NUR 2571 Professional Nursing II

NUR 2571 Professional Nursing II PN2 Final The nurse assesses a client who has myasthenia gravis. Which clinical manifestation does the nurse expect to observe in this client?  Muscle weakness that worsens with use and improves with test a client being treated for a spinal cord injury needs immediate ventilator support. The nurse realizes that this client's level of injury is most likely?  C3 the nurse intends to participate in a health screening clinic and preparing teaching materials about colorectal cancer  Personal history of Gl polyps the nurse is attempting to assess a coma patient's response to pain. Which technique does the nurse try first  Speak the patient and call his/her name using a normal tone of voice The step-down unity receives a new admission who has uncontrolled diabetes, polyuria, and blood pressure of 86/46 mm gh. Which staff member is assigned to care for the client?  RN who has floated from the ICU A client is admitted to the emergency room with a respiratory rate of 6/min. Arterial blood gasses (ABGS) have been drawn and reveal to following values: pH 7.22, PaCO2 68, HCO3 26, Pa02 74. Which of the following is an appropriate analysis these ABGS?  Respiratory acidosis which of the following conditions should the nurse recognize as a type IV reaction? Allergic rhinitis  Positive purified protein derivative (PPD) test A pre-operative wears a hearing aid and is extremely hard of hearing without it. what does the nurse do to help reduce this client's anxiety?  Explain that it is hospital policy to remove a hearing aid until anesthesia is given the nurse is caring for the mechanically ventilated patients uses best practices to pre ventilator associated pneumonia. What action by the nurse should be questioned?  Elevating the head of the bed nurse cares for a client who has Alzheimer's disease. which communication techniques would the nurse implement?  Open-ended questions Emergency medical services arrive to the emergency department with a client who has a cervical spinal cord injury. Which priority assessment does the emergency department nurse perform at this time?  Respiratory status and airway patency a client newly diagnosed with Parkinson disease (PD) is being discharged. Which instructions is best for the nurse to provide to the client's spouse?  Administer medications promptly on schedule to maintain therapeutic drug levels Which arterial blood gas (ABG) values are expected with hyperventilation?  pH, 7.55; PaCO2, 32 mm Hg or ph 7.48 CO2 remain the same A nurse is planning care for a client who has acute dysphagia. Which of the following nursing interventions should be included in the p lan of care?  Placing the client in at least semi fowlers position during meals A new nurse demonstrates their understanding of a proper physical assessment of an abdomen when the four techniques of examination are completed in which order?  Inspect Auscultate Percuss Palpate A client is demonstrating signs of an anaphylactic reaction. Which of the following should the nurse do? (Select all that apply.)  Maintain patent airway  Place the client with feet and legs elevated head of bed down  Begin administering ordered IV fluids in assessing a client's wound, which finding suggests to the nurse that the wound is healing?  Granulation tissue is present when teaching intervention is most appropriate for the client with Parkinson's disease?  Fall precautions in planning discharge for the client with Parkinson's disease, the nurse collaborates with the physical therapist for which outcome?  Maintain physical strength and mobility The nurse is concerned that a client with a gastrostomy feeding tube is developing a complication. Which of the following are considered complications associated with this type of feeding tube? (Select all that apply.)  Nausea  Vomiting  Abdominal distention  Aspiration In planning the nutritional needs for a client with late-stage Parkinson's disease the nurse includes which of the following?  Record intake of diet and fluid daily which therapeutic intervention should be initiated first for the client in a hyperosmolar hyperglycemic state (HHS)?  High dose insulin boluses A client suspected to have myasthenia gravis is scheduled for the edrophonium chloride test. Which prescribed medication does the nurse prepare to administer if complications of this test occur?  Atropine sulfate nurse assess a patient with diabetes mellitus and notes that the patient only responds to a sternal rub by moaning. Has capillary blood glucose of 33 g/dl. And has an intravenous line that is infiltrated with 0.45% normal saline. Which action should the nurse take first?  Administer 1 mg of intramuscular glucagon A client presented to ER with decrease level of consciousness, polydipsia, hyperthermia, dry mucous membranes. Blood glucose result was critical high of 600 mg/dl and serum Na- 155, K= 6, and no serum keton es. The nurse determines the physician will diagnosis this client with which of the following conditions?  HHS The nurse is caring for a client who was recently diagnosed with type Il diabetes. The client is visibly upset about the diagnosis and states, "Now l'll never be able to keep my