Which statements made by the client demonstrates the education provided was effective? Which of the following actions should the nurse take? Select all that apply. What does the nurse consider is the most likely cause of the client's change in condition? Instruct the patient care technician (PCT) to obtain a set of vital signs 3. Round to the nearest mL. A rehabilitation nurse is caring for an elderly client with a neurologic disorder. Neurons make up a nerve. Select all that apply. African lungfish, which are often found in small, stagnant pools of fresh water, produce urea as nitrogenous waste. What is the nurse's next action? A nurse is caring for a 2-month-old infant who is postoperative following repair of a cleft lip and palate. A. A nurse is assessing an adolescent who has an exacerbation of Graves' disease. The nurse is providing postoperative care to a client with lung cancer who had a partial pneumonectomy. What technique does the nurse use? "Encourage your child to avoid sharing hats with other children.". While assessing the client, the nurse notes that the bag attached to the mask is deflated. Person A is stationary on the dock. B. Two nurses are working together to double-bag some contaminated items from the room of a client in isolation. She reports the need to urinate and cannot do so. What condition might increased ICP indicate? Which of the following precautions should the nurse initiate? 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 client sustains a head trauma after falling from a roof. This wound is healing by: 1- first intention. What is the sequence in a complementary strand of DNA. 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. What nursing interventions are appropriate to decrease HCAIs? You know that this client's anxiety can cause problems with the surgical experience. Avoid touching the outer surfaces of the gown. When determining that the traction is appropriately assembled, the nurse should observe which of the following? The visitor states, "I need to directly hold my loved one's hand without a barrier." What clinical assessment should the nurse conduct to see whether the nervous system is working properly? The nurse is caring for a client who became very ill after ingesting seafood. Examination of a client's bladder stones reveal that they are primarily composed of uric acid. A nurse is administering moderate sedation to a client with chronic obstructive pulmonary disease (COPD). The nurse informs the client that many members of the health care team (including a mental health practitioner) will see him. The nurse should instruct parents to bring their children back for rescreening in a year for which of the following laboratory values? A client is admitted with infective endocarditis (IE). 1. an 81-year-old man with active tuberculosis and a productive cough. The total distance between stations is $900 \mathrm{~m}$. c) The magma formed some crystals before rising closer to the surface and solidifying.\ The neuron is the basic structural and functional cell of the nervous system. What would the nurses include in the teaching plan? A client is undergoing thoracic surgery. Teach the parents about cortisol replacement therapy. C. "I give my child aspirin to reduce his fever.". Which nursing action is a component of medical asepsis? A post op client reports severe abdominal pain. There is no visible soiling on the nurse's hands. $$ Apply a nonparticulate (N-95) respirator when entering the room. Which nursing action carries the greatest likelihood of contributing to the spread of vancomycin-resistant enterococci (VRE)? Which statement about neonatal development is accurate? Which of the following would the instructor include in this plan about these agents and this type of anesthesia? The nurse understands that which part of the brain could be responsible for the client's condition? (Select all that apply.). x == 5 || y > 3. 100% Correct (All) 1.The nurse is assessing a healthy child at the 2 year check up. Which assessment finding requires immediate nursing intervention? (A) Urea takes less energy to synthesize than ammonia. Select all that apply. What is the primary action taken by the nurse? 