What is the nurse's priority action? Which of the following is the most common symptom of bladder cancer? What action does the nurse take to ensure that the saline used is sterile? A 50-year-old client was admitted to a healthcare facility after a traffic accident. What technique is represented? Starting at one station, a subway train accelerates from rest at a constant rate of $1.00 \mathrm{~m} / \mathrm{s}^2$ for half the distance to the next station, then slows down at the same rate for the second half of the journey. What is the priority action by the nurse? Which of the following findings should the nurse expect? b. D. Expect that food consumption might not decrease significantly. An unconscious patient with normal pulse and respirations would be considered to be in what stage of general anesthesia? The nurse is reviewing the plan of care for assigned clients. What does the nurse recognize that this client is experiencing? What measures would the nurse take to protect against spreading infection while overseeing the transport of this client? Which of the following clients should the nurse place in the same room with this child? A nurse is caring for a 55-year-old post-operative client. The nurse should prepare to administer: A patient with renal failure is scheduled for a surgical procedure. A client suffers a stroke located in the medulla. What is the greatest possible rate of energy transfer by radiation from a metal cube 2.0 cm on a side that is at $700 ^ { \circ } \mathrm { C }$? Its emissivity is 0.20. A 55-year-old patient arrives at the operating room. With 8 oz of milk b. The nurse would expect to provide the client with which type of diet? \text{ClO}_4^-~~~~~~~~~~~~~~~~~~~~~~~~~~~~~\underline{~~~~~~~~~~~~~~~} Nurses practice asepsis, which encompasses all activities to prevent infection. Which would be considered significant blood exposures by occupational health? The client has a history of anxiety, depression, high blood pressure, and exercise-induced asthma. What is the priority action by the nurse? The nurse should instruct parents to bring their children back for rescreening in a year for which of the following laboratory values? The nurse should suspect which of the following conditions? Select all that apply. The nurse should apply which of the following types of restraints for this infant? The primary nurse educates the client about surgery and the postoperative period. A nurse is assessing a toddler who has suspected lead poisoning. The client received general anesthesia for the procedure and has opioid pain medications prescribed. A nurse is caring for a client in the PACU after surgery requiring general anesthesia. "Encourage your child to avoid sharing hats with other children.". x == 5 || y > 3. African lungfish, which are often found in small, stagnant pools of fresh water, produce urea as nitrogenous waste. A nurse is administering moderate sedation to a client with chronic obstructive pulmonary disease (COPD). A nurse is caring for a client who is diagnosed with increased intracranial pressure (ICP). "Limit contact with large groups of people." = A nurse is caring for a client who is 24 hr. Select all that apply. A. $$. A client is at postoperative day 1 after abdominal surgery. Which of the following foods should the nurse recommend? The provider prescribes restraints. Which of the following responses by the nurse is appropriate? The nurse applies an alcohol-based hand rub upon entering the client's room. Facilitate a portable x-ray in the client's room rather than transporting the client. Select all that apply. What action by the student would alert the nurse to provide additional teaching to the student? Which pieces of personal protective equipment should be removed first? What health teaching will the nurse share with the visitor? Which of the following signs/symptoms is diagnostic for bladder cancer? A. The physician tentatively diagnoses right ureterolithiasis (renal calculi). They have not been fitted an N95 respirator. The nurse should respond with which of the following common names? Select all that apply. One bag of a contaminated item is placed within another. A nurse is planning care for an adolescent who is postoperative following scoliosis repair with Harrington rod instrumentation. During routine assessment, the nurse notes the previously stable client now appears anxious, apprehensive, and has a blood pressure of 90/56. The nurse is preparing to don sterile gloves for a procedure that requires surgical asepsis. When would surgery be contraindicated for this patient due to laboratory results? Which of the following findings should the nurse expect the client to manifest with acute lead poisoning? A cataract then forms as oxygen uptake is reduced, water content . What is a role of the "clean" nurse? Which could be the consequence of an injury close to where the brain and spinal cord connect? The nurse is reviewing the medical record and notes that the patient has a history of osteoporosis in her lower back and hips. The nurse should take which initial action? What technique does the nurse use? Which client would require a negative flow room? How many mL should the nurse administer? Immediately after any potential or actual injury to the brain, a neurologic evaluation should be done. $$ You know that this client's anxiety can cause problems with the surgical experience. The patient complains of headache. 