A nurse in an emergency department is caring for a client who had a seizure and became unresponsive hypotension b. d. A nurse is caring for a client who has a central venous catheter and suddenly develops dyspnea, tachycardia, and dizziness. 8F). a. The nurse should instruct the client that she is being tested for which of the following? A. 2 mg/kg/day PO to a school-age child who weighs 75 lb. In which order should the nurse complete the following actions? (Move the steps into the box on the right, placing them in the selected order of performance. The client’s vital signs are as follows: Blood pressure 198/110, Pulse A nurse in an emergency department is caring for a client who had a seizure and became unresponsive after stating she had a sudden, severe headache and vomiting. " Guardians report no relief with application of the topical hydrocortisone cream. B: Place a heating pad on the client’s abdomen. Uterine cancer B. A nurse in a provider's office is caring for a preschooler. 8°F). Client returned home from a vacation out of the country 24 hr ago. 4° C (101. 1500: Client presents to the ED and reports dyspnea, and tachycardia. The client's vital A nurse in an emergency department is caring for a client who had a seizure and becameunresponsive after stating he had a sudden severe headache and vomiting. , A nurse is caring for a client who has type 1 diabetes mellitus and reports severe ankle pain after falling off a step stool at A nurse in an emergency department is caring for a client who had a seizure and became unresponsive after stating she had a sudden, severe headache and vomiting. Which of the following statements by the parent acknowledges the client's diagnosis? A. Which of the following clients should the nurse recommend for discharge? a. Which of the following BUN lab values should the nurse report to the provider? A. The nurse should assign priority to which client? a. The client is unresponsive, has spontaneous respirations of 22/min, and has a laceration on his forehead that is bleeding. Which of the following manifestations should the nurse expect?, A nurse is caring for a child who is having a tonic-clonic seizure and vomiting. B. The nurse should recognize this finding as an early manifestation of which of the following complications? A. While transferring to a chair, the client cries out in pain. shivering d. Study with Quizlet and memorize flashcards containing terms like A nurse in an emergency department is caring for a client who has heroin toxicity. Clean dentures in a denture cup d. ) Study with Quizlet and memorize flashcards containing terms like a nurse in an emergency department is assessing a client who is having a suspected acute myocardial infarction (MI). , A nurse is caring for a client who has a new diagnosis for seizure disorder. Hyperventilation "When using the urgent vs. Exhibit 1: Nurses' Notes 1200:Client arrives to ED and reports abdominal pain and no bowel movement for the past 7 days. Which of the following actions should the nurse take first? Assess the client's level of consciousness. Which of the following actions should the nurse plan to take? a. Which of the following information should the nurse give the client? a) Menstruation will become regular. The client reports relief from the chest pain but now he is experiencing a headache. Which of the following actions should the nurse take?, A nurse is teaching about adverse effects with a client who is starting A nurse is caring for a female client in the emergency department who reports shortness of breath and pain in the lung area. Which of the following actions is the nurse's priority?, A nurse is instructing a client's family members Study with Quizlet and memorize flashcards containing terms like A nurse is administering a cold therapy application to a client. (Move the steps into the box on the right, placing them in the selected order of performance. Fibroids, A nurse is educating a client who is schedules for a kidney transplant. personal history of alcohol use disorder C. b. 1515: The client has become diaphoretic, increasingly dyspneic, and is having a difficult time finding a position of comfort. Use all the steps. To identify health services data for this minority group, the nurse should gather information from which of the following sources? A. Temperature 38. The client reports dyspnea and severe pain. Client has been treated in the outpatient setting, but depressive symptoms have worsened. ) Request a prescription for a diuretic. Place the Study with Quizlet and memorize flashcards containing terms like 1. The infant has faded bruise marks on their upper arms. A nurse is caring for a client who was recently admitted to the emergency department following a head-on motor vehicle crash. A nurse is caring for a client who is receiving nitroglycerin IV and is switching to the oral form of the drug. A nurse is caring for a client who repeatedly refuses meals. Cataracts C. Apply supplemental oxygen B. A nurse in an emergency department is caring for a client who had a seizure and became unresponsive after stating she had a sudden, severe headache and vomiting. Complete the following sentence by using the list of options. -"this minimizes the risk that the medications you take will become toxic. Increased respiratory secretions C. Study with Quizlet and memorize flashcards containing terms like Graphic Record 1000:Temperature 36. 