What action should the nurse take quizlet
What action should the nurse take quizlet. When she arrives at her office, there are four children waiting to be seen. A photo of her changing in the bathroom was taken and sent by another co-worker. 58 cm (2 in) into a tube of lubricant D) Insert the probe about Study with Quizlet and memorize flashcards containing terms like A nurse is placing a client in the dorsal recumbent position. If the patient is unsuccessful in coughing up secretions, what action should the nurse take? a. The nurse should understand that the technique is not safe and discussing the incident with the nurse provides an opportunity for the offending nurse to correct the technique being used. Administer oral analgesic medications. Have the patient sit in a chair with the feet flat on the floor. Exhibit 1: Day 1, 1715: Client is 6 hr postoperative following abdominal surgery. - Make sure one finger can fit under the 1 day ago · Study with Quizlet and memorize flashcards containing terms like A nurse is preparing for a teaching session with a client. Notify the provider 3 days ago · Study with Quizlet and memorize flashcards containing terms like A nurse is replacing the ostomy appliance for a patient whose newly created colostomy is functioning. What immediate action should the nurse take? A. Which of the following actions should the nurse take to reduce the risk of infection?, A nurse is observing an assistive personnel (AP) make a client's bed while the client is out of the room. Which of the following actions should the nurse take?, a nurse is assessing a client's head and neck. line. The nurse plans additional teaching after observing which action by the family member?, 3. , A Study with Quizlet and memorize flashcards containing terms like A client has a sucking stab wound to the chest. Study with Quizlet and memorize flashcards containing terms like a nurse is caring for a client who has a traumatic injury to a lower extremity. Assess for any kind of drug abuse. Check vital signs. Teach about the reason for the blood tests. Study with Quizlet and memorize flashcards containing terms like The health care provider writes an order for bacteriologic testing for a patient who has a positive tuberculosis skin test. Assess the client's serum potassium level. Which actions should the nurse take while performing this procedure, The nurse is caring for a patient with an abdominal wound and prescriptions from the health care provider. Which of the following statements by the client indicates to the nurse an understanding of the teaching?, A nurse is planning care for a client who is 3 days ago · Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who has a central venous access device in place. Place the first removed glove in the waste. Invert the glove as it is removed. A. channel d. Encourage the client to stop the use of folk lore treatments. 2. pour Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a client who is receiving 24-hour total parenteral nutrition (TPN) via a central line at 54 ml/hr. Compare the client to a former client. Commend the client for selecting a high protein biologic value protein B. Study with Quizlet and memorize flashcards containing terms like The nurse is reviewing an electrocardiogram rhythm strip. c. c) Draw blood for a hematocrit and hemoglobin level. Which of the following actions should the nurse take to provide the client with unbiased care? (Select all that apply. -Ensure the client's toes are visible after placing the stockings on the client. Identify any confusion and ask about liquids the patient is Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who has a prescription for wrist restraints. Assess the characteristics of chest pain. Label the Study with Quizlet and memorize flashcards containing terms like Which action will the nurse in the hypertension clinic take to obtain an accurate baseline blood pressure (BP) for a new patient? a. , Airway management: Discharge teaching regarding Home Oxygen Therapy A client is Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who has a prescription for knee length antiembolic stockings. Which action should the nurse take? a) Begin the transfusion as prescribed. Client is resting and easily awakened. Which of the following actions should the nurse take? - Tie the restraints to the siderails on the client's bed. A)Encourage a range of motion. Deliver the formula at a brisk rate. Involves contact with patients Includes no patient interaction Requires a prescription from a health care provider Does not require collaboration Indirect Direct Independent Dependent, Match the source of the nursing actions/interventions with the appropriate description. The client states the medication makes them feeling nauseated and refuses to take it. Suggest that the client also select orange juice to promote 3 days ago · Study with Quizlet and memorize flashcards containing terms like A nurse is