Ref # 4366 The nurse receives a client from the post anesthesia care unit following a left femoral-popliteal bypass graft procedure. Which of the following assessments requires immediate notificatio... n of the health care provider? Left foot is cool to the touch Absent left pedal pulse using Doppler analysis Inability to palpate the left pedal pulse Acute pain in the left lower leg Although the inability to palpate the left pedal pulse, a cool extremity, and increased pain in the left lower leg are important findings, they all require additional nursing assessment prior to contacting the health care provider. In clients without palpable pedal pulses, the next step in the assessment is to perform a Doppler analysis. The inability to locate the left pedal pulse using the Doppler analysis requires immediately notifying the health care provider. Ref # 1028 There's a new medication order that reads: "administer 1 gtt ciprofloxacin solution OD Q 4 h" What action should the nurse take? Call the prescriber to clarify and rewrite the order Abbreviations, symbols and dose designations can be misinterpreted and lead to medication errors. "OD" can mean "right eye" (oculus dexter) or "once daily"; it should never be used when communicating medical information. The abbreviation "Q" should be written out as "every." Although "gtt" is not on the official "Do Not Use List", it's best to use "drop" instead. Asking other nurses to interpret an order is a potentially dangerous "workaround." The nurse should call the health care provider who prescribed the medication and clarify the order. Ref # 1440 Which individual is at greatest risk for the development of hypertension? 45 year-old African-American attorney The incidence of hypertension is greater among African-Americans than other groups in the United States. The incidence among the Hispanic population is rising. Ref # 2446 A woman, who delivered five days ago and who had been diagnosed with pregnancy induced hypertension (PIH), calls a hospital triage nurse hotline to ask for advice. She states, "I have had the worst headache for the past two days. It pounds and by the middle of the afternoon everything I look at looks wavy. Nothing I have taken helps." What should the nurse do next? Ask the client to stay on the line, get the address, and send an ambulance to the home The woman is at risk for seizure activity. The ambulance needs to bring the woman to the hospital for evaluation and treatment. For at-risk clients, PIH may progress to preeclampsia and eclampsia prior to, during, or after delivery; this may occur up to 10 days after delivery. Ref # 2065 A client expresses anger when a call light is not answered within five minutes. The client demanded a blanket. How should the nurse respond? "I see this is frustrating for you. I have a few minutes so let's talk." This is the best response because it gives credence to the client's feelings and then concerns. To say "let's talk" and ask a why question is not a therapeutic approach because it does not acknowledge or validate the client's feelings. To apologize and not notice the client's feelings is inappropriate. To say it could have waited a few minutes is rude and non-accepting of the client's verbalized needs. Ref # 2134 The client is admitted to an ambulatory surgery center and undergoes a right inguinal orchiectomy. Which option is the priority before the client can be discharged to home Post-operative pain is managed An orchiectomy is the surgical removal of one or both testicles. It is usually performed to treat cancer (testicular, prostate or cancer of the male breast), but it may also be performed to prevent cancer (with an undescended testicle.) Due to the location of the incision, pain management is the priority. Most men will be able to eat regularly when they get home; they should at least tolerate liquids before discharge. It's important that the client is able to get up and walk with assistance, but this is not the priority. Psychological counseling may be needed as part of long-term aftercare, but this is not an immediate priority. Ref # 1524 A nurse is teaching a group of adults about modifiable cardiac risk factors. Which of the following should the nurse focus on first? Smoking cessation Smoking cessation is the priority for clients at risk for cardiac disease. Smoking's effects result in reduction of cell oxygenation and constriction of the blood vessels. All of the other factors should be addressed at some point in time. Ref # 1721 The clinic nurse is assisting with medical billing. The nurse uses the DRG (Diagnosis Related Group) manual for which purpose? Determine reimbursement for a medical diagnosis DRGs are the basis of prospective payment plans for reimbursement for Medicare clients. Other insurance companies often use it as a standard for determining payment. KEYWORDS DRG diagnosis related group reimbursement Ref # 1328 A nurse is planning care for a 2 year-old hospitalized child. Which issue will produce the most stress at this age? Separation anxiety While a toddler will experience all of