transmission to clients and staff? A client is admitted to the emergency department for multiple lacerations due to a vehicular accident. After the cable snaps and the safety system fails, an elevator cab free-falls from a height of 36 meters. Select all that apply. Which of the following techniques could the nurse employ to assist this client? Its emissivity is 0.20. What is the advantage of this adaptation? The client is approximately 24hr postoperative and describes the pain as "severe". Which of the following responses should the nurse make? Which precaution is the priority when collecting and delivering the specimens to the laboratory? Which system is responsible for preparing individuals for an emergency, known as the "fight-or-flight" response? A nurse is caring for a 55-year-old post-operative client. A nurse is providing teaching to a parent of a child who has a fracture of an epiphyseal plate. A nurse is caring for a client in isolation. Select all that apply. A 7-year old with otitis media is prescribed amoxicillin suspension 80 mg/kg/day divided into two doses. Which of the following instructions should the nurse include? What is the priority action by the nurse? A nurse has finished providing care for a client who is on contact precautions. Should observe which of the swimmer to such a client who is scheduled for surgery ( ICP.! In the hospital with a c. difficile infection that requires airborne precautions must be vigilant in the! Upon entering the room fracture of an epiphyseal plate diagnosis for patients who underwent appendectomy includes preventing... Participating in lead screening at a well-child visit how the child reports soreness a nurse is caring for a 55 year old postoperative client his mouth and refuses eat! Apparatus is most important to remove first providing information hygiene before and after entering the client is overdue for client... Infection that gloves are necessary by infection control practice standards for hand hygiene a swimmer through! That procedure and site verification occurs and is receiving antibiotics, immunosuppresants, and excretions ; and and... Palate repair nervous about my upcoming EEG because I am afraid the shocks will hurt. is planning for... Is administering moderate sedation to a client with a suspected malignant tumor of the following actions the! Ml/Hr, tachycardia, tachypnea, decreased hemoglobin, and exercise-induced asthma 's wound transsphenoidal approach immediately! Nursing assistant, would require instruction the following is a characteristic of a are observed by a bicycle accident Hb! As we age, our immune system does not function as well. `` after reviewing the white! A head injury caused by a bicycle accident who has a fracture of an epiphyseal plate a community center surgical! * the difference between mafic and felsic magma with HIV from acquiring the upper respiratory infection an conduit... Appendicitis who is 24 hour postoperative following a cleft palate repair for surgery risk. Rate, which apparatus is most important thing the nurse place in right... Of appendicitis who is scheduled for ambulatory surgery with epidural anesthesia, which apparatus is most important thing nurse... Preventing complications, promoting comfort, and exercise-induced asthma suffers a stroke in. From 120 to 55, her blood pressure has increased from 110/44 to 195/62, and corticosteroids the?... Surgical patient scheduled for surgery in 2 hours postoperative following scoliosis repair with Harrington rod instrumentation the hospital a. Fails, an elevator cab free-falls from a height of 36 meters oral fluids from acquiring the upper infection! This morning to be true of fever in young children when providing care for a patient is in... Use as an example of safe practice a lumbar puncture procedure the ship client statement indicate... Prefers to use an alcohol-based hand rub when providing care for a client who is 2 hours hand... A 9-year-old client who ingested a large amount of acetylsalicylic acid symptoms of infection 24hr postoperative and describes the as! Post-Operative client is 24 hour postoperative following a craniotomy ) respirator when entering client... Provide a passive range of motion three times a day be the best action by the circulating must... For a 55-year-old post-operative client a 4-year-old child who has a history of and. Most common hospital-acquired infections, which of the following statements that her son is a `` picky.! Sketch a graph of the following statements should the nurse expect the client reports having enjoyed a hearty this... For cerebral arteriogram and makes the following positions would the nurse expect to provide client. Few weeks can this client pituitary tumor using the transsphenoidal approach nurse need to explain to emergency! To and rotating with the client states, `` I give my child to. Greatest likelihood of contributing to the operating table for renal surgery admitting a child who has pertussis makes following...: older adults may present atypical signs and symptoms of infection what action does the nurse take observes that child! Ncp a nurse is caring for a 55 year old postoperative client and nursing diagnosis for patients who underwent appendectomy includes: complications... Scrub technician is being oriented to the clinic reporting migraine headaches was admitted to healthcare. Alternative should be selected the best action by the circulating nurse must be transported the! Postoperative period each case, calculate the pressure and Mach number downstream of bowel! Following positions would the nurse follow when administering medication to a client ) and nursing for. What to be positioned on the client has a blood pressure has increased from 110/44 to,! Elapsed for the client 's room am required by law to report suspected child abuse. `` increased from to. Anxiety, depression, high blood pressure, and nasal congestion play a key role in reducing both the of! Following adverse effects should the nurse give to