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. Following percutaneous nephrolithotomy, the client is at greatest risk for which nursing diagnosis? The nurse is concerned that a postoperative patient may have a paralytic ileus. Each time symptoms reappear, they are more severe and of longer duration. The colleague has established the sterile field and is pouring out normal saline into a sterile container, as seen in the picture above. Approximately how many feet from others should the nurse tell the client to maintain? A client with cancer has been receiving chemotherapy for the past few weeks. Inspection of his mouth reveals a white, milky plaque that does not come off with rubbing. A cataract is an opacity of the lens that distorts image projected onto the retina and that can progress to blindness. At this point in the patient's recovery, what are the nursing priorities? The car's mass is $1150 \mathrm{~kg}$. The vital sign values that most support the nurse's analysis are: A patient has reported to the preadmission clinic in anticipation of her scheduled hysterectomy and oophorectomy. Deliver the compressions at 1/3 the depth of the chest. Which of the following responses should the nurse make? Adult Health - Gastrointestinal. The patient is scheduled to receive epidural anesthesia. 3. A nurse receives a call from a parent of a child who has von Willebrand disease and is having a nosebleed. What measures would the nurse take to protect against spreading infection while overseeing the transport of this client? Select the stage during which the OR nurse knows not to touch the patient (except for safety reasons) because of possible uncontrolled movements. Use a sterile cotton-tipped applicator to apply the prescription to the site. A nurse is caring for a client who is diagnosed with increased intracranial pressure (ICP). A nurse is providing teaching to a parent of a child who has Hirschsprung disease and is scheduled for initial surgery. Nurses' Notes 1300: Client reports intermittent abdominal pain as 5 on a scale of 0 to 10 on left side of abdomen. Which of the following findings should the nurse expect? What is the priority action by the scrub nurse when the surgeon begins to close the surgical wound? This increase in pressure can cause the delicate structures to be moved, damaged, or destroyed. The primary nurse educates the client about surgery and the postoperative period. Routine nasal and rectal swabbing of a newly admitted hospital client has come back positive for methicillin-resistant Staphylococcus aureus (MRSA), indicating that the client is colonized with MRSA. Apply a topical corticosteroid ointment to the affected area. Which of the following play activities should the nurse recognize is therapeutic in helping the child deal with the injection? Immediately after any potential or actual injury to the brain, a neurologic evaluation should be done. Two nurses are collecting the contaminated items and soiled linen from the room of an older adult client with a urinary tract infection. Stop the procedure, remove damaged gloves, perform handwashing, and put on new sterile gloves. Which factor has contributed to resistant microbial strains? A nurse is caring for an infant who has a tracheoesophageal fistula. The nurse is caring for a college student with meningococcal meningitis. D. Administer sodium biphosphate/sodium phosphate. The nurse is preparing to don sterile gloves for a procedure that requires surgical asepsis. The client's vital signs are Temp 97.2F, HR 105, RR 24 and BP 110/50. What is the cause of the infection? Which of the following instructions would the nurse give the client? A nurse is caring for a school-aged child who has a systemic disorder and is receiving antibiotics, immunosuppresants, and corticosteroids. D DNA microarrays. When a client with a history of chronic alcoholism is admitted to the hospital for surgery, the nurse anticipates that the client may show signs of alcohol withdrawal delirium during which time period? The client has had only 30 ml urine output since arriving to the Menses usually resume within 3 months following injury. Which type of transmission precautions should the nurse follow when caring for the client? A nurse is caring for a client in the PACU after surgery requiring general anesthesia. \frac { d y } { d x } = \frac { 3 x + 2 y } { 3 x + 2 y + 2 } , \quad y ( - 1 ) = - 1 She is concerned her newborn will develop the disease. What is the nurse's best action while observing the colleague perform the task? The nurse is caring for a client admitted to the hospital after sustaining a severe head injury. The nurse cannot auscultate bowel sounds and notes the client's abdomen is rigid. Nursing assessment findings reveal urinary output < 30 ml/hr, tachycardia, tachypnea, decreased hemoglobin, and acute confusion. A nurse is admitting a 6-month-old infant who has dehydration. The velocity of B is constant, but the angular rate is decreasing at 0.5 deg/s$^2$. 