the stresses, separation from parents is the major stressor. Separation anxiety peaks in the toddler years. Ref # 2319 The nurse is reviewing the laboratory results for several clients. Which of the laboratory result indicates a client with partly compensated metabolic acidosis? PaCO2 30 mm Hg Metabolic acidosis can be caused by many conditions, including renal failure, shock, severe diarrhea, dehydration, diabetic acidosis, and salicylate poisoning. With metabolic acidosis, you should expect a low pH (less than 7.35) and a low HCO3 (less than 22 mEq/L.) Compensation means the body is trying to get the pH back in balance; therefore, a pure metabolic acidosis should elicit a compensatory decrease in PaCO3 (normal is 35-45 mm Hg.) The hemoglobin is within normal limits (WNL) for both males and females. The chloride and sodium results are also WNL. Ref # 2391 A client with a diagnosis of methicillin-resistant Staphylococcus aureus (MRSA) has died. Which type of precautions is appropriate to use when performing postmortem care? Contact precautionsThe resistant bacteria remain alive for up to three days after the client dies. Therefore, contact precautions must still be used. The body should also be labeled as MRSA-contaminated so that the funeral home staff can protect themselves as well. Gown and gloves are required. Ref # 1436 A client has a chest tube inserted immediately after surgery for a left lower lobectomy. During the repositioning of the client during the first postop check, the nurse notices 75 mL of a dark, red fluid flowing into the collection chamber of the chest drain system. What is the appropriate nursing action? Continue to monitor the rate of drainage It is not unusual for blood to collect in the chest and be released into the chest drain when the client changes position this soon after surgery. The dark color of the blood indicates it is not active bleeding inside of the chest. Sanguinous drainage should be expected within the initial 24 hours postop, progressing to serosanguinous and then to a serous type. If the drainage exceeds 100 mL/hr, the nurse should call the surgeon. Ref # 1623 A client is transported to the emergency department after a motor vehicle accident. When assessing the client 30 minutes after admission, the nurse notes several physical changes. Which finding would require the nurse's immediate attention? Tracheal deviation Tracheal deviation is a sign that a mediastinal shift has occurred, most likely due to a tension pneumothorax. Air escaping from the injured lung into the pleural cavity causes pressure to build, collapsing the lung and shifting the mediastinum to the opposite side. This obstructs venous return to the heart, leading to circulatory instability and may result in cardiac arrest. This is a medical emergency, requiring emergency placement of a chest tube to remove air from the pleural cavity relieving the pressure. Ref # 1319 The client is diagnosed with cystic fibrosis (CF). The nurse would expect the client to be treated with oral pancreatic enzymes and which type of diet? High fat, high-calorie CF affects the cells that produce mucus, sweat and digestive juices. Someone with CF needs a high-energy diet that includes high-fat and high-calorie foods, extra fiber to prevent intestinal blockage and extra salt (especially during hot weather.) People with CF are at risk for osteoporosis and need calcium and dairy products. Someone with celiac disease or with a gluten intolerance, not CF, needs a gluten-free diet. Ref # 1646 The nurse is assessing a 4 year-old child who is in skeletal traction 24 hours after surgical repair of a fractured femur. The child is crying and reports having severe pain. The right foot is pale and there is no palpable pulse. What action should the nurse take first? Notify the health care provider Pain and absence of a pulse within 48-72 hours after a severe injury to an extremity suggests acute compartment syndrome. This condition occurs when there's a build up of pressure within the muscles; this pressure decreases blood flow and can cause muscle and nerve damage. Acute compartment syndrome is a medical emergency. Surgery is needed immediately; delaying surgery can lead to permanent damage to the extremity. [Show More]
Last updated: 1 year ago
Preview 1 out of 35 pages
*NURSING> NCLEX > SAUNDERS MENTAL HEALTH - NCLEX FOUR - QUESTIONS AND ANSWERS (All)
SAUNDERS MENTAL HEALTH - NCLEX FOUR - QUESTIONS AND ANSWERS
By Ellen Ronald , Uploaded: Jul 08, 2022
*NURSING> NCLEX > NCLEX-RN Practice Quiz Test Bank #1 (75 Questions And Answers);Top score (All)
NCLEX-RN Practice Quiz Test Bank #1 (75 Questions) NCLEXRN-01-001 Question Tag: hypertension Question Category: Physiological Integrity, Reduction of Risk Potential Which individual is at greates...
By Nicky , Uploaded: Apr 14, 2022
*NURSING> NCLEX > NUR 1410 Peds NCLEX questions .docx (All)
NUR 1410 Peds NCLEX questions . Integumentary Disorders 1. The nurse is monitoring a child with burns during treatment for burn shock. The nurse understands that which assessment provides the most a...
