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Chapter 69: Next Generation - NGN Chapter 1: Professional
Nursing Practice
The nurse assesses a client who has a nasogastric tube for long-term
nutritional needs for complications associated with the medical
device.
The nurse monitors the client for ___________ , a finding indicative of ___.
The nurse monitors the client for purulent nasal drainage, a finding indicative
of rhinosinusitis.
,The office nurse is reviewing an 80-year-old female client's reports related to
the
onset of a severe headache, rated at 9 out of 10 on the pain scale, with
recent onset. The client denies any visual changes. During a prior visit to
the office a few months ago, the client had reported a ground-level fall as
a result of falling off a chair and
hitting the back of their head. The client had been taken to the
emergency department, where imaging was performed with negative
results.
The nurse anticipates that the client has developed __________ and that _ will be
ordered.
The nurse anticipates that the client has developed chronic subdural
hematoma and that computed tomography (CT) imaging of the brain
will be ordered.
A client will undergo abdominal surgery. The nurse provides preoperative
education regarding the importance of diaphragmatic breathing exercises
to prevent
postoperative complications.
The nurse will educate the client about the risk for developing _________, ,
and
_ ______ , if the client does not implement diaphragmatic breathing exercises in
the
postoperative period of care.
The nurse will educate the client about the risk for developing pneumonia,
bronchospasm, and atelectasis, if the client does not implement
diaphragmatic breathing exercises in the postoperative period of care.
,A nurse is caring for a client who was admitted for an asthma exacerbation.
In the past year, the client has been admitted for three asthma events. What
will the nurse include in the client teaching about preventing repeat
hospitalizations?
The nurse should teach about __________ followed by __ _.
The nurse should teach about triggers to avoid followed by knowing
medications.
A 47-year-old male client presented to the medical unit and the health care
team suspects tuberculosis (TB). The nurse is admitting the client to a
reverse isolation room. QuantiFERON testing and chest x-ray are pending.
Urinalysis results are
negative. No other testing was performed prior to admission to isolation.
The client denies any chest pain, shortness of breath (SOB), or respiratory
difficulty. The client presents with productive yellow sputum.
Based on the provided assessment status, the nurse should utilize to prevent
exposure and _____ to collect specimens for additional testing.
Based on the provided assessment status, the nurse should utilize airborne
precautions to prevent exposure and sputum to collect specimens for
additional testing.
, The nurse has documented an assessment on a 45-year-old male client on the
third postoperative day following an open abdominal appendectomy.
Client has 3 in (7.6 cm) right lower abdominal incision. Proximal 2 in (5 cm)
of incision edges are red and well-approximated. Distal portion of incision
has separated and has yellow drainage on dressing. Bulb drain has
serosanguinous drainage and clumps of yellow pus. Oxygen saturation on
room air 97%. Blood pressure, 112/60 mm Hg;
heart rate, 102 beats/min; respiratory rate, 22 breaths/min; temperature, 101.2F
(38.4C) orally. Denies chills. Bowel sounds hypoactive in all 4 quadrants.
Client reports
passing flatus, no Abdomen firm and slightly distended bowel movement.
Lungs
clear to auscultation bilaterally. Client reports incisional pain level of 3/10
red blood cell count 4.2 million/mcl, thirty (30) minutes following
oxycodone 5 mg orally.
Reports an increased, but tolerable, level of pain while performing cough
and deep-breathing exercises while splinting incision. Reports minimal
pain on abdominal
palpation. White blood count 12.9 x 103 cells/mm3 (12.9 x 109 /l), hemoglobin 14
g/dl
(140 g/l), blood glucose level 130 mg/dl (7.21
mmol/l). What the assessment findings that will
require follow up
-has separated and has yellow drainage on dressing
-clumps of yellow pus
-102 beats/min; respiratory rate, 22 breaths/min; temperature,
101.2°F (38.4°C) orally
-White blood count 12.9 x 103 cells/mm3 (12.9 x 109 /l)
-blood glucose level 130 mg/dl (7.21 mmol/l).