assisting a client with personal hygiene care. Call the primary healthcare provider and report the elevated blood pressure. Control Study with Quizlet and memorize flashcards containing terms like The nurse is contributing to the plan of care for a patient who is on bedrest. allow 2 min in between suctioning to reoxygenate the lungs C. The client denies history of hypertension. Deflate the BP cuff at a rate of 5 to 10 mm Hg per second. Which cardiovascular interventions should the nurse recommend including in the patient's plan of care? Select all that apply. C. Study with Quizlet and memorize flashcards containing terms like 1. After administering a nebulizer treatment containing a steroid, the nurse should give the patient which instruction?, 2. A nurse is providing preoperative teaching to a client who is scheduled for a gastrectomy in 1 week. Restrict dietary intake of calcium-rich foods. Which action should the nurse take? a. Both the patient’s status and the effectiveness of the nursing care must be continuously evaluated, and the care plan modified as needed. Which of the following findings should the nurse recognize as a manifestation of an allergic reaction A) Report of tightness in the chest B) Dilated pupils C) Report of metallic taste in client's mouth D) Brown colored urine, A nurse is assessing a 1 day ago · Study with Quizlet and memorize flashcards containing terms like A student nurse obtains a used needle stick during a clinical rotation. , The nurse is slowly advancing a nasogastric (NG) tube when the client Which of the following actions should the nurse take? and more. A family member is administering a nebulizer treatment to a 5-year-old patient. Place the following steps in the correct order. set the suction pressure to 190 mmgh Study with Quizlet and memorize flashcards containing terms like A patient develops epistaxis upon removal of a nasogastric tube. The client's 3 days ago · Study with Quizlet and memorize flashcards containing terms like What actions by the healthcare team would promote the clients' rights to physical intimacy?, The clients approach the nursing supervisor regarding the policy on sexual relations. Study with Quizlet and memorize flashcards containing terms like A client with Chronic Kidney Disease (CKD) selects a scrambled egg for his breakfast, what action should the nurse take. 1. Which of the following actions should the nurse take?, A nurse is caring for a group of newly admitted clients. 1 day ago · Which of the following actions should the nurse take? a) Suction for 30 seconds with each pass b) Allow 2 min in between suctioning to reoxygenate the lungs c) Use a rotating motion when inserting the catheter from the tracheostomy d) Set the suction pressure to 180 mmHg, A nurse is performing chest physiotherapy for a client who needs help Study with Quizlet and memorize flashcards containing terms like Which action should the nurse take before removing a short peripheral catheter?, After removing a short peripheral catheter, which action should the nurse take?, Which action should the nurse take after removing a short peripheral catheter? and more. Which of the following actions should the nurse take?, To decontaminate their hands with an alcohol based gel, the nurse should rub their hands together until all of the gel has 3 days ago · Study with Quizlet and memorize flashcards containing terms like Packed red blood cells have been prescribed for a client with low hemoglobin and hematocrit levels. For which of the following clients would the nurse expect to receive a prescription for urinary catherization ?, A nurse is preparing to insert an 3 days ago · Study with Quizlet and memorize flashcards containing terms like You are caring for a client with CAD. Notify the health care provider. Have the patient 1 day ago · Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who has a prescription for wrist restraints. Which of the following findings should the nurse report to the provider?, a nurse is providing teaching to a client who has osteoporosis about the Study with Quizlet and memorize flashcards containing terms like After the circumcision of a newborn male, the nurse notes prolonged bleeding. Assist the patient to the supine position for BP measurements. , A nurse checks the medication administration record of a . Study with Quizlet and memorize flashcards containing terms like A nurse is caring for 4 clients who are 4 days postop following abdominal surgery. decoder, A nurse is planning a presentation about skin care for a group of older 3 days ago · Study with Quizlet and memorize flashcards containing terms like Which of the following findings should the nurse identify require follow-up by the provider? Select the 6 findings that require immediate follow-up. The nurse should take which of the following actions to prevent a complication of the tube feeding? a. Wait for the obstetrician to tell Blanca what is happening. Which of