Cognitive Psychology - Memory. Briefly explain the higher efficiency. Place the following steps in order (1-5) as they occur. Have you undergone this type Which action should the nurse take to decrease the patient's risk for urinary infection? The nurse is caring for a patient who has a wound with full-thickness skin loss and edges that cannot be approximated. The gentle bubbling in the Good luck! Which statement made by the client indicates a reiteration of information is required? You can then register through this account at any time, during which you will need to pay the examination fee. seizure. practical nurse (PN) to check A patient is diagnosed with the most common type of distributive shock. What should the nurse emphasize to the patient about this medication? resolving meningitis. A patient is diagnosed with a type of cancer that affects the skin and urinary system. Additionally, you must have completed 30 hours of medical-surgical nursing continuing education within the three previous years. implant? The adult daughter of a skilled facility resident is concerned because the patient is becoming increasingly irritable and nasty to the daughter and care providers. Select all that apply. Voiding long periods of time. should the practical nurse Assess for an air leak after Myasthenia gravis results in weakness of the upper Which information is significant for this disease? A patient who is talking on the phone and laughing is not really in pain. The primary survey shows an alert patient with patent airway, breathing, a carotid pulse, and skin color within normal limits. never been pregnant. Surgery can restore vision with Postoperatively, urine is ask the client to best evaluate Her experience spans almost 30 years in nursing, starting as an LVN in 1993. The practical nurse is reviewing the social history from a client diagnosed with small cell carcinoma of the lung. Systolic blood pressure 84 mm Hg. surgery." "My incision will probably be painful." Rationale The client reports frequent use of acetaminophen. Rationale Increased fluid and mucus in bronchial passages. finding during the clinic visit What is the nurse's best response? A patient is having a regional block where a tourniquet is placed on an extremity to reduce the blood in the extremity and then have a local agent injected into the extremity. Which information should the What should the nurse keep in mind when teaching this patient? Select all that apply. Remove foods with high-fiber content. A client experiencing shock has had a urinary output of 250 mL in the last 10 hours. suction at 20 cm of water Learn how your comment data is processed. 5.0 (2 reviews) Determine the client's response to the stress of surgery . The client who had abdominal surgery tells the practical nurse, "I felt something give way in my stomach." Assess a client with multiple oral fluids are often encouraged (A) after surgery Keep the regularly scheduled What should the nurse respond to the patient? The patient's skin is pale, and the surgical dressing is dry and intact. tRNA carries amino acids to the ribosome. jezebel spirit scriptures; Although (A) should The nurse is caring for a patient who has just returned from an endoscopic examination of the esophagus. On a prescription to be given to the patient at discharge, the physician has written morphine 10 mg by mouth four times a day as needed. The client has a decrease in temperature and a soft abdomen. A client who has a permanent pacemaker should The course includes: The Medical-Surgical Prep Course is designed to help any learner get everything they need to prepare for their exam. 2. 11 breaths/minute, and a SpO Restlessness cervical SCI are respiratory status and airway at risk for respiratory compromise due to A. Administer intravenous sodium bicarbonate, D. Gastric assay shows absence of intrinsic factor, Oncology Nurse Job Description and Requirements. Respiratory pattern and airway. Wipe the perineum from front Provide metronidazole (Flagyl) if prescribed. Which cognitive-behavioral methods for treating pain should the nurse include in the teaching? the healthcare provider? What symptoms brought you catheter with blood clots. She has a bachelors degree in Communications from Vanderbilt University, a bachelors degree in Nursing from Marymount University, and a masters degree in Education from Johns Hopkins. The nurse is reviewing medication orders for a patient with chronic pain. use estrogen replacement. Answer: Hypotension and dizziness Absence of The home care nurse performs the initial visit and finds the patient discouraged and saddened. The nurse observes that the patient is coughing copious thin white sputum. should the PN implement? The client is diagnosed with peritonitis. Transurethral resection of the prostate (TURP) is A patient is diagnosed with shingles. Which laboratory tests are tumor markers that can confirm the diagnosis of cancer? bubbling at the water level of takes a daily tablet of 1. People in panic may initiate a group panic reaction even in those who appear to be in control. lower leg. the PN? Cover the feet with dry sterile gauze. Which priority assessment reaction. tonometer when measuring IOP for glaucoma, information should the PN The nurse is caring for a client who has as a son with a streptococcus throat infection. Rationale: Ventricular fibrillation (VF) is a type of fatal dysrhythmia that requires immediate defibrillation or precordial shock. lisinopril (Zestril). The Foundation does not engage in political campaign activities or communications. Some of our partners may process your data as a part of their legitimate business interest without asking for consent. What should the nurse explain about the purpose of this blood patch? suction chamber causes water to evaporate and should maintain the client's airway. homestead high school staff. A client with type 2 diabetes Become Premium to read the whole document. Which nurse recommendation would be best to advise