3. Which of the following assessment findings should the nurse expect? The most common presenting objective symptoms of a urinary tract infection in older adults, especially in those with dementia, include? The nurse is assessing a client who presented to the clinic reporting migraine headaches. $$ Julie S Snyder, Linda Lilley, Shelly Collins. The nurse working with a patient after an ileal conduit notices that the pouching system is leaking small amounts of urine. Meningitis is diagnosed based on a general neurologic examination that includes two special neurologic signs: Electroencephalography records the brain's electrical impulses as a graph. Write the formula for a monosaccharide that has three carbons. Which result supports this concern? a. Nursing assessment findings reveal urinary output < 30 ml/hr, tachycardia, tachypnea, decreased hemoglobin, and acute confusion. A client refuses to remove her wedding band when preparing for surgery. The client received general anesthesia for the procedure and has opioid pain medications prescribed. D. It is not necessary to worry about complications of immobility on the first postoperative day. The nurse is reinforcing education for a female client paralyzed from a spinal cord injury (SCI). A nurse is required to document the neurologic assessment of a client with recent head trauma. $$ Request that a respiratory therapist discuss the technique for incentive spirometry with the client. What key area should the nurse prioritize when educating this client? The 24-hour urine output total is 2430 mL. Two nurses are collecting the contaminated items and soiled linen from the room of an older adult client with a urinary tract infection. A nurse is providing teaching to a parent of a child who has Hirschsprung disease and is scheduled for initial surgery. An ileal conduit is created for a client after a radical cystectomy. A nurse is providing care for a client who recently underwent craniotomy for surgical resection of a brain tumor. Line the surface of the wheelchair or stretcher with a clean sheet or bath blanket to protect the surface from direct client contact. The thalamus integrates sensations, thus the person perceives a whole experience, rather than individual impulses. The nurse is caring for a postoperative client who has a Kock pouch. Which statement about neonatal development is accurate? The nurse is evaluating the effectiveness of discharge teaching for a client with an oxalate urinary stone. use of antibiotics in clients with viral infection. What is the priority action by the circulating nurse? Which of the following should the nurse include in the teaching? Transection (severing) of the cord can be incomplete, (partial) or complete. A nurse needs to send the blood and urine specimen of a client with acute diarrhea to the pathology laboratory. A patient is in the operating room for surgery. 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. A client is admitted with infective endocarditis (IE). The nurse suspects that the client is experiencing which type of incontinence? The client is preparing for cerebral arteriogram and makes the following statements. What response by the family member indicates that the nurse's teaching was successful? A nurse is caring for a client who underwent a skin biopsy and has three stitches in place. \underline{~~~~~~~~~~~~~~~}~~~~~~~~~~~~~~~~~~~~~~~\text{HIO}_3 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. See also Preoperative care . Assuming the tension $T$ in the cord to remain constant, $(a)$ write the differential equation of motion of the ball, $(b)$ determine the period of vibration. What is an implication of this assessment finding? What action best reduces the risk of transmission to clients and staff? The nurse is caring for a postoperative client who develops evisceration of the abdominal incision. c) The magma formed some crystals before rising closer to the surface and solidifying.\ The nurse is caring for a 75-year old client on the first post-operative day following a mitral valve replacement due to mitral stenosis.The nurse has identified the following potential complications and developed a nursing diagnosis and goals for each potential complication. A child is admitted with a suspected diagnosis of Wilm's tumor. The nurse has administered the preanesthetic as ordered. How many feet must be maintained between this client and other noninfected clients and visitors? A nurse is caring for a school-aged child who has a systemic disorder and is receiving antibiotics, immunosuppresants, and corticosteroids. Select all that apply. A client with chronic pain reports severe pain postoperatively. How will the nurse document this condition? The parents of a 6-year-old child with celiac disease tell the school nurse that their . "I will obtain a mask from the staff and wash my hands before touching my family member.". The nurse checking the client's vital signs observes that there are no visible signs of life. A nurse is providing health promotion teaching to the parents of an infant. How will the nurse appropriately remove this personal protective equipment (PPE)? Get the client out of bed and ambulate to a bedside chair. The primary nurse educates the client about surgery and the postoperative period. As the eye ages, the lens loses water and increases in size and density, causing compression of lens fibers. The nurse would expect the healthcare provider to further assess the client for a midbrain disorder based on what function of the midbrain? A nurse is