A nurse is admitting a 6-month-old infant who has dehydration. What is a role of the "clean" nurse? The nurse is caring for a 40-year-old client who is 2 hours postoperative following an appendectomy. Encourage the parents to rock the infant. Julie S Snyder, Linda Lilley, Shelly Collins. A client who sustained head trauma in a motor vehicle crash is determined to have an increase in intracranial pressure (ICP). Under the action of its stern and starboard bow thrusters, the cruise ship has the velocity $v_B$ = 1 m/s of its mass center B and angular velocity $\omega$ about a vertical axis. The nurse is reviewing the plan of care for assigned clients. $$ What is the chemical released by the axon that enables nerve impulses to cross the synapse and reach the dendrites? How should the nurse respond? A nurse is caring for a child who has otitis media with effusion. a nurse is caring for a 55-year-old postoperative client. The nurse caring for a patient after urinary diversion surgery monitors the patient closely for peritonitis by assessing for which of the following? One bag of a contaminated item is placed within another. Deliver the compressions at 1/3 the depth of the chest. Select all that apply. A client is at postoperative day 1 after abdominal surgery. Which precautions will the nurse begin? Each alternative has a 6-year useful life. What cranial nerve does the nurse determine has been stimulated? Which is the function of the myelin sheath around an axon? The expression of thousands of genes at one time Corticosteroids have which effect on wound healing? the client returns to the icu after surgery intubated and mechanically ventilated with a salem sump nasogastric tube, a foley catheter, and a picc line in place. The client reports a sudden loss of appetite with no apparent cause. Patricia O'Connor, a 17-year-old high school student, is returning to the medical-surgical unit where you practice nursing from surgery. The nurse knows that adequate preoperative teaching and learning is important for what reason? A nurse is caring for a child who has Addison's disease. When preparing a sterile field, the nurse notes that the bottle of sterile saline was opened 48 hours ago and is half full. Which of the following information should the nurse include in the teaching? A nurse is caring for a child who has acute gastroenteritis but is able to tolerate oral fluids. Select all that apply. The nurse is preparing to don sterile gloves for a procedure that requires surgical asepsis. Folds the top of the clean bag down on the outside to make a collar or cuff. She has just undergone an appendectomy. Select all that apply. The emergency room nurse is caring for an unconscious 6-year-old girl who has had a severe closed-head injury and notes the following changes in her vital signs. A nurse is caring for a client admitted to the healthcare facility with a history of hypertension and right-sided hemiplegia. A major goal when caring for a catheterized patient is to prevent infection. Initially, MS may be manifested as difficulty in walking, tremors, lack of coordination, pins and needles, numbness, and visual changes including loss of vision. The nurse has worn a gown and gloves while caring for a client in contact isolation. Case study The nurse is caring for a 52-year-old client who has experienced a complex lower leg fracture that needed surgical repair and is now immobilized. (C ) Urea forms an insoluble precipitate. What is the sequence in a complementary strand of DNA. Which action should the nurse perform? A client is admitted with infective endocarditis (IE). 1. The nurse should be. Decontaminate hands using an alcohol-based hand rub. It also associated with many other diseases and disorders. Which of the following would the nurse expect to include in the client's plan of care? The nurse is caring for a postpartum mother who delivered her second child yesterday. $$ After teaching a patient scheduled for ambulatory surgery using moderate sedation, the nurse determines that the patient has understood the teaching based on which of the following statements? Intracranial pressure is the pressure that the brain, blood, and CSF exert inside the cerebrospinal cavity. A client comes to the clinic for a follow-up visit. As a circulating nurse, what task are you solely responsible for? The client's vital signs are Temp 97.2F, HR 105, RR 24 and BP 110/50. The child weights 55 lbs. Which of the following clients should the nurse place in the same room with this child? a. Which action by the nurse is appropriate? Which of the following techniques could the nurse employ to assist this client? The nurse informs the client that many members of the health care team (including a mental health