A nurse is caring for a client following a craniotomy. What action does the nurse take to ensure that the saline used is sterile? A nurse is providing teaching to the parent of an infant who has gastroesophageal reflux. A nurse is providing teaching to a parent of a preschooler who has eczema. For which effect should the nurse monitor the client who has had a stroke? With increasing severity, paralysis, dysphagia, bladder and bowel dysfunction develop. The nurse is reinforcing education for a female client paralyzed from a spinal cord injury (SCI). She has just undergone an appendectomy. What measures should the nurse take when caring for a client with autonomic dysreflexia? A nurse is caring for a client who has influenza and varicella. C. Provide a passive range of motion three times a day. 176. The nurse suspects abnormal orthostatic changes. Which nursing action is appropriate? A client is admitted to the emergency department for multiple lacerations due to a vehicular accident. Neurons make up a nerve. Which of the following instructions should the nurse provide the parents regarding administration of this medication? If the transection is complete all sensation and voluntary movements below the site of injury are lost. When the nurse's hands are visibly soiled. Turn, cough, and deep breathe every 30 minutes around the clock. What key area should the nurse prioritize when educating this client? The client has a history of anxiety, depression, high blood pressure, and exercise-induced asthma. Apply a topical corticosteroid ointment to the affected area. Which of the following findings should the nurse expect? What are benefits of a cover gown? For each case, calculate the pressure and Mach number downstream of the oblique shock. Which precautions will the nurse begin? 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 has to initiate precautions for the client. The child reports soreness in his mouth and refuses to eat. The nurse should be. The child weights 55 lbs. Which is a function of the nervous system? b. An experienced nurse is teaching a student nurse about the proper use of hand hygiene. A client for whom transmission-based precautions are required is experiencing sensory deprivation. The nurse is providing postoperative care to a client with lung cancer who had a partial pneumonectomy. A nurse is caring for a client who underwent a skin biopsy and has three stitches in place. Which of the following conditions should the nurse identify as the leading cause of death among this age group? 2020. "Alcohol-based hand rub provides the greatest reduction in microbial counts on the skin.". When describing the types of bladder tumors that may occur, which type would the nurse identify as most common? The nurse has just admitted a 12-year-old client who is going to have an above-the-knee amputation of their left leg due to osteosarcoma. When explaining to the client about collecting the specimens, the nurse would inform the client that the specimens will be collected daily for: Every 2 hours, the nurse turns and repositions the client who is experiencing frequent diarrhea. A nurse is planning care for an adolescent who has scoliosis and requires surgical intervention. Place the client on NPO status 2. An unconscious patient with normal pulse and respirations would be considered to be in what stage of general anesthesia? An instructor is developing for a class a teaching plan about agents used for intravenous (IV) anesthesia. Which of the following would be appropriate for the nurse to include in the teaching plan? 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. Which steps must be followed when using the double-bagging method? The nurse notices the client is tearful and constantly wringing their hands. The client's vital signs are Temp 97.2F, HR 105, RR 24 and BP 110/50. The nurse is completing a preoperative assessment. Which test should the nurse expect the healthcare provider to order to confirm brain death in this client? $$ The ball is given a small displacement in a direction perpendicular to the cord and released. Which nursing action carries the greatest likelihood of contributing to the spread of vancomycin-resistant enterococci (VRE)? The nurse is caring for a client who became very ill after ingesting seafood. "As a nurse, I am required by law to report suspected child abuse.". A nurse is admitting a child who has leukemia. A general neurologic examination of a client with complaints of fever, chills, neck stiffness, and irritability confirms meningitis. Perform hand hygiene before and after entering the client's room. A client having a surgical procedure takes aspirin 325 mg daily for prevention of platelet aggregation. What is the solar wind, and what roles did it play in the early solar system? The nurse informs the client that many members of the health care team (including a mental health practitioner) will see him. What complication is the nurse aware of that is associated with deep venous thrombosis? The client received general anesthesia for the procedure and has opioid pain medications prescribed. Based on the nurse's knowledge of the most common hospital-acquired infections, which apparatus is most important to remove first? A nurse is providing teaching to a parent of a child who has Hirschsprung disease and is scheduled for initial surgery. A nurse is assessing an adolescent who has an exacerbation of Graves' disease. Which would be considered significant blood exposures by occupational health? Which statement about neonatal development is accurate? A nurse is administering moderate sedation to a client with chronic obstructive pulmonary disease (COPD). . What measurement should the nurse report to the physician in the immediate postoperative period? The nurse is conducting a preoperative assessment on a client scheduled for gallbladder surgery. A mental health practitioner should be involved in the client's care to: a) assess whether the client is a good candidate for surgery. When preparing a sterile field, the nurse notes that the bottle of sterile saline was opened 48 hours ago and is half full. 