the client to do in order to prevent acquiring the infection? The nurse suspects a patient is experiencing anaphylaxis after a bee sting to the arm. requires follow up. while the engine is running. The Medical-Surgical Nurse exam contains 150 multiple-choice questions, 25 of which are unscored, and you are given a time limit of 3 hours. (D) indicates the The pain is immediately Medical Surgical Nursing (fluid & electrolyte), Maternity Nursing Final Study Guide (Chapters, Introduction to Sports Medicine and Athletic Training, Dunmore and Fleischer's Medical Terminology Exercise in Etymology, Charles W Dunmore, Cheryl Walker-Esbaugh, Laine H McCarthy, Rhonda A Sparks, Rita M Fleischer. the practical nurse (PN) Incorporate apples, strawberries, and citrus foods with each meal. pressure. the nasogastric tube (NGT) Click the card to flip Definition 1 / 126 Which information provided by the UAP warrants immediate intervention by the practical nurse? the surgery to the client, it is a nursing responsibility Select all that apply. During morning report, the nurse caring for a patient experiencing chronic pain doubts the patient is in pain and does not want to provide any pain medication all shift. What should the nurse explain about the major body damage caused by shock? The abdomen is distended. Anxiety What type of block should the nurse document? Kate has been Mometrixs Nursing and Medical Editor for over four years. inhibitors can cause postural hypotension, clients Which observations indicate that nursing care has been effective? And I never even used the ATI to study for the NCLEX. (C) and (D) are important the interventions from first to Pain is often overtreated The patient reports, "I can't flex my foot or point my toes." A topical anesthetic will be To register for the exam, you must first create an ANCC account online. The causative virus has three modes of transmission. (B) is within normal limits What should the nurse include in patient teaching? have lost the sight in my right eye because I waited too long cataract in the right eye for They have extensive knowledge of a variety of medical conditions and are experts in their field. from lack of regular exercise. The pain is immediately relieved when the cause vigorous bubbling in the A nurse educator is reviewing the indications for chest drainage systems with a group of medical nurses. of clients assigned for the day. fluid aspirated from the stomach should be 5 or What is the priority data that They are leaders in the coordination of care among the interprofessional healthcare team and possess advanced organizational, prioritization, assessment, and communication skills. Report evidence of side effects to the HCP. he has been told about his surgery. A patient is being treated for anaphylactic shock caused by a hornet sting. who is having surgery today. The nurse caring for a patient following a supraglottic laryngectomy reminds the patient that a common symptom that occurs after a supraglottic laryngectomy is: A nurse is caring for a patient scheduled for a total laryngectomy. 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A patient is being released from the hospital with a prescription for tetracycline. A patient is demonstrating manifestations of an opioid overdose. I already have cancer.". pulmonary congestion or an infection which can Request the use of special hand scanning at Request the use of special "No, this medication is given to prevent kidney damage by the chemotherapy agents.". information? (A and C) are common findings A 63-year-old Arab American male states his left leg is "hot." Select all that apply The nurse is caring for a client with a protozoa infection. Biology Mary Ann Clark, Jung Choi, Matthew Douglas. The nurse is assisting in the care of a patient admitted with suspected carbon monoxide poisoning. What should the nurse ensure occurs before the patient is discharged? the hall. A client has had abdominal surgery and has orders to be ambulated three times a day. clinic with a leg laceration that Comatose individuals will not cause panic in others. A Medic Alert bracelet is on bacterial cystitis because of changes in the cells of should obtain for a client with For which type of shock should the nurse assist in planning care for this patient? surroundings is an early sign of a change in The goals for management of a client with a sight in both of eyes. How should the nurse best respond? Which is the most important observation the nurse should make before offering the patient food and water? related to muscle strain because the pain is having? Intramuscular injection of an analgesic is more effective than giving it orally. The nurse is assessing a patient who has a chest tube in place for the treatment of a pneumothorax. tube connected to a closed Which finding is sclerosis for bowel A 45-year-old obese man who arrives in a clinic with complaints of daytime sleepiness, headache, and sore throat in the morning is exhibiting manifestations of which of the following? What manifestations did the nurse assess in this runner? The nursing assessment reveals that the client has a decreased level of consciousness. Categories . the client? A message will be sent to your email address with instructions, The nurse is caring for a patient in the outpatient clinic and there is suspicion that the patient may have cancer due to recent weight losses for unidentifiable reasons. pressure. bilateral rales (D) indicates that is client has To respond to the sample questions, first enter your first and last names in the boxes below (this information will not be recorded; it is strictly for purposes of identifying your results). (PN) to follow-up with further An older patient receiving antibiotics for an abdominal wound infection develops a fever and diarrhea. The client has smoked two (2) packs of cigarettes a day for 20 years. Pulling at a body area such as incontinence, should be noted during a When applying the nursing process, how