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RN Comprehensive Online Practice 2019 B with NGN
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RN 3.0 Clinical Judgment Practice 2 ATI Comp B, RN Comprehensive Onl... Chapter 11: Parentera
8 terms 302 terms 20 terms
keyfob23 Preview Jennifer_Harrison55 Preview letsgogirls123
A nurse has just received A client who is postoperative with abdominal distention and no
change-of-shift report on four bowel sounds
clients. Which of the following
clients should the nurse assess Using the acute vs. chronic approach to client care, the nurse
first? should first assess the client who is postoperative with abdominal
distention and no bowel sounds because these manifestations
A client who is postoperative are indications of a paralytic ileus.
with abdominal distention and
no bowel sounds
A client who has diabetes
mellitus and a blood glucose
level of 105 mg/dL
A client who has heart failure
and 2+ pitting edema
A client who is receiving
maintenance IV fluids and needs
a new IV catheter
,For each assessment finding, ADHD
click to specify if the finding is Hyperreactivity to sensory input
consistent with attention deficit Losing necessary things
hyperactivity disorder (ADHD) Interrupting others
or intellectual disability (ID). Intellectual impairment
Each finding may support more
than 1 disease process. ID
Intellectual impairment
Assessment Findings Hyperreactivity to sensory input
Intellectual impairment
Interrupting others When analyzing cues, the nurse should identify that
Impaired language skills manifestations of ADHD include losing necessary things,
Hyperreactivity to sensory input interrupting others, intellectual impairment, and hyper reactivity
Losing necessary things to sensory input.
A nurse is caring for a school- In ADHD, the client often loses necessary things in daily life, such
age child. as pencils, erasers, and books. The client often interrupts others
and has difficulty waiting for their turn in conversation.
Nurses' Notes
First visit: The client might have an intellectual impairment, which can lead
A child is brought to the clinic to poor academic performance and difficulties with socialization.
accompanied by guardians. The The client might exhibit hyperreactivity or hyporeactivity to
guardians have received stimuli.
feedback from the child's
teacher that the child has
become disinterested in
schoolwork and has difficulty
paying attention during class.
The child often loses their
school supplies.
The guardians report that the
child demonstrates these
behaviors at home as well. The
child refuses to participate in
household chores, keeps their
room untidy, does not clean up
when told to, and is generally
careless and disi
,A charge nurse is providing an A client who requires airborne precautions should be placed in a
educational session about negative-pressure airflow room."
infection control for a group of
staff nurses. Which of the Airborne precautions require a negative-pressure airflow room
following statements by one of that has at least six to 12 air exchanges each hour using a HEPA
the staff nurses indicates an filtration system.
understanding of isolation
precautions?
"Droplet precautions should be
initiated for a client who tests
positive for measles."
"A client who requires airborne
precautions should be placed in
a negative-pressure airflow
room."
"Airborne precautions should be
initiated for a client who has
Clostridium difficile."
"A client who is
immunocompromised should be
placed in a negative-pressure
airflow room."
A nurse is admitting a client who Droplet
has pneumonia. The nurse
should initiate which of the The nurse should initiate droplet precautions for this client by
following isolation precautions placing the client in a private room and wearing a surgical mask
for the client? when caring for the client. Pneumonia is transmitted by droplet
particles.
Droplet
Airborne
Contact
Protective environment
A nurse in a community center is Abdominal bloating
providing an educational
session to a group of clients The nurse should include the presence of abdominal bloating as
about ovarian cancer. Which of an early manifestation of ovarian cancer. Other manifestations
the following manifestations of include an increase in abdominal girth, pelvic or abdominal pain,
ovarian cancer should the nurse early satiety, and urinary frequency or urgency.
include in the teaching?
Diarrhea
Urinary retention
Purulent discharge
Abdominal bloating
, A nurse is reviewing the ABG Respiratory acidosis
values of a client. The client has
a pH of 7.2, PaCO2 of 60 mm A client who has respiratory acidosis will have a decreased pH
Hg, and HCO3- of 25 mEq/L. below the expected reference range of 7.35 to 7.45, an increased
The nurse should identify that PaCO2 above the expected reference range of 35 to 45 mm Hg,
the client has which of the and an HCO3- within the expected reference range of 22 to 26
following acid-base mEq/L.
imbalances?
Respiratory alkalosis
Metabolic alkalosis
Respiratory acidosis
Metabolic acidosis
See an expert-written answer
A nurse is caring for a client who Apply a cold pack to the client's ankle for 30 min every hour.
has type 1 diabetes mellitus and
reports severe ankle pain after The nurse should clarify a prescription for a cold pack to the
falling off a stepstool at home. client's ankle because type 1 diabetes mellitus is a
Which of the following contraindication for receiving cold therapy. A client who has type
prescriptions should the nurse 1 diabetes mellitus can have impaired circulation due to
clarify with the provider? arteriosclerosis and a loss of sensory perception due to
neuropathy. Ice can further impair circulation.
Obtain capillary blood glucose
level every 2 hr.
Check the neurovascular status
of the client's lower extremities
every hour.
Apply a cold pack to the client's
ankle for 30 min every hour.
Maintain the affected ankle
elevated and immobilized.