the following actions should the nurse take? -Place the stockings on the client after the client ambulates to the restroom. Apply gentle pressure for 10 to 15 minutes. Put on sterile gloves 3 days ago · The nurse is assessing a client who is having a non-stress test (NST) at 41-weeks gestation. The nurse should include that which of the following is responsible for body posture?, A nurse is teaching a client who has 3 days ago · Which action should the nurse take BEFORE beginning the procedure? Assess the client for pain and administer analgesic as needed. Which action should the nurse take next?, The nurse is preparing to insert a nasogastric (NG) tube into an adult client. The nurse determines that the client is not having contractions, the fetal heart rate (FHR) baseline is 144 bpm, and no FHR accelerations are occurring. D. Swab the stain with a sterile, cotton-tipped applicator that is moistened with sterile water. , While donning sterile gloves for a client's dressing The charge nurse observes that a demographic screen has been left open on a hallway computer by a nurse who is responding to a call light because the unlicensed assistive personnel (UAP) is involved in a personal phone call. d) Prepare a chest tube insertion tray. Study with Quizlet and memorize flashcards containing terms like A nurse is providing discharge instructions to a client during a follow-up telephone call. Delegation in nursing promotes individual development and teamwork. Answer Blanca's questions and allow her to see her daughter. Consider what is important in a given situation. 1 day ago · Study with Quizlet and memorize flashcards containing terms like A nurse is collecting a wound culture from a client from two different sites. The overall heart rate is 64 beats/minute. Remove the backing on the skin barrier D. Which actions should the nurse take? Select all that apply. After removing the pouch, which of the following actions should the nurse take first? A. Which action should the nurse take? 1. The dressing should be changed immediately and correctly; the priority is to protect the client. 06 seconds. Use all options. D)Maintain proper body Study with Quizlet and memorize flashcards containing terms like The nurse observes a new mother avoiding eye contact with her newborn. b. b) Apply a dressing over the wound and tape it on three sides. Coordinate folk care treatments with modern medical treatments. Cleanse the stoma and the peristomal skin. Remind the client that protein in the diet should be avoided C. The nurse assesses a heart rate of 104 beats/minute, 15 beats above the patient's baseline. ) Avoid assumptions about the client. Which of the following actions should the nurse take? A) Rotate the probe if any resistance is met as the thermometer is inserted B) Insert the probe to aim at the client's pelvic area C) Dip the probe about 0. The nurse takes the client's temperature before hanging the blood transfusion and records 100. position the patient on the side c. Jordan's current condition, the nurse is unable to speak to her about the medications brought by her neighbor. Which of the following actions should the nurse take?, A nurse is preparing a poster presentation about the musculoskeletal system. b) Administer an antihistamine and begin the Study with Quizlet and memorize flashcards containing terms like Due to Mrs. , Which statement is an example of a correctly written nursing diagnosis statement? A. In what order should the nurse assess these children?, When assessing the 10-year-old student, which action Study with Quizlet and memorize flashcards containing terms like While discontinuing a midline catheter, the nurse meets resistance and the catheter appears stuck. pinch the soft part of the nose b. Check laboratory test results. Schedule an appointment for a chest x-ray. What action should the nurse take to help identify the medication Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who is at risk for developing atelectasis. The desired outcome of having the client sit on the side of the bed by the end of shift was not met. d Study with Quizlet and memorize flashcards containing terms like A nurse is preparing to leave for the day when she sees a photo of herself on a co-workers cell phone that was inadvertently left on the counter at the nurses' station. Allow the feeding bag to empty before filling it. 1 day ago · Study with Quizlet and memorize flashcards containing terms like What action does the nurse perform to remove gloves after performing a sterile procedure? A. List the sequence of events in order based on the illness progression. Study with Quizlet and memorize flashcards containing terms like The nurse is making a home health visit to a frail, but healthy, older adult patient. - Make sure one finger can fit under the 3 days ago · Study with Quizlet and memorize flashcards containing terms like What is the appropriate action to take if the emergency nurse notes a suspicious stain on the arm of a victim of a violent crime? A. Obtain a partial thromboplastin time (PTT). Administer an intravenous (IV) fluid bolus. You can deliver safe, quality care that benefits your staff, patients, and the organization by evaluating outcomes and making necessary adjustments. Which of the following actions should the nurse take?, A nurse is teaching a client who has a new hearing aid. Which of the following actions should the nurse take? A nurse is reviewing the goals of client's plan of care. Lay the first removed glove in the sterile field. 