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}$. A nurse is caring for a toddler who has a fractured right femur and is in Bryant traction. The nurse knows that adequate preoperative teaching and learning is important for what reason? The client becomes upset stating, "You did not wash your hands!" A group of nursing students is reviewing the various white blood cells and how they function in infection. Perform hand hygiene before and after entering the client's room. a. What should the nurse observe for in the client during the procedure? Nursing care planning and management for patients who underwent appendectomy includes: preventing complications, promoting comfort, and providing information. What is the nurse's priority action? How will the team proceed with care? You are doing a preoperative assessment on a patient going to surgery. The nurse has administered the preanesthetic as ordered. Move the bed to various places in the room or periodically rearrange the furnishings in the room. 55. The nurse should apply which of the following types of restraints for this infant? The nurse is assisting a colleague with wound care. The nurse takes the opportunity to teach the family member about preventing the spread of the cold. The client's vital signs are Temp 97.2F, HR 105, RR 24 and BP 110/50. The nurse is assessing a client who presented to the clinic reporting migraine headaches. ** Find the velocity of the air at the outlets and the rate of change of flow energy (flow power) across the $T$-fitting. What would be the best action by the nurse? The nurse is reviewing the medical record and notes that the patient has a history of osteoporosis in her lower back and hips. Question: A nurse is caring for a 9-year-old client who is immediately postoperative. Which is the function of the myelin sheath around an axon? AKA Spinal tap, involves the insertion of a hollow needle with a stylet (guide) into the subarachnoid space of the lumbar region of the spinal canal. When the nurse finishes on the telephone, she goes to assess the client. The nurse is caring for a postoperative client who has a Kock pouch. With 8 oz of milk b. Dendrites are short, highly branched extensions of the cell body. During routine assessment, the nurse notes the previously stable client now appears anxious, apprehensive, and has a blood pressure of 90/56. During the interview, the client states, "Sometimes when I have to urinate I can't control it, and do not reach the bathroom in time." Her heart rate has dropped from 120 to 55, her blood pressure has increased from 110/44 to 195/62, and her. The primary nurse educates the client about surgery and the postoperative period. A client has an inguinal hernia repair and later develops a methicillin-resistant Staphylococcus aureus (MRSA) infection. One hour after administration, the client demonstrates muscle rigidity with a heart rate of 180. \text{ClO}^-~~~~~~~~~~~~~~~~~~~~~~~~~~~~~\underline{~~~~~~~~~~~~~~~} Select all that apply. Con sider a hypot hetic al case in which the charge on a proton is twice that of an electron. Which of the following clinical manifestations should the nurse expect? A nurse is caring for a 55-year-old postoperative client. The client is approximately 24hr postoperative and describes the pain as "severe". The client is preparing for cerebral arteriogram and makes the following statements. Microorganisms present on the human body without host interference or interaction refers to: A nurse is working in a hospital in which a client has been admitted with pulmonary tuberculosis. Which of the following measures should the nurse employ when providing postoperative care for this client? (Select all that apply.). b) The rock solidified at great depth.\ Which of the following instructions should the nurse provide the parents regarding administration of this medication? Which of the following instructions should the nurse give to the parent? A nurse is caring for a client with acute pyelonephritis. A nurse is planning care for an adolescent who has scoliosis and requires surgical intervention. **Complete the medical term, based on its meaning as provided. What important measure should the nurse take when providing postoperative care for this client? The client reports a sudden loss of appetite with no apparent cause. A patient is in the operating room for surgery. B plasmid transformation. Infectious disease, communicable disease, and contagious disease do not describe food poisoning. The nurse should perform the compressions using which of the following techniques? The nurse should place a sign with which of the following warnings over the child's bed? What health teaching will the nurse share with the visitor? The nurses are collecting the contaminated material as per the double-bagging method. The nurse reviews principles of infection prevention during yearly safety training. Which is the nurse's best action? A nurse is caring for a 55-year-old postoperative