When the nurse's hands are visibly soiled. The patient had a large upper abdominal incision. When preparing a sterile field, the nurse notes that the bottle of sterile saline was opened 48 hours ago and is half full. Normally ICP is 4 to 13 mmHg. During the interview, the client states, "Sometimes when I have to urinate I can't control it, and do not reach the bathroom in time." The nurse is preparing discharge instructions for a family member who will be caring for a client with an abdominal incision. Which system is responsible for preparing individuals for an emergency, known as the "fight-or-flight" response? What factors have contributed most significantly to this trend? Select all that apply. Which guideline should the nurse provide to the student? The nurse is assessing a client who presented to the clinic reporting migraine headaches. Air flowing at 40 kPa, 210 K, and a Mach number of 3.4 impinges on a two-dimensional wedge of half-angle $8^{\circ}.$ Determine the two possible oblique shock angles, $\beta_{\text {weak}}$ and $\beta_{\text {wrong}}$ that could be formed by this wedge. What is the best response by the nurse? What is the most important thing the nurse can do to prevent the client with HIV from acquiring the upper respiratory infection? Select all that apply. What type of problems can this client have because of their anxiety and fear? The compressed air enters this $2.5-\mathrm{cm}$ diameter fitting at $1.6 \mathrm{~MPa}$ and $40^{\circ} \mathrm{C}$ with a velocity of $50 \mathrm{~m} / \mathrm{s}$. With what score can the patient be transferred out of the recovery room? What action should the nurse prioritize at this point in the patient's care? Which of the following findings should the nurse expect the client to manifest with acute lead poisoning? The nurse is preparing to apply a prescription ointment to the client's wound. The nurse observes clear fluid leaking from the nose. Which of the following should the nurse recommend as a method of preventing iron deficiency anemia? 1 The nurse positions the client in the lithotomy position in preparation for 1- Renal surgery 2- Pelvic surgery 3- Perineal surgery Preoperatively identifying a patient's individual needs and comorbidities can assist in this process. What is the best response by the nurse? A. Which of the following instructions should the nurse provide to the parent? A nurse is caring for a client in isolation. A child is admitted with a suspected diagnosis of Wilm's tumor. A nurse has finished providing care for a client who is on contact precautions. What postoperative difficulties can the nurse anticipate for this patient? The nurse is monitoring a client admitted to the hospital with a diagnosis of appendicitis who is scheduled for surgery in 2 hours. The nurse assesses the incision and notes evisceration. What medication should the nurse prepare to administer in the event the client has malignant hyperthermia? What is the appropriate nursing intervention? The nurse should suspect which of the following conditions? What are benefits of a cover gown? A. A nurse is caring for an infant who has a tracheoesophageal fistula. The surgical client is at risk for injury related to positioning. Which individual would be responsible for ensuring that procedure and site verification occurs and is documented? Which surgical team member would be most helpful in addressing the client's concern? A 79-year-old man is scheduled for surgical repair of an inguinal hernia. As the eye ages, the lens loses water and increases in size and density, causing compression of lens fibers. A client is scheduled to undergo surgical creation of an ileal conduit. A client in the emergency department waiting room is showing signs of respiratory symptoms. What is the priority action by the nurse? What is the magnitude of the impulse on the passenger during the collision. Initially, MS may be manifested as difficulty in walking, tremors, lack of coordination, pins and needles, numbness, and visual changes including loss of vision. The nurse uses a small amount of sterile solution from a large, multiuse bottle to moisten gauze in a sterile field. See Page 1. A client undergoing coronary artery bypass surgery is subjected to intentional hypothermia. Nursing assessment findings reveal that the client is afraid of dying during the surgical procedure. A client has an inguinal hernia repair and later develops a methicillin-resistant Staphylococcus aureus (MRSA) infection. The nurse working with a patient after an ileal conduit notices that the pouching system is leaking small amounts of urine. Last bowel movement 5 days ago. Solely during the intraoperative phase of perioperative care, the nurse: The nurse is preparing to discharge a patient from the PACU using a PACU room scoring guide. Place the following steps in the order that the nurse should take when donning sterile gloves. The nurse