RN Comprehensive Online Practice 2019 B with NGN
Save
Students also studied
Flashcard sets Study guides Practice tests
RN 3.0 Clinical Judgment Practice 2 ATI Comp B, RN Comprehensive Onl... Chapter 11: Parentera
8 terms 302 terms 20 terms
keyfob23 Preview Jennifer_Harrison55 Preview letsgogirls123
A nurse has just received A client who is postoperative with abdominal distention and no
change-of-shift report on four bowel sounds
clients. Which of the following
clients should the nurse assess Using the acute vs. chronic approach to client care, the nurse
first? should first assess the client who is postoperative with abdominal
distention and no bowel sounds because these manifestations
A client who is postoperative are indications of a paralytic ileus.
with abdominal distention and
no bowel sounds
A client who has diabetes
mellitus and a blood glucose
level of 105 mg/dL
A client who has heart failure
and 2+ pitting edema
A client who is receiving
maintenance IV fluids and needs
a new IV catheter
,For each assessment finding, ADHD
click to specify if the finding is Hyperreactivity to sensory input
consistent with attention deficit Losing necessary things
hyperactivity disorder (ADHD) Interrupting others
or intellectual disability (ID). Intellectual impairment
Each finding may support more
than 1 disease process. ID
Intellectual impairment
Assessment Findings Hyperreactivity to sensory input
Intellectual impairment
Interrupting others When analyzing cues, the nurse should identify that
Impaired language skills manifestations of ADHD include losing necessary things,
Hyperreactivity to sensory input interrupting others, intellectual impairment, and hyper reactivity
Losing necessary things to sensory input.
A nurse is caring for a school- In ADHD, the client often loses necessary things in daily life, such
age child. as pencils, erasers, and books. The client often interrupts others
and has difficulty waiting for their turn in conversation.
Nurses' Notes
First visit: The client might have an intellectual impairment, which can lead
A child is brought to the clinic to poor academic performance and difficulties with socialization.
accompanied by guardians. The The client might exhibit hyperreactivity or hyporeactivity to
guardians have received stimuli.
feedback from the child's
teacher that the child has
become disinterested in
schoolwork and has difficulty
paying attention during class.
The child often loses their
school supplies.
The guardians report that the
child demonstrates these
behaviors at home as well. The
child refuses to participate in
household chores, keeps their
room untidy, does not clean up
when told to, and is generally
careless and disi
,A charge nurse is providing an A client who requires airborne precautions should be placed in a
educational session about negative-pressure airflow room."
infection control for a group of
staff nurses. Which of the Airborne precautions require a negative-pressure airflow room
following statements by one of that has at least six to 12 air exchanges each hour using a HEPA
the staff nurses indicates an filtration system.
understanding of isolation
precautions?
"Droplet precautions should be
initiated for a client who tests
positive for measles."
"A client who requires airborne
precautions should be placed in
a negative-pressure airflow
room."
"Airborne precautions should be
initiated for a client who has
Clostridium difficile."
"A client who is
immunocompromised should be
placed in a negative-pressure
airflow room."
A nurse is admitting a client who Droplet
has pneumonia. The nurse
should initiate which of the The nurse should initiate droplet precautions for this client by
following isolation precautions placing the client in a private room and wearing a surgical mask
for the client? when caring for the client. Pneumonia is transmitted by droplet
particles.
Droplet
Airborne
Contact
Protective environment
A nurse in a community center is Abdominal bloating
providing an educational
session to a group of clients The nurse should include the presence of abdominal bloating as
about ovarian cancer. Which of an early manifestation of ovarian cancer. Other manifestations
the following manifestations of include an increase in abdominal girth, pelvic or abdominal pain,
ovarian cancer should the nurse early satiety, and urinary frequency or urgency.
include in the teaching?
Diarrhea
Urinary retention
Purulent discharge
Abdominal bloating
, A nurse is reviewing the ABG Respiratory acidosis
values of a client. The client has
a pH of 7.2, PaCO2 of 60 mm A client who has respiratory acidosis will have a decreased pH
Hg, and HCO3- of 25 mEq/L. below the expected reference range of 7.35 to 7.45, an increased
The nurse should identify that PaCO2 above the expected reference range of 35 to 45 mm Hg,
the client has which of the and an HCO3- within the expected reference range of 22 to 26
following acid-base mEq/L.
imbalances?
Respiratory alkalosis
Metabolic alkalosis
Respiratory acidosis
Metabolic acidosis
See an expert-written answer
A nurse is caring for a client who Apply a cold pack to the client's ankle for 30 min every hour.
has type 1 diabetes mellitus and
reports severe ankle pain after The nurse should clarify a prescription for a cold pack to the
falling off a stepstool at home. client's ankle because type 1 diabetes mellitus is a
Which of the following contraindication for receiving cold therapy. A client who has type
prescriptions should the nurse 1 diabetes mellitus can have impaired circulation due to
clarify with the provider? arteriosclerosis and a loss of sensory perception due to
neuropathy. Ice can further impair circulation.
Obtain capillary blood glucose
level every 2 hr.
Check the neurovascular status
of the client's lower extremities
every hour.
Apply a cold pack to the client's
ankle for 30 min every hour.
Maintain the affected ankle
elevated and immobilized.
