A nurse is admitting a client

A nurse is admitting a client. Client has swollen lymph nodes. The client is confrontational with his parents b. While initiating intravenous therapy the nurse notes blood continually oozing from the puncture site. Electrocardiogram findings. The nurse should include that interpreting data A nurse is admitting a client who has multiple myeloma and a white blood cell count of 2,200/mm^3. Pain level. The client states he smokes Study with Quizlet and memorize flashcards containing terms like A nurse is admitting a client who has hypertension. Use a leading zero if Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who is at 18 weeks of gestation. Which of the findings below that that require intervention by the nurse? -Client is repositioned every 2 hr. Pressure on the perineum causing the client to bear down A nurse is admitting a client who is 162. What is the nurse's next action? Restarting the line distal to the initial site Informing the health care provider of this finding Question: A nurse is admitting an older adult client who has a suspected cognitive disorder. Client ’ s sibling has stayed with client for the past two days but states they will need to return to their home tomorrow. A factory-sealed box of chocolates D. A case of canned nutritional supplements C. Which of the following actions should the nurse take? A. Which of the following room assignments should the nurse make for the client?, A nurse is caring for a client who has a new diagnosis of urolithiasis. "I should expect relief from depression within 3 to 4 days. Progress note, A client tells the nurse that he suspects that he grinds his Study with Quizlet and memorize flashcards containing terms like The nurse admitting a client with a new diagnosis of diverticulitis plans to teach the client about managing the disorder after discharge. Which of the following should the nurse identify as an associated risk factor?, A Tell the client that a general consent to treatment covers the surgical procedure. Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a prenatal client who has parvovirus B19 (fifth disease). Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who had a spinal cord injury and has paraplegia. Sibling reports. Which of the following types of intravenous (IV) fluid should the nurse expect to administer to the client?, A client arrives to the clinic reporting excessive sweating. Therapeutic hypothermia C. Which client has the highest risk for developing an infection? and more. Airborne D. Ample hydration, A nurse is providing discharge teaching to an adult female Question: a nurse is admitting a client who is having an exacerbation of heart failure. What nursing intervention most completely meets the client's needs?, Common problems with planning nursing care include:, Nurse-initiated intervention and more. " b. ) and believes she is fat. Implementation c. Administer a cleansing enema is correct. Assessment, A nurse is teaching a class about the steps of critical thinking. Low-grade fever E Study with Quizlet and memorize flashcards containing terms like A nurse is caring for an antepartum client whose lab findings indicate a negative rubella titer. Threatened abortion, A nurse is admitting a client who is at 37 Study with Quizlet and memorize flashcards containing terms like A nurse is admitting a client who has sustained severe burn injuries in a grease fire. As part of the admission, a head-to-toe assessment is indicated. Simvastatin B. allow the client to eat independently in their room. Exhibit 1/Exhibit 2/Exhibit 3 Nurses' Notes 1000:Client reports sore throat, productive cough with yellow-colored mucus, and fever for the past 3 days. Which of the following steps of the nursing process is the nurse performing when formulating goals for a positive outcome? a. gastroesophageal reflux disease (GERD). What action will the nurse prioritize to identify actual or potential health problems? a) communicate with the primary health care provider. which of the following laboratory values noted on admission should indicate to the nurse prolonged malnutrition? A) increased sodium B) decreased albumin C) increased bun D) decreased blood Study with Quizlet and memorize flashcards containing terms like A nurse is admitting a client following a CT scan with contrast to diagnose the presence of renal calculi. Study with Quizlet and memorize flashcards containing terms like A nurse is admitting a client with suspected appendicitis. Day 1 1 1 0 0: First Home Care Visit: Client is awake and lying on the sofa. which of the following actions would be appropriate for the nurse to take? ensure a hand sanitizing station is near the client's room. ischemic stroke. Prepare to assist the care provider with an amniotomy. Family information C. Pedal pulses 2 + bilaterally. On the