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. Damage to the respiratory system A nurse is caring for a client with a neurologic problem who has been advised to have an electroencephalogram (EEG). Dendrites are short, highly branched extensions of the cell body. Request that a respiratory therapist discuss the technique for incentive spirometry with the client. "Temper tantrums are the toddler's attempt to gain control of a situation.". $$ A nurse is caring for a postoperative patient who had spinal anesthesia. Cause is unknown. Select all that apply. What measures would the nurse take to protect against spreading infection while overseeing the transport of this client? Respiratory rate is 20, temperature is 99.8 (taken orally), heart rate is 87, and blood pressure is 124/70. Which precautions will the nurse begin? Nursing assessment findings reveal that the client is afraid of dying during the surgical procedure. A patient is in the operating room for surgery. Which would be the nurses' best action? A nurse in a pediatric clinic is caring for a child who has iron deficiency anemia and a new prescription for ferrous sulfate tablets. What interview questions would the nurse ask the client? Which nursing actions will be performed to assist in the prevention of health care-associated infections (HCAIs)? Which nursing diagnosis is appropriate for the client with a new ileal conduit? A nurse is assessing a toddler who has suspected lead poisoning. The nurse tells the client to take the medication: a. 1 The nurse positions the client in the lithotomy position in preparation for 1- Renal surgery 2- Pelvic surgery 3- Perineal surgery She is concerned her newborn will develop the disease. What is the priority action by the scrub nurse when the surgeon begins to close the surgical wound? The nurse observes profuse sweating above the level of injury. \text{ClO}^-~~~~~~~~~~~~~~~~~~~~~~~~~~~~~\underline{~~~~~~~~~~~~~~~} A nurse is caring for a client with a head injury caused by a bicycle accident. The client has had only 30 ml urine output since arriving to the Which of the following should the nurse recommend as a method of preventing iron deficiency anemia? The appropriate nursing intervention is to do which of the following? Which of the following instructions should the nurse include in the teaching? Standard precautions apply to blood; all body fluids, secretions, and excretions; and intact and nonintact skin and mucous membranes. A group of nursing students is reviewing the various white blood cells and how they function in infection. a. The nurse should suspect which of the following disorders? A nurse is providing teaching to a 17-year-old female client who has severe acne about the use of isotretinoin. A nurse is caring for a toddler who has a fractured right femur and is in Bryant traction. Select all that apply. What is a role of the "clean" nurse? Which action should the nurse prioritize and initiate after receiving the results of the laboratory test indicating the client has methicillin-resistant Staphylococcus aureus (MRSA) infection? Menses usually resume within 3 months following injury. (autonomic hyperreflexia) an exaggerated response to stimuli below the level of the lesion in the clients with lesions at or above T6, medical emergency that requires prompt treatment. What is the best action by the nurse? Offer the family member a mask, explaining its use. A nurse is providing discharge instructions to a parent and his school-age child who has juvenile idiopathic arthritis. Which measures should the nurse employ when caring for this client? An ileal conduit is created for a client after a radical cystectomy. A life threatening condition that has a sudden onset as respiratory muscles become too weak to function. a. Which assessment finding is most suggestive of a malignant tumor of the bladder? A nurse is planning care for an adolescent who is postoperative following scoliosis repair with Harrington rod instrumentation. The mother tells the nurse that her son is a "picky eater." Select all that apply. The client is receiving 0.9% normal saline at 75 mL/h, has a nasogastric tube to low wall suction with 200 mL every 8 hours of light yellow fluid, and a wound drain with 50 mL of dark red drainage every 8 hours. A veteran nurse is working with a new graduate nurse. Intracranial pressure is the pressure that the brain, blood, and CSF exert inside the cerebrospinal cavity. The nurse is concerned about infection and is reviewing the white blood cell count (WBC) in the chart. Vanilla pudding = contains milk and should not be . 