client. $$ Hand hygiene is needed after contact with objects near the client. An older adult hospitalized client develops severe diarrhea from gram-negative rods that compromised the normal flora of the bowel. The client reports a frequent cough producing green sputum for 3 days and denies fever. A nurse is caring for an infant who has gastroesophageal reflux. They have not been fitted an N95 respirator. Record your answer using a whole number. C. Provide a passive range of motion three times a day. Which of the following manifestations should indicate to the nurse that the child's appendix is perforated? How should the nurse respond? Air flowing at 40 kPa, 210 K, and a Mach number of 3.4 impinges on a two-dimensional wedge of half-angle $8^{\circ}.$ Determine the two possible oblique shock angles, $\beta_{\text {weak}}$ and $\beta_{\text {wrong}}$ that could be formed by this wedge. When preparing a sterile field, the nurse notes that the bottle of sterile saline was opened 48 hours ago and is half full. The nurse is caring for a client who has active tuberculosis (TB) and is in Airborne Precautions. A nurse is caring for a client following a craniotomy. When removing the protective gown, the nurse should take which action? The nurse identifies the vector of this infection as: Julie S Snyder, Linda Lilley, Shelly Collins, Medical Terminology: Learning Through Practice. Which nursing action is appropriate? A nurse is caring for a client with streptococcal pneumonia. $$ An axon is an extension that carries impulses away from the neuron cell body. Hemiplegia - half the body (right to left). The nurse is caring for a client scheduled for removal of a pituitary tumor using the transsphenoidal approach. B. The nurse knows what to be true of fever in young children? A nurse is providing health promotion teaching to the parents of an infant. postoperative following abdominal surgery . Which client has the highest risk for developing an infection? 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 most important thing the nurse can do to prevent the client with HIV from acquiring the upper respiratory infection? Which could be the consequence of an injury close to where the brain and spinal cord connect? Both of the child's parents have a smoking history. 2. Based on this information, what type of precautions should the nurse initiate and review the procedures with staff members? The client is receiving 0.9% normal saline at 75 mL/h, has a nasogastric tube to low wall suction with 200 mL every 8 hours of light yellow fluid, and a wound drain with 50 mL of dark red drainage every 8 hours. The client is ready for rewarming procedures. Which of the following drug classifications may cause respiratory depression from an associated electrolyte imbalance during anesthesia? Select all that apply. Which nursing diagnosis is appropriate for the client with a new ileal conduit? The nurse should prepare to administer: A patient with renal failure is scheduled for a surgical procedure. Which of the following actions should the nurse take? A nurse is providing teaching to an adolescent who has type 1 diabetes mellitus. The nurse is reinforcing education for a female client paralyzed from a spinal cord injury (SCI). The client has a history of anxiety, depression, high blood pressure, and exercise-induced asthma. A client comes to the clinic for a follow-up visit. Which of the following statements should the nurse make? Which of the following is the appropriate response to the statement, "I'm so nervous about my surgery"? The nurse is caring for a 40-year-old client who is 2 hours postoperative following an appendectomy. The nurse has completed an intervention with a client. A nurse is planning care for a 10-month-old infant who is 8 hr postoperative following cleft palate repair. Select all that apply. Which finding is an early indicator of bladder cancer? A client had her nares and perineum swabbed for pathogens upon admission to the hospital and the results indicate that the client has been colonized with an antibiotic-resistant microorganism. A nurse is caring for a 2-month-old infant who is postoperative following surgical repair of a cleft lip. Meningitis is an inflammation of the meninges, the membranes that cover the brain and the spinal cord. can be followed using A client is at postoperative day 1 after abdominal surgery. Edwin F. Bartholomew, Frederic H. Martini, Judi L. Nath, Essentials of Human Anatomy and Physiology, Charles Welsh, Cynthia Prentice-Craver, David Shier, Jackie Butler, Ricki Lewis. The nurse is summoned to a client's hospital room when an unlicensed assistive personnel observes the client begin to have a seizure. A school nurse is assessing an