5° C (103. After reviewing the admission laboratory findings, the nurse recognizes that these findings are consistent with which of the following conditions? Sodium 152 mEq/L ,Glucose 102 mg/dL , potassium 3. which of the following manifestations should the nurse expect to find for a client experiencing an acute MI?, a nurse in an emergency room is caring for a client who presents with A nurse in an emergency department is caring for a client who had a seizure and became unresponsive after staying she had a sudden, severe headache and vomiting. The infant cries when they are held by the nurse. Apply occlusive dressings after A nurse in the emergency department is caring for a client who has a compression fracture of a spinal vertebra. The client's vital signs are as follows: BP of 190/100, HR of 83, R 23, and a T of 38 C (100 F). C. Which of the following actions by the client indicates an understanding of the teaching? A. A nurse in an emergency department is assessing a client who has been taking haloperidol for 3 months. 2°C(100. A nurse in an emergency department is caring for a client who has a new prescription for acetylcysteine. 8F. 1º F) B. Which substance should the nurse suspect?, A nurse in an emergency department is caring for a client who had a seizure and became unresponsive after stating she had a sudden, severe headache and vomiting. The nurse notes the client's IV fluids are infusing at 125 mL/hr. Which of the following nonpharmacological Interventions should the nurse include in the plan? A. A nurse is caring for a client who is postoperative. The client has a temperature of 39. Which of the following actions is the highest priority?, A nurse is 1. 2 (100. Which of the following developmental milestones should the nurse expect to observe, A school nurse is preparing to administer atomoxetine 1. Which of the following neurologic disorders should the nurse A nurse is caring for a client who refuses treatment and asks to be discharged from the hospital AMA. the client's serum osmolarity is 310 mOsm/L B. Which of the following actions should the nurse take? a. "Move both The infant's weight and length follow the expected growth curve. Obesity D. numbness c. A nurse in an emergency department is caring for a client who has a seizure and became unresponsive after stating she had a sudden severe headache and vomiting the client's vital signs are as follows blood pressure of 198 / 110 pulse of 8282 per minute respirations of 24 and a temperature of 100 which of the following neurological disorders should the nurse suspect? Study with Quizlet and memorize flashcards containing terms like A nurse is assessing a client who has pulmonary edema related to heart failure. Which of the following findings indicates effective treatment of the client's condition? A. "Support the majority of your weight on the axillae. Study with Quizlet and memorize flashcards containing terms like A nurse is admitting a client to a healthcare facility the nurse is placing the client on isolation precautions which of the following interventions should the nurse include, A client who is postoperative is verbalizing pain as a two on a pain scale of 0 to 10 which of the following statements are the nurse identify as an Study with Quizlet and memorize flashcards containing terms like A nurse in an emergency department is performing an assessment on a client who reports being sexually assaulted. A nurse working on a medical unit is caring for a client who is prescribed seizure precautions. 5 mg x(5 mL/10 mg) = 14 mL, B. Sims' d. Which of the following assessment findings is the nurse's priority? A. SaO2 86% on A nurse in the emergency department is caring for a client who had a seizure and became unresponsive after stating they had a sudden, severe headache. The client's vital signs are as follows: blood pressure of 198110mmHg, pulse of 82min, respirations of 24min, and a temperature of 38. After observing standard precautions, which of the following actions should the nurse perform first? A. Dysrhythmias B. Which of the following laboratory Study with Quizlet and memorize flashcards containing terms like A male nurse is assigned to care for a female clinet who was admitted to the hospital following a domestic abuse incident. The client is lethargic and has a respiratory rate of 10/min. Which of the following manifestations should the nurse expect? A. The client’s vital signs are as follows: blood pressure of 198/110 mm Hg, pulse of 82/min, respirations of 24/min, and temp of 38. Provide 100% oxygen by face mask. 11. the client is experiencing excessive stools. Give Sodium bicarbonate 50 mEq A nurse working on a medical unit is caring for a client who is prescribed seizure precautions. The nurse should identify that this finding is consistent with which of the following disorders? a. current rehabilitation for opiate addiction, A nurse in an emergency department is caring for a client who had an anterior myocardial infarction. 8 F). Study with Quizlet and memorize flashcards containing terms like A nurse in an emergency department is caring for a client who is bleeding from a deep laceration on his left lower forearm. The nurse is caring for a 10-year-old client who is Study with Quizlet and memorize flashcards containing terms like A nurse is teaching a middle-aged client about hypertension. Agency for Healthcare Research and Quality B. One of the child's parents tells the nurse that it is too difficult to cope any longer and has decided to move out of the house. d) Hair loss is common. Which of the following actions Study with Quizlet and memorize flashcards containing terms like A nurse in an emergency department is caring for a female adolescent who has a diagnosis of bulimia nervosa and has a fainting episode during a ballet performance. 