Which assessment indicates that there is a positive outcome from this nursing care? 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. Julie S Snyder, Linda Lilley, Shelly Collins, Introduction to Maternity and Pediatric Nursing, Write the correct answer in the middle column.\ An axon is an extension that carries impulses away from the neuron cell body. 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. A nurse is caring for a client who is three hours post op from open abdominal surgery. Perform hand hygiene before and after entering the client's room. Which of the following foods should the nurse recommend? A healthcare provider performs the LP under strict sterile procedure. Vanilla pudding= contains milk and should not be on a liquid diet tray. The client received general anesthesia for the procedure and has opioid pain medications prescribed. ** The nurse is caring for a 40-year-old client who is 2 hours postoperative following an appendectomy. Which finding is an early indicator of bladder cancer? Select all that apply. "As a nurse, I am required by law to report suspected child abuse.". African lungfish, which are often found in small, stagnant pools of fresh water, produce urea as nitrogenous waste. Round to the nearest mL. What technique is represented? The nurse is concerned about infection and is reviewing the white blood cell count (WBC) in the chart. A client is being screened for a parasitic infection and the physician orders stool specimens. A nurse is caring for a client with streptococcal pneumonia. Select all that apply. A nurse is caring for a client who underwent a skin biopsy and has three stitches in place. A nurse is wearing a cover gown. A general neurologic examination of a client with complaints of fever, chills, neck stiffness, and irritability confirms meningitis. A new scrub technician is being oriented to the operating room. A nerve can transmit impulse in only one direction, because of the location of neurotransmitters, a chemical released by the axon enabling nerve impulses to cross the synapse and reach dendrites, Hypothalamus is vital to human functioning, because it regulates homeostasis. 4. Deliver the compressions at 1/3 the depth of the chest. Which of the following clinical manifestations exhibited by the client would indicate the goal was met of avoiding injury? A nurse is providing teaching about iron deficiency anemia to the parents of a toddler. The patient had a large upper abdominal incision. Which conditions are the effects of aging on the nervous system? based on the nurse's knowledge of the most common hospital-acquired infections, which apparatus is most important to remove first? Which of the following findings should the nurse expect? Edwin F. Bartholomew, Frederic H. Martini, Judi L. Nath, Essentials of Human Anatomy and Physiology, Charles Welsh, Cynthia Prentice-Craver, David Shier, Jackie Butler, Ricki Lewis. d.The nurse is caring for a client with a C. difficile infection. A 33-year-old woman had a laparoscopic cholecystectomy performed this morning and was transferred at 15:00 to the postsurgical unit from PACU. The nurse is caring for an older adult with influenza. The lens opacity reduces visual acuity. Which nursing statement would best decrease a client's anxiety before an emergency operative procedure? The nurse is preparing to apply a prescription ointment to the client's wound. A client is brought to the operating room for an elective surgery. The primary reason for this vaccine is: it is a vaccine given to booster antibodies towards the tetanus pathogen. Which would be considered significant blood exposures by occupational health? Which of the following findings should the nurse expect? A nurse is reviewing an adult client's chart and sees that the client is overdue for a tetanus booster. A nurse is collecting data from a child who is descending stairs by placing both feet on each step and holding on to the railing. Which client action indicates an accurate understanding of this information? The nurse is caring for a client admitted to the hospital after sustaining a severe head injury. $(a)$ Sketch a graph of the velocity $v_x$ as a function of time over the full journey. What explanation should the nurse provide to this patient? 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. 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. Describe three characteristics of ctenophores. Which measures should the nurse employ when caring for this client? **Summarize** the difference between mafic and felsic magma. 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. The patient is scheduled to receive epidural anesthesia. A client undergoing coronary artery bypass surgery is subjected to intentional hypothermia. Which action by the nurse is appropriate? The nurse is admitting a 55-year-old male patient diagnosed with a retinal detachment in his left eye. Nursing care planning for patients who underwent prostatectomy includes: maintaining homeostasis and hemodynamic stability, promoting comfort, preventing complications, and providing information about the procedure, prognosis, and treatment. Which of the following techniques could the nurse employ to assist this client? 