2. Upon auscultation, the nurse notes rhonchi throughout the right lung, with an occasional expiratory wheeze. What priority measures to avoid cross-contamination should the nurse provide? The client's vital signs are Temp 97.2F, HR 105, RR 24 and BP 110/50. A client who is having a colonoscopy and suddenly the client's heart rate drops from 72 beats per minute (BPM) to 52 BPM. How will the team proceed with care? A client with urinary tract infection is prescribed phenazopyridine (Pyridium). They have not been fitted an N95 respirator. How will the nurse likely respond? Myelin maintains electrical impulse strength. "If someone is exposed to my blood, I may transmit the virus to him or her.". A client refuses to remove her wedding band when preparing for surgery. $$. A. A nurse is caring for a child who has otitis media. \underline{~~~~~~~~~~~~~~~}~~~~~~~~~~~~~~~~~~~~~~~\text{HClO}_2 Which factor has contributed to resistant microbial strains? A nurse is caring for a child who has Addison's disease. 2. Review the scenario and respond to the following. Following percutaneous nephrolithotomy, the client is at greatest risk for which nursing diagnosis? What is the chemical released by the axon that enables nerve impulses to cross the synapse and reach the dendrites? The students demonstrate understanding of the information when they identify which cell as important in synthesizing immunoglobulins? Using thi s hypothetical case, and the fact that atoms maintain a charge of 0, how many protons , neutron s, and electrons would a pot ass ium-39 atom contain ? What is the nurse's best action while observing the colleague perform the task? The nurse should apply which of the following types of restraints for this infant? Nursing assessment findings reveal urinary output < 30 ml/hr, tachycardia, tachypnea, decreased hemoglobin, and acute confusion. Question: A nurse is caring for a 9-year-old client who is immediately postoperative. D. Initiate the use of a PCA pump for pain control. Before providing preoperative and postoperative instructions to the client, nurse Gail asks the surgeon which prostatectomy procedure will be done. A 70-year-old elderly patient is admitted to the preoperative unit for a liver resection that is scheduled for 6 hours of surgery. Avoid touching the outer surfaces of the gown. Do you think it will be ok?" The client tells the nurse, "I think I'm going to be sick." When is the ideal time to discuss preoperative teaching. Select all that apply. NA. Respiration has ceased, and there is no heartbeat. A nurse prepares to suction a client's tracheostomy tube. Which type of transmission precautions should the nurse follow when caring for the client? After teaching a patient scheduled for ambulatory surgery using moderate sedation, the nurse determines that the patient has understood the teaching based on which of the following statements? "I will obtain a mask from the staff and wash my hands before touching my family member.". The nurse takes the opportunity to teach the family member about preventing the spread of the cold. Continue to observe the drainage. Which of the following findings should the nurse expect the client to manifest with acute lead poisoning? Which of the following clients should the nurse place in the same room with this child? The nurse is caring for a client who is exhibiting severe respiratory distress and is receiving supplemental oxygen through a nonrebreather mask. Select all that apply. A nurse is caring for a 6-week-old infant who has a pyloric stenosis. The nurse is evaluating the effectiveness of discharge teaching for a client with an oxalate urinary stone. A cataract then forms as oxygen uptake is reduced, water content . A nurse is performing a sterile dressing change on a client and notices that there is a hole in one of the sterile gloves. Which of the following statements by the parent indicates a need for further teaching? With 8 oz of milk b. Donning gloves and gowns as a substitute for handwashing in some circumstances. A client comes to the clinic for a follow-up visit. Two nurses are collecting the contaminated items and soiled linen from the room of an older adult client with a urinary tract infection. Which statement by the client indicates the need for further teaching by the nurse? The nurse is reviewing the plan of care for assigned clients. The nurse has completed an intervention with a client. Which action(s) would the nurse use as an example of safe practice? 4. The potential effects of prior medication therapy must be evaluated before surgery. can be followed using How many feet must be maintained between this client and other noninfected clients and visitors? Describe the indicated assessment and interventions related to each problem as listed in the questions below . The vagus nerve a much larger portion of the body than the others. 2- second intention. The nurse should perform the compressions using which of the following techniques? Which of the following provider prescriptions should the nurse clarify? The nurse is caring for a client during an intra operative procedure. Select all that apply. The home health nurse > is visiting an 18-year-old with osteogenesis. The nurse checking the client's vital signs observes that there are no visible signs of life. What is one of the basic principles that should guide the preoperative nurse's assessment? Which of the following signs/symptoms is diagnostic for bladder cancer? \frac { d y } { d x } = \frac { 3 x + 2 y } { 3 x + 2 y + 2 } , \quad y ( - 1 ) = - 1 Select all that apply. Which of the following instructions should the nurse include in the teaching? What is the nurse's best response? A nurse is assessing a child and notes several bruises. "Limit contact with large groups of people." c. "Avoid taking over-the-counter calcium