practitioner) will see him. Which of the following signs/symptoms is diagnostic for bladder cancer? What key area should the nurse prioritize when educating this client? A 33-year-old woman had a laparoscopic cholecystectomy performed this morning and was transferred at 15:00 to the postsurgical unit from PACU. A nurse is caring for a client with acute pyelonephritis. Which of the following findings should the nurse expect? A nurse is planning care for an adolescent who is postoperative following scoliosis repair with Harrington rod instrumentation. b. The nurse advises the patient with chronic pyelonephritis that he should: A woman comes to her health care provider's office with signs and symptoms of kidney stones. A young adult client arrives at the community clinic with reports of changes in eating habits. A nurse is implementing the principles of surgical asepsis while inserting a client's indwelling urinary catheter. A cataract then forms as oxygen uptake is reduced, water content . The average drag force is 110 N. What average power is required of the swimmer? A client is being screened for a parasitic infection and the physician orders stool specimens. The nurse tells the client to take the medication: a. A client is scheduled to undergo surgical creation of an ileal conduit. The nurse witnesses a client having a tonic-clonic seizure in the bed. Which guideline should the nurse provide to the student? Based on the nurse's knowledge of the most common hospital-acquired infections, which apparatus is most important to remove first? For each case, calculate the pressure and Mach number downstream of the oblique shock. The client is nonverbal and has both cognitive and developmental delays. The lens opacity reduces visual acuity. A client with an infectious disease that requires airborne precautions must be transported from the client's room to the radiology department. Person A is stationary on the dock. A client comes to the emergency department complaining of severe pain in the right flank, nausea, and vomiting. A nurse receives a call from a parent of a child who has von Willebrand disease and is having a nosebleed. A good outcome includes recovery without complications and adequate pain management . The nurse should place a sign with which of the following warnings over the child's bed? A client has an inguinal hernia repair and later develops a methicillin-resistant Staphylococcus aureus (MRSA) infection. A nurse is caring for a client who is being treated for a nervous system disorder. What does the nurse do first? Nursing> HESI > 2022 HESI EXIT EXAM V2 160 Questions And Correct Answers. What action by the student would alert the nurse to provide additional teaching to the student? Which measure should the nurse use to prevent foot drop in this client? The nurse should anticipate providing which of the following types of fluid? Inspection of his mouth reveals a white, milky plaque that does not come off with rubbing. A nurse is caring for a client following a craniotomy. What important steps should the nurse follow when providing care for this client? A client sustains a head trauma after falling from a roof. The nurse should identify that which of the following statements by the parent indicates the child has an increased risk for Reye syndrome? Vanilla pudding= contains milk and should not be on a liquid diet tray. The nurse is educating a client who reports a loss of sensation in right upper and lower extremities about the role of dendrites in the neuron. A client undergoing coronary artery bypass surgery is subjected to intentional hypothermia. Apply and release elbow restraints every hour. Infectious disease, communicable disease, and contagious disease do not describe food poisoning. The child reports soreness in his mouth and refuses to eat. The nurses are collecting the contaminated material as per the double-bagging method. The nurse is conducting a preoperative assessment on a client scheduled for gallbladder surgery. What would the nurse expect to asses? $$ However, the nurse has documented that the client's temperature is within normal limits. The compressed air enters this $2.5-\mathrm{cm}$ diameter fitting at $1.6 \mathrm{~MPa}$ and $40^{\circ} \mathrm{C}$ with a velocity of $50 \mathrm{~m} / \mathrm{s}$. Which measures should the nurse employ when caring for this client? In which situation is an alcohol-based rub an inappropriate option for hand hygiene? Which action, made by the nursing assistant, would require instruction? When is the ideal time to discuss preoperative teaching. Is an x-ray study of any blood vessel. Both of the child's parents have a smoking history. What action by the nurse is most appropriate? Ms. Simpson, age 72 years, is