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. Will she still be able to Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who is receiving dialysis treatment. A nurse in the emergency department is caring for a client who is experiencing manifestations of a MI. A nurse in an emergency department is caring for a client who had a seizure and became unresponsive after stating he had a sudden severe headache and vomiting. Which of the following actions should the nurse include in the plan? The child has CF and positive culture for Burkholderia cepacia. Will she still be able to Study with Quizlet and memorize flashcards containing terms like a nurse is caring for a client who is scheduled for a coronary artery bypass graft (CABG) in 2 hr. An older adult who was admitted for diabetic ketoacidosis and his most recent ABGs show his pH is A nurse in an emergency department is caring for a client who had a seizure and became unresponsive after stating she had a sudden, severe headache and vomiting. Which of the following is an appropriate action by the nurse? Study with Quizlet and memorize flashcards containing terms like A nurse is performing a cardiac assessment on a client. Client is awake, alert, and oriented x3. schizotypal personality disorder b. Which of the following is the priority nupsing action at this time? A Keep neck stabilized. The nurse understands that restraining this client would be considered which type of civil action by the Study with Quizlet and memorize flashcards containing terms like A nurse is planning care for a newly admitted school age child who has generalized seizure disorder. A client complaining of muscle aches, a headache, and malaise b. allow the child to play video games on a tablet computer c. Massage the client's sacrum. D. Which of the following signs indicates to the nurse that the client has blood in the peritoneum?, Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who has severe manifestations of schizophrenia and is medicated PRN for agitation with haloperidol. Which of the following instructions should the nurse include? A. Which of the following statements by the parent acknowledges the client's diagnosis?, A nurse is caring for a child who has conduct disorder A nurse in an emergency department is caring for a client who had a seizure and became unresponsive after stating she had a sudden, severe headache and vomiting. A nurse in an emergency department is preparing to perform an ocular irrigation for a client. The client's vital signs are as please do not guess. A nurse is caring for a 3-year-old child who has had 160 mL of urine output over the past 8 hr period. "Lean on the crutches to support your body weight when standing. The client does not want a male nurse as her Study with Quizlet and memorize flashcards containing terms like a nurse is assessing a client with a closed head injury who has received mannitol for manifestations of increased intracranial pressure (ICP). Myocardial infarction C. Correct. Administer epinephrine. Offer to Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who had abdominal surgery 24 hours ago. Study with Quizlet and memorize flashcards containing terms like A mental health nurse is referring a client who has an alcohol addiction to a 12-step Alcoholics Anonymous program. The client's VS are as follows: BP 198/110 mmHg, pulse 82/min, RR 24/min, temp 100. "Bear weight on both of your legs. Select only the hotspot that corresponds to your answer. Clean the wound C. The client's Vital signs are as follows; blood pressure 198/110 mmHg, pulse of 82min, respirations of 24/min, and a temp of 100. Which of the following medications should the nurse plan to administer?, A nurse is reviewing the medication list of a client who wants to begin taking oral A nurse in an emergency department is caring for a client who had a seizure and became unresponsive after stating she had a sudden, severe headache and vomiting. Presence of a nonproductive cough C. , A nurse in a provider's clinic is caring for a client who Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a 3-year-old child who has cyanotic cardiac defect. Replace the water in flower vases with fresh water Study with Quizlet and memorize flashcards containing terms like A nurse in an emergency department is caring for a client who reports developing severe right eye pain with a gritty sensation while sawing wood. Admit life is unmanageable b. " ANS: A nurse is caring for a client who arrived at an emergency department following a bee sting. The nurse should identify that which of the following interventions is contraindicated? Study with Quizlet and memorize flashcards containing terms like ***A nurse is caring for a client who has endocarditis. Serve cooked fruit with meals c. National Institutes of A nurse is teaching a client who has asthma about how to use an albuterol inhaler. The 16-A nurse in an emergency department is caring for a client who had a seizure and became unresponsive after stating she had a sudden severe headache and vomiting. Auscultate for wheezing. "Fully A nurse in an emergency department is caring for a client who has sustained a fracture of the femur following a motor vehicle crash. direct pressure over A nurse in an emergency department is caring for a client who had a seizure and became unresponsive after stating she had a sudden, severe headache and vomiting. The client's vital signs are as follows: blood pressure of 197/111 Study with Quizlet and memorize flashcards containing terms like A nurse in the emergency department is caring for a client who comes to the emergency department reporting severe abdominal pain in the left lower quadrant. thrombotic stroke. " C. Instill proparacaine hydrochloride eyedrops B. " B. The client's vital signs are as follows: blood pressure 198/110, pulse 82 bpm, respirations 24/min, and a temperature of 38. Nurses' Notes 0915:Guardians report that lately the child has had severe itching and is breaking out with sores on their eyebrows, wrists, and ankles. Which of the following is an expected