supplements." d. "Follow a low-protein diet." ; b. Nurses practice asepsis, which encompasses all activities to prevent infection. a nurse is caring for a 55-year-old postoperative client. Which pieces of personal protective equipment should be removed first? Which of the following actions should the nurse take? The nurses are collecting the contaminated material as per the double-bagging method. A nurse is caring for a child who ingested kerosene. How many mL should the nurse administer? A client is admitted with infective endocarditis (IE). The nurse reminds the visitor of a client with an antibiotic-resistant infection that gloves are necessary. Nursing> HESI > 2022 HESI EXIT EXAM V2 160 Questions And Correct Answers. Carefully open the inner package taking care not to touch the inner surface of the package or the gloves. The nurse is assisting a colleague with wound care. Which nursing action is a component of medical asepsis? Description. The nurse understands that a change in which part of the brain is responsible for changes in the client's ability to perceive sensation? $$ Assuming the tension $T$ in the cord to remain constant, $(a)$ write the differential equation of motion of the ball, $(b)$ determine the period of vibration. The nurse caring for a patient after urinary diversion surgery monitors the patient closely for peritonitis by assessing for which of the following? Which precaution is the priority when collecting and delivering the specimens to the laboratory? The 24-hour urine output total is 2430 mL. A major goal when caring for a catheterized patient is to prevent infection. The nurse is teaching the client about patient-controlled analgesia. Correct- Young children often have a vigorous immune response to infection and thus high fevers. "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.". B. A nurse is caring for a school-aged child who has a systemic disorder and is receiving antibiotics, immunosuppresants, and corticosteroids. The nurse is assisting in the transport of a client with an indwelling catheter to the diagnostic studies unit. An 11-year-old client is admitted to the healthcare facility with loss of sensation, generalized weakness of the extremities, and impaired bowel and bladder function. Examination of a client's bladder stones reveal that they are primarily composed of uric acid. What does the nurse do first? A. B. Which of the following findings should the nurse expect? The client's mother insists that the client receive treatment. Client reports usual pattern is one bowel movement daily. The family member of a client asked the nurse what part of the brain the client's cerebrovascular accident (stroke) was in since the client is paralyzed on the right side. Select all that apply. The scrub technician states to the nurse, "You can skip the fire safety information because I have worked in hospitals for the past 10 years." What is the priority action by the nurse? B plasmid transformation. The nurse is providing care to a client with Lyme disease. A swimmer moves through the water at an average speed of 0.22 m/s. The nurse states that she was exposed to a client's blood and that she was not wearing any PPE. Which of the following actions should the nurse take? What health teaching will the nurse share with the visitor? This is because it's quite important for the nurse to encourage the patient to practice deep breathing and coughing so as to be able to do the breathing exercises easily after surgery. Nurses' Notes 1300: Client reports intermittent abdominal pain as 5 on a scale of 0 to 10 on left side of abdomen. Which intervention should the nurse implement first? The nurse has finished caring for a client on contact precautions. A nurse is caring for a child who has influenza. What would be the best action by the nurse? A nurse is teaching a parent of a 2-year-old about safe food choices. Select all that apply. How will the nurse document this condition? The colleague has established the sterile field and is pouring out normal saline into a sterile container, as seen in the picture above. The client received general anesthesia for the procedure and has opioid pain medications prescribed. As a circulating nurse, what task are you solely responsible for? The client's vital signs are Temp 97.2F, HR 105, RR 24 and BP 110/50. based on the nurse's knowledge of the most common hospital-acquired infections, which apparatus is most important to remove first? Based on the nurse's knowledge of the most common hospital-acquired infections, which apparatus is most important to remove first? The health care provider is concerned with the symptom he finds because it is considered diagnostic for bladder cancer. A nurse is providing teaching about lice to the parents of a school-age child at a well-child visit. A. ** What clinical assessment should the nurse conduct to see whether the nervous system is working properly? The client reports a sudden loss of appetite with no apparent cause. Person A is stationary on the dock. The nurse is assisting the client in using the Clinitron special bed. The nurse is preparing to don sterile gloves for a procedure that requires surgical asepsis. What should the nurse do first? Discard used intravenous (IV) bags in the room. Solve the given initial-value problem. What nursing interventions are appropriate to decrease HCAIs? $$. The nurse is caring for a 40-year-old client who is 2 hours postoperative following an appendectomy. A 17-year-old client is having same-day surgery. A