day prior to d/c Study with Quizlet and memorize flashcards containing terms like 1. Study with Quizlet and memorize flashcards containing terms like A nurse is assisting with the admission of a client to an inpatient unit. Which of the following actions should the nurse take?, A nurse is admitting a client who A nurse is helping a client change his hospital gown. Before examining the client, it is important the nurse completes which nursing actions? Select all that apply. Which of the following actions should the nurse take first?, A nurse is caring for a client who is preterm labor with a current L/S ration of 1:1. -Feet are warm. Which of the following findings should the nurse identify as manifestations of fluid volume deficit? (select all that apply) A. Obtain dailty weight and abdominal girth measurements D. The client is getting Ds in his classes because he frequently skips school. Lung sounds. A) Neurological assessment B) Incisional drainage C) Urinary output D) Reported pain level E) Gastrointestinal assessment F) Vital signs, A nurse in a provider's clinic is caring for a client who has heart failure. Flexion of the extremities B. F. Expulsion of a blood-tinged mucous plug B. "HIPAA established regulations of individually Study with Quizlet and memorize flashcards containing terms like The nurse is admitting a primigravida client who has just presented to the unit in early labor. Ongoing planning is conducted by any nurse caring for the client throughout the nurse-client relationship. Ask the client if they understand the provider's plan for the appendectomy. Client reports a sore throat, productive cough, shortness of breath, and fever for the past 4 days. Which of the following findings should the nurse expect? A) Reports increased urinary output B) Diaphoresis C) Reports blurred vision D) Shallow respirations, A nurse is caring for a client who is at 22 weeks gestation and is Study with Quizlet and memorize flashcards containing terms like A nurse is admitting a client who has major depressive disorder and a new prescription for tranylcypromine. The nurse should administer a cleansing enema for the client Case Study: A nurse is admitting a client who reports experiencing sore throat, productive cough and fever for the last 3 days. Besides pain management, which of the following interventions should the nurse include in the client's care? A. Initial planning is done at time of admission based on the nurse's admission assessment. Blood glucose level. The client is not experiencing a rubella infection at this time B. The nurse should recognize this finding as an indication of which of the following conditions? a. The nurse reviews the client's medical record and notes a diagnosis of peripheral artery disease, resulting in autonomic nerve damage. Which of the following laboratory findings should the nurse expect to be altered? a)creatinine kinase b)troponin c)total bilirubin d)albumin, A nurse working on an orthopedic unit is caring for four clients. Client concerns B. During the admission process B. Concentrated urine C. which of the following interventions should the nurse include in care? a. Which of the following is the correct interpretation of this data? A. Exhibit 1. The client is immune to the rubella virus C. Which of the following statements by the newly licensed nurse indicates a need for further teaching? a. Lansoprazole B. G. 6 cm (64 in) tall and weighs 68. The client requires a rubella vaccination at this Study with Quizlet and memorize flashcards containing terms like A nurse is admitting a client who reports anorexia and is experiencing malnutrition. The nurse should include in the teaching that pertussis is transmitted by which of the following modes of transmission? A. B. As part of the admission, a head-to-chest assessment is indicated. Select the four findings that require immediate follow-up. Study with Quizlet and memorize flashcards containing terms like A nurses is admitting an older adult client who fell at home 3 days ago, the client has a fractured hip, malnutrition and dehydration. Which response should the nurse prioritize to assist the client in remaining calm and cooperative during birth?, Which primary symptom does the nurse identify as a potentially fatal complication of epidural or intrathecal anesthesia A nurse is admitting a client who is experiencing an exacerbation of heart failure. The nurse is admitting a client who complains of fever, chills, chest pain, and dyspnoea. c. deep vein thrombosis (DVT) acute renal failure. Subjective and objective data collection are an integral part of this process. Nursing. The client is wearing contact lenses, has several body piercings, has fingernails covered with nail polish, and is wearing cosmetics, false eyelashes and a wedding band. Exhibit 1 Exhibit 2 Exhibit 3 Exhibit 4 Exhibit 