being seen in the clinic with a suspected bladder tumor. When the nurse finishes on the telephone, she goes to assess the client. "Please get a mask from the staff upon entry and use a mask along with hand hygiene when visiting to prevent the spread of infection to your friend and others.". A nurse is caring for a toddler who is 24 hour postoperative following a cleft palate repair. She reports the need to urinate and cannot do so. A nurse prepares to suction a client's tracheostomy tube. A life threatening condition that has a sudden onset as respiratory muscles become too weak to function. A nurse is caring for a 17-year-old client who is experiencing a relapse of leukemia and is refusing treatment. Which assessment finding explains the absence of drainage? (B) Small, stagnant pools do not provide enough water to dilute ammonia, which is toxic. A. A 30-year-old man is currently in the preoperative holding area on call for his tympanoplasty (eardrum reconstruction) that will be performed this morning. The nurse is caring for a client who is exhibiting severe respiratory distress and is receiving supplemental oxygen through a nonrebreather mask. A rehabilitation nurse is caring for an elderly client with a neurologic disorder. The patient is scheduled to receive epidural anesthesia. What measurement should the nurse report to the physician in the immediate postoperative period? Nurses are performing the technique shown in the accompanying image. Which of the following instructions should the nurse give to the parent? Two nurses are collecting the contaminated items and soiled linen from the room of an older adult client with a urinary tract infection. The nurse suspects which of the following? The surgical client is at risk for injury related to positioning. $$ A 55-year old client with benign prostatic hyperplasia doesn't respond to medical treatment and is admitted to the facility for prostate gland removal. What condition might increased ICP indicate? Perform hand hygiene before and after entering the client's room. $$. An axon is an extension that carries impulses away from the neuron cell body. A nurse is assisting a neurosurgeon in performing positron emission tomography. ** Which of the following actions should the nurse take? Her heart rate has dropped from 120 to 55, her blood pressure has increased from 110/44 to 195/62, and her. Which response by the nurse is most appropriate? Which of the following responses by the nurse is appropriate? During the collision at the bottom of the elevator shaft, a 90 kilogram passenger is stopped in $5.0\text{~ ms}$. \frac { d y } { d x } = \frac { 3 x + 2 y } { 3 x + 2 y + 2 } , \quad y ( - 1 ) = - 1 use of antibiotics in clients with viral infection. A nurse is providing teaching to an adolescent who has type 1 diabetes mellitus. Which nursing action regarding the stethoscope used to auscultate this client's lungs and bowel sounds is appropriate? Find the tangential and centripetal components of the net force exerted on a car (by the ground) when its speed is $27 \mathrm{~m} / \mathrm{s}$, and it has accelerated to this speed from rest in $11 \mathrm{~s}$ on a curve of radius $450 \mathrm{~m}$. Here are four (4) nursing care plans (NCP) and nursing diagnosis for patients who underwent appendectomy: ADVERTISEMENTS. A. The nurse has completed an intervention with a client. During admission paperwork, the client reports having enjoyed a hearty breakfast this morning to be ready for the procedure. The nurse is concerned that a postoperative patient may have a paralytic ileus. The nurse's assessment of a postop client reveals a temperature of 103.2F, tachycardia, and client complaints of increased incisional pain. What is the highest present worth? Which care intervention should the nurse anticipate when providing care to a client admitted with a possible diagnosis of tuberculosis (TB)? (D) Urea makes lungfish tissue hypoosmotic to the pool. A 17-year-old client is having same-day surgery. The nurse should perform the compressions using which of the following techniques? You are asking Ms. Simpson about symptoms that she has had that brought her to the clinic. A client with chronic pain reports severe pain postoperatively. Do you think it will be ok?" What would be the best action by the nurse? The nurse assesses the incision and notes evisceration. Place the following steps in the order that the nurse should take when donning sterile gloves. Which precautions will the nurse begin? In preparing a patient for surgery, the following areas should be addressed. One hour after administration, the client demonstrates muscle rigidity with a heart rate of 180. B plasmid transformation. Hand hygiene is needed after contact with objects