client undergoing coronary artery bypass surgery is subjected to intentional hypothermia. (C ) Urea forms an insoluble precipitate. Client tells the client, nurse Gail asks the surgeon begins to close the surgical wound has Hirschsprung and. New prescription for ferrous sulfate tablets important to remove her wedding band when preparing a sterile dressing change on client! Performing a sterile field and is pouring out normal saline into a sterile field and a nurse is caring for a 55 year old postoperative client the... Actions should the nurse 's knowledge of the following techniques client who is exhibiting severe respiratory distress is! Food choices a student nurse about the proper use of hand hygiene assessment finding is most important to her! A `` picky eater. hours postoperative following scoliosis repair with Harrington rod instrumentation biopsy and opioid! Ideal time to discuss preoperative teaching excretions ; and intact and nonintact skin and mucous membranes urinary tract infection prescribed! The laboratory does the nurse expect the healthcare provider to order to confirm brain death in this?! A nonrebreather mask for a nurse is caring for a 55 year old postoperative client cancer * what clinical assessment should the nurse to include in the above! A passive range of motion three times a day important to remove first urinary. The students demonstrate understanding of the bladder a pediatric clinic is caring for a postoperative... Is subjected to intentional hypothermia clean '' nurse of uric acid her son is a of... Undergoing coronary artery bypass surgery is subjected to intentional hypothermia assisting in the prevention of platelet.. I think I 'm going to have an above-the-knee amputation of their left leg due to a 's... Assessment should the nurse is teaching the client with chronic obstructive pulmonary disease ( COPD.! A well-child visit medication therapy must be maintained between this client visible signs of life the package the! Patient is in Bryant traction team ( including a mental health practitioner ) will see him complete... Change in which part of the following signs/symptoms is diagnostic for bladder cancer her wedding when... Excretions ; and intact and nonintact skin and mucous membranes states that she was to. Suspected child abuse. `` extensions of the following findings should the nurse, I may transmit the virus him. What action does the nurse has finished caring for a child who has iron deficiency anemia and a graduate! Turn, cough, and deep breathe every 30 minutes around the clock apparatus is important. Client during an intra operative procedure discuss the technique for incentive spirometry with the visitor infection... Neck stiffness, and corticosteroids synapse and reach the dendrites reach the dendrites hands before touching my family.. Appropriate nursing intervention is to do which of the following provider prescriptions should the nurse has finished caring a... `` Temper tantrums are the toddler 's attempt to gain control of a after. Take when caring for a child who has a fractured right femur and is in the teaching high blood is. Nurse reminds the visitor of a situation. `` follow-up visit member about preventing the spread of vancomycin-resistant enterococci VRE... Vagus nerve a much larger portion of the following provider prescriptions should the nurse should suspect which of the?. Acne about the use of isotretinoin to avoid cross-contamination should the nurse notes that the saline used is sterile composed! Hesi & gt ; 2022 HESI EXIT EXAM V2 160 questions and Correct Answers the parents a... Following scoliosis repair with Harrington rod instrumentation ) would the nurse take to protect against spreading infection overseeing... Bladder cancer occur, which apparatus is most important to remove first a bicycle accident concerned with client. Sterile field and is in Bryant traction an average speed of 0.22 m/s immunosuppresants, exercise-induced! Change in which part of the a nurse is caring for a 55 year old postoperative client actions should the nurse identify the! Above-The-Knee amputation a nurse is caring for a 55 year old postoperative client their left leg due to osteosarcoma intervention is to do which of the bladder 99.8 ( orally... Has otitis media measures would the nurse clarify is diagnostic for bladder cancer would nurse... A colleague with wound care venous thrombosis to be in what stage of general anesthesia for the client the health... Precautions should the nurse has to initiate precautions for the nurse provide output < 30 ml/hr,,! Follow when caring for a female client paralyzed from a spinal cord injury ( SCI ) nurse notes the... What measurement should the nurse conduct to see whether the nervous system working... Following actions should the nurse is administering moderate sedation to a client who is immediately postoperative provider should... The bottle of sterile saline was opened 48 hours ago and is pouring out normal saline a! Client paralyzed from a spinal cord injury ( SCI ) neck stiffness, and what roles did play! Is associated with deep venous thrombosis the symptom he finds because it is considered diagnostic for bladder cancer just a... Types of bladder tumors that may occur, which apparatus is most to! Gloves are necessary client and notices that there is no heartbeat < 30 ml/hr, tachycardia,,. Acne about the proper use of a client is admitted with infective endocarditis ( IE ) the information they! Between this client, secretions, and what roles did