By Amanda Rosales , Uploaded: Feb 13, 2021
*NURSING> NCLEX > NCLEX Study Guide: Expert Insights to Help You Pass The NCLEX. Key Features This is an interactive NCLEX study guide providing links in each chapter that will take you to the allnurses website where you can read more about the NCLEX topics and interact with the author of the Study Guide. It provides real information about the NCLEX and dispels 5 major NCLEX myths and increases the effectiveness of your NCLEX preparations. Discusses tips for what you really need to know about the NCLEX. An in-depth review of the Nursing Process that helps you understand how to use the Nursing Process to successfully conquer the challenges of NCLEX questions. (All)
Table Of Contents Introduction 2 I. All About the NCLEX 3 Top 5 NCLEX Myths NCSBN test plans for RN and PN exams What do candidates really need to know about the NCLEX? II. Start Thinking Like a...
By SuperSolutions© , Uploaded: Sep 16, 2020
*NURSING> NCLEX > NCLEX REVIEW UWORLD-2021/2022 (All)
• Clozapine is an atypical antipsychotic medication used to treat schizophrenia that has not responded to standard, more traditional treatment. Clozapine is associated with a risk for agranulocytosis...
By Prof.Exams , Uploaded: Sep 06, 2021
*NURSING> NCLEX > NURSING Med Surg 2 SAUNDERS COMPREHENSIVE REVIEW FOR NCLEX ONE,100% CORRECT (All)
NURSING Med Surg 2 SAUNDERS COMPREHENSIVE REVIEW FOR NCLEX ONE 1) The nurse is providing discharge instructions to a Chinese American client regarding prescribed dietary modifications. During the tea...
By securegrades , Uploaded: Dec 29, 2021
*NURSING> NCLEX > NURSING NCLEX Module 9 Exam Questions and Answers,100% CORRECT (All)
NURSING NCLEX Module 9 Exam Questions and Answers 1. 1.ID: 9477047208 A client who has undergone abdominal surgery calls the nurse and reports that she just felt “something give way” in the abdomina...
By securegrades , Uploaded: Oct 20, 2021
*NURSING> NCLEX > Latest All Correct Answers (Graded A+) NCLEX-PN (National Council Licensure Examination-Practical Nurse) Test (All)
Latest All Correct Answers (Graded A+) NCLEX-PN (National Council Licensure Examination-Practical Nurse) Test
By Tracy0777 , Uploaded: Jul 22, 2021
*NURSING> NCLEX > BSN 101 - UWORLD MATERNAL _ CHILD (All)
Supine hypotensive syndrome occurs when the weight of the abdominal contents compresses the vena cava causing decreased venous return to the heart. This results in low cardiac output (maternal hypoten...
By Amanda Rosales , Uploaded: Mar 15, 2021
*NURSING> NCLEX > NCLEX RN ATI COMPRHENSIVE REVIEW PART 4D PHARMACOLOGY-LATEST 2021 (All)
astrointestinal, Urinary, Immunization, Musculoskeletal GASTROINTESTINAL MEDICATIONS • Antacids • Antisecretory/Blocking Agents • Mucosal Protectants • Antiemetics • Antidiarrheals • Stool Softeners/L...
By ProfXams , Uploaded: Apr 30, 2021
Connected school, study & course
About the document
May 07, 2021
Number of pages
This document has been written for:
May 07, 2021
Avoid resits and achieve higher grades with the best study guides, textbook notes, and class notes written by your fellow students
Your fellow students know the appropriate material to use to deliver high quality content. With this great service and assistance from fellow students, you can become well prepared and avoid having to resits exams.
Your fellow student knows the best materials to research on and use. This guarantee you the best grades in your examination. Your fellow students use high quality materials, textbooks and notes to ensure high quality
Get paid by selling your notes and study materials to other students. Earn alot of cash and help other students in study by providing them with appropriate and high quality study materials.
Florida State University
Great way to get paid for all of the hard work!.
It is an excellent site to post assignment.
Florida State University
Awesome and a great way to make money!.
Thank you so much for this nice platform.
University Of South Florida
Great! It is a good place to share knowledge.
University of Windsor
G D Goenka University
It is helpful Platform for offering the notes
Louisiana State University
I love this site, they make everything so easy
Florida State University
Great tool for learning! I wish you success.
In Browsegrades, a student can earn by offering help to other student. Students can help other students with materials by upploading their notes and earn money.
Copyright © Browsegrades · High quality services·