adolescent who reports feeling shaky and is having difficulty speaking and concentrating on the questions the nurse is asking. A nurse is caring for a postoperative patient on POD 2. The child weights 55 lbs. $$ A nurse is working with a 55-year-old woman diagnosed with human immunodeficiency virus (HIV). The nurse is caring for a 6-year-old who is postoperative open right tibial fracture reduction with cast placement. The nurse understands that which part of the brain is responsible for the client's condition? Cephalgia (Headache) is one of the most common symptoms of a neurologic disorder. A bearded nurse needs to assess the condition of a client with pulmonary tuberculosis (TB). A) Flashing lights in the visual field Which measure should the nurse use to prevent foot drop in this client? A nurse is planning care for an adolescent who is postoperative following scoliosis repair with Harrington rod instrumentation. Which client action indicates an accurate understanding of this information? Which of the following clinical manifestations exhibited by the client would indicate the goal was met of avoiding injury? A nurse is providing teaching about lice to the parents of a school-age child at a well-child visit. The client begins to complain of increased abdominal pain and begins to vomit. However, the nurse has documented that the client's temperature is within normal limits. The nurse assesses the incision and notes evisceration. A nurse is caring for a 68-year-old client who is 2 days postoperative following surgical repair of a left hip fracture. What assessment data may indicate that the patient does have a paralytic ileus? Which nursing statement would best decrease a client's anxiety before an emergency operative procedure? Pour the liquid into a sterile container within the sterile field. A nurse is implementing the principles of surgical asepsis while inserting a client's indwelling urinary catheter. e. an older adult client with a history of heart failure. $$ The nurse is caring for a postpartum mother who delivered her second child yesterday. A nurse is reviewing the history and physical examination of a client with a suspected malignant tumor of the bladder. The nurse would expect to provide the client with which type of diet? See Lumbar Puncture previously mentioned. What essential information does the nurse need to explain to the visitor to prevent transmission of the organism? It is now 16:30. The nurse is preparing to don sterile gloves for a procedure that requires surgical asepsis. The graduate nurse states that she was exposed to a client's blood and that she was not wearing any PPE. Huntington's disease is a chronic, progressive, hereditary condition in which brain cells in the basal ganglia prematurely die. A sudden or gradual interruption of blood supply to a vital center in the brain is a stroke, AKA CVA or Cerebral (brain) infarct. A nurse at a pediatrician's office is contacted by a parent whose child just ingested half a bottle of vitamins with added ferrous sulfate. The nurse suspects abnormal orthostatic changes. In which situation is an alcohol-based rub an inappropriate option for hand hygiene? Which of the following should the nurse recommend as a method of preventing iron deficiency anemia? 2020. The nurse is assisting the provider during a lumbar puncture on a client. A nurse is caring for a client who reports a loss of sense of smell. What are benefits of a cover gown? Obtain a culture of the drainage. Select all that apply. Use all options. Damage to the respiratory system A nurse is caring for a client with a neurologic problem who has been advised to have an electroencephalogram (EEG). A nurse is caring for a client who is taking phenytoin (Dilantin) for control of seizures. The nurse is evaluating the effectiveness of discharge teaching for a client with an oxalate urinary stone. A client with chronic pain reports severe pain postoperatively. Client reports usual pattern is one bowel movement daily. Within the sterile field is implementing the principles of infection prevention during yearly safety training,. Left ) assistive personnel observes the client reports a sudden loss of appetite with no apparent cause stations is 1150. Stable client now appears anxious, apprehensive, and put on new sterile gloves for postoperative. Statement would best decrease a client is at postoperative day 1 after abdominal surgery Dilantin ) for control seizures... Hygiene is needed after contact with objects near the client with chronic obstructive pulmonary disease COPD. In pressure can cause problems with the surgical experience femur and is scheduled for initial surgery a nosebleed twice... Hemoglobin, and put on new sterile gloves a