A nurse is caring for a postoperative patient who had spinal anesthesia. How many years must have elapsed for the client to require this shot? A nurse receives a call from a parent of a child who has von Willebrand disease and is having a nosebleed. After wound care, the doctor writes an order for Tdap (Tetanus-diphtheria-pertussis) vaccination. Which are general risk factors? Which of the following instructions would the nurse give the client? 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. A nurse is providing teaching to an adolescent who has type 1 diabetes mellitus. Which client action indicates an accurate understanding of this information? Which would be the appropriate action to take to maintain a sterile field? A rehabilitation nurse is caring for an elderly client with a neurologic disorder. (Select all that apply.). Which of the following instructions should the nurse provide to the parent? A school nurse is assessing a school-aged child and notices white flakes that don't brush off the hair and a rash on the back of the child's neck. Select all that apply. What is one of the basic principles that should guide the preoperative nurse's assessment? A swimmer moves through the water at an average speed of 0.22 m/s. A nurse is caring for a 55-year-old postoperative client. Which of the following adverse effects should the nurse instruct the client is the priority to report to the provider? \frac { d y } { d x } = \frac { 3 x + 2 y } { 3 x + 2 y + 2 } , \quad y ( - 1 ) = - 1 D DNA microarrays. Assume the variables x = 5, y = 6, and z = 8. Standard precautions apply to blood; all body fluids, secretions, and excretions; and intact and nonintact skin and mucous membranes. Select all that apply. Which result supports this concern? Select all that apply. Nursing care planning for patients who underwent prostatectomy includes: maintaining homeostasis and hemodynamic stability, promoting comfort, preventing complications, and providing information about the procedure, prognosis, and treatment. 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. Which response by the nurse is most appropriate? A nurse is caring for a client in isolation. What is the appropriate nursing intervention? observe the colleague and take no further action. A general neurologic examination of a client with complaints of fever, chills, neck stiffness, and irritability confirms meningitis. \text{BrO}_2^-~~~~~~~~~~~~~~~~~~~~~~~~~~~~~\underline{~~~~~~~~~~~~~~~} Which action should the nurse perform? "Limit contact with large groups of people." c. "Avoid taking over-the-counter calcium supplements." d. "Follow a low-protein diet." ; b. Select all that apply. Which steps must be followed when using the double-bagging method? (Select all that apply.). During admission paperwork, the client reports having enjoyed a hearty breakfast this morning to be ready for the procedure. The neuron is the basic structural and functional cell of the nervous system. A nurse is caring for a client who reports a loss of sense of smell. A nurse is caring for a 55-year-old postoperative client. The 24-hour urine output total is 2430 mL. Apply and release elbow restraints every hour. A nurse is caring for a client who is taking phenytoin (Dilantin) for control of seizures. Which action, made by the nursing assistant, would require instruction? A. What is the chemical released by the axon that enables nerve impulses to cross the synapse and reach the dendrites? Which of the following findings should the nurse expect the client to manifest with acute lead poisoning? Which of the following statements by the parent indicates an understanding of the teaching? 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. A polymerase chain reaction. The students demonstrate understanding of the information when they identify which cell as important in synthesizing immunoglobulins? A nurse reports an incident of suspected child abuse. "Temper tantrums are the toddler's attempt to gain control of a situation.". In gathering information for the client, which urinary diversion would the nurse select? "If someone is exposed to my blood, I may transmit the virus to him or her.". 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. The nurse understands that a change in which part of the brain is responsible for changes in the client's ability to perceive sensation? What precautions should the nurse take when caring for this client? The nurse takes the opportunity to teach the family member about preventing the spread of the cold. A nurse is caring for a client who is three hours post op from open abdominal surgery. A client undergoes extracorporeal shock wave lithotripsy. A nurse is caring for a school-aged child who has a systemic disorder and is receiving antibiotics, immunosuppresants, and corticosteroids. Select all that apply. a) It formed from an explosive pyroclastic eruption.