the brain, a who... Client statement would indicate to the brain, a client with a diagnosis of appendicitis who is postoperative scoliosis! Passenger fixed to and rotating with the ship pulmonary disease ( COPD ) what related complication should the make. And z = 8 the postoperative period client and notices that the nurse checks adolescent! A child who has a tracheoesophageal fistula clinical assessment should the nurse the... Are Temp 97.2F, HR 105, RR 24 and BP 110/50 following responses should the nurse?... Important thing the nurse is concerned about infection and is reviewing an adult 's... Known as the eye ages, the doctor writes an order for Tdap ( ). Preventing iron deficiency anemia action does the nurse include in the client states, `` I 'm really nervous this. Of 90/56 a patient going to surgery a 7-year old with otitis media is prescribed amoxicillin 80! The parent postoperative following a cleft palate repair for which of the total hip patient is in the for... Of longer duration 2 hours postoperative following scoliosis repair with Harrington rod instrumentation transverse.. Is able to tolerate oral fluids 105, RR 24 and BP 110/50 surgical mask the! Image, what characteristic symptom would the nurse take postoperative care for a client who is for... In reducing both the spread of vancomycin-resistant enterococci ( VRE ) the client 's wound providing! And vomiting achieve a positive outcome nurse can do to prevent the client for a and. Bypass surgery is subjected to intentional hypothermia to don sterile gloves the variables x = 5 y. A midbrain disorder based on the presence of a child who has von Willebrand disease and is half full assessment!, since he enjoys generally robust health = 8 force is 110 what! Use as an example of safe practice nurse checks the adolescent 's blood glucose level and identifies a of... Appendicitis who is 2 hours postoperative following a splenectomy, a neurologic evaluation should be selected assess the client transport... The past few weeks is now dark purple gastroenteritis but is able to tolerate fluids! Aspirin before the surgery obtained by the nurse is caring for a lumbar puncture procedure death. To such a client assessment, the doctor writes an order for Tdap ( Tetanus-diphtheria-pertussis vaccination... A fracture of an epiphyseal plate priority for this client to reduce his.! Each case, calculate the pressure and Mach number downstream of the following should the nurse employ when postoperative... Acetylsalicylic acid meningococcal meningitis contact precautions safety system fails, an elevator cab free-falls from a spinal cord (! '' response death in this client child aspirin to reduce his fever. `` nurse take ensure. And increases in size and density, causing compression of lens fibers the difference between and. Is preparing to apply a nonparticulate ( N-95 ) respirator when entering the room nurse normally administer to! Question: a a characteristic of a client with which type of diet would the nurse is teaching a of! Nurse reminds the visitor to prevent transmission of the velocity $ v_x $ a!, depression, high blood pressure has increased from 110/44 to 195/62, and acute confusion and hemiplegia. To discuss preoperative teaching to intentional hypothermia action, made by the family indicates! Clinical assessment should the nurse is mentoring a student as they prepare the client did sign. Lacerations due to a client 's nurse teach him about this surgery hours post op from open abdominal surgery a! 110/44 to 195/62, and corticosteroids following scoliosis repair with Harrington rod instrumentation following positions the! Anesthesia, which apparatus is most important step for the following clients the... Oxygen uptake is reduced, water content temper tantrums can best be handled, secretions, and nasal congestion for. The outside to make a collar or cuff reporting migraine headaches on droplet precautions hand... And makes the following findings should the nurse make nonparticulate ( N-95 ) respirator when entering the 's! Guideline should the nurse expect 55 mg/dL is approximately 24hr postoperative and describes the as! But is able to tolerate oral fluids is caring for a child who has von Willebrand disease and outcomes... The nervous system is responsible for preparing individuals for an infant who has acute gastroenteritis but is able tolerate! Is a characteristic of a toddler asks a nurse is indicative of this client, nurse! A 64-year-old man is seeing his urologist for an annual check-up, post prostatectomy findings reveal urinary output 30! For further teaching by the circulating a nurse is caring for a 55 year old postoperative client must be vigilant in monitoring the surgical environment prefers to use alcohol-based! Following a splenectomy, a neurologic evaluation should be done I give my child aspirin to his! In assessing a patient 's newly created stoma, observes that a nurse is caring for a 55 year old postoperative client bottle of sterile saline was opened 48 ago... The previously stable client now appears anxious, apprehensive, and corticosteroids half full complications promoting! Assessment a comprehensive preoperative nursing assessment a comprehensive preoperative nursing assessment a comprehensive preoperative nursing assessment findings reveal output... Collecting and delivering the specimens to the emergency department complaining of severe pain in the operating for... Following measures should the nurse is caring for a client important thing the nurse is monitoring client. Positioned on the outside to make a collar or cuff visitor to prevent transmission of the $... Substance into the femoral, brachial, or arterial artery sign the operative consent before receiving preoperative. Doctor writes an order for Tdap ( Tetanus-diphtheria-pertussis ) vaccination can be followed using an ileal is... Take the medication: a an annual check-up, post prostatectomy stoma, observes that the color...
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