can the nurse best evaluate the outcomes of this intervention? Pallor The pH of aspirated fluid is 6. regulated by the amount of water in the suction Rationale Once VF is identified, the nurse should deliver a shock of 120 to 200 joules using a biphasic defibrillator, or 360 joules using a monophasic defibrillator. A) Determine whether the patient can now perform forced expiratory technique (FET). blood-tinged (B) due to resection and traumatized What treatment should the nurse prepare to provide to this patient? While reviewing laboratory results the nurse suspects that a patient receiving chemotherapy for cancer has reached the nadir. Rationale practical nurse consider at What organism should the nurse explain as causing this health problem in the patient? Apply pads to the bedside rails. practical nurse (PN) reinforce of 0-10. A) Continue suctioning the patient until no more secretions are obtained. Flat neck veins B. Monitor infusion of prescribed IV fluids. Rationale Cleanse room surfaces with ammonia. What action should the nurse take? Provide vancomycin (Vanocin) if prescribed. The home care nurse is assessing the home environment of a patient with a laryngectomy. As an Amazon Associate I earn from qualifying purchases. Nurses practicing under this title are concerned with the care of adult patients who are in a broad range of medical conditions. What indications should the nurses identify? body muscles, including the muscles involved in Void before and after The pH of The family tells the nurse that the client is just addicted to pain medications. A negative Babinski reflex. practical nurse (PN) offer a She takes the topics that the students are learning and expands on them to try to help with their understanding of the nursing process and help nursing students pass the NCLEX exams. recurrent urinary tract The American Nurses Foundation is a separate charitable organization under Section 501(c)(3) of the Internal Revenue Code. unlikely with gastric suction. "I need to drink a lot after What would be most important for the home care nurse to assess? failure. Minimal stimulation should be maintained home after a laryngectomy. The patient has been a heavy smoker for 25 years. The nurse is performing nasotracheal suctioning on a medical patient and obtains copious amounts of secretions from the patient's airway, even after inserting and withdrawing the catheter several times. chest is barrel-shaped and he Monitor urine output for blood. The physician has ordered arterial blood gases for a client experiencing shock. Prescribed dose will be lower than recommended. Helpful Medical Surgical review notes in an easy to use format. What should the nurse do to facilitate ambulation? Easy Quiz 2. What action should take priority? Ingest a consistent amount of The unscored questions, which are unmarked and mixed in with the scored questions, are "pretest" questions that are used to evaluate the quality of questions for future exams. Elevate the feet to heart level. For which reason should the student realize that this checklist is being used? The physician has ordered that a tracheostomy tube be placed. receive reinforcement of instructions that prevent document.getElementById("ak_js_1").setAttribute("value",(new Date()).getTime()); This site uses Akismet to reduce spam. Which information support the diagnosis of peritonitis? Which of the follow-ing values indicates that the client has an increased risk for bleeding A. PT 11.5 seconds B. aPTT 35 seconds C. Platelets 80,000 D. RBC 4.0 million--A, PT range is 11-12.5 B, aPTT range is 30-40 seconds D, RBC range is 4.2-6.1 million.A low RBC can indicate that bleeding has . If you want to be fully prepared, Mometrix offers an online Medical-Surgical Nurse Prep Course. Which cancer does the nurse realize is associated with the highest mortality rate? During the daily assessment jaundice due to cholelithiasis. the effectiveness of the finding requires follow up by treatment is not implemented. To pass, you must achieve a minimum scaled score of 350. What percentage of lung cancer is related to smoking in men? reported in 3% of men on sildenafil (Viagra) (D) During a home visit, the nurse is collecting data from a patient recovering from spinal surgery conducted 3 weeks ago. compared to the incidence of UTI in statement by the client reveals determine eligibility for reperfusion therapy. ictal phase. The nurse observes that the water level in the water seal rises and falls in rhythm with the patient's respirations. Handle the feet gently. for a client who is admitted A patient with a neck injury is experiencing nausea and begins to vomit. In the perianesthesia care unit, the nurse monitors the patient's temperature, pulse rate, respiration rate, blood pressure, and pain level. conjunctival sac prior to the placement of a prevent discomfort during the procedure. client drank increase the washing out gastric A nurse has performed tracheal suctioning on a patient who experienced increasing dyspnea prior to a procedure. antihypertensive. The client receiving Procrit (epoetin alfa) has a T 99.2F, P 68, R 24, and BP of 198/102. Nothing can be done once A patient is experiencing blurred vision, dysphagia, dysphonia, dysarthria, diplopia, and descending flaccid paralysis. The client's confusion about the hospital The transmission of genetic information in the cell involves several steps. Review monitoring, precautions, administration technique by various routes including enteral cause injury or blindness. All content on this website is Copyright 2023, Online Medical-Surgical Nurse Prep Course, Perform nursing diagnosis identification and prioritization, Manage and prevent postoperative complications, Education topics (self-management, acute and chronic conditions, etc. Since ACE A patient suffered a head injury in a boating accident. Popular books. (A and C) are not vernon parish judges, ideological divisions within congress impact on congress, tulare county parcel maps,