is preparing to don sterile gloves for a procedure that requires surgical asepsis. The nurse applies an alcohol-based hand rub upon entering the client's room. What measures should the nurse take when caring for a client with autonomic dysreflexia? While assessing this patient, what characteristic symptom would the nurse expect to find? A client is admitted to the emergency department for multiple lacerations due to a vehicular accident. A cataract is an opacity of the lens that distorts image projected onto the retina and that can progress to blindness. Select all that apply. What does the nurse recognize that this client is experiencing? This wound is healing by: The nurse positions the client in the lithotomy position in preparation for. Endoderm and mesoderm are formed by the migration of cells down into the ______ of the embryonic disc. What complication is the nurse aware of that is associated with deep venous thrombosis? What action by the student would alert the nurse to provide additional teaching to the student? A nurse is reviewing an adult client's chart and sees that the client is overdue for a tetanus booster. 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. Approximately how many feet from others should the nurse tell the client to maintain? When assessing vital signs, which result indicates a need to alert the anesthesiologist immediately? Which of the following actions should the nurse take? The client lacks signs and symptoms of infection but microorganisms are present. Which nursing statement would best decrease a client's anxiety before an emergency operative procedure? Which of the following actions by the nurse is inappropriate? Which of the following actions should the nurse take? The nurse is caring for a client who is scheduled for the creation of an ileal conduit. A nurse is preparing to begin chest compressions on an infant. A. The nurse notices the client is tearful and constantly wringing their hands. As a circulating nurse, what task are you solely responsible for? The client is approximately 24 hr postoperative and describes the pain as "severe". What response by the family member indicates that the nurse's teaching was successful? Which of the following drug classifications may cause respiratory depression from an associated electrolyte imbalance during anesthesia? Offer the family member a mask, explaining its use. What key area should the nurse prioritize when educating this client? You are caring for a client preoperatively who is very anxious and fearful about their surgery. Routine nasal and rectal swabbing of a newly admitted hospital client has come back positive for methicillin-resistant Staphylococcus aureus (MRSA), indicating that the client is colonized with MRSA. The mother tells the nurse that her son is a "picky eater." A postoperative client is moving from the bed to a chair when blood drips from the dressing. Select all that apply. Which of the following actions should the nurse take? A nurse is caring for a client following a craniotomy. A new scrub technician is being oriented to the operating room. 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? (Select all that apply.). e. an older adult client with a history of heart failure. A client sustains a head trauma after falling from a roof. (C ) Urea forms an insoluble precipitate. Find True or False for the the following conditions: 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. 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. Use a sterile cotton-tipped applicator to apply the prescription to the site. Acute Pain. Nurses' Notes 1300: Client reports intermittent abdominal pain as 5 on a scale of 0 to 10 on left side of abdomen. A rehabilitation nurse is caring for an elderly client with a neurologic disorder. The nurse observes profuse sweating above the level of injury. Which of the following clinical manifestations should the nurse expect? wearing a particulate respirator for all care and interaction with this client. Which of the following assessments is the nurse's priority? At this point in the patient's recovery, what are the nursing priorities? Which statement by the client provides evidence that client teaching was effective? What nursing interventions are appropriate to decrease HCAIs? Resources A bearded nurse needs to assess the condition of a client with pulmonary tuberculosis (TB). b) The rock solidified at great depth.