5. Nurse Jamie is administering the initial total parenteral nutrition solution to a client. Which of the following assessments requires the nurse’s immediate attention? A. Temperature of 37.5 degrees Celsius. B. Urine output of 300 cc in 4 hours. C. Poor skin turgor. D. Blood glucose of 350 mg/dl.
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5. Nurse Jamie is administering the initial total parenteral nutrition solution to a client. Which of the following assessments requires the nurse’s immediate attention?
A. Temperature of 37.5 degrees Celsius.
B. Urine output of 300 cc in 4 hours.
C. Poor skin turgor.
D. Blood glucose of 350 mg/dl.
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- 2. What should be the nurse’s INITIAL STEP in assessing Aling Ester’s abdomen? A. Palpation B. Inspection C. Auscultation D. Percussion4. A nurse is caring for a client who ----------- native American is being treated for metabolic alkalosis. Before discharge, which of the following will address the multidimensional needs of the client? (Select all that apply) asapa. Ensure the client is on strict bedrest.b. Consult the dietician.c. Conduct a cultural assessment.d. Provide emotional support.e. Provide education asap thanksHow will the nurse evaluate for effectiveness of Nitrofurantoin? A. The patient will have no more pain with urination. B. The patient will have no growth on urine culture. C. The patient will have no numbness or tingling. D. The patient wull have no adequate urinary output
- 1. For the diagnostic statement "hypothermia" the etiology (related factors and risk factors) could be: a. malnutrition b. pallor c. hypertension d. tachycardia 2. The care plan calls for administration of a medication plus client education on diet and exercise for high blood pressure. The nurse finds the blood pressure extremely elevated. The client is very distressed with this finding. Which nursing skill of implementing would be needed most? a. Intellectual b. Cognitive c. Psychomotor d. Interpersonal 3. The first step before performing bed bath to a bedridden client is: a. Prepare the equipment b. Validate the plan of care c. Assess the client d. Check the medical diagnosis 4. Which type of evaluation occurs continuously throughout the teaching and learning process? a. Summative b. Informative c. Retrospective d. Formative 5. When making decision about the effectiveness of a nursing intervention, the nurse: a. Search information in social media b. Uses evidence-based…5 A client who is 80 years old, takes Lasix (furosemide) for management of hypertension. She reports to the nurse that she takes ducolax (bisacodyl) daily to promote bowel movements. The nurse assesses the client for possible symptoms of: a. Hypocalcemia B. Hypothyroidism c. Hyperglycemia D. HypokalemiaWhat intervention should the practical nurse (PN) implement when taking the rectal temperature of an adult client? A Hold the thermometer the entire time while taking the temperature. B Place the client in the right Fowler's position. C Lubricate the tip of the thermometer with water. D Gently insert the thermometer 3 inches into the rectum.
- 2. A client with a family history of kidney stones has come to a healthcare facility for an annual health checkup. The client has had two previous experiences with renal colic. The client states, “I really don’t ever want to experience that kind of pain again.” a. What factors should the nurse include when teaching the client about kidney stones for those with a family history of the same?b. What general measures should the nurse suggest to prevent formation of kidney stones? 3. A client who had a bladder tumor recently underwent surgery for removal of the urinary bladder with creation of an ileal conduit. An appliance is fitted over the surgical stoma.a. The nurse would monitor the client for which possible complications? b. What measures should the nurse include when providing postoperative care for this client?5) The MOST acceptable method for calculating pediatric medication dosages in modern medicine is with the use of __________________. A) Young's Rule B) Clark's Rule C) Freid's Rule D) Nomograms (Height, Weight, BMI Measurements)1. A nurse is caring for a client with a kidney disorder who has been admitted to an acute healthcare facility. What nursing interventions would assist the client to meet basic needs for adequate nutrition? 2. A client with a bladder infection is admitted to a healthcare facility. The healthcare provider has directed the client to increase fluid intake along with other medication. What actions should the nurse take to help the client increase fluids? 3. A nurse is caring for a convalescent client diagnosed with a peptic ulcer. The client is also obese. The healthcare provider has prescribed a therapeutic diet for the client. What is the rationale for the use of this type of diet? 4. A client has undergone intestinal surgery. The nurse has to modify the client’s diet after the surgery. a. What factors should be considered for modification of the diet? b. Why should the client be given a liquid diet after surgery? 5. A nurse is caring for a client who has difficulty with chewing. What…
- When checking a patient’s fingerstick blood glucose level, the nurse obtains a reading of 42 mg/dL. The patient is awake but states he feels a bit “cloudy-headed.” After double-checking the patient’s glucose level and getting the same reading, which action by the nurse is most appropriate? a) Administer two packets of table sugar.b )Administer oral glucose in the form of a semisolid gel.c) Administer 50% dextrose IV push.d )Administer the morning dose of lispro insulin1. When assisting a patient to a chair from hip replacement surgery, the proper position for this patient is to sit with A. Hips higher than the knees B. Hips lower than the knees C. Hips even with the knees D. No specific position is necessary 2. To prevent the incidence of the development of a DVT for a patient after orthopedic surgery, which of the following interventions would the nurse employ? (SATA) A. Maintain strict bed rest with bathroom privileges only. B. Increase oral fluids C. Administer anticoagulant medications as ordered D. Ensure sequential compression devices are in use when patient is non-ambulatory E. Minimize flexing of the lower extremity without a physical therapist present7. How is nutrition applied/implemented as part of mission and/or objectives in nursing.do it asap