wearing a cover gown. Select all that apply. Place a surgical mask on the client and transport to the CT department at the specified time. What is the most important thing the nurse can do to prevent the client with HIV from acquiring the upper respiratory infection? "Alcohol-based hand rub provides the greatest reduction in microbial counts on the skin.". The nurse is caring for a client after hypophysectomy and notes clear nasal drainage from the client's nostril. A nurse is caring for a client with a neurologic problem who has been advised to have an electroencephalogram (EEG). On assessment, the nurse notes that the abdomen is distended and bowel sounds are diminished. D DNA microarrays. What information should the nurse provide the client and family regarding the use of an EEG? The nurse is caring for a client during an intra operative procedure. The nurse is assisting in the transport of a client with an indwelling catheter to the diagnostic studies unit. 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. **Summarize** the difference between mafic and felsic magma. For an 8% interest rate, which alternative should be selected? Which strategy should the nurse include when responding to the client? The nurse checks the adolescent's blood glucose level and identifies a value of 55 mg/dL. What measures should the nurse take when caring for a client with autonomic dysreflexia? can be followed using $$ The nurse reports that according to documentation, no drainage has been recorded. A client for whom transmission-based precautions are required is experiencing sensory deprivation. Nurses are performing the technique shown in the accompanying image. "If someone is exposed to my blood, I may transmit the virus to him or her.". It also associated with many other diseases and disorders. A nurse is admitting a child who has leukemia and a critically low platelet count. Nursing Nursing questions and answers The nurse is caring for a 40-year-old client who is 2 hours postoperative following an appendectomy. Six mutually exclusive alternatives, A-F, are being examined. Which of the following actions should the nurse take? Apply a nonparticulate (N-95) respirator when entering the room. \text{BrO}_2^-~~~~~~~~~~~~~~~~~~~~~~~~~~~~~\underline{~~~~~~~~~~~~~~~} A nurse is assessing an adolescent who has an exacerbation of Graves' disease. Which of the following findings should the nurse expect? Which of the following foods should the nurse recommend? Both of the child's parents have a smoking history. Following percutaneous nephrolithotomy, the client is at greatest risk for which nursing diagnosis? The nurse is caring for a client who is exhibiting severe respiratory distress and is receiving supplemental oxygen through a nonrebreather mask. In preparing a patient for surgery, the following areas should be addressed. See Lumbar Puncture previously mentioned. (Select all that apply.). While assessing this patient, what characteristic symptom would the nurse expect to find? The nurse is preparing to apply a prescription ointment to the client's wound. Which measure by the nurse is appropriate? She reports the need to urinate and cannot do so. What is the best respirator mask for this nurse? If the transection is complete all sensation and voluntary movements below the site of injury are lost. 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. An 11-year-old client is admitted to the healthcare facility with loss of sensation, generalized weakness of the extremities, and impaired bowel and bladder function. A noncommunicable disease is caused by food or environmental toxin. The client lacks signs and symptoms of infection but microorganisms are present. Encourage the parents to rock the infant. The nurse is assisting a colleague with wound care. $$ What should the nurse do first? 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. The nurse is summoned to a client's hospital room when an unlicensed assistive personnel observes the client begin to have a seizure. a nurse is caring for a 55-year-old postoperative client. What would the nurse expect to asses? Select all the nursing actions that apply. Which of the following actions should the nurse take? What is the nurse's best response? Apply a topical corticosteroid ointment to the affected area. Which of the following information should the nurse include in the teaching? A nurse is caring for a child who has influenza. 1 The nurse positions the client in the lithotomy position in preparation for 1- Renal surgery 2- Pelvic surgery 3- Perineal surgery The nurse caring for a patient who is at risk for malignant hyperthermia subsequent to general anesthesia would assess for the most common early sign of: A physician calls the nurse for an update on his client who underwent abdominal surgery 5 hours ago. A 17-year-old client is having same-day surgery. A client is being admitted to the hospital with a positive tuberculosis test and suspicious chest x-ray. The procedure involves injecting a radiopaque substance into the femoral, brachial, or arterial artery. The nurse knows what to be true of fever in young children? The client received general anesthesia for the procedure and has opioid pain medications prescribed. A nurse is reviewing the history and physical examination of a client with a suspected malignant tumor of the bladder. What related complication should the nurse be aware of? The nurse has worn a gown and gloves while caring for a client in contact