A nurse is admitting a client. 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. Identify where the nurse will palpate to assess for pain at McBurney's point. Assessment, A nurse is teaching a class about the steps of critical thinking. Sibling reports. It is the first step in the successful evaluation of a patient. "HIPAA is a federal law, not a state law. Blood pressure. Losartan D. Schedule an indirect Coombs' test, A nurse is caring for a client who A nurse is admitting a client to a health 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. 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). Which of the following actions should the nurse take? A. Client reports a sore throat, productive cough, shortness of breath, and fever for the past 4 days. 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. 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. Schedule an ultrasound examination C. A nurse is Study with Quizlet and memorize flashcards containing terms like A nurse is admitting a client who reports nausea, vomiting, and weakness. b) evaluate care implemented. 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. allow the client to eat independently in their room. 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. Naproxen C. -Plantar The preoperative nurse is admitting a client who is scheduled for surgery later in the day. Which of the following aspects of care should the nurse consider the first priority for this client? a) Identify the client's nutritional status. 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. 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. As part of the admission, a head-to-toe assessment is indicated. 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. Get a hint. 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. The nurse should include in the teaching that pertussis is transmitted by which of the following modes of transmission? A. The client is immune to the rubella virus C. ischemic stroke. The client weighs 40 kg (88 lbs. Which of the following assessment findings should the nurse report to the provider first? A. d. Client has recently traveled outside of the country. 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. 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. The nurse is reviewing the clients medical records. Pressure on the perineum causing the client to bear down A nurse is admitting a client who is 162. While auscultating the clients lungs, the nurse notes course crackles in the posterior lungs. " B. On the day prior to d/c Study with Quizlet and memorize flashcards containing terms like 1. Nurses' Notes. 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. using the BMI table shown below, what should the nurse record at the client's BMI? A nurse is admitting a client. Which of the following clients should Study with Quizlet and memorize flashcards containing terms like A nurse is admitting a client to the unit. 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. Administer Haemophilus Influenza type b vaccine D. which of the following interventions should the nurse include in care? a. E. During the admission process B. Place the following steps in the correct order, The nurse has interviewed a client and completed a head-to-toe assessment. Droplet precautions 4. Prepare for a precipitous vaginal birth. Client has swollen lymph nodes. . Study with Quizlet and memorize flashcards containing terms like A nurse is assisting with the admission of a client to an inpatient unit. Pedal pulses 2 + bilaterally. The AP tells the client that diapers will be used next time the urinal is used improperly. C. The nurse is admitting a client with a complaint of a cough with green sputum that has lasted over a week. 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. D. Comprehensive planning occurs from time of admission to time of discharge and includes initial, ongoing, and discharge planning. Airborne D. The nurse is admitting a client who complains of fever, chills, chest pain, and dyspnoea. The client states he smokes Study with Quizlet and memorize flashcards containing terms like A nurse is admitting a client who has hypertension. deep vein thrombosis (DVT) acute renal failure. A case of canned nutritional supplements C. Objective and subjective data have been obtained. 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. 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. What intervention should the nurse provide for the client? a. Pain level. ) and believes she is fat. While initiating intravenous therapy the nurse notes blood continually oozing from the puncture site. Study with Quizlet and memorize flashcards containing terms like A nurse is admitting a client with suspected appendicitis. 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. 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. 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. Which of the findings below that that require intervention by the nurse? -Client is repositioned every 2 hr. Therapeutic hypothermia C. Decreased skin turgor B. *, A nurse is admitting a pt to an acute care facility. Administer a cleansing enema is correct. A nurse is admitting a client to a home care program. a nurse is admitting a client who has anorexia nervosa and is at 60% of ideal body weight. 2 kg (150 lb). Administer antiviral medication B. Obtain the client's PT and INR measurements B. 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. The nurse obtains vital signs on admission and again in 2 hours. 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. Client ’ s sibling has stayed with client for the past two days but states they will need to return to their home tomorrow. Lansoprazole 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 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. Protective environment 2. Which of the following foods should the nurse prohibit the family members from bringing to the client? A. A factory-sealed box of chocolates D. Continuous contraction lasting 2 min C. Precipitous labor d. 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. Exhibit 1. 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. (Selectable areas, or "Hot Spots" are outlined in the artwork below. The client is getting Ds in his classes because he frequently skips school. The client has a heart rate of 110, respiratory rate of 28, and a nonproductive hacking cough. The nurse should identify which of the following findings as the priority? a. The nurse is reviewing the client's medical record. 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. 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. Administer lactulose 30 mL PO 4 times daily C. The nurse should expect to withhold which of the following of the client's home medications? A. Flexion of the extremities B. Concentrated urine C. 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. c. Which of the following types of transmission precautions should the nurse initiate? 1. Bowel sounds. b. Nursing. , you are the nurse performing education for a client with AIDS at the community clinic. G. 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. 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. Which of the following findings should the nurse identify as manifestations of fluid volume deficit? (select all that apply) A. A chest x-ray confirms a diagnosis of left lower lobe pneumonia. "I will take my fluoxetine at bedtime so I can sleep better. 