finding? A. which Study with Quizlet and memorize flashcards containing terms like a nurse in an emergency department is caring for a female adolescent who has a diagnosis of bulimia nervosa and had a fainting episode during a ballet performance. She states that she started taking birth control pills 3 weeks ago and that she smokes. Identify the sequence the client should follow when demonstrating crutch use. 1. The provider suspects a ruptured ectopic pregnancy. Provide bright lights in the client's room. Study with Quizlet and memorize flashcards containing terms like A nurse is providing teaching for a client who is scheduled for a Papanicolaou (Pap) test. Absence of adventitious breath sounds B. When the client talks, the nurse notices the client has brown stained teeth and several spaces where the teeth are missing. Which of the following interventions should the nurse plan to include? a. Which of the following actions should the nurse take first. Which of the following is a realistic goal? A) The client will verbalize an understanding of the mode of disease transmission. The client asks why they must take both medications. Emergency medicine physician b. The client's vital signs are as follows: blood pressure 198/110 mmH, pulse 82/min, respirations of 24/min, and a temperature of 38. Identify the area the nurse should inspect when evaluating the point of maximal impulse. Bowel sounds Study with Quizlet and memorize flashcards containing terms like A nurse is reviewing the laboratory results of a client who is dehydrated. The "sores started to bleed. Providing tracheostomy care for a client. A client who twisted her ankle when Study with Quizlet and memorize flashcards containing terms like A patient with diabetic ketoacidosis is brought to the emergency department. Which of the following clients requires mandatory reporting? A young adult client who is positive for tuberculosis Diseases and illnesses that are considered a threat to public health, such as tuberculosis, HIV, and influenza, require mandatory reporting to the health department to track and develop prevention and Study with Quizlet and memorize flashcards containing terms like A nurse is caring for an older adult client who has a WBC count of 2000/mm³ after three rounds of chemotherapy. Fluid intake of 200 mL in the prior 8 hr D. "A headache is an indication of an allergy to the medication" b. Detoxifying from the addictive substance c. Which of the following actions should the nurse take first? Study with Quizlet and memorize flashcards containing terms like a nurse is caring for a client who has hepatic encephalopathy that is being treated with lactulose. A nurse in an emergency department is caring for a client who has myasthenia gravis and is in a cholinergic crisis. "Keep your elbows extended. allow the child to A nurse in the emergency department is caring for a client who was injured in a motor-vehicle crash. ) 13 mg/dL C. The client's vital A nurse in an emergency department is caring for a client who became unresponsive after stating she had a sudden, severe headache with vomiting and then seizure activity. Study with Quizlet and memorize flashcards containing terms like 14 mL 110 lb x (1 kg/2. 4º C (101. The nurse suspects and air A nurse in an emergency department is caring for a client who had a seizure and became unresponsive after stating she had a sudden, severe headache and vomiting. Semi-Fowler's, A nurse is providing discharge teaching to parents whose infant had a ventriculoperitoneal shunt A nurse in an emergency department is caring for a client who had a seizure and became unresponsive after stating she had a sudden, severe headache and vomiting. Evidence of emesis on clothing. 2° C (100. Place monitoring cords and tubes in a stockinet. The client's vital signs are as follows: blood pressure of 198/110 mm Hg, pulse of 82/min, respirations of 24/min, A nurse in an emergency department is caring for a client who had a seizure and became unresponsive after stating she has a sudden, severe headache and vomiting. the client Study with Quizlet and memorize flashcards containing terms like A nurse in the emergency department has assessed a client's airway, breathing, and circulation (ABC) following a head injury from a fall at work. A nurse in an emergency department is caring for a client who had a seizure and became unresponsive after stating she had a sudden, severe headache and vomiting. Which of the following actions should the nurse take first?, A nurse is caring for a client who requires intervention for acute anxiety. 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. c. (You will find "Hot Spots" to select in the artwork below. 2(100. Which prescribed action should the nurse implement first? A. The client is experiencing numbness, and assessment shows mottled skin. B) The client will experience a weight gain of one to two pounds per week. Loosen the client's bed linens. Available is atomoxetine 40 mg/capsule. ensure that a padded tongue blade is at the child's bedside b. The nurse should inform the client that which of the following is the basic concept of a 12-step program? a. Place the infant in a knee-chest position. ) 10 mg/dL D. Choose rubber injection ports Study with Quizlet and memorize flashcards containing terms like A nurse is assessing a client who has a concussion from a sports injury. All pulses palpable. A nurse in an emergency department is caring for a client who is experiencing a pulmonary embolism. The client's history reveals they are 1 week postoperative following an open cholecystectomy. Study with Quizlet and memorize flashcards containing terms like a nurse is collecting a health history on a client who has a diagnosis of Wernicke-Korsakoff syndrome. Which of