isolation. Which of the following interventions should the nurse include in the infant's plan of care? What clinical assessment should the nurse conduct to see whether the nervous system is working properly? However, the nurse has documented that the client's temperature is within normal limits. How should a nurse teach a patient to perform deep breathing and coughing to use postoperatively? A nurse is caring for a client who has influenza and varicella. A client who is having a colonoscopy and suddenly the client's heart rate drops from 72 beats per minute (BPM) to 52 BPM. Select all that apply. The nurse should anticipate providing which of the following types of fluid? Nurses' Notes 1300: Client reports intermittent abdominal pain as 5 on a scale of 0 to 10 on left side of abdomen. Which statements made by the client demonstrates the education provided was effective? Which nursing intervention is the most important? Which type of transmission precautions should the nurse follow when caring for the client? The nurse is preparing discharge instructions for a family member who will be caring for a client with an abdominal incision. Hand hygiene is needed after contact with objects near the client. What is one of the basic principles that should guide the preoperative nurse's assessment? e. an older adult client with a history of heart failure. 4. Which of the following should be the primary medical management goal? Select all that apply. 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 client tells the nurse, "I think I'm going to be sick." A nurse is caring for a child who has suspected appendicitis. Which of the following actions by the nurse is inappropriate? A nurse is caring for a child who has pertussis. Respiratory rate is 20, temperature is 99.8 (taken orally), heart rate is 87, and blood pressure is 124/70. Which of the following manifestations should indicate to the nurse that the child's appendix is perforated? Which of the following would the instructor include in this plan about these agents and this type of anesthesia? When planning care for a client in the postoperative period, prioritize nursing diagnoses in the sequence from highest to lowest priority? Before discharge, the nurse should provide which instruction? Instruct the patient care technician (PCT) to obtain a set of vital signs 3. Which of the following is a characteristic of a normal stoma? The nurse should identify that which of the following manifestations indicates a tympanic membrane rupture? A nurse is caring for a client with multiple sclerosis (MS). What type of problems can this client have because of their anxiety and fear? A nurse is caring for a child who ingested kerosene. Select all that apply. A client is brought to the operating room for an elective surgery. A nurse is caring for a client in isolation. What would the nurses include in the teaching plan? What means of transmission do nurses use transmission barriers to protect themselves from? Which of the following findings should the nurse expect? A rehabilitation nurse is caring for an elderly client with a neurologic disorder. The friend of a long-term care client comes to visit despite having an upper respiratory infection. Find the velocity of the air at the outlets and the rate of change of flow energy (flow power) across the $T$-fitting. What does the nurse do first? Which of the following activities are nursing activities in the preoperative phase of care? Where are polar bodies made, in the male or in the female? \underline{~~~~~~~~~~~~~~~}~~~~~~~~~~~~~~~~~~~~~~~\text{HClO}_2 **Complete the medical term, based on its meaning as provided. A 64-year-old man is seeing his urologist for an annual check-up, post prostatectomy. A nurse is planning care for a 10-month-old infant who is 8 hr postoperative following cleft palate repair. 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? 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. Do you think it will be ok?" The nurse is caring for a client admitted to the hospital after sustaining a severe head injury. A nurse is providing teaching about iron deficiency anemia to the parents of a toddler. Which finding is an early indicator of bladder cancer? The client is surprised at this finding, since he enjoys generally robust health. 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. Here are six (6) nursing care plans (NCP) and nursing care plan for prostatectomy: A nurse is caring for a 2-month-old infant who is postoperative following surgical repair of a cleft lip. After teaching a patient scheduled for ambulatory surgery using moderate sedation, the nurse determines that the patient has understood the teaching based on which of the following statements? Upon review of a client's microbiology culture results, the nurse recognizes which organism as indicative of normal flora? What factors have contributed most significantly to this trend? "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.". How will the nurse document this condition? A family member with a mild upper respiratory infection comes to visit a client in a long-term care facility. What interview questions would the nurse ask the client? When the nurse finishes on the telephone, she goes to assess the client. Which of the following clinical manifestations should the nurse expect? The appropriate nursing intervention is which of the following? Which of the following measures should the nurse employ when providing postoperative care for this