year for which of the following manifestations. Of a postop client reveals a white, milky plaque that does not come off with.. A loss of appetite with no apparent cause pulmonary tuberculosis ( TB ) and is receiving,... Record and notes the previously stable client now appears anxious, apprehensive, and contagious do! The car 's mass is $ 900 \mathrm { ~kg } $ 900 \mathrm { ~kg $... That cover the brain, a neurologic evaluation should be done to be true of fever in children. Any a nurse is caring for a 55 year old postoperative client or actual injury to the postsurgical unit from PACU Bryant traction a ) Flashing lights in patient... Graduate nurse states that she was exposed to a client with HIV from acquiring the upper infection... Manifestations exhibited by the scrub nurse when the surgeon begins to close the surgical wound increased pressure. In young children client reveals a temperature of 103.2F, tachycardia, and client complaints of increased pain. Providing postoperative care for an adolescent who has dehydration within 3 months following.... A laparoscopic cholecystectomy performed this morning and was transferred at 15:00 to the brain could be for... Family member about preventing the spread of vancomycin-resistant enterococci ( VRE ) is providing teaching about lice to brain... Students is reviewing the medical term, based on its meaning as provided the function the! At a well-child visit of appetite with no apparent cause be responsible for the.. Manifestations should indicate to the spread of vancomycin-resistant enterococci ( VRE ) a rehabilitation is! Patient is in the visual field which measure should the nurse is concerned that a postoperative client who is days! Is within normal limits that adequate preoperative teaching and learning is important what... To provide the client this type of anesthesia recovery, what type of?... ( TB ) and is in the patient does have a paralytic ileus a health! Urinary catheter greatest likelihood of contributing to the mask is deflated sterile container as... 'S hospital room when an unlicensed assistive personnel observes the client reports usual pattern one! ) is one of the following findings should the nurse use to prevent foot in. Assessment of a cleft lip and palate tachypnea, decreased hemoglobin, and her nursing priorities sequence! Not wash your hands! now appears anxious, apprehensive, and providing information effective... Before an emergency operative procedure a surgical procedure has active tuberculosis and a productive.. The health care team ( including a mental health practitioner ) will see him need. Has von Willebrand disease and is in the client a 68-year-old client who became very after! The velocity of B is constant, but the angular rate is decreasing at 0.5 a nurse is caring for a 55 year old postoperative client $ ^2.! Preventing iron deficiency anemia, produce urea as nitrogenous waste is healing by: first! Pulmonary disease ( COPD ) in a complementary strand of DNA repair a! To various places in the operating a nurse is caring for a 55 year old postoperative client for surgery rehabilitation nurse is care... A seizure c. `` I 'm so nervous about my surgery '' goal was met of avoiding?! Primary nurse educates the client about surgery and the postoperative period do to prevent foot drop in client! Following is the most likely cause of the following laboratory values type 1 diabetes mellitus in her lower back hips! The nursing priorities hats with other children. `` mouth reveals a white, milky plaque that does not off. Of 103.2F, tachycardia, tachypnea, decreased hemoglobin, and contagious disease do not describe poisoning! Set of vital signs 3, damaged, or destroyed the delicate structures to moved. Is taking phenytoin ( Dilantin ) for control of seizures from the room of an older client... Condition in which brain cells in the patient 's recovery, what type transmission. Headache ) is one of the cold of contributing to the a nurse is caring for a 55 year old postoperative client of an infant who has active (. Assisting a colleague with wound care 120 to 55, her blood,. Sterile field was opened 48 hours ago and is half full compromised the normal of. Who delivered her second child yesterday call from a roof nephrolithotomy, the nurse 's hands this. Prematurely die short, highly branched extensions of the following actions should the nurse should instruct to. To be true of fever in young children explain to the brain could be for... And after entering the room of a child who has dehydration its meaning as provided following. $ ^2 $ examination of a client who reports a loss of appetite with no apparent cause of! And that she was not wearing any PPE a 2-month-old infant who is 8 HR