the following instructions should the nurse include in the teaching? A. Jaundice C. Nonrebreather mask The nurse should use a nonrebreather mask for a client who is in respiratory distress to provide the highest oxygen level. Acute Compartment Syndrome B. Perform ocular irrigation of the right eye C. Osteomyelitis, A nurse is Study with Quizlet and memorize flashcards containing terms like A nurse is assessing a preschooler who has HIV. Schedule the client for the last surgery of the day. Study with Quizlet and memorize flashcards containing terms like An emergency room nurse assesses a client who has been raped. The client's vital A nurse in an emergency department is caring for a client who had a seizure and became unresponsive after stating she had a sudden, severe headache and vomiting. The client's vital signs are as follows: blood pressure of 198/100, pulse of 82/min, respirations 24/min, and a temperature of 38. Her heart rate is 110/min, respiratory rate Study with Quizlet and memorize flashcards containing terms like 1. Which of the following goals should the nurse include in the client's rehabilitation program?, A nurse is caring for a client who has increased intracranial pressure. Which of the following referrals should the nurse make for the caregiver?, When admitting a client to the medical unit, the nurse asks A nurse in the emergency department is caring for a client who took 3 nitroglycerin tablets sublingually for chest pain. Generalized petechiae B. Identify the recommended range for the client's blood Study with Quizlet and memorize flashcards containing terms like A nurse at a rehabilitation center is planning care for a client who had a left hemispheric cerebrovascular accident (CVA) 3 weeks ago. Start a regular insulin infusion a 0. Which of the following actions should the nurse plan to take first? Obtain sample menus from the dietitian to give to the client. Which of the Study with Quizlet and memorize flashcards containing terms like A nurse in the emergency department (ED) is caring for a client who reports abdominal pain. Which of the following information should the nurse include in the teaching?, A nurse in an emergency department is caring for a client who reports substernal chest pain and dyspnea. The nurse shades in a diagram indicating the burned surface areas. A nurse is caring for a client in the emergency department (ED). the client's history A client with idiopathic seizure disorder is being discharged with a prescription for phenytoin (Dilantin). Humidify the client's room b. Hold the Study with Quizlet and memorize flashcards containing terms like A nurse in an emergency department is caring for a school-age child who is experiencing an anaphylactic reaction. Which of the following findings should the nurse recognize as a potential complication? Ventricular depolarization Guillain-Barré syndrome Myelodysplastic syndrome Valvular disease, A nurse is caring for a client following insertion of a permanent pacemaker. Pulmonary Embolism C. select the 5 findings that require a follow up Nurses note: 0200:Client is difficult to arouse, is unable to report on recent events, and is unaware of arrival to ED. 8° C (98. Ovarian cysts D. The client’s vital signs are as follows: Blood pressure 198/110, Pulse = A nurse in an emergency department is caring for a client who is to receive tissue plasminogen activator (tPA) for the treatment of an ischemic stroke. Administer Study with Quizlet and memorize flashcards containing terms like A rural community health nurse is developing a plan to improve healthcare delivery for migrant farmworkers. Which of the following positions should the Study with Quizlet and memorize flashcards containing terms like A client arrives in the emergency department with a suspected bone fracture of the right arm. Which of the following actions should the nurse include in the plan of care? A. Client presents to the ED with upper abdominal pain that radiates to the right shoulder. Client rates pain as 7 on a scale of 0 to 10. 1 units/kg/hr D. After reviewing the client's history, the nurse should determine that which of the following is the priority risk factor for suicide completion?, A nurse is caring for a school-age child who has acute glomerulonephritis with A nurse in the emergency department is caring for a client who has sustained a head injury. The client's vital signs are as follows: blood pressure of 198/110 mm A nurse in an emergency department is caring for a client who had a seizure and became unresponsive after stating she had a sudden, severe headache and vomiting. Fat Embolism Syndrome D. I'm concerned about what she has in there. " The client might be binge eating and attempting to hide her food containers, which is a common behavior among clients who Study with Quizlet and memorize flashcards containing terms like A nurse is planning care for a client who has acute pain as a result of a pressure injury to the sacrum. Which of the following neurologic disorders should the nurse suspect? a. 5 mg 27. Study with Quizlet and memorize flashcards containing terms like A client who is being seen in the outpatient clinic reports a single episode of unilateral arm and leg weakness and blurred vision that lasted approximately 45 minutes. Client reports nausea and has vomited two times since Study with Quizlet and memorize flashcards containing terms like A nurse in the emergency department is caring for a client who collapsed after playing football on a hot day. ) 25 mg/dL B. , A nurse is caring for a client in an emergency department who is being seen for treatment of injuries sustained from their Study with Quizlet and memorize flashcards containing terms like A hospice nurse is caring for a preschooler who has a terminal illness. A nurse in the emergency department is caring for a client following an automobile crash in which the client was unrestrained and thrown from the vehicle. Knee-chest c. The client asks about the effects of this medication. Which of the following manifestations should the nurse identify as an indication for discontinuing the application due to a systemic response? a. Nurses' Notes. During transport to the facility, the client was medicated with intravenous morphine. 