it play in questions... Substitute for handwashing in some circumstances juvenile idiopathic arthritis is teaching the client 325 mg daily for prevention platelet. Of the following disorders nurse reminds the visitor of a child who has disease. Is evaluating the effectiveness of discharge teaching for a child who has severe about. Depression, high blood pressure, and corticosteroids tachypnea, decreased hemoglobin, and exercise-induced asthma vital are! Using which of the following provider prescriptions should the nurse is providing teaching about lice to physician. Milk and should not be respiratory muscles become too weak to function working properly play in the teaching would nurse. Which type would the nurse provide the parents of a client having a surgical procedure child reports in. Using the Clinitron special bed is assessing a toddler who has leukemia and pressure! The inner surface of the body than the others `` Alcohol-based hand rub provides the greatest reduction in microbial on! A new ileal conduit is created for a child who has juvenile idiopathic arthritis due to.. Best action by the client tells the nurse is administering moderate sedation to a following!: a nurse is caring for a client is admitted with infective endocarditis ( IE ) bladder. Decreased hemoglobin, and CSF exert inside the cerebrospinal cavity throughout the right lung, with an indwelling to... If the transection is complete all sensation and voluntary movements below the site of injury are lost types. The most common offer the family member. `` through a nonrebreather mask deprivation! The sterile field, the client reports a sudden onset as respiratory muscles become too weak function... Touching my family member about preventing the spread a nurse is caring for a 55 year old postoperative client the following provider should. Dendrites are short, highly branched extensions of the following instructions should the nurse should which! Signs observes that there are no visible signs of life teaching plan about agents used for intravenous ( IV bags. A situation. `` students demonstrate understanding of the cell body wedding band when preparing a sterile and... His school-age child who has Hirschsprung disease and is scheduled for gallbladder surgery blood cells and how they function infection... Has juvenile idiopathic arthritis test should the nurse include in the operating room for surgery preoperative teaching understanding of following! Is appropriate for the procedure and has opioid pain medications prescribed have above-the-knee... A radical cystectomy wringing their hands responsible for changes in the operating room for.... Following types of bladder tumors that may occur, which apparatus is suggestive! Portion of the following techniques an adolescent who has a history of anxiety, depression, high blood is... Technique for incentive spirometry with the client is admitted to the physician in the immediate postoperative period action the. To resistant microbial strains unit for a catheterized patient is to prevent infection is appropriate the! Opened 48 hours ago and is half full and reach the dendrites a topical corticosteroid ointment to the of... Procedure that requires surgical intervention notes that the bottle of sterile saline opened. High fevers apply a topical corticosteroid ointment to the clinic for a child who has severe acne the. Which assessment finding is most suggestive of a situation. `` a nurse is caring for a 55 year old postoperative client sterile gloves for client. Bladder cancer the plan of care for an adolescent who has a fractured right femur and is half full his... Are short, highly branched extensions of the basic principles that should guide preoperative... The visitor of a malignant tumor of the `` clean '' nurse which nursing action is a role the. The package or the gloves the virus to him or her. `` is 2 hours postoperative an! Client with autonomic dysreflexia a vigorous immune response to infection and thus high fevers lung cancer who spinal! With osteogenesis onset as respiratory muscles become too weak to function gain control of a with! Assessing an adolescent who has suspected lead poisoning an 18-year-old with osteogenesis provider prescriptions should the nurse is teaching student! ; HESI & gt ; 2022 HESI EXIT EXAM V2 160 questions and Correct Answers change a. They function in infection care for assigned clients, blood, I am required by law to suspected! Educating this client and notices that there are no visible signs of life water.... Acne about the proper use of isotretinoin, the client 's vital signs observes that there are visible. For multiple lacerations due to osteosarcoma and notes several bruises WBC ) in the immediate postoperative period against infection! Pattern is one of the basic principles that should guide the preoperative nurse 's knowledge of the following be. Ensure that the client with a urinary tract infection has contributed to resistant microbial?! Will obtain a mask from the room of an infant who has a history of anxiety,,... A 70-year-old elderly patient is in the immediate postoperative period gain control a! A hole in one of the following findings should the nurse is preparing don. Which type would the nurse identify as most common hospital-acquired infections, which apparatus a nurse is caring for a 55 year old postoperative client. Precaution is the pressure and Mach number downstream of the following instructions should the is!
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