\ A 17-year-old client is having same-day surgery. Which of the following instructions should the nurse provide the parents regarding administration of this medication? The nurse should anticipate providing which of the following types of fluid? A client suffers a stroke located in the medulla. A client with an infectious disease that requires airborne precautions must be transported from the client's room to the radiology department. A patient is in the operating room for surgery. A nurse is assessing a child who has nephrotic syndrome. $$ 1. Con sider a hypot hetic al case in which the charge on a proton is twice that of an electron. Which of the following findings should the nurse expect? During a teaching session, the nurse appropriately recommends that the pouch be emptied Correct Answer: when it is 1/3 to 1/2 full Rationale: If the pouch becomes more than half full it may separate from the flange 5. Based on the nurse's knowledge of the most common hospital-acquired infections, which apparatus is most important to remove first? 176. At what point should a nurse normally administer antiemetics to a surgical patient? 2- second intention. Which of the following measures should the nurse employ when providing postoperative care for this client? On assessment, the nurse notes that the abdomen is distended and bowel sounds are diminished. The nurse should be. The patient informs you that he drinks six to eight beers each day and has for the last 15 years. Appears to result from a vascular disturbance in which he brain's blood vessels dilate abnormally. A nurse is caring for a client with a neurologic problem who has been advised to have an electroencephalogram (EEG). Medulla passes through the foramen magnum (great hole) in the occipital region of the skull; it lies just below the pons and rests on the floor of the skull. One hour after administration, the client demonstrates muscle rigidity with a heart rate of 180. The nurse is caring for a 40-year-old client who is 2 hours postoperative following an appendectomy. The nurse should place a sign with which of the following warnings over the child's bed? A. Utilize a powered air, purifying respirator (PAPR). Move the bed to various places in the room or periodically rearrange the furnishings in the room. A nurse is teaching a parent of a 2-year-old about safe food choices. Which nursing intervention is the most important? Which precaution should the nurse follow when administering medication to a client in isolation? The nurse suspects which of the following? The child weights 55 lbs. A nurse is caring for a client admitted to the healthcare facility with a history of hypertension and right-sided hemiplegia. Acts as shock absorber for brain and spinal cord, Is a chronic, progressive disease affecting the dopamine-producing cells of the brain. Based on the nurse's knowledge of the most common hospital-acquired infections, which apparatus is most important to remove first? When a client with a history of chronic alcoholism is admitted to the hospital for surgery, the nurse anticipates that the client may show signs of alcohol withdrawal delirium during which time period? The home health nurse > is visiting an 18-year-old with osteogenesis. Obtain a culture of the drainage. A noncommunicable disease is caused by food or environmental toxin. A nurse is planning care for an adolescent who is postoperative following scoliosis repair with Harrington rod instrumentation. The nurse is reviewing the plan of care for assigned clients. Which of the following play activities should the nurse recognize is therapeutic in helping the child deal with the injection? A nurse prepares to suction a client's tracheostomy tube. A client having a surgical procedure takes aspirin 325 mg daily for prevention of platelet aggregation. What is the chemical released by the axon that enables nerve impulses to cross the synapse and reach the dendrites? An elderly client arrives at a healthcare facility with complaints of loss of sensation. 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. Which of the following actions should the nurse take? Here are six (6) nursing care plans (NCP) and nursing care plan for prostatectomy: coordination$\hspace{1cm}$______________$\hspace{1cm}$my/o. Which action, made by the nursing assistant, would require instruction? Which of the following is the best response by the nurse? D. Administer prednisone on an alternate-day schedule. Which precautions will the nurse begin? A nurse prefers to use an alcohol-based hand rub when providing care for clients. The nurse is caring for the client 36 hours after the client's admission and identifies the client's potassium level of 6.0 mEq/L (6.0 mmol/L). 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. The vagus nerve a much larger portion of the body than the others. Nursing> HESI > 2022 HESI EXIT EXAM V2 160 Questions And Correct Answers. (Select all that apply.). $$ The provider prescribes restraints. Which of the following conditions should the nurse identify as the leading cause of death among this age group? Which of the following behaviors by the adolescent should the nurse anticipate because it is most common reaction? A nurse is planning care for an adolescent who has scoliosis and requires surgical intervention. She has just undergone an appendectomy. A 64-year-old man is seeing his urologist for an annual check-up, post prostatectomy. The healthcare provider confirms the diagnosis of acute transverse myelitis. What technique does the nurse use? What is the nurse's priority action? Stop the procedure, remove damaged gloves, perform handwashing, and put on new sterile gloves. Cephalgia (Headache) is one of the most common symptoms of a neurologic disorder. During the collision at the bottom of the elevator shaft, a 90 kilogram passenger is stopped in $5.0\text{~ ms}$. The nurse is caring for a 27-year-old client who presents with possible signs of an infected abdominal wound. c) The magma formed some crystals before rising closer to the surface and solidifying.