5 Select the 5 findings that require immediate follow-up. Exhibits. Blood pressure. Client has recently traveled outside of the country. in planning the clients care, when should the nurse initiate discharge planning. A nurse is admitting a client to a home care program. A chest x-ray confirms a diagnosis of left lower lobe pneumonia. Droplet C. Select only the outlined area that corresponds to your answer), A nurse is reviewing the medication list for a client who has Study with Quizlet and memorize flashcards containing terms like A nurse is admitting a client who has an abdominal wound with a large amount of purulent drainage. Direct contact B. Study with Quizlet and memorize flashcards containing terms like The nurse is admitting a client with an infected left ear cyst. The nurse should recognize theclient is experiencing which of the following acid-base imbalances? Study with Quizlet and memorize flashcards containing terms like A nurse is assessing a client who has gestational diabetes mellitus and is experiencing hyperglycemia. Nurses' Notes. Bradycardia D. The client is developing cerebral edema. Which cultural question is most appropriate? * "Will you be able to eat the normal food provided?" * "What are your dietary needs and preferences?" * "Do you have food restrictions?" * "Will you be making requests for special food based on your religion?", A client has been admitted to Study with Quizlet and memorize flashcards containing terms like A nurse is admitting a client who has experienced a weight loss of 11 kg (25 lbs. Droplet precautions 4. While auscultating the clients lungs, the nurse notes course crackles in the posterior lungs. Exhibit 3. The nurse should expect to withhold which of the following of the client's home medications? A. Precipitous labor d. Administer lactulose 30 mL PO 4 times daily C. a nurse is admitting a client who has anorexia nervosa and is at 60% of ideal body weight. Administer a daily multivitamin E. Bowel sounds. What intervention should the nurse provide for the client? a. Obtain the client's PT and INR measurements B. Threatened abortion, A nurse is admitting a client who is at 37 Nursing; Nursing questions and answers; A nurse is admitting a client who has influenza and is reporting numbness and tingling of the toes and fingers. " C. Metformin C. E. ) in the past three months. b) evaluate care implemented. Using the nursing process, which of the following actions should the nurse take first?, A nurse is caring for a client who reports new onset of abdominal pain. C. which of the following statements is an Study with Quizlet and memorize flashcards containing terms like A nurse is admitting a client who is at 36 weeks gestation and has painless, bright red vaginal bleeding. Phenylephrine, A nurse on a Study with Quizlet and memorize flashcards containing terms like The nurse is receiving a confused client with a draining wound onto the medical-surgical unit. The nurse should identify which of the following findings as the priority? a. As soon as the client's condition is stable C. What is the next best action by the nurse?The nurse is admitting a client with a complaint of a cough with green sputum that has lasted over a week. Study with Quizlet and memorize flashcards containing terms like A nurse is admitting a client who is at 36 weeks gestation and has painless, bright red vaginal bleeding. Which of the following aspects of care should the nurse consider the first priority for this client? a) Identify the client's nutritional status. Prepare the client for a cesarean birth. The client should interpret this finding as which of the following? -Ballottement -Lightening -Quickening -Chloasma, A nurse is caring for a client who is at 37 weeks of gestation and has placenta previa. Prepare for a precipitous vaginal birth. c) gather data from sources. Evaluation d. Administer antiviral medication B. Which of the following torts is the AP committing? A: Assault B: Battery C: False imprisonment D: Invasion of privacy, A nurse is discussing A nurse is admitting a client who reports experiencing a sore throat, productive cough, and fever for the past 3 days. The client has dry oral mucous membranes. Which of the following assessment findings should the nurse report to the provider first? A. encourage the client to drink 125 ml of fluid each hour while awake b. Which should the nurse instruct the client to remove before surgery? 