6 ° F orally. The provider determines that the client needs immediate central 3 days ago · A nurse is preparing to administer a client's medication. The nurse should explain that which of the following medications can be crushed? Extended-release oxycodone Sublingual nitroglycerine Enteric-coated aspirin Sucralfate tablets, A nurse is caring for a client who reports severe back pain at 1400. 3. After conferring with the provider, which of the following actions should the nurse take first? Insert an NG tube. Study with Quizlet and memorize flashcards containing terms like Which action should the nurse take to maintain sterility when performing a dressing change? a. -After applying the 3 days ago · Study with Quizlet and memorize flashcards containing terms like A nurse is applying a condom catheter for a client who is uncircumcised. Flush the tube every 8 hr. Ask coworkers to share their past experiences with similar clients. Limit the time the formula hangs to 8 hr. Stop the procedure and notify the practitioner B. Switch hands and try to remove the catheter again C. Notify the health 3 days ago · Study with Quizlet and memorize flashcards containing terms like A nurse is assessing a client who is receiving an infusion of vancomycin IV. have the patient hyperextend the neck d. 16 seconds, and QRS complexes measure 0. Learn more about the nursing process, including its five core areas (assessment, diagnosis, outcomes/planning, implementation, and evaluation). Encourage increased incentive spirometer use. put the unopened sterile glove package carefully on the side of the sterile field b. , A client comes to the Emergency 3 days ago · Study with Quizlet and memorize flashcards containing terms like After assisting a newly admitted client with removing their shoes and outerwear, the nurse notices what appears to be soil or grime on their hands. Study with Quizlet and memorize flashcards containing terms like Sarah spends the first portion of her morning conducting an inservice for some of the teachers on early recognition of communicable diseases. Which action should the nurse take first? a) Prepare to start an I. remove the sterile drape from its package by lifting up the corners c. Ask another more experienced nurse to try to remove the catheter D. C)Use anti-embolism stockings. What action should the nurse take? A. The nursing supervisor reviews the policy and determines that there is no policy against sexual relations between married residents. Which of the following actions should the nurse take? Determine if different nursing interventions are required. , A nurse is caring for a client with a chest tube 3 days ago · A nurse is preparing to administer a continuous enteral tube feeding to a client. What action should the nurse take next? A. Learn how to delegate for better patient care and a stronger team effectively. Make decisions based on intuition. Encourage the patient to increase oral fluid intake. Infuse normal saline at a Study with Quizlet and memorize flashcards containing terms like A client presents with extensive lesions due to psoriasis. What action should the nurse take? 1. V. Which of the following actions should the nurse take? A- Report the incident to 1 day ago · Study with Quizlet and memorize flashcards containing terms like A nurse is teaching a newly licensed nurse about crushing medications. Pull the glove off starting at the fingers C. Read and follow the heath care provider's orders. What is an appropriate nursing action when evaluating a client with coronary artery disease (CAD)? Assess the client's mental and emotional status. After a Rapid HIV test is negative, the student asks the progression of the HIV illness should the virus have been contracted. Study with Quizlet and memorize flashcards containing terms like Match the type of intervention to its description. Alert and oriented to person, place, and time. What is the priority action for the nurse to take for a client who develops an anaphylactic reaction after the administration of a medication? In addition to reviewing the client’s medication allergies, what other actions should the nurse take to prevent adverse medication reactions? The nurse notes a hard, distended abdomen and absent bowel sounds. The PR interval is 0. Assess the skin of the client. What action should the nurse take? a. receiver b. sender c. Which action should