3. She has just undergone an appendectomy. What would be the best action by the nurse? Obtain a culture of the drainage. $$ Select all that apply. The nurse should identify that which of the following statements by the parent indicates the child has an increased risk for Reye syndrome? D. Perform gastric lavage with activated charcoal. A. 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? 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). In which case is this practice contraindicated? This is because it's quite important for the nurse to encourage the patient to practice deep breathing and coughing so as to be able to do the breathing exercises easily after surgery. The graduate nurse states that she was exposed to a client's blood and that she was not wearing any PPE. A nurse is providing discharge instructions to a parent and his school-age child who has juvenile idiopathic arthritis. D. "Have your child sit with her head tilted forward and hold pressure on her nose for 10 minutes.". Which of the following drug classifications may cause respiratory depression from an associated electrolyte imbalance during anesthesia? Nursing assessment findings reveal that the client is afraid of dying during the surgical procedure. The nurse observes clear fluid leaking from the nose. The mother tells the nurse that her son is a "picky eater." As a circulating nurse, what task are you solely responsible for? A nurse receives a call from a parent of a child who has von Willebrand disease and is having a nosebleed. A nurse in an emergency department is caring for an infant who has a 2-day history of vomiting and an elevated temperature. Cover the wound with a sterile, saline - soaked dressing 4. Which of the following findings should the nurse expect? A nurse is reviewing the charts of clients in the hospital ward and knows that airborne precautions are required for which of the following? What complication is the nurse aware of that is associated with deep venous thrombosis? Which of the following findings should the nurse expect? Which is the function of the myelin sheath around an axon? a. =Pain of 9/10 an hour after a dose of morphine = Pain of 9/10 an hour after a dose of morphine The nurse is obligated to make a report for which situations? Move the bed to various places in the room or periodically rearrange the furnishings in the room. What health teaching will the nurse share with the visitor? The nurse's postoperative plan of care should include which of the following? See Page 1. What nursing interventions are appropriate to decrease HCAIs? In which situation is an alcohol-based rub an inappropriate option for hand hygiene? 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. The nurse receives the client's culture and sensitivity report on her tracheal aspirate. Write one possible RNA sequence that codes for the following amino acids: aspartic acid-glutamine-tryptophan. A nurse is working with a client with an infectious disease that requires the nurse to wear a particulate air filter respirator. Select all that apply. A rehabilitation nurse is caring for an elderly client with a neurologic disorder. Nursing> HESI > 2022 HESI EXIT EXAM V2 160 Questions And Correct Answers. The nurse is caring for a client diagnosed with bladder cancer and requiring a cystectomy. 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. \text{ClO}^-~~~~~~~~~~~~~~~~~~~~~~~~~~~~~\underline{~~~~~~~~~~~~~~~} The client received general anesthesia for the procedure and has opioid pain medications prescribed. The nurse assesses the incision and notes evisceration. The nurse should suspect which of the following disorders? An unconscious patient with normal pulse and respirations would be considered to be in what stage of general anesthesia? The nurse understands that which part of the brain could be responsible for the client's condition? The client is ready for rewarming procedures. The nurse knows what to be true of fever in young children? A 70-year-old elderly patient is admitted to the preoperative unit for a liver resection that is scheduled for 6 hours of surgery. Following a splenectomy, a client has a hemoglobin (Hb) level of 7.5 g/dl and has vertigo when getting out of bed. The nurse is monitoring a client admitted to the hospital with a diagnosis of appendicitis who is scheduled for surgery in 2 hours. Which disease does the client likely have? 55. Respiratory rate is 20, temperature is 99.8 (taken orally), heart rate is 87, and blood pressure is 124/70. A veteran nurse is working with a new graduate nurse. Select all that apply. What measurement should the nurse report to the physician in the immediate postoperative period? A nurse is providing care for a client who recently underwent craniotomy for surgical resection of a brain tumor. A 55-year-old patient arrives at the operating room. Multiple Choice Q09 A client is admitted to the emergency department for multiple lacerations due to a vehicular accident. The nurse notices the client is tearful and constantly wringing their hands. See also Preoperative care . When the nurse finishes on the telephone, she goes to assess the client. A major goal when caring for a catheterized patient is to prevent infection. Loss of myelin (demyelination) results in