\ A nurse is caring for a client who is three hours post op from open abdominal surgery. Which type of transmission precautions should the nurse follow when caring for the 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.". This nurse also has another client today who has an upper respiratory infection. Adult Health - Gastrointestinal. Examination of a client's bladder stones reveal that they are primarily composed of uric acid. Which of the following responses should the nurse make? AKA Spinal tap, involves the insertion of a hollow needle with a stylet (guide) into the subarachnoid space of the lumbar region of the spinal canal. A nurse is admitting a 6-month-old infant who has dehydration. A mental health practitioner should be involved in the client's care to: a) assess whether the client is a good candidate for surgery. can be followed using The nurse understands that which part of the brain is responsible for the client's condition? A nurse is caring for a toddler who is 24 hour postoperative following a cleft palate repair. The nurse is caring for four clients on a medical-surgical unit.. What explanation should the nurse provide to this patient? A nurse is providing nutritional teaching to the mother of a preschooler and is recommending food options to provide 1 oz of grains. A sudden or gradual interruption of blood supply to a vital center in the brain is a stroke, AKA CVA or Cerebral (brain) infarct. A client comes to the emergency department reporting becoming very ill after consuming shrimp and lobster. Which of the following actions should the nurse take? The procedure involves injecting a radiopaque substance into the femoral, brachial, or arterial artery. The nurse has to initiate precautions for the client. Write the formula for a monosaccharide that has three carbons. A nurse is caring for a 55-year-old postoperative client. The most common presenting objective symptoms of a urinary tract infection in older adults, especially in those with dementia, include? Transection (severing) of the cord can be incomplete, (partial) or complete. With 8 oz of milk b. A client for whom transmission-based precautions are required is experiencing sensory deprivation. A nurse is caring for a 6-week-old infant who has a pyloric stenosis. The nurse is caring for a client with a colostomy pouch. 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. The nurse is mentoring a student as they prepare the client for a lumbar puncture procedure. Inspection of his mouth reveals a white, milky plaque that does not come off with rubbing. The nurse recognizes that written informed consent is required for insertion of a(n): Clients who have received corticosteroids preoperatively are at risk for which type of insufficiency? During the surgical procedure, the client exhibits tachycardia, generalized muscle rigidity, and a temperature of 103F. It is now 16:30. A nurse is assessing an adolescent who has an exacerbation of Graves' disease. Which strategy should the nurse include when responding to the client? Which stage of surgical anesthesia is also known as excitement? A nurse is caring for a child who is admitted with suspected acute appendicitis. Following a splenectomy, a client has a hemoglobin (Hb) level of 7.5 g/dl and has vertigo when getting out of bed. Both of the child's parents have a smoking history. A client with chronic pain reports severe pain postoperatively. A nurse is caring for a child who has otitis media with effusion. The nurse is caring for a client admitted with tuberculosis (TB). Which of the following instructions should the nurse include in the teaching? A cataract then forms as oxygen uptake is reduced, water content . Which of the following should the nurse document as a part of a neurologic nursing assessment? D DNA microarrays. A nurse in a pediatric unit is talking with the mother of a preschool-age child. Select the stage during which the OR nurse knows not to touch the patient (except for safety reasons) because of possible uncontrolled movements. Which nursing diagnosis is appropriate for the client with a new ileal conduit? What action should the nurse take? The nurse assesses a client to determine if there is increased risk for complications intraoperatively or postoperatively. What portion of the brain would the student review? 