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A client with a perforated gastric ulcer is scheduled for surgery. The client cannot sign the operative consent form because of sedation from opioid analgesics that have been administered. The nurse should take which most appropriate action in the care of this client? 1. Obtain a court order for the surgery. 2.
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A client is scheduled to have an arteriogram. During the arteriogram, the client reports having nausea, tingling, and dyspnea. The nurse's immediate action should be to: 1. administer epinephrine 2. inform the healthcare provider (HCP). 3. administer oxygen 4. inform the client that the procedure is almost over.
a client with COPD is in the thrid postoperative day following right-sided thoracotomy. during the day shift the client has required 10 L oxygen by mask to keep his or her oxygen saturations greater than 88%. based on this information which action should be taken by the evening shift nurse. work to wean oxygen down to 3L by mask.
a) Continue to take the aspirin as ordered. b) Stop taking the aspirin 7 days before the surgery, unless otherwise directed by your physician. c) Take half doses of the aspirin until 1 week after surgery. d) Aspirin should be increased until 3 days before surgery, and then it should be discontinued until 3 .
The client has a history of arthritis and has been taking acetylsalicylic acid (aspirin). The nurse determines that the client needs additional teaching if the client states: 1. "Aspirin can cause bleeding after surgery". 2. "Aspirin can cause my ability to clot blood to be abnormal".
Aug 08, · A clinical situation in which the increased release of erythropoietin would be expected is: a. Hypoxemia b. Hypotension c. Hyperkalemia d. Fluid overload >>See answer and rationale in the kidney that leads to nocturia in an older adult is: a. Decreased renal mass b. Decreased detrusor muscle tone c. [ ].
Jun 23, · NCLEX-RN Practice Questions (Part 2) A client with mitral valve prolapse is advised to have elective mitral valve replacement. Because the client is a Jehovah’s Witness, she declares in her advance directive that no blood products are to be administered. As a result, the consulting cardiac surgeon refuses to care for the client.
Study All Clients Need () flashcards from Bach Le's class online, or in Brainscape's iPhone or Android app. Learn faster with spaced repetition.
Our third test includes 75 more practice NCLEX questions. A great way to review for the NCLEX-PN or NCLEX-RN. Questions are presented in random order and the material covers all 8 of the content areas.
Practice Test 46 |. A client with paranoid-type schizophrenia becomes angry and tells the nurse to leave him alone. The nurse should. tell him that she’ll leave for now but will return soon. ask him if it’s okay if she sits quietly with him. ask him why he wants to be left .
Jan 28, · Assess the client for bladder fullness.-rationale: before taking any action, the nurse must assess the clients bladder area for fullness. urine retention is a common adverse effect of anesthesia. after confirming retention, the nurse should call the physician and expect an order to catheterize the client. telling the client to bear down and try to void is [HOST] needs category.
Dec 22, · C. Someone else gave him medication. D. The pain went away. A female client is admitted to the emergency department with complaints of chest pain shortness of breath. The nurse’s assessment reveals jugular vein distention. The nurse knows that when a client has jugular vein distension. it’s typically due to: A.
Jul 28, · Change dressings using sterile technique. D. Encourage the consumption of fresh fruits and vegetables. E. Perform meticulous hand washing before caring for the child. F. Allow fresh-cut flowers in the room as long as they are kept in a vase with fresh water. 2. A year-old child is brought to the emergency department by his mother with a.
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