the nurse take when using critical thinking to make clinical decisions? a. Study with Quizlet and memorize flashcards containing terms like Which action should the labor and delivery nurse take? Explain that she has a healthy baby girl with a great cry. B. The P waves and QRS complexes are regular. What action should Study with Quizlet and memorize flashcards containing terms like A client who has undergone abdominal surgery calls the nurse and reports that she just felt "something give way" in the abdominal incision. apply an ice pack to the back of the neck, Priority Decision: The nurse receives an evening report on a patient who · Discussing the incident with the nurse is the initial action. After instilling 100 ml of enema fluid, which of the following actions should the nurse take?, A nurse is preparing to administer the first of two large volume, cleansing enemas prescribed for a patient in preparation for a diagnostic procedure. Check the client for urinary bladder distention. Place the swab immediately into the proper container to prevent cross-contamination. The nurse should take which immediate action, A client who just returned from the recovery room after a T&A is What action should the nurse take? A. suction for 30 seconds with each pass B. Which action should the nurse take?, The nurse should explain to a 30-year-old gravid client that alpha fetoprotein testing is recommended for which purpose?, What action should the nurse implement to decrease the client's risk for hemorrhage after a cesarean 3 days ago · A nurse is preparing to suction a client's tracheostomy. The practitioner orders a nebulized Study with Quizlet and memorize flashcards containing terms like A nurse is planning care for a client who uses culturally based folk-care for medical treatment. Rationale: always assess pain level first, Patient comfort is priority. Determine if the patient is having chest pain. Accept one established way to provide care. d Study with Quizlet and memorize flashcards containing terms like A nurse is taking an adult client's temperature rectally. Formulate a new analysis. B)Apply sequential compression devices. use a rotating motion when inserting the catheter from the tracheostomy D. When initially assessing the client, the nurse notes that the TPN solution has run out and the next TPN solution is not available. Which action should the charge nurse take first? A. Measure the stoma. d. don sterile gloves before opening the package containing the field drape d. Which of the following routine interventions should the nurse use to prevent lumen occlusion?, A nurse in the emergency department is caring for a client who was in a motor-vehicle crash. Ask the client about numbness or tingling in the hands. Teach about the need to get sputum specimens for 2 to 3 consecutive days. Because some of the bottles contain two different pills, the nurse is unsure whether the medication in the bottles match what is on the label. Based on the Shannon-Weaver communication model, which of the following components of the model is the nurse demonstrating? a. Observe the client's pupil size and response to light. Page the unit manager to address the situation. Incision has The nurse is assessing the client's blood pressure using an electronic blood pressure machine and notes that the blood pressure reading is much higher than it has been since admission. Set of Study with Quizlet and memorize flashcards containing terms like Integumentary and peripheral vascular systems: identifying types of lesions List two (2) examples of a primary skin lesion including description and example of each. The nurse checks the incision and notes the presence of wound dehiscence. - Remove the restraints with each vital sign check. Provide an example of appropriate documentation of the integumentary system. Which intervention does the nurse anticipate from the healthcare provider? 1 Advising sunscreen and special clothing 2 Topical application of steroids 3 Potassium permanganate baths 4 Debridement of necrotic plaques, A nurse is assessing a client with a diagnosis of Study with Quizlet and memorize flashcards containing terms like The nurse has just auscultated coarse crackles bilaterally on a patient with a tracheostomy tube in place. 3 days ago · Study with Quizlet and memorize flashcards containing terms like The nurse has just confirmed proper placement of a nasogastric tube. Cover the stoma with gauze. Which of the following actions should the nurse take? A. - Use a square knot to secure the restraints. 3 days ago · Which of the following interventions should the nurse use to assist the client with feeding?, Which of the following strategies for enhancing the intake of healthy foods is appropriate for an adolescent? and more. Educate the client that folk care treatments 3 days ago · Study with Quizlet and memorize flashcards containing terms like A nurse is administering a return-flow enema to a client.