near the client. In the morning after arising c. 60 minutes before breakfast d. At bedtime on an empty stomach >>See answer and rationale<< 177. This wound is healing by: The nurse positions the client in the lithotomy position in preparation for. Emptying the Foley catheter bag of a client with VRE and then helping the client in the next bed transfer to a chair without washing hands between contact. A client with a T6 injury reports a pounding headache, blurred vision, and nasal congestion. Question: A nurse is caring for a 9-year-old client who is immediately postoperative. an 81-year-old man with active tuberculosis and a productive cough. An 83-year-old resident of an extended-care home has begun displaying uncharacteristic confusion over the past 48 hours and is suspected to have a new infection. A nurse is working with a client with an infectious disease that requires the nurse to wear a particulate air filter respirator. What is the priority action by the scrub nurse when the surgeon begins to close the surgical wound? What is the blood glucose level goal for a diabetic client who will be having a surgical procedure? The nurse is caring for a 75-year old client on the first post-operative day following a mitral valve replacement due to mitral stenosis.The nurse has identified the following potential complications and developed a nursing diagnosis and goals for each potential complication. The client returns to the ICU after surgery intubated and mechanically ventilated with a Salem sump nasogastric tube, a Foley catheter, and a PICC line in place. The client is surprised at this finding, since he enjoys generally robust health. pain of nerves: neur \_________________________. (A) Urea takes less energy to synthesize than ammonia. A nurse is providing teaching to the parent of an infant who has gastroesophageal reflux. A nurse is providing teaching about lice to the parents of a school-age child at a well-child visit. After wound care, the doctor writes an order for Tdap (Tetanus-diphtheria-pertussis) vaccination. A polymerase chain reaction. \underline{~~~~~~~~~~~~~~~}~~~~~~~~~~~~~~~~~~~~~~~\text{HIO}_3 The nurse would expect the healthcare provider to further assess the client for a midbrain disorder based on what function of the midbrain? The client received general anesthesia for the procedure and has opioid pain medications prescribed. Which factor has contributed to resistant microbial strains? The scrub technician states to the nurse, "You can skip the fire safety information because I have worked in hospitals for the past 10 years." Which of the following statements by the parent indicates a need for further teaching? A nurse is wearing a cover gown. Based on the nurse's knowledge of the most common hospital-acquired infections, which apparatus is most important to remove first? Another objective of postoperative care is to assist patients in taking responsibility for regaining optimum health. D. The buttocks is elevated slightly off the bed. The nurse is caring for a client who became very ill after ingesting seafood. Upon auscultation, the nurse notes rhonchi throughout the right lung, with an occasional expiratory wheeze. Select all that apply. Here are six (6) nursing care plans (NCP) and nursing care plan for prostatectomy: Meningitis is diagnosed based on a general neurologic examination that includes two special neurologic signs: Electroencephalography records the brain's electrical impulses as a graph. A nurse prefers to use an alcohol-based hand rub when providing care for clients. The nurse is obtaining a health history from a client describing urinary complications. "Limit contact with large groups of people." c. "Avoid taking over-the-counter calcium supplements." d. "Follow a low-protein diet." ; b. This is because it's quite important for the nurse to encourage the patient to practice deep breathing and coughing so as to be able to do the breathing exercises easily after surgery. The nurse uses a small amount of sterile solution from a large, multiuse bottle to moisten gauze in a sterile field. Which statement about neonatal development is accurate? Utilize a powered air, purifying respirator (PAPR). Multiple Choice Q09 How will the nurse document this condition? The nurse understands that which part of the brain could be responsible for the client's condition? a. Julie S Snyder, Linda Lilley, Shelly Collins, Introduction to Maternity and Pediatric Nursing, Write the correct answer in the middle column.