The nurse is caring for patients on the medical floor. Which patient should the nurse assess first?
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The nurse is caring for a client following a traumatic head…
The nurse is caring for a client following a traumatic head injury. The patient’s current vital signs are: T99.2F HR 108 RR 24 BP 155/80. The ICP is 26. No seizure activity is noted. Which of the following orders would the nurse carry out?
A group of newly hired nurses is reviewing occupational risk…
A group of newly hired nurses is reviewing occupational risks of contracting Hepatitis B. What preventative measures should they identify? (Select all that apply)
The nurse is assessing a client admitted to the medical-surg…
The nurse is assessing a client admitted to the medical-surgical unit on the night shift. The nurse observes that the client has an enlarged, protruding abdomen and distended veins on the abdominal wall. Upon physical examination, the nurse detects a shock wave of fluid during palpation and dullness to percussion. The nurse notes the client is confused and exhibits asterixis. The nurse would anticipate the provider to order what intervention?
A nurse is caring for a client who has had a spinal cord inj…
A nurse is caring for a client who has had a spinal cord injury at the level of the T2-T3 vertebrae. When planning care, the nurse should anticipate which of the following types of disability?
The nurse is reviewing the health care records of a client,…
The nurse is reviewing the health care records of a client, The team suspects a malignant breast tumor. On palpation, the mass most likely had what characteristic?
The nurse identifies that the client may be in the compensat…
The nurse identifies that the client may be in the compensatory stage of shock. What nursing assessment monitors for reduced tissue perfusion?
A 6-year-old child is brought to the pediatric clinic for th…
A 6-year-old child is brought to the pediatric clinic for the assessment of redness and discharge from the eye and is diagnosed with viral conjunctivitis. What is the most important information to discuss with the parents and child?
A couple has come to a fertility clinic because they are una…
A couple has come to a fertility clinic because they are unable to become pregnant due to a diagnosis of ovarian failure. The nurse would anticipate the provider to suggest what procedure, that will satisfy their religious belief that conception must occur within the body?
A nurse is in a client’s room when the client begins having…
A nurse is in a client’s room when the client begins having a tonic-clonic seizure. Which of the following actions should the nurse take first?