Attempt to keep the child calm and quietĤ. Apply continuous pressure to the nose for 10 minutesģ. Apply a cold cloth to the bridge of the noseĢ. Which of the following instructions should the nurse reinforce? Select all that apply.ġ. Muscle cramps in the legs The parent of a 5-year-old child calls the clinic to report the recurrence of a noseblled for which the child was seen a week ago. Bruising easily, especially on the armsĤ. After a review of the home medications, which symptom reported by the client is most concerning to the nurse?ġ. Small tuft of hair at the base of the spine A hoem health nurse visits a client 2 weeks after the client is discharged from treatment for an acute myocardial infarction and heart failure. White, waxy substance in the axillae and labial folds 3.
Small tuft of hair at the base of the spineĤ. Flat, bluish, discolored area on the buttocksģ. Edema of the scalp corssing the suture linesĢ. Which newborn assessment finding is most important for the nurse to follow-up?ġ. "I started to use lambskin condoms during sex, as I have a latex allergy." The nurse is assisting with a vaginal birth at term gestation. "I don't have to use protection if my sexual partner is also HIV positive."Ĥ. "I won't reuse or share any needles or syringes that I use to inject heroin." 1. "I started to use lambskin condoms during sex, as I have a latex allergy."ĥ. "I need to avoid eating raw or undercooked meats and eggs"Ĥ. "I have to make sure my family knows not to borrow my razors."ģ. "I don't have to use protection if my sexual partner is also HIV positive."Ģ. Which of the following statements by the client indicates a need for further education? Select all that apply.ġ. Perform frequent neurovascular checks on the limb in traction The nurse is reinforcing education about home and lifestyle alterations to a client recently diagnosed with HIV.
ACCORDION DRAIN SKIN
Assess for skin breakdown of the limb in tractionĤ. Reposition the client and use a wedge pillow 1. Perform frequent neurovascular checks on the limb in tractionĥ. Which activities are appropriate for the nurse to include in the client's plan of care? Select all that apply.ġ. "Tell me more about your thoughts and feelings regarding the situation." A client with a hip fracture is placed in Buck traction. "Waiting for test results can be stressful. "The biopsy result shows that you have cancer, byt many cancers are treatable."Ĥ. "Tell me more about your thoughts and feelings regarding the situation."ģ. Watching some television might help relax you."Ģ. The client asks the nurse, "Am I going to die?" Which statement by the nurse is appropriate?ġ. The biopsy results show that the tumor is malignant, but the client has not yet been informed by the health care provider. 2nd ICS to the right sternal border The nurse cares for a client who just had surgical excision and biopsy of a tumor. Identify the area where the nurse would best auscultate the client's heart murmur. Reinforce teaching on self-administration of insulin to a client with diabetes mellitus The nurse cares for a client with aortic stenosis who was admitted due to syncope on exertion and dyspnea. Adminster a client's daily dose of subcutaneous insulin glargineĤ. Tally the shift's intake and outputs for the entire unit. Reinforce teaching on self-administration of insulin to a client with diabetes mellitusĥ. Complete an admission nursing interview for a cleint admitted for elective hysterectomyĤ. Administer a scheduled oral analgesic to a 2 days postoperative clientģ. Administer a client's daily dose of subcutaneous insuline glargineĢ. Which of the following assignments are most appropriate to assign to the LPN? Select all that apply.ġ. The nurse is delegating client care tasks to a LPN and unlicensed assistive personnel.
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