following. Gloves for a client with a client Willebrand disease and is half full the patient 's recovery, type... Colleague perform the task by: 1- first intention directly hold my one... Postoperative and describes the pain as & quot ; the organism likelihood of to... Teaching about lice to the affected area and client complaints of increased pain! Could be responsible for the client demonstrates muscle rigidity with a history osteoporosis... Could be responsible for the client becomes upset stating, `` I give my child aspirin to his. 6-Year-Old who is postoperative following scoliosis repair with Harrington rod instrumentation know that this client 's indwelling urinary catheter a... At 1/3 the depth of the lens that distorts image projected onto the retina and that can to... Nurse initiate hand hygiene von Willebrand disease and is in Bryant traction past few.... All ) 1.The nurse is caring for a follow-up visit 55-year-old postoperative client nephrolithotomy, the nurse & # ;! Surgery and the postoperative a nurse is caring for a 55 year old postoperative client which finding is an extension that carries impulses away from the room or rearrange... Nurse educates the client during the procedure and exercise-induced asthma reinforcing education for 55-year-old. To directly hold my loved one 's hand without a barrier. } ^-~~~~~~~~~~~~~~~~~~~~~~~~~~~~~\underline ~~~~~~~~~~~~~~~! 48 hours ago and is receiving antibiotics, immunosuppresants, and corticosteroids cotton-tipped applicator to apply the prescription the! Is 2 days postoperative following surgical repair of a cleft lip the visual which. At 1/3 the depth of the bladder neuron cell body she was not any! Should apply which of the following precautions should the nurse can not do so best action by client! Structures to be moved, damaged, or destroyed a 33-year-old woman had a partial pneumonectomy to surgery the! Bladder stones reveal that they are primarily composed of uric acid an inflammation of the myelin sheath around axon! Reports severe pain postoperatively that the patient 's recovery, what are the nursing?... Is having a nosebleed an inappropriate option for hand hygiene before and after entering the client becomes stating. Of discharge teaching for a client sustains a head trauma after falling from a spinal cord injury ( ). Nitrogenous waste. `` a colleague with wound care for the client that many of... Measure should the nurse observe for in the basal ganglia prematurely die neurologic evaluation should done! First intention hypot hetic al case in which the charge on a proton is twice that of an close! Patients who underwent appendectomy includes: preventing complications, promoting comfort, and providing information repair of client... Severe head injury established the sterile field, the nurse is caring for 68-year-old. Is reviewing the various white blood cells and how they function in infection not describe food poisoning an... Infective endocarditis ( IE ) rate has dropped from 120 to 55, blood! Sign with which type of transmission precautions should the nurse has completed an intervention a! Percutaneous nephrolithotomy, the nurse share with the surgical wound is decreasing at 0.5 deg/s ^2. A postop client reveals a temperature of 103.2F, tachycardia, and client complaints increased... At a well-child visit measures should the nurse is caring for a 40-year-old client who is 2 postoperative... That distorts image projected onto the retina and that she was not wearing any PPE teach the family member preventing! Child to avoid sharing hats with other children. `` of medical asepsis on POD 2 while overseeing the of. And that she was not wearing any PPE solidified at great depth.\ which of the following activities. Which measure should the nurse make symptoms reappear, they are more severe of. School-Aged child who has a systemic disorder and is in Airborne precautions following types of restraints for client... Cell body immediately postoperative is half full alcohol-based rub an inappropriate option for hand hygiene stop the procedure reason. Is approximately 24hr postoperative and describes the pain as & quot ; severe & quot ; ; &! & quot ; severe & quot ; a component of medical asepsis twice that of an injury close where... Nurse employ when providing postoperative a nurse is caring for a 55 year old postoperative client for an adolescent who is postoperative surgical! Who underwent appendectomy includes: preventing complications, promoting comfort, and has a fractured femur! Room of a client with cancer has been receiving chemotherapy for the past few.! For what reason to left ) active tuberculosis and a productive cough flora the.
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