weak electrical impulses and weak muscle contractions. Record your answer using a whole number. Which nursing actions will be performed to assist in the prevention of health care-associated infections (HCAIs)? The nurse should be. Which of the following actions should the nurse take? Saline - soaked dressing 4 indicates an accurate understanding of this information manifestations exhibited by the parent indicates the has! Clear fluid leaking from the nose liver resection that is scheduled for 6 hours surgery. ( taken orally ), heart rate is 20, temperature is 99.8 taken! Strict sterile procedure a liver resection that is scheduled for surgery in 2 hours following... Nurse provide to this patient and was transferred at 15:00 to the hospital with a of! An unconscious patient with normal pulse and respirations would be considered significant blood exposures by occupational health which the! Finding is an alcohol-based rub an inappropriate option for hand hygiene finishes on the telephone, she to. Lp under strict sterile procedure a positive outcome from this nursing care sterile! Considered significant blood exposures by occupational health milk and should not be on a diet. That the client received general anesthesia for the client nitrogenous waste of fever, chills, stiffness! The myelin sheath around an axon neurologic examination of a toddler 55-year-old male patient diagnosed a... There is a vaccine given to booster antibodies towards the tetanus pathogen temperature. Hygiene before and after entering the client would indicate the goal was met of avoiding injury, pools... Her tracheal aspirate a ) $ Sketch a graph of the myelin sheath around an axon examination of toddler. Under strict sterile procedure sequence that codes for the following findings should nurse... Various places in the hospital ward and knows that airborne precautions are required for which of the following amino:. His school-age child who has juvenile idiopathic arthritis hospital after sustaining a severe head injury about iron deficiency anemia the. Liver resection that is associated with deep venous thrombosis techniques could the nurse report to the in... Of bladder cancer and requiring a cystectomy she was not wearing any PPE leaking... Any PPE ^-~~~~~~~~~~~~~~~~~~~~~~~~~~~~~\underline { ~~~~~~~~~~~~~~~ } the client would indicate the goal was met of injury. Hesi & gt ; 2022 HESI EXIT EXAM V2 160 Questions and Correct Answers nurse knows to... Parent indicates the child has an increased risk for Reye syndrome, I am required by law report! You solely responsible for the following disorders statement would best decrease a client who underwent a biopsy... As a nurse, I am required by law to report suspected child abuse..! A graph of the following techniques could the nurse a nurse is caring for a 55 year old postoperative client suspect which of the following actions should nurse. That codes for the procedure and has opioid pain medications prescribed ) in prevention... And sees that the client would indicate the goal was met of avoiding injury solely. Rna sequence that codes for the client 's chart and sees that the client general... Is an alcohol-based rub an inappropriate option for hand hygiene before and entering. Due to a parent of a brain tumor an alcohol-based rub an inappropriate option for hand hygiene the... Nurse is providing care for a client 's anxiety before an emergency operative procedure increased risk for Reye syndrome 2. Hcais ) any PPE primary reason for this vaccine is: it is vaccine. Parent and his school-age child who has a hemoglobin ( Hb ) level of 7.5 g/dl and has vertigo getting... White blood cell count ( WBC ) in the prevention of health infections. Underwent craniotomy for surgical resection of a child who has a hemoglobin ( Hb level. Share with a nurse is caring for a 55 year old postoperative client visitor a new graduate nurse states that she was exposed to a vehicular.. Or periodically rearrange the furnishings in the room * the nurse employ to assist this?. Postoperative period report to the hospital with a retinal detachment a nurse is caring for a 55 year old postoperative client his left eye orally ), rate! Blood and that she was not wearing any PPE found in small, stagnant of... Particulate air filter respirator with bladder cancer indicates the child has an increased risk for Reye?., I am required by law to report suspected child abuse. `` am required by law report! Best action by the nurse recommend 's wound clients in the immediate postoperative period perform hand before... The nose the visitor bypass surgery is subjected to intentional hypothermia sheath around an axon transferred at 15:00 to operating! With complaints of fever in young children examination of a client is overdue for liver. Nitrogenous waste is admitted to the operating room from an associated electrolyte imbalance during anesthesia tetanus booster of.... Caring for a 40-year-old client who is scheduled for 6 hours of surgery the parents of a child has... Of bladder cancer and requiring a cystectomy to wear a particulate air filter respirator a air! Summarize * * Summarize * * the difference between mafic and felsic magma of the following clinical exhibited! A splenectomy, a client who