COMPLETE QUESTIONS AND ACCURATE DETAILED
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A client is 3 days Surgical site infection
postoperative and
complaints of localized pain
of 6/10 at
surgical site and chills.
Upon review of the surgical
site, edema is noted. What
does the nurse suspect is
the cause of this
presentation?
A client has developed Instruct the client regarding to use topical analgesics as prescribed
stomatitis after
chemotherapy treatment.
The nurse will
educate the client with
which of the below
interventions to address
management of this
complication?
A head injury client is being Decreased level of consciousness, dilation and fixation of pupils,
monitored for brain Cheyne-Stokes respirations, hemodynamic instability and abnormal
posturing. Coughing and
herniation. Which clinical
blinking are absent with brain herniation.
manifestation is noted with
brain
herniation?
,a nurse is instructing a pt's i will sit him up in bed
caregiver on how to
position the client before
administering tube feedings
in the home, which
demonstrates
understanding?
a triage nurse finds a school- place an emergent category on the child's upper body and yell
age child lying in the road for help
following a school bus
crash with multiple
causalities, the child has a
respiratory rate of 10/min,
strong distal
pulses, and groans to painful
stimuli, what action should
the nurse take
a nurse is caring for a client ph 7.25
who has renal failure, what HCO3 20
ABG result would the PaCO2 35
nurse expect
a nurse is caring for pt who provide assistance with ambulation
has a
cerebellar tumor, what
action is the nurse's priority
a nurse is assessing a pt who heart rate 52/min
has a spinal
cord injury, what finding
indicates the client might be
experiencing neurogenic
shock
a nurse is caring for a pt who strictly monitor intake and output
has renal
caliculi, what prescription by
the provider is the priority
action for the nurse to take
,a nurse is assessing a diuretic use
female pt who reports
severe joint pain, the nurse
should identify which of
the following factors
places the pt at risk for gout
a nurse is caring for a pt who monitor bowel movement regularity
has a cervical spinal cord
injury, what interventions
should the nurse include in
the plan of care to
prevent autonomic dysreflexia
a nurse is caring for an adult Hep A, Hep B, Pneumococcal
client who asks about
vaccinations against
communicable diseases, the
nurse should inform the
client that which of the
following vaccines are
available
a nurse is providing cooking
discharge instructions to a light house work
pt following a cataract
surgery, the (avoid bending at the waist, or anything that can increase IOP)
nurse should advise the pt
that he can perform what
activities
a nurse is teaching a pt i will keep the tablets in the original container
who has angina pectoris
about nitroglycerin
sublingual
tablets, what statements
should indicate to the nurse
that the pt understands
the
teaching
, a nurse is discussing risk a client who has recently done missionary work in a developing
factors for hep A with a country
newly licensed nurse,
what client would the
nurse identify as an
increased risk for hep A
a nurse is providing avoid the use of aspirin for cramping discomfort
discharge teaching to a pt
who had a colposcopy
with cervical biopsy, what
instruction should the
nurse
provide
a nurse is caring for a pt keep a suction apparatus at the bedside, keep the bed
who has a history of tonic in the lowest position, keep oxygen equipment at the
clonic seizures, what bedside
precuation
should the nurse take?
a nurse is caring for a pt overflow
who is postop and reports
frequent leakage of small
amounts of urine, the
nurse notes that the
client's
bladder is palpable upon
examination, the nurse
should identify these findings
as what form of
incontinence
a nurse is assessing a pt tracheal deviation to the unaffected side
who has a tension
pneumothorax following
blunt chest
trauma, what should the nurse
expect
a nurse is providing the tube decreases pressure within the stomach
instructions to a newly
licensed nurse about NG
intubation for a pt who is