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 actions should the nurse take? A nurse is admitting a client who reports tightness in their chest that radiates to left arm. Planning b. 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. A. 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. Magnesium hydroxide D. d) collaborate with the family. c) gather data from sources. Metformin C. The client has an IV infusion via an infusion pump. Obtain dailty weight and abdominal girth measurements D. Exhibit 1 Nurses' Notes 1100: Client reports fever, chills, cough, and night sweats for past 2 weeks. Which of the following sources of information should the nurse rely on for accurate information about the client? A. 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. ) in the past three months. Family information C. Before examining the client, it is important the nurse completes which nursing actions? Select all that apply. 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. "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. Which of the following statements by the newly licensed nurse indicates a need for further teaching? a. -Passive range-of-motion exercises to lower extremities performed once each day. 6 cm (64 in) tall and weighs 68. 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. The nurse understands that aggressive behavior increases the clients risk factor fora. The client is developing cerebral edema. Simvastatin B. 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. Besides pain management, which of the following interventions should the nurse include in the client's care? A. Which of the following statements by the client indicates understanding of the teaching? A. Because the provider prescribed a cleansing enema for the client, the nurse should prepare the client for the procedure. Abruptio placentae b. Administer a daily multivitamin E. Initial planning is done at time of admission based on the nurse's admission assessment. Exhibits. Select the four findings that require immediate follow-up. Exhibit 2. 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. Exhibit 1 Exhibit 2 Exhibit 3 Exhibit 4 Exhibit 5 Select the 5 findings that require immediate follow-up. - 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. Placenta previa c. 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. 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. As part of the admission, a head-to-chest assessment is indicated. Exhibit 3. Exhibit 1 Nurse's Notes 0930: Provider is admitting client for the management of presumptive bacterial pneumonia. Prepare the client for a cesarean birth. As soon as the client's condition is stable C. Whcih of the following prescriptions shoult the nurse anticipate? (select all that apply) A. 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. 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. Blood glucose level. The nurse should place the client in a left side-lying position with the right knee flexed prior to administering an enema. Expulsion of a blood-tinged mucous plug B. " C. Which of the following over-the-counter medications that the client reports taking should alert the nurse to a potential adverse reaction? A. 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. The client is confrontational with his parents b. gastroesophageal reflux disease (GERD). which of the following actions would be appropriate for the nurse to take? ensure a hand sanitizing station is near the client's room. The nurse shades in a diagram indicating the burned surface areas. Nursing; Nursing questions and answers; The nurse is admitting a client for anger and aggressive behaviors. Lung sounds. Assessing - Chapter 15 - PrepU. Aug 28, 2023 · The nursing assessment includes gathering information concerning the patient's individual physiological, psychological, sociological, and spiritual needs. 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. Ongoing planning is conducted by any nurse caring for the client throughout the nurse-client relationship. What action will the nurse prioritize to identify actual or potential health problems? a) communicate with the primary health care provider. 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. Which client has the highest risk for developing an infection? and more. Droplet C. 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. The client has history of type 2 diabetes mellitus. A nurse is completing an admission assessment for an adolescent client who has depression. Evaluation d. "I should expect relief from depression within 3 to 4 days. Upright positioning D. During the initial team conference D. Ask the client if they understand the provider's plan for the appendectomy. Which of the following steps of the nursing process is the nurse performing when formulating goals for a positive outcome? a. -Feet are warm. in planning the clients care, when should the nurse initiate discharge planning. " b. Medical history D. Airborne precautions 3. Subjective and objective data collection are an integral part of this process. 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. 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. Day 1 1 1 0 0: First Home Care Visit: Client is awake and lying on the sofa. , A client-centered health assessment yields both subjective and objective data. 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. The nurse determines that the fetus is in a transverse lie by performing Leopold maneuvers. The client has dry oral mucous membranes. F. Bradycardia D. A fresh fruit A nurse is assisting with the admission of a client who has cirrhosis. The nurse is admitting a new client. Which of the following is the correct interpretation of this data? A. Electrocardiogram findings. Prepare to assist the care provider with an amniotomy. Study with Quizlet and memorize flashcards containing terms like the nurse is admitting a client who has cryptococcosis pneumonia. B. Client concerns B. What nursing intervention most completely meets the client's needs?, Common problems with planning nursing care include:, Nurse-initiated intervention and more. 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. Study with Quizlet and memorize flashcards containing terms like a nurse is admitting a client who will undergo a craniotomy. Implementation c. The nurse should recognize this finding as an indication of which of the following conditions? a. 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. Pneumonia, particularly when caused by bacterial or viral pathogens, generally involves droplet transmission. At which of the following times should the nurse initiate d/c planning? A. 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 reviews the client's medical record and notes a diagnosis of peripheral artery disease, resulting in autonomic nerve damage. encourage the client to drink 125 ml of fluid each hour while awake b. Fried chicken from a fast food restaurant B. Direct contact B. "I should The nurse is admitting a client in labor. 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. The client is not experiencing a rubella infection at this time B. 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. vmhctvthnuskhevmcxktraxltvjxpjjwzzjpcsfvyktenonojg