\ Neonates may have an infection without fever. What measurement should the nurse report to the physician in the immediate postoperative period? Select all that apply. 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. Nurses practice asepsis, which encompasses all activities to prevent infection. What is the highest present worth? The nurse informs the client that many members of the health care team (including a mental health practitioner) will see him. What is the sequence in a complementary strand of DNA. The nurse is caring for a 40-year-old client who is 2 hours postoperative following an appendectomy. Which of the following instructions should the nurse include in the teaching? A client with nausea and vomiting is to receive an antiemetic that inhibits the vomiting center in the brain. The nurse is conducting a preoperative assessment on a client scheduled for gallbladder surgery. Which nursing action is a component of medical asepsis? The nurse is caring for a client after hypophysectomy and notes clear nasal drainage from the client's nostril. A. Where are polar bodies made, in the male or in the female? Select all that apply. Endoderm and mesoderm are formed by the migration of cells down into the ______ of the embryonic disc. Nursing assessment findings reveal urinary output < 30 ml/hr, tachycardia, tachypnea, decreased hemoglobin, and acute confusion. See also Preoperative care . The surgical client is at risk for injury related to positioning. She has just undergone an appendectomy. How should the nurse respond? A nurse is caring for a 55-year-old postoperative client. Select all that apply. What would the nurse expect to asses? Hemiplegia - half the body (right to left). The velocity of B is constant, but the angular rate is decreasing at 0.5 deg/s$^2$. Respiratory rate is 20, temperature is 99.8 (taken orally), heart rate is 87, and blood pressure is 124/70. Inspection of his mouth reveals a white, milky plaque that does not come off with rubbing. Which of the following should the nurse recommend as a method of preventing iron deficiency anemia? Used to evaluate vascular lesions, neoplasms, abscesses, and areas of cerebrovascular ischemia. What does the nurse recognize that this client is experiencing? A client with a T6 injury reports a pounding headache, blurred vision, and nasal congestion. Encourage the parents to rock the infant. A nurse is caring for a client with multiple sclerosis (MS). The nurse is assisting the provider during a lumbar puncture on a client. A. Which of the following instructions should the nurse include? The students demonstrate understanding when they identify which of the following as an inhalation anesthetic? A nurse is caring for a 2-month-old infant who is postoperative following surgical repair of a cleft lip. A nurse is caring for a client who is postoperative and refuses to use an incentive spirometer following major abdominal surgery. The findings are indicative of which nursing diagnosis? The nurse understands that which part of the brain is responsible for the client's condition? What complication is the nurse aware of that is associated with deep venous thrombosis? Initially, MS may be manifested as difficulty in walking, tremors, lack of coordination, pins and needles, numbness, and visual changes including loss of vision. A nurse is working with a new graduate nurse. Which of the following measures should the nurse employ when providing postoperative care for this client? The nurse expects informed consent to be obtained for insertion of: The nurse recognizes that the older adult is at risk for surgical complications due to: The nurse recognizes older adults require lower doses of anesthetic agents due to: The client asks the nurse about ways to control pain other than taking pain medication. A nurse is assessing a preschooler who has a calcium level of 8.0 mg/dL. The client becomes upset stating, "You did not wash your hands!" Which of the following findings should the nurse expect? Avoid touching the outer surfaces of the gown. A client is scheduled to undergo surgical creation of an ileal conduit. The nurse overhears the physician instructing the client on the presence of a stoma with temporary pouch. Pour the liquid into a sterile container within the sterile field. 3- third intention. The nurse caring for a patient after urinary diversion surgery monitors the patient closely for peritonitis by assessing for which of the following? The client is surprised at this finding, since he enjoys generally robust health. The nurse is preparing to don sterile gloves for a procedure that requires surgical asepsis. What assessment findings would be a priority for the nurse to alert the provider? In which situation is an alcohol-based rub an inappropriate option for hand hygiene? A nurse is caring for a client who is diagnosed with increased intracranial pressure (ICP). What is the nurse's best action while observing the colleague perform the task? Nursing> HESI > 2022 HESI EXIT EXAM V2 160 Questions And Correct Answers. Starting at one station, a subway train accelerates from rest at a constant rate of $1.00 \mathrm{~m} / \mathrm{s}^2$ for half the distance to the next station, then slows down at the same rate for the second half of the journey. In MS, the myelin sheath covering the nerves is destroyed. NA. Which guideline should the nurse provide to the student? Which disease does the client likely have? The nurse knows what to be true of fever in young children? The nurse suspects that the client is experiencing which type of incontinence? 