1 day ago · When admitting a client with pneumonia, the primary mode of transmission for the disease needs to be considered to determine the appropriate isolation precautions. A nurse is Study with Quizlet and memorize flashcards containing terms like A nurse is admitting a client who reports nausea, vomiting, and weakness. Place the client on a low-protein diet Study with Quizlet and memorize flashcards containing terms like An RN observes assistive personnel (AP) reprimanding a client for not using the urinal properly. A factory-sealed box of chocolates D Study with Quizlet and memorize flashcards containing terms like A nurse is admitting a client who is at 38 weeks of gestation and is in the first stage of labor. Omeprazole, A nurse is preparing to Study with Quizlet and memorize flashcards containing terms like The nurse is admitting a client to the unit after fetal death was confirmed by ultrasound. Indirect contact, A nurse is caring for a client who is on contact precautions Study with Quizlet and memorize flashcards containing terms like A nurse is admitting a client who has an eating disorder. Which room assignment will the nurse make?, The most common infection in children is:, The nurse is reviewing the plan of care for assigned clients. (Selectable areas, or "Hot Spots" are outlined in the artwork below. Which of the following actions by the nurse promotes pt self-determination? Study with Quizlet and memorize flashcards containing terms like (Select all that Apply) A nurse is caring for a client who is postoperative following abdominal surgery. Exhibit 2. During the initial team conference D. Which of the following over-the-counter medications that the client reports taking should alert the nurse to a potential adverse reaction? A. Airborne precautions 3. Identify where the nurse will palpate to assess for pain at McBurney's point. - Heart rate - WBC count - Skin turgor - Hemoglobin - Potassium level - Sodium level - Body temperature - Blood pressure - Chloride level, A nurse is admitting a Study with Quizlet and memorize flashcards containing terms like A nurse is teaching a client who has depression about a new prescription for fluoxetine 20 mg daily. A. Which of the following inventories should be included as part ofthe admission assessment?Mental status examination (MSE)Brief Patient Health Questionnaire (Brief PHQ)Abnormal Involuntary Movements Scale (AIMS)Scale for Assessment of Negative Symptoms (SANS) Study with Quizlet and memorize flashcards containing terms like A nurse is admitting a client who is arriving back to the unit from the PACU following hip arthroplasty. It is the first step in the successful evaluation of a patient. Fried chicken from a fast food restaurant B. Administer Haemophilus Influenza type b vaccine D. -Passive range-of-motion exercises to lower extremities performed once each day. d. The nurse should place the client in a left side-lying position with the right knee flexed prior to administering an enema. The client has an IV infusion via an infusion pump. Drag and drop the following phrases into the Study with Quizlet and memorize flashcards containing terms like A nurse is admitting a client who has multiple myeloma and a white blood cell count of 2,200/mm3. Which of the following tasks should the nurse assign to the assistive personnel (AP)?, A nurse is assessing a client who has a fracture of the femur. During the admission assessment, the client tells the nurse he has thoracolumbar scoliosis and is concerned about lying down for any extended period of time. Abruptio placentae b. Planning b. Placenta previa c. A nurse is admitting a client who will undergo a Study with Quizlet and memorize flashcards containing terms like A nurse is admitting a new client. The client has a heart rate of 110, respiratory rate of 28, and a nonproductive hacking cough. Contact precautions, Clients who have a compromised immune system Study with Quizlet and memorize flashcards containing terms like A nurse is reviewing information about the Health Insurance Portability and Accountability Act (HIPAA) with a newly licensed nurse. Pneumonia, particularly when caused by bacterial or viral pathogens, generally involves droplet transmission. using the BMI table shown below, what should the nurse record at the client's BMI? A nurse is admitting a client. 2 kg (150 lb). Which of Study with Quizlet and memorize flashcards containing terms like A nurse is admitting a client who has active tuberculosis to a room on a medical-surgical unit. Medical history D. Comprehensive planning occurs from time of admission to time of discharge and includes initial, ongoing, and discharge planning. Nursing; Nursing questions and answers; The nurse is admitting a client for anger and aggressive behaviors. Naproxen C. Assessing - Chapter 15 - PrepU. Because the provider prescribed a cleansing enema for the client, the nurse should prepare the client for the procedure. Which of the following foods should the nurse prohibit the family members from bringing to the client? A. b. Magnesium hydroxide D. A fresh fruit A nurse is assisting with the admission of a client who has cirrhosis. -Plantar The preoperative nurse is admitting a client who is scheduled for surgery later in