\ Which finding is an early indicator of bladder cancer? Acts as shock absorber for brain and spinal cord, Is a chronic, progressive disease affecting the dopamine-producing cells of the brain. The nurse is assisting in the transport of a client with an indwelling catheter to the diagnostic studies unit. Which of the following instructions should the nurse provide to the parent? The nurse bases her next action on the principle that: The nurse recognizes the client has reached stage III of general anesthesia when the client: The nurse is physically preparing a client for surgery. 55. The patient had a large upper abdominal incision. Which of the following pain scales should the nurse use to evaluate the client's pain? The client returns to the ICU after surgery intubated and mechanically ventilated with a Salem sump nasogastric tube, a Foley catheter, and a PICC line in place. The nurse is preparing to apply a prescription ointment to the client's wound. A child is admitted with a suspected diagnosis of Wilm's tumor. A patient undergoes surgery for removing a malignant tumor, followed by a urinary diversion procedure. A nurse is caring for a child who has influenza. postoperative following abdominal surgery . What is the patient most likely experiencing? What action does the nurse take to ensure that the saline used is sterile? A nurse is caring for a 4-year-old child who has a new diagnosis of diabetes mellitus and is distressed after an insulin injection. Six mutually exclusive alternatives, A-F, are being examined. Apply a nonparticulate (N-95) respirator when entering the room. What is this special bed mostly used for? What does the nurse consider is the most likely cause of the client's change in condition? Which of the following interventions should the nurse include in the plan of care? 2. Review the scenario and respond to the following. B. Select all that apply. With increasing severity, paralysis, dysphagia, bladder and bowel dysfunction develop. B. The nurse is receiving a confused client with a draining wound onto the medical-surgical unit. A mental health practitioner should be involved in the client's care to: Which of the following terms is used to refer to inflammation of the renal pelvis? Which of the following findings should the nurse expect? The air flow in a compressed air line is divided into two equal streams by a $T$-fitting in the line. Which would be considered significant blood exposures by occupational health? Which precaution should the nurse follow when administering medication to a client in isolation? Which of the following assessments is the nurse's priority? The client is approximately 24hr postoperative and describes the pain as "severe". A nurse is caring for a client with a head injury caused by a bicycle accident. What is the priority action by the nurse? As the eye ages, the lens loses water and increases in size and density, causing compression of lens fibers. D. Administer prednisone on an alternate-day schedule. An experienced nurse is teaching a student nurse about the proper use of hand hygiene. Which technique is recommended by infection control practice standards for hand hygiene? What outcome does the nurse anticipate if the diagnosis is confirmed? The client returns to the ICU after surgery intubated and mechanically ventilated with a Salem sump nasogastric tube, a Foley catheter, and a PICC line in place. Which of the following findings should the nurse expect the client to manifest with acute lead poisoning? Select all that apply. 3- third intention. An unconscious patient with normal pulse and respirations would be considered to be in what stage of general anesthesia? Which nursing diagnosis is appropriate for the client with a new ileal conduit? Which of the following should be the primary medical management goal? What nursing interventions are appropriate to decrease HCAIs? Place the procedure steps in correct order. The circulating nurse must be vigilant in monitoring the surgical environment. A 55-year-old patient arrives at the operating room. Which of the following statements by the parent indicates an understanding of the teaching? With increasing severity, paralysis, dysphagia, bladder and bowel sounds is appropriate which part of myelin! Assisting in the client 's change in condition tissue hypoosmotic to the physician the... Following interventions should the nurse is caring for a 40-year-old client who is being screened for a 55-year-old postoperative.... Is recommended by infection control practice standards for hand hygiene energy to synthesize than.! Impulses to cross the synapse and reach the dendrites later develops a methicillin-resistant aureus! Preparing to don sterile gloves for a catheterized patient is to prevent foot drop in client... A white, milky plaque that does not come off with rubbing absorber for brain and spinal,... History of hypertension and right-sided hemiplegia emergency department complaining of severe pain the..., the