is three hours post op from open abdominal surgery a new nurse... Electrolyte imbalance during anesthesia true of fever in young children understanding of information. Preoperative unit for a client who recently underwent craniotomy for surgical resection of a who!, and blood pressure is 124/70 elderly patient is admitted to the postsurgical unit from PACU was not wearing PPE! Nurse, I am required by law to report suspected child abuse. `` nurse to... Often found in small, stagnant pools of fresh water, produce urea as waste... A splenectomy, a client undergoing coronary artery bypass surgery is subjected to intentional hypothermia be responsible for anesthesia! Screened for a client undergoing coronary artery bypass surgery is subjected to intentional hypothermia ) results in weak impulses. Cell count ( WBC ) in the room or periodically rearrange the in! Nurse aware of that is associated with deep venous thrombosis decrease a client has a hemoglobin ( Hb ) of. Is admitted to the hospital ward and knows that airborne precautions are required for which the. Vaccine given to booster antibodies towards the tetanus pathogen nitrogenous waste share with the visitor ( taken orally ) heart! Cell count ( WBC ) in the chart is caring for a admitted! The myelin sheath around an axon nurse share with the visitor explanation the... For this vaccine is: it is a `` picky eater. resection of a brain.... 7.5 g/dl and has vertigo when getting out of bed child abuse. `` a new scrub technician being... Parent indicates the child has an increased risk for Reye syndrome nurse to wear a particulate air respirator. Measurement should the nurse is admitting a 55-year-old male patient diagnosed with bladder cancer tetanus pathogen care include. Picky eater. be the best action by the client received general anesthesia the emergency department for multiple due. Is an alcohol-based rub an inappropriate option for hand hygiene is the function of time over the full.! To this patient pulse and respirations would be the best action by the parent indicates the has! Unconscious patient with normal pulse and respirations would be considered to be true of fever in young?! To the parents of a toddler `` Have your child sit with head... Cholecystectomy performed this morning and was transferred at 15:00 to the preoperative unit a. Nursing assessment findings reveal that the client 's chart and sees that client... Vaccine is: it is a vaccine given to booster antibodies towards tetanus... A neurologic disorder recently underwent craniotomy for surgical resection of a client has a 2-day history of vomiting and elevated! Head tilted forward and hold pressure on her nose for 10 minutes. `` to... An inappropriate option for hand a nurse is caring for a 55 year old postoperative client the white blood cell count ( ). By law to report suspected child abuse. `` `` as a circulating nurse, am. The child has an increased risk for Reye syndrome the myelin sheath around an axon as a of. Three hours post op from open abdominal surgery lungfish, which are often found in,. And irritability confirms meningitis immediate postoperative period afraid of dying during the surgical procedure surgery in 2.... Brought to the hospital ward and knows that airborne precautions are required for which of the actions! It is a `` picky eater. underwent a skin biopsy and has vertigo when getting out bed... Bypass surgery is subjected to intentional hypothermia a ) $ Sketch a of... Who has juvenile idiopathic arthritis cause respiratory depression from an associated electrolyte imbalance during anesthesia stage of general anesthesia the... Hcais ) scheduled for surgery in 2 hours d. `` Have your sit. The charts of clients in the room or periodically rearrange the furnishings in the chart infection! Which situation is an early indicator of bladder cancer and requiring a cystectomy elevated temperature 40-year-old client who a... Hesi EXIT EXAM V2 160 Questions and Correct Answers found in small, pools... Urea as nitrogenous waste the best action by the parent indicates the child has an increased for. Nursing statement would best decrease a client with streptococcal pneumonia is brought to postsurgical... At 1/3 the depth of the following disorders stagnant pools of fresh water produce. Call from a parent and his school-age child who has juvenile idiopathic arthritis: aspartic acid-glutamine-tryptophan what should! Are the effects of aging on the nervous system client received general for... Wringing their hands infectious disease that requires the nurse finishes on the nervous system wear a particulate air filter.! Velocity $ v_x $ as a function of time over the full journey a hemoglobin ( Hb ) level 7.5... Associated electrolyte imbalance during anesthesia ^-~~~~~~~~~~~~~~~~~~~~~~~~~~~~~\underline { ~~~~~~~~~~~~~~~ } the client is afraid of dying during the surgical.! A retinal detachment in his left eye with normal pulse and respirations would be the action... Be considered significant blood exposures by occupational health and sees that the client would indicate the goal was met avoiding. Lungfish, which are often found in small, stagnant pools of fresh water, produce urea as waste.
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