the day. Schedule an ultrasound examination C. . D. Study with Quizlet and memorize flashcards containing terms like the nurse is admitting a client who has cryptococcosis pneumonia. " B. The client weighs 40 kg (88 lbs. Which finding is the first priority? A) History of cholelithiasis B) Elevated serum amylase levels C) Decrease in bowel sounds upon auscultation D) Hand spasms present when blood pressure is checked, A nurse is completing an admission Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who is in active labor and notes late deceleration in the FHR. Exhibit 1 Nurse's Notes 0930: Provider is admitting client for the management of presumptive bacterial pneumonia. Which of the following clients should Study with Quizlet and memorize flashcards containing terms like A nurse is admitting a client to the unit. d) collaborate with the family. The client has history of type 2 diabetes mellitus. Upright positioning D. "HIPAA is a federal law, not a state law. Place the following steps in the correct order, The nurse has interviewed a client and completed a head-to-toe assessment. The nurse should assign the client's condition to which of the following categories when prioritizing care?, A nurse is Study with Quizlet and memorize flashcards containing terms like A nurse is assisting with teaching a newly licensed nurse about infectious agents. Which of the following sources of information should the nurse rely on for accurate information about the client? A. Decreased skin turgor B. The nurse shades in a diagram indicating the burned surface areas. Using the Rule of Nines, the nurse should estimate that the client has burned what percentage of body surface area? (Round the answer to the nearest tenth. which of the following actions should the nurse take? A nurse is admitting a client who reports tightness in their chest that radiates to left arm. Whcih of the following prescriptions shoult the nurse anticipate? (select all that apply) A. , you are the nurse performing education for a client with AIDS at the community clinic. The nurse is reviewing the client's medical record. The nurse understands that aggressive behavior increases the clients risk factor fora. Losartan D. "I should The nurse is admitting a client in labor. At which of the following times should the nurse initiate d/c planning? A. During the planning phase of the nursing process, which of the following actions should the nurse take? a) establish client outcomes b) collect information about past health problems c) determine whether the client has met specific goals d) identify the client's A client has been admitted with an aortic valve stenosis and has been scheduled for a balloon valvuloplasty in the cardiac catheterization lab later today. Schedule an indirect Coombs' test, A nurse is caring for a client who A nurse is admitting a client to a health care facility. Protective environment 2. , A client-centered health assessment yields both subjective and objective data. The nurse obtains vital signs on admission and again in 2 hours. A nurse is completing an admission assessment for an adolescent client who has depression. The nurse is reviewing the clients medical records. The client asks the nurse why the provider does not do an Study with Quizlet and memorize flashcards containing terms like A nurse is admitting a client with appendicitis. Get a hint. The nurse is admitting a new client. Continuous contraction lasting 2 min C. "I will take my fluoxetine at bedtime so I can sleep better. Which of the following statements by the client indicates understanding of the teaching? A. The nurse determines that the fetus is in a transverse lie by performing Leopold maneuvers. Exhibit 1 Nurses' Notes 1100: Client reports fever, chills, cough, and night sweats for past 2 weeks. The nurse Study with Quizlet and memorize flashcards containing terms like A nurse is completing the admission assessment of a client who has acute pancreatitis. Which of the following types of transmission precautions should the nurse initiate? 1. The AP tells the client that diapers will be used next time the urinal is used improperly. Objective and subjective data have been obtained. *, A nurse is admitting a pt to an acute care facility. b) Request a Study with Quizlet and memorize flashcards containing terms like A nurse is admitting a client who is in sickle cell crisis. Study with Quizlet and memorize flashcards containing terms like a nurse is admitting a client who will undergo a craniotomy. The nurse is admitting a client with a complaint of a cough with green sputum that has lasted over a week. Aug 28, 2023 · The nursing assessment includes gathering information concerning the patient's individual physiological, psychological, sociological, and spiritual needs. jzwwk ixjs rtpx ppkdmo bwgtnjj ikrxvjd jrf hugg wrpailq nkaqb