2C (100. Ambulate three times a day C. Based on the information in the adolescent's medical record, A nurse in an emergency department is caring for a client ad finds a razor blade hidden in the client's belongings. pulse and blood pressure findings behavioral indicators and effect scheduled treatments and client illness a self-report pain rating scale, A nurse in an emergency department is caring for a client who had a seizure and became unresponsive after stating she had a sudden, severe headache and vomiting. The client holds his breath for 10 seconds after inhaling the medication. family history of Alzheimer's disease B. The first day of her last menstrual Study with Quizlet and memorize flashcards containing terms like Following a tornado, a nurse is determining which of the clients assigned to her care can be discharged to free up beds for injured clients. Client teaching about this drug should include which instruction? A nurse in an emergency department is caring for a client who is unconscious and Study with Quizlet and memorize flashcards containing terms like A nurse in the emergency department is caring for a homeless client just brought in with frostbite to the fingers and toes. the nurse should assess the client for which of the following adverse effects? A. The nurse should assess the client for which of the following manifestations of dislocation of the hip prosthesis? bulging in the area over surgical incision Study with Quizlet and memorize flashcards containing terms like A nurse assessing a client who has multiple fractures in his left leg notes increasing edema. The client's vital signs are as follows: blood pressure of 198/110 mm Hg pulse of 82/min , respirations of 24/min, and a temperature of 38. Study with Quizlet and memorize flashcards containing terms like A nurse in an emergency department is providing discharge teaching to a client who has a knee injury and will be using a pair of axillary crutches for the first time. c) Hot flashes are common. The infant is up to date on immunizations. The client has a peripheral IV and has a prescription for an infusion of 0% sodium chloride 1,000 mL with 40 mEq potassium chloride to infuse over 1 hr. which of the following client statements indicates a need for further clarification by the nurse?, a nurse in an emergency department is caring for a client who had an anterior myocardial infarction. A nurse is caring for a client who has endometriosis and will receive depot injections of leuprolide. , A charge nurse in the emergency department is assigning acuity levels to four clients. A nurse is caring for a client who has dehydration. When assessing the client, the nurse observes clear fluid draining from the client's nose. After securing the client's airway and initiating an IV, which of the following actions should the nurse take next? A. Use a - A. The client's vital signs are as follows: blood pressure of 197/111 mm Hg, pulse of 81/min, and respirations of 26/min. The nurse should initiate seizure precautions for a client who is at 33 weeks of gestation and has severe gestational hypertension, which is a blood pressure of 160/110 mm Hg or higher on two occasions at least 4 hr apart, or once with signs of end-organ damage. The client's vital signs are as follows: blood pressure of 198/110 mm Hg, pulse of 82/min, respirations of 24/min, and a temperature of 38. Assessing a client who just returned from surgery. 2 lb) = 50 kg 50 kg x 0. Infuse 1 L of normal saline per hour B. Which of the following actions should the nurse take?, A nurse is providing colostomy care for client using a two-piece pouching system. D: A nurse in an emergency department is caring for a client who had a seizure and became unresponsive after stating she had a sudden severe headache and vomiting the client's vital signs are as following blood pressure 198 / 110 pulse 82 respirations 24 and temperature 100. nonurgent approach to client care, the nurse should determine that the priority finding is hyperventilation. Which of the following actions should the nurse take to assess the client's skin turgor?, A nurse is performing an abdominal assessment of a client. which of the following findings indicates that the medication is having a therapeutic effect? A. For each potential nursing intervention, click to specify if the intervention is indicated or not indicated. Use all the Study with Quizlet and memorize flashcards containing terms like A nurse in an emergency department is caring for a client who has anaphylaxis following a bee sting. Which of the following actions should the nurse plan to take? (Select all that apply. 0930:Child is alert. The client's vital signs are as follows: BP 198/110, HR 82, RR 24, A nurse in an emergency department is caring for a client who had a seizure and became unresponsive after stating he had a sudden and severe headache. Psychiatric crisis nurse, The emergency department team is Study with Quizlet and memorize flashcards containing terms like An agitated client is in the emergency department producing various signs and symptoms such as severe coughing, anxiety, and aggression. With which health care team member should the nurse collaborate when planning this client's care? a. b) Vaginal secretions will increase. Limited A nurse is caring for a client who has had a hemorrhagic stroke following a ruptured cerebral aneurysm. A nurse is caring for a client who had a stroke involving the right cerebral hemisphere. Ask the client to identify the types of foods she prefers. Increase the rate of IV fluids. 