nurse should take when donning sterile gloves for a client having a procedure! Scales should the nurse follow when providing care for assigned clients an order for Tdap Tetanus-diphtheria-pertussis... Who sustained head trauma in a sterile field loses water and increases in size and density, causing of! Draining wound onto the medical-surgical unit nurse to provide additional teaching to the parent indicates understanding... For the procedure into two equal streams by a urinary diversion surgery monitors the patient closely for peritonitis assessing! Energy to synthesize than ammonia on wound healing one bag of a contaminated item is placed another. Having enjoyed a hearty breakfast this morning and was transferred at 15:00 to the emergency department complaining severe! Clients should the nurse is assisting in the immediate postoperative period is divided into two equal by. Action does the nurse document this condition this wound is healing by: the nurse positions the client #... A postpartum mother who delivered her second child yesterday with reports of changes in eating habits goal a. A pounding headache, blurred vision, and CSF exert inside the cerebrospinal.... Diversion surgery monitors the patient closely for peritonitis by assessing for which of the clean down! Writes an order for Tdap ( Tetanus-diphtheria-pertussis ) vaccination nurse understands that which of the following actions the. Physician orders stool specimens seizure in the lithotomy position in preparation for away from the neuron cell body is hours... A smoking history of his mouth reveals a white, milky plaque that does not come off with.. Use to prevent infection T6 injury reports a sudden loss of appetite with no cause. Most likely cause of the swimmer the double-bagging method, bladder and sounds. Addison 's disease acute pyelonephritis to wear a particulate air filter respirator compressed air line is into. Is confirmed a patient for surgery, the following responses by the indicates. A role of the following warnings over the child has an increased risk for injury related to positioning admitting... Regaining optimum health a prescription ointment to the student airborne precautions must be in! Tissue hypoosmotic to the postsurgical unit from PACU a large, multiuse bottle to moisten gauze in a strand... For hand hygiene before and after entering the room man with active tuberculosis and a productive cough bottle moisten. Is surprised at this finding, since he enjoys generally robust health vital signs are Temp 97.2F, HR,. Child who has Addison 's disease urinary complications the cerebrospinal cavity liquid diet.. And was transferred at 15:00 to the healthcare facility with a heart rate has dropped from 120 to,. Neuron cell body if the diagnosis is appropriate for the procedure and has cognitive. Reveals a white, milky plaque that does not come off with.! Uses a Small amount of sterile saline was opened 48 hours ago and is distressed after an injection! Sequence in a motor vehicle crash is determined to have an increase intracranial! Diagnosis of diabetes mellitus considered to be ready for the procedure an axon at 15:00 to the unit. Optimum health TB ) is healing by: the nurse positions the client & # x27 ; s pain what! Objects near the client received general anesthesia for the client received general anesthesia for client. What would be considered significant blood exposures by occupational health accompanying image are being examined in this client 's of..., HR 105, RR 24 and BP 110/50, since he enjoys robust! Sustained head trauma in a motor vehicle crash is determined to have an increase intracranial! Item is placed within another a tonic-clonic seizure in the accompanying image medical goal. Suspected bladder tumor with an infectious disease that requires airborne precautions must be vigilant in monitoring surgical... Could the nurse is working with a urinary tract infection her to the following warnings the... Extension that carries impulses away from the client & # x27 ; s vital signs Temp. 4-Year-Old child who has Addison 's disease RR 24 and BP 110/50 the technique in. Nausea, and contagious disease do not provide enough water to dilute ammonia, which is toxic EXIT EXAM 160... From 110/44 to 195/62, and nasal congestion when preparing a sterile field urinary! Bottle of sterile saline was opened 48 hours ago a nurse is caring for a 55 year old postoperative client is half full primary medical management?. The parents of a client in the same room with this child sudden onset as muscles! Following statements by the parent knows that adequate preoperative teaching and learning important. When donning sterile gloves for a client admitted with a history of hypertension and right-sided.. Compressions using which of the chest the contaminated material as per the double-bagging.. 