client? The client has a history of anxiety, depression, high blood pressure, and exercise-induced asthma. A general neurologic examination of a client with complaints of fever, chills, neck stiffness, and irritability confirms meningitis. Correct- Young children often have a vigorous immune response to infection and thus high fevers. Loss of myelin (demyelination) results in weak electrical impulses and weak muscle contractions. The nurse is educating a client who reports a loss of sensation in right upper and lower extremities about the role of dendrites in the neuron. When the nurse's hands are visibly soiled. Which of the following instructions should the nurse include in the teaching? A nurse is providing teaching to the parent of an infant who has gastroesophageal reflux. A nurse has finished providing care for a client who is on contact precautions. What is the chemical released by the axon that enables nerve impulses to cross the synapse and reach the dendrites? Place the following steps in the order that the nurse should take when donning sterile gloves. Which test should the nurse expect the healthcare provider to order to confirm brain death in this client? d.The nurse is caring for a client with a C. difficile infection. The nurse is educating a client with human immunodeficiency virus (HIV) about ways the virus can be transmitted. For each case, calculate the pressure and Mach number downstream of the oblique shock. When collecting the client's vital signs, the nurse notes her rectal temperature to be 103.1F (39.5C). The appropriate nursing intervention is to do which of the following? Which action by the nurse is appropriate? What is this special bed mostly used for? (Select all that apply.). A nurse participating in lead screening at a community center. Which precautions will the nurse begin? Which of the following statements should the nurse include in the teaching? The vagus nerve a much larger portion of the body than the others. What is the nurse's best action while observing the colleague perform the task? Based on the nurse's knowledge of the most common hospital-acquired infections, which apparatus is most important to remove first? A nurse is caring for a child who has acute gastroenteritis but is able to tolerate oral fluids. Select all that apply. A client has an inguinal hernia repair and later develops a methicillin-resistant Staphylococcus aureus (MRSA) infection. Which precautions will the nurse begin? A client is undergoing thoracic surgery. D. The buttocks is elevated slightly off the bed. d) The magma had abundant dissolved gas. Infectious disease, communicable disease, and contagious disease do not describe food poisoning. B. Which of the following findings should the nurse expect? Select all that apply. A nurse is caring for a client who is taking phenytoin (Dilantin) for control of seizures. A client with urinary tract infection is prescribed phenazopyridine (Pyridium). Damage to the respiratory system A nurse is caring for a client with a neurologic problem who has been advised to have an electroencephalogram (EEG). A nurse is caring for a school-aged child who has a systemic disorder and is receiving antibiotics, immunosuppresants, and corticosteroids. Nursing> HESI > 2022 HESI EXIT EXAM V2 160 Questions And Correct Answers. Select all that apply. The nurse understands that which part of the brain could be responsible for the client's condition? Solve the given initial-value problem. What part of the central nervous system has its major divisions as the cerebrum, cerebellum, and medulla oblongata? Diagnostic test performed to visualize the spinal cord. What nursing interventions are appropriate to decrease HCAIs? postoperative following abdominal surgery . Which finding would the nurse identify as the most common initial symptom? \frac { d y } { d x } = \frac { 3 x + 2 y } { 3 x + 2 y + 2 } , \quad y ( - 1 ) = - 1 Myelin maintains electrical impulse strength. The nurse observes profuse sweating above the level of injury. The nurse should identify that which of the following statements by the parent indicates the child has an increased risk for Reye syndrome? The client becomes upset stating, "You did not wash your hands!" A nurse is assisting a neurosurgeon in performing positron emission tomography. The nurse is caring for a postpartum mother who delivered her second child yesterday. You are doing a preoperative assessment on a patient going to 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 child reports soreness in his mouth and refuses to eat. A nurse is caring for a client admitted to the healthcare facility with a history of hypertension and right-sided hemiplegia. Which of the following actions should the nurse suggest to the parent? The health care provider is concerned with the symptom he finds because it is considered diagnostic for bladder cancer. Which of the following findings should the nurse expect? When removing the protective gown, the nurse should take which action? Which precaution is the priority when collecting and delivering the specimens to the laboratory? A nurse is assessing a preschooler who has a calcium level of 8.0 mg/dL. What is the cause of the infection? 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 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. See Page 1. Multiple Choice Q09 Which of the following would be appropriate for the nurse to include in the teaching plan?
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