2 C (100. C) The client will increase Study with Quizlet and memorize flashcards containing terms like A home health nurse is interviewing the adult child of a client who has Alzheimer's disease. borderline personality disorder If keeps the trachea and upper airway open while the client is asleep = C. C: Place the client in semi-Fowler’s position. Assist with deep breathing and coughing D. Forensic nurse examiner d. 55 mg = 27. A client who has a cough and a fever of 38. Cervical cancer C. , A nurse in the emergency Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who has amyotrophic lateral sclerosis (ALS) and is being admitted to the hospital with pneumonia. Lung sounds clear bilaterally, S1 and S2 heart tones noted. How does the nurse expect the client to describe the pain? Sharp and piercing Similar to "muscle cramps" Sore and aching A dull, deep, boring ache, Which may occur if a client experiences compartment Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who has a leg cast and is returning to demonstrate on the proper use of crutches while climbing stairs. A nurse in an emergency department is caring for a client who is unconscious and requires emergency medical procedures. Which interventions should be included in the client's plan of care? Select all that apply. undergoing current treatment for HIV D. Which of the following statements should the nurse make? a. 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. Peptic Ulcer Disease B. Decrease in respiratory rate at rest D. Monitor for hypotension. "She works so hard at ballet. Study with Quizlet and memorize flashcards containing terms like The nurse employed in an emergency department is assigned to triage clients coming to the emergency department for treatment on the evening shift. Administer regular insulin 10 U by IV push C. The nurse teaches the client the difference between insulin shock and diabetic hyperglycemia. education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field. 4° F)Heart rate 98/minRespiratory rate 18/minBlood pressure 134/75 mm HgOxygen saturation 98% on room air History and Physical History of mild anxiety and depression History of high cholesterol, which is diet controlled Family history of coronary Study with Quizlet and memorize flashcards containing terms like A nurse should identify that clopidogrel is contraindicated for clients who have which of the following conditions? A. A nurse in an emergency department is caring for an infant who has a 2-day history of vomiting and an elevated temperature. the client's vital signs are as follows BP 197/11 mm Hg pulse of 81/mm, and respirations of 26/min. The child cries when her parents leave the room, worsening her cyanosis and dyspnea. Administer an additional dose of digoxin. Myastenia, A nurse is monitoring a client who is undergoing anticoagulant therapy with heparin. ) 18 mg/dL, A nurse is caring for a client who has a postoperative ileus and an NG tube that has drained 2, 500 mL in Study with Quizlet and memorize flashcards containing terms like A nurse is setting goals for a client who has AIDS and is at the end of life. A nurse in an ED is caring for a client who had a seizure and became unresponsive after stating she had a sudden, severe HA and vomiting. " D. Study with Quizlet and memorize flashcards containing terms like A nurse in an emergency department is caring for an adolescent following a suicide attempt. Orthopneic b. 6 Study with Quizlet and memorize flashcards containing terms like a nurse in an emergency department is caring for a female adolescent who has a diagnosis of bulimia nervosa and had a fainting episode during a ballet performance. Bleeding, A nurse is providing discharge Find step-by-step Health solutions and the answer to the textbook question A nurse in an emergency department is caring for a client who is at 9 weeks of gestation and reports nausea and vomiting for A nurse is performing an admission assessment on a client who had a recent positive pregnancy test. 8° F). 4° F), blood pressure of 150/110 mm Hg, and muscle rigidity. A nonrebreather mask is made up of a reservoir bag from which the client obtains the oxygen, a one-way valve to prevent exhaled air from entering the reservoir bag, and exhalation ports with flaps that prevent room air from Study with Quizlet and memorize flashcards containing terms like A circulating nurse is planning care for a client who is scheduled for surgery and has a latex allergy. Assess fluid intake every 24 hours B. ) graphic INCORRECT The nurse should inspect this location 16-A nurse in an emergency department is caring for a client who had a seizure and became unresponsive after stating she had a sudden severe headache and vomiting. A nurse in an emergency department is assessing a client who reports ingesting thirty diazepam tablets 20 minutes ago. which of the following findings is an adverse effect of the medication?, a nurse is caring for a client who has emphysema and is receiving mechanical ventilation. "She won't let me take the trash from her room. A nurse is Study with Quizlet and memorize flashcards containing terms like A nurse in an emergency department is caring for a female adolescent who has a diagnosis of bulimia nervosa and has a fainting episode during a ballet performance. The nurse notes that the client's chest moves inward during inspiration and bulges out during expiration. The provider determines that the client had an embolic stroke. Will she still be able to A nurse in an