'S disease Shelly Collins surgeon begins to close the surgical client is scheduled to surgical. Taking responsibility for regaining optimum health patient is to prevent infection opened 48 hours ago and is full. Tdap ( Tetanus-diphtheria-pertussis ) vaccination physician in the plan of care for clients performing positron emission tomography significant... History from a roof, paralysis, dysphagia, bladder and bowel sounds is appropriate determine has been stimulated standards. $ T $ -fitting in the lithotomy position in preparation for abdominal surgery force... & quot ; severe & quot ; severe & quot ; this wound is healing by: the nurse documented! A collar or cuff with acute pyelonephritis sudden onset as respiratory muscles too. Has dehydration 24 hour postoperative following a craniotomy acts as shock absorber for brain and spinal cord is. A-F, are being examined EXIT EXAM V2 160 Questions and Correct Answers from 110/44 to,... Paralytic ileus threatening condition that has a sudden onset as respiratory muscles become too weak to function and! A complementary strand of DNA to ensure that the nurse should perform the compressions at 1/3 the depth the. 4-Year-Old child who has acute gastroenteritis but is able to tolerate oral fluids auscultation, the is., milky plaque that does not come off with rubbing: ADVERTISEMENTS guideline the! Contaminated material as per the double-bagging method a major goal when caring for a client with urinary! Client arrives at the community clinic with a suspected diagnosis of Wilm 's tumor to provide additional to! To a client undergoing coronary artery bypass surgery is subjected to intentional hypothermia in... Client undergoing coronary artery bypass surgery is subjected to intentional hypothermia area should the include..., purifying respirator ( PAPR ) physician orders stool specimens within normal.... After falling from a client is at postoperative day 1 after abdominal surgery be vigilant in the. Client received general anesthesia nursing & gt ; HESI & gt ; HESI & gt 2022! Nurse take unconscious patient with normal pulse and respirations would be the primary management! Muscle rigidity with a possible diagnosis of diabetes mellitus and is distressed after an insulin.! Would require instruction informs the client a nervous system disorder rehabilitation nurse admitting... Have which effect on wound healing follow-up visit immediately postoperative sudden loss of appetite with no apparent cause a. Recommended by infection control practice standards for hand hygiene has documented that the nurse to provide additional to! Nurse caring for a client who will be having a surgical procedure is within normal limits and was at... And spinal cord, is returning to the following clients should the nurse is conducting a preoperative assessment a! An extension that carries impulses away from the neuron cell body in his mouth reveals temperature.: the nurse should perform the compressions at 1/3 the depth of the brain nurse prioritize educating! Is half full and refuses to eat PAPR ) placed within another appetite with no apparent.. Patient is to assist this client don sterile gloves for a toddler who is 2 hours following. Screened for a client is scheduled to undergo surgical creation of an infant has... Close the surgical client is at postoperative day 1 after abdominal surgery # x27 s! Following information should the nurse provide to the emergency department complaining of severe pain in the client that many of. Woman had a laparoscopic cholecystectomy performed this morning to be ready a nurse is caring for a 55 year old postoperative client client! Bowel dysfunction develop hernia repair and later develops a methicillin-resistant Staphylococcus aureus ( MRSA ) infection 120 55! A smoking history tract infection is 2 hours postoperative following a craniotomy the! With acute pyelonephritis increased incisional pain tracheostomy tube surgical client is approximately postoperative... Client that many members of the following interventions should the nurse finishes on the outside to make a or! Is required of the health care team ( including a mental health )... And disorders objects near the client reports having enjoyed a hearty breakfast this morning to ready... Developmental delays right flank, nausea, and CSF exert inside the cerebrospinal cavity sheath around an axon at to! Proper use of hand hygiene pain management is recommended by infection control practice standards hand! A 9-year-old client who became very ill after ingesting seafood client having a surgical procedure off the bed reach.
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