1. A nurse is caring for a client who underwent a skin biopsy and has three stitches in place. Each outlet has the same diameter as the inlet, and the air at these outlets has a pressure of $1.4 \mathrm{~MPa}$ and a temperature of $36^{\circ} \mathrm{C}$. 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. "I will obtain a mask from the staff and wash my hands before touching my family member.". d.The nurse is caring for a client with a C. difficile infection. This action supports, among other things, infection prevention. The nurse is caring for a postoperative client who has a Kock pouch. 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. For each case, calculate the pressure and Mach number downstream of the oblique shock. The nurse is summoned to a client's hospital room when an unlicensed assistive personnel observes the client begin to have a seizure. A nurse is caring for a child who has suspected appendicitis. The appropriate nursing intervention is which of the following? "The glove is an important barrier in preventing the transmission of your loved-one's antibiotic-resistant infection to you or other people you come in contact with.". The nurse caring for a patient who is at risk for malignant hyperthermia subsequent to general anesthesia would assess for the most common early sign of: A physician calls the nurse for an update on his client who underwent abdominal surgery 5 hours ago. A nurse is assessing a toddler who has suspected lead poisoning. The client tells the nurse, "I am nervous about my upcoming EEG because I am afraid the shocks will hurt." What is the priority action by the circulating nurse? What priority measures to avoid cross-contamination should the nurse provide? The nurse is caring for four clients on a medical-surgical unit.. While assessing this patient, what characteristic symptom would the nurse expect to find? A 55-year-old patient arrives at the operating room. The nurse understands that which part of the brain could be responsible for the client's condition? "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. Which precautions will the nurse begin? Which of the following clients should the nurse place in the same room with this child? Many medications are available to control nausea and vomiting without oversedating the patient. The primary reason for this vaccine is: it is a vaccine given to booster antibodies towards the tetanus pathogen. The client received general anesthesia for the procedure and has opioid pain medications prescribed. The client tells the nurse, "I think I'm going to be sick." Which of the following amounts of urinary output should indicate to the nurse that the treatment has corrected the fluid imbalance? An older adult hospitalized client develops severe diarrhea from gram-negative rods that compromised the normal flora of the bowel. Hand hygiene is needed after contact with objects near the client. The nurse is monitoring a client admitted to the hospital with a diagnosis of appendicitis who is scheduled for surgery in 2 hours. What should the nurse observe for in the client during the procedure? The nurse notices the client is tearful and constantly wringing their hands. The client received general anesthesia for the procedure and has opioid pain medications prescribed. Which of the following responses should the nurse make? What action best reduces the risk of transmission to clients and staff? A mental health practitioner should be involved in the client's care to: a) assess whether the client is a good candidate for surgery. How will the team proceed with care? Which of the following signs/symptoms is diagnostic for bladder cancer? The nurse recognizes that written informed consent is required for insertion of a(n): Clients who have received corticosteroids preoperatively are at risk for which type of insufficiency? A nurse is caring for a 68-year-old client who is 2 days postoperative following surgical repair of a left hip fracture. Upon review of a client's microbiology culture results, the nurse recognizes which organism as indicative of normal flora? This wound is healing by: The nurse positions the client in the lithotomy position in preparation for. The client's vital signs are Temp 97.2F, HR 105, RR 24 and BP 110/50. A nurse is teaching a parent of a 2-year-old about safe food choices. The nurse should instruct parents to bring their children back for rescreening in a year for which of the following laboratory values? The nurse is reviewing the medical record and notes that the patient has a history of osteoporosis in her lower back and hips. There is no visible soiling on the nurse's hands. 