A nurse is admitting a client

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