emergency department is assessing a client who reports ingesting thirty diazepam tablets 20 minutes ago. schizoid personality disorder d. reduced blood viscosity, A nurse is teaching the family of a client Exhibit 1: An adult client is admitted to the inpatient psychiatric unit for evaluation, monitoring, and treatment of major depressive disorder. Which of the following actions is the priority? A. obsessive-compulsive disorder c. Case manager c. Have the client turn their head toward the unaffected eye 🡪 you would want to have them turn c. Which of the following actions should the nurse take first? A. The client's vital signs are as follows: blood pressure of 198/110 mm Hg, pulse of 82/min, respirations of 24/min, and temp of 38. A nurse in an emergency department is caring for a client who had an anterior myocardial infarction. The client takes a quick inhalation while releasing the medication from the inhaler. Which of the following findings should Study with Quizlet and memorize flashcards containing terms like A nurse is planning dietary teaching for a client who has diabetes mellitus. 1° F). The nurse should identify that which of the following interventions is contraindicated?. 8 which of the following neurological disorder should the nurse suspect- hemorrhagic stroke Study with Quizlet and memorize flashcards containing terms like A nurse in an emergency department is caring for a client. Which of the following actions should the nurse take? A: Restrict oral intake to clear fluids. A nurse is an emergency department is caring for a client who has appendicitis. The nurse overhears an assistive personnel A charge nurse is teaching new staff members about factors that increase a client's risk to become violent. Assess the client's visual acuity prior to irrigation b. The client is unresponsive with pinpoint pupils and a respiratory rate of 6/min. A nurse in an emergency department is caring for a client who suddenly lost consciousness and fell while at home. The client is most likely experiencing: a) Cardiogenic embolic stroke b) Lacunar infarct c) Thrombotic stroke d) Transient ischemic attack (TIA), The A nurse in an emergency department is caring for a client who had a seizure and becameunresponsive after stating he had a sudden severe headache and vomiting. Pancreatitis D. Chronic diarrhea, A nurse is providing teaching to a school-aged child who just had a fiberglass cast application following a lower-extremity A nurse in an intensive care unit is caring for a client who had a seizure and became unresponsive after stating she had sudden severe headache and vomiting. , A nurse is caring for a client who is postoperative following abdominal surgery. The client's vital signs are asfollows: blood pressure of 197/111 mm Hg, pulse of Study with Quizlet and memorize flashcards containing terms like A nurse is assessing a newborns heart rate. Which of the following responses should the nurse make?, A nurse is teaching a client ways to prevent osteoporotic Study with Quizlet and memorize flashcards containing terms like A nurse is assessing a 4-year-old child at a well-child visit. A nurse in the emergency department is caring for a client who was in a motor-vehicle crash. A nurse is caring for a client who has HIV and is starting therapy with ritonavir and zidovudine. Study with Quizlet and memorize flashcards containing terms like A nurse is caring for an infant who has congenital heart disease. Client has significant insomnia (only sleeping 1 to 2 hr each night), has been unable to concentrate long enough to complete daily tasks, such as Study with Quizlet and memorize flashcards containing terms like A nurse is teaching a client with lower extremity weakness how to use a 4-point crutch gait. A. A nurse is caring for a client who had abdominal surgery 24 hours ago. Monitor the incision site for findings of infection, A nurse is talking with a client Study with Quizlet and memorize flashcards containing terms like A nurse in an emergency department is assessing a client who reports diarrhea and decreased urination for 4 days. Apply a tourniquet just below the elbow B. A nurse in the emergency department is admitting a client who was dropped off at the front door The nurse is assessing the client. The child is the client's sole caregiver and reports feeling fatigued and overwhelmed. Client is undergoing chemotherapy for pancreatic cancer and has been taking 40 mg 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. The nurse notifies the client's provider, who tells the nurse to restrain the client, if necessary, to keep her from leaving the hospital. Pancreatitis D. The client is vomiting and is diaphoretic. 8 f)the following neurologic disorders should the nurse suspect? A nurse in an emergency department is caring for a client who had a seizure and became unresponsive after stating she had a sudden, severe headache and vomiting. the client's pupils are A nurse in an emergency department is caring for four clients. Client also reports nausea, vomiting, and dyspepsia. On arrival, the neurosurgeon determined urgent surgical intervention is Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who is 3 days postoperative following a right total hip arthroplasty. Evaluate the client for further suicidal behavior. Which of the following is the priority action by the nurse?, A nurse in a pediatric emergency department is planning care for an adolescent. The nurse should identify this finding as which of the following? Study with Quizlet and memorize flashcards containing terms like A nurse is creating a plan of care for a newly admitted child. To which of the following clients should the nurse assign an acuity level of 1? a. aomx ggf mixxvdw xionti hmk mwxkxg djnpzjc kmwye plbp zvpfmke