2- second intention. A nurse is planning care for an adolescent who is postoperative following scoliosis repair with Harrington rod instrumentation. What postoperative difficulties can the nurse anticipate for this patient? FACES Numerical scale FLACC pain assessment scale Visual analog scale This problem has been solved! Neurons make up a nerve. What measures would the nurse take to protect against spreading infection while overseeing the transport of this client? A nurse is teaching the parents of a toddler about temper tantrums. What factors have contributed most significantly to this trend? When planning care for a client in the postoperative period, prioritize nursing diagnoses in the sequence from highest to lowest priority? Line the surface of the wheelchair or stretcher with a clean sheet or bath blanket to protect the surface from direct client contact. Which of the following precautions should the nurse initiate? What is the most important thing the nurse can do to prevent the client with HIV from acquiring the upper respiratory infection? The client is approximately 24hr postoperative and describes the pain as "severe". Menses usually resume within 3 months following injury. 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 bearded nurse needs to assess the condition of a client with pulmonary tuberculosis (TB). A client sustains a head trauma after falling from a roof. A nurse is caring for a client with a head injury caused by a bicycle accident. What action does the nurse take to ensure that the saline used is sterile? Definition $\hspace{1cm}$ Correct Answer $\hspace{1cm}$ Possible Answers\ What is the priority action by the nurse? A 33-year-old woman had a laparoscopic cholecystectomy performed this morning and was transferred at 15:00 to the postsurgical unit from PACU. Which client should the nurse determine is at greatest risk for vancomycin-resistant enterococci (VRE) infection? A nurse is caring for a client who underwent a skin biopsy and has three stitches in place. An older adult client tells the nurse, "I do not understand why I have had so many episodes of infection lately." Which of the following nursing diagnoses would be a priority for this patient? What interview questions would the nurse ask the client? (B) Small, stagnant pools do not provide enough water to dilute ammonia, which is toxic. A nurse is caring for a client who is on droplet precautions. What is the nurse's priority action? (Assume that neither the passenger nor the cab rebounds.) The nurse checks the adolescent's blood glucose level and identifies a value of 55 mg/dL. The nurse is providing care to a client with Lyme disease. 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. Use a sterile cotton-tipped applicator to apply the prescription to the site. On assessment, the nurse notes that the abdomen is distended and bowel sounds are diminished. Nursing care planning and management for patients who underwent appendectomy includes: preventing complications, promoting comfort, and providing information. The patient informs you that he drinks six to eight beers each day and has for the last 15 years. The nurse is caring for a client with a colostomy pouch. \text{ClO}_4^-~~~~~~~~~~~~~~~~~~~~~~~~~~~~~\underline{~~~~~~~~~~~~~~~} 4- fourth intention. Which finding is an early indicator of bladder cancer? Vanilla pudding = contains milk and should not be . Which of the following instructions should the nurse provide the parents regarding administration of this medication? A nurse is admitting a 6-month-old infant who has dehydration. A client refuses to remove her wedding band when preparing for surgery. Julie S Snyder, Linda Lilley, Shelly Collins. Test the drainage for glucose. Loss of myelin (demyelination) results in weak electrical impulses and weak muscle contractions. How many mL should the nurse administer? coordination$\hspace{1cm}$______________$\hspace{1cm}$my/o. Which of the following actions should the nurse take? Based on the nurse's knowledge of the most common hospital-acquired infections, which apparatus is most important to remove first? Which of the following findings should the nurse expect? What area does the nurse know needs to be addressed before the client is taken to the operating room? What is the most common first symptom of a malignant tumor of the bladder? The nurse is reinforcing education for a female client paralyzed from a spinal cord injury (SCI). c) The magma formed some crystals before rising closer to the surface and solidifying.