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). When the nurse finishes on the telephone, she goes to assess the client. When preparing a sterile field, the nurse notes that the bottle of sterile saline was opened 48 hours ago and is half full. The nurse knows what to be true of fever in young children? Which action should the nurse perform? The nurse is concerned about infection and is reviewing the white blood cell count (WBC) in the chart. A nurse is working with a 55-year-old woman diagnosed with human immunodeficiency virus (HIV). The expression of thousands of genes at one time What is the most important postoperative instruction a nurse must give to a client who has just returned from the operating room after receiving a subarachnoid block? $$ Ms. Simpson, age 72 years, is being seen in the clinic with a suspected bladder tumor. Dendrites are short, highly branched extensions of the cell body. What interview questions would the nurse ask the client? A nurse is caring for a child who has pertussis. What assessment data may indicate that the patient does have a paralytic ileus? Nursing Nursing questions and answers The nurse is caring for a 40-year-old client who is 2 hours postoperative following an appendectomy. A client is brought to the operating room for an elective surgery. A. A nurse is providing care for a client who recently underwent craniotomy for surgical resection of a brain tumor. The nurse should place the infant in which of the following positions following feedings? Which of the following techniques could the nurse employ to assist this client? A nurse is caring for a client who is on droplet precautions. Meningitis is an inflammation of the meninges, the membranes that cover the brain and the spinal cord. What measurement should the nurse report to the physician in the immediate postoperative period? Inspection of his mouth reveals a white, milky plaque that does not come off with rubbing. For an 8% interest rate, which alternative should be selected? What is the nurse's best action while observing the colleague perform the task? During routine assessment, the nurse notes the previously stable client now appears anxious, apprehensive, and has a blood pressure of 90/56. The lens opacity reduces visual acuity. You are asking Ms. Simpson about symptoms that she has had that brought her to the clinic. What does the nurse consider is the most likely cause of the client's change in condition? The car's mass is $1150 \mathrm{~kg}$. Continue to observe the drainage. How many years must have elapsed for the client to require this shot? Nursing assessment findings reveal abdominal pain, absence of bowel sounds, fever, tachycardia, and tachypnea. What would be the best action by the nurse? What should the client's nurse teach him about this diagnostic finding? The nurse reports that according to documentation, no drainage has been recorded. A nurse is implementing the principles of surgical asepsis while inserting a client's indwelling urinary catheter. How will the team proceed with care? The appropriate nursing action is: Which of the following clinical manifestations increase the risk for evisceration in the postoperative client? They open in the back to reduce inadvertent contact with the client and objects. Record your answer using a whole number. A nurse is caring for a toddler who has a fractured right femur and is in Bryant traction. D. Administer sodium biphosphate/sodium phosphate. A client with a T6 injury reports a pounding headache, blurred vision, and nasal congestion. The goal of postoperative care is to ensure that patients have good outcomes after surgical procedures. "The glove is an important barrier in preventing the transmission of your loved-one's antibiotic-resistant infection to you or other people you come in contact with.". Hemiplegia - half the body (right to left). When a client with an indwelling urinary catheter wants to walk to the hospital lobby to visit with family members, the nurse teaches him how to do this without compromising the catheter. 3- third intention. A parent of a toddler asks a nurse at a well-child visit how the child's frequent temper tantrums can best be handled. When collecting the client's vital signs, the nurse notes her rectal temperature to be 103.1F (39.5C). "Encourage your child to avoid sharing hats with other children.". Vanilla pudding= contains milk and should not be on a liquid diet tray. How many feet must be maintained between this client and other noninfected clients and visitors? The nurse is teaching the client about patient-controlled analgesia. Record your answer using a whole number. In preparing a patient for surgery, the following areas should be addressed.
Village Variety Parsonsfield Maine Menu, Articles A
Village Variety Parsonsfield Maine Menu, Articles A