At what point should a nurse normally administer antiemetics to a surgical patient? The health care provider is concerned with the symptom he finds because it is considered diagnostic for bladder cancer. Which nursing actions will be performed to assist in the prevention of health care-associated infections (HCAIs)? Which of the following statements should the nurse include in the teaching? The nurse checking the client's vital signs observes that there are no visible signs of life. A nurse has finished providing care for a client who is on contact precautions. The patient informs you that he drinks six to eight beers each day and has for the last 15 years. Acts as shock absorber for brain and spinal cord, Is a chronic, progressive disease affecting the dopamine-producing cells of the brain. Which are general risk factors? Which nursing interventions should the nurse implement when caring for elderly clients? The client's vital signs are Temp 97.2F, HR 105, RR 24 and BP 110/50. $$ The nurse understands that a change in which part of the brain is responsible for changes in the client's ability to perceive sensation? The client is approximately 24hr postoperative and describes the pain as "severe". Place a surgical mask on the client and transport to the CT department at the specified time. Which of the following actions should the nurse suggest to the parent? The nurse assesses fluid leaking from the ears which tests positive for glucose. A nurse is caring for a child who has otitis media. Which would be considered significant blood exposures by occupational health? A nurse in an emergency department is caring for an infant who has a 2-day history of vomiting and an elevated temperature. A nurse is assessing a child who has nephrotic syndrome. The patient had a large upper abdominal incision. The client is nonverbal and has both cognitive and developmental delays. The nurse applies an alcohol-based hand rub upon entering the client's room. African lungfish, which are often found in small, stagnant pools of fresh water, produce urea as nitrogenous waste. A veteran nurse is working with a new graduate nurse. 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. D. The buttocks is elevated slightly off the bed. She has just undergone an appendectomy. What is the advantage of this adaptation? Select all that apply. Which statement accurately describes this process? Which individual would be responsible for ensuring that procedure and site verification occurs and is documented? When would surgery be contraindicated for this patient due to laboratory results? Following percutaneous nephrolithotomy, the client is at greatest risk for which nursing diagnosis? The nurse's postoperative plan of care should include which of the following? A client suffers a stroke located in the medulla. The client's vital signs are Temp 97.2F, HR 105, RR 24 and BP 110/50. Which result supports this concern? The nurse knows that adequate preoperative teaching and learning is important for what reason? use of antibiotics in clients with viral infection. 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. Find the tangential and centripetal components of the net force exerted on a car (by the ground) when its speed is $27 \mathrm{~m} / \mathrm{s}$, and it has accelerated to this speed from rest in $11 \mathrm{~s}$ on a curve of radius $450 \mathrm{~m}$. Which of the following assessments is the nurse's priority? Which pieces of personal protective equipment should be removed first? What condition might increased ICP indicate? The nurse is caring for a client who is exhibiting severe respiratory distress and is receiving supplemental oxygen through a nonrebreather mask. Risk for Deficient Fluid Volume. A nurse is providing teaching about iron deficiency anemia to the parents of a toddler. The nurse observes clear fluid leaking from the nose. The nurse should suspect which of the following disorders? The expression of thousands of genes at one time The friend of a long-term care client comes to visit despite having an upper respiratory infection. The client received general anesthesia for the procedure and has opioid pain medications prescribed. Place the following steps in the order that the nurse should take when donning sterile gloves. What is the primary action taken by the nurse? What postoperative difficulties can the nurse anticipate for this patient? Fentanyl is categorized as which type of intravenous anesthetic agent? While assessing the client, the nurse notes that the bag attached to the mask is deflated. A patient undergoes surgery for removing a malignant tumor, followed by a urinary diversion procedure. The nurse is preparing discharge instructions for a family member who will be caring for a client with an abdominal incision. The nurse is caring for a client with a colostomy pouch. When removing the protective gown, the nurse should take which action? Select all that apply. A nurse is caring for a child who has Addison's disease. "Bring your baby in to the clinic today.". A nurse is preparing to begin chest compressions on an infant. Multiple Choice Q09 When determining that the traction is appropriately assembled, the nurse should observe which of the following? Which of the following foods should the nurse recommend? A good outcome includes recovery without complications and adequate pain management . The nurse is caring for four clients on a medical-surgical unit.. A nurse is caring for a 55-year-old client with a left-sided stroke. What is the priority action by the scrub nurse when the surgeon begins to close the surgical wound? Select all that apply. What is the nurse's best action while observing the colleague perform the task? What priority education should the nurse provide to assist in preventing respiratory complications? After reviewing the image, what is the most important step for the nurse to take? Avoid touching the outer surfaces of the gown. A nurse is providing nutritional teaching to the mother of a preschooler and is recommending food options to provide 1 oz of grains. If one of the normal components of the cranial or spinal cavity (e.g., brain tissue, blood, or CSF) increases in size, volume, or shape, pressure increases. What factors have contributed most significantly to this trend? A nurse is caring for a child who has influenza. During the collision at the bottom of the elevator shaft, a 90 kilogram passenger is stopped in $5.0\text{~ ms}$. What is the greatest possible rate of energy transfer by radiation from a metal cube 2.0 cm on a side that is at $700 ^ { \circ } \mathrm { C }$? A nurse needs to send the blood and urine specimen of a client with acute diarrhea to the pathology laboratory. Which room assignment will the nurse make? The client's vital signs are Temp 97.2F, HR 105, RR 24 and BP 110/50. The nurse is requested to place an ice pack on the eyelid for 2 minutes for a client suspected of having myasthenia gavis (MG) with diplopia. Which of the following findings should the nurse expect the client to manifest with acute lead poisoning? Julie S Snyder, Linda Lilley, Shelly Collins, Introduction to Maternity and Pediatric Nursing, Write the correct answer in the middle column.\ The nurse has to initiate precautions for the client. A nurse is caring for a 55-year-old post-operative client. This wound is healing by: The nurse positions the client in the lithotomy position in preparation for. Avoid a diet that consists primarily of milk. 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 nurse is providing teaching to a parent of a child who has a fracture of an epiphyseal plate. The nurse is caring for a client scheduled for removal of a pituitary tumor using the transsphenoidal approach. A nurse who has provided care in perioperative settings for many years has seen first-hand the trend toward increasing numbers of surgical procedures being performed in ambulatory surgical centers and on an outpatient basis. The nurse should respond with which of the following common names? Which precautions will the nurse begin? How will the nurse appropriately remove this personal protective equipment (PPE)? "Temper tantrums are the toddler's attempt to gain control of a situation.". Which of the following measures should the nurse employ when providing postoperative care for this client? Select all that apply. 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. The nurse should perform the compressions using which of the following techniques? 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. Select all that apply. The nurse reminds the visitor of a client with an antibiotic-resistant infection that gloves are necessary. 3- third intention. You are caring for a client preoperatively who is very anxious and fearful about their surgery. Which action, made by the nursing assistant, would require instruction? What priority measures to avoid cross-contamination should the nurse provide? Cause is unknown. How will the nurse document this condition? A team of nurses is caring for a client with tuberculosis. The nurse should place a sign with which of the following warnings over the child's bed? A client has an inguinal hernia repair and later develops a methicillin-resistant Staphylococcus aureus (MRSA) infection. What interview questions would the nurse ask