\ The client's vital signs are Temp 97.2F, HR 105, RR 24 and BP 110/50. Select all that apply. Which of the following instructions should the nurse give to the parent? A nurse is caring for a 55-year-old post-operative client. Apply a nonparticulate (N-95) respirator when entering the room. The physician asks the nurse for the total amount of drainage collected in the Hemovac since surgery. The nurse would expect the healthcare provider to further assess the client for a midbrain disorder based on what function of the midbrain? A nurse is admitting a child who has leukemia and a critically low platelet count. Ms. Simpson, age 72 years, is being seen in the clinic with a suspected bladder tumor. A nurse is administering moderate sedation to a client with chronic obstructive pulmonary disease (COPD). A nurse is providing teaching to a parent of a child who has Hirschsprung disease and is scheduled for initial surgery. The nurse suspects abnormal orthostatic changes. The client received general anesthesia for the procedure and has opioid pain medications prescribed. $$ Before providing preoperative and postoperative instructions to the client, nurse Gail asks the surgeon which prostatectomy procedure will be done. Place the client on NPO status 2. The nurse should apply which of the following types of restraints for this infant? The thalamus integrates sensations, thus the person perceives a whole experience, rather than individual impulses. What is the best respirator mask for this nurse? A group of nursing students is reviewing the various white blood cells and how they function in infection. While assessing the patient at the beginning of the shift, the nurse noted decreased breath sounds, crackles, and a mild cough. The nurse is obtaining a health history from a client describing urinary complications. Which type of transmission precautions should the nurse follow when caring for the client? D. Administer sodium biphosphate/sodium phosphate. A client comes to the emergency department reporting becoming very ill after consuming shrimp and lobster. A client has an inguinal hernia repair and later develops a methicillin-resistant Staphylococcus aureus (MRSA) infection. When describing the types of bladder tumors that may occur, which type would the nurse identify as most common? What essential information does the nurse need to explain to the visitor to prevent transmission of the organism? Which of the following instructions should the nurse include in the teaching? Which of the following techniques could the nurse employ to assist this client? Which precaution is the priority when collecting and delivering the specimens to the laboratory? In light of this patient's age, the nurse will prioritize nursing interventions aimed at preventing: A client is undergoing preoperative assessment. A new scrub technician is being oriented to the operating room. The nurse is preparing to don sterile gloves for a procedure that requires surgical asepsis. The nurse is concerned that a postoperative patient may have a paralytic ileus. A client is at postoperative day 1 after abdominal surgery. Is an x-ray study of any blood vessel. an 81-year-old man with active tuberculosis and a productive cough. The healthcare provider confirms the diagnosis of acute transverse myelitis. Cause is unknown. When preparing a sterile field, the nurse notes that the bottle of sterile saline was opened 48 hours ago and is half full. Which assessment finding is most suggestive of a malignant tumor of the bladder? A. The ball is given a small displacement in a direction perpendicular to the cord and released. What is the best response by the nurse? The nurse assesses the incision and notes evisceration. Select all that apply. Which of the following clinical manifestations should the nurse expect? What is the most important factor to prevent this infection? Select all that apply. use of antibiotics in clients with viral infection. Which of the following assessments is the nurse's priority? As a circulating nurse, what task are you solely responsible for? "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.". What related complication should the nurse be aware of? Which nursing action carries the greatest likelihood of contributing to the spread of vancomycin-resistant enterococci (VRE)? They have not been fitted an N95 respirator. Which of the following statements should the nurse make? What is the solar wind, and what roles did it play in the early solar system? 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. During the surgical procedure, the client exhibits tachycardia, generalized muscle rigidity, and a temperature of 103F. Which nursing action is appropriate? Wear a mask when working within 3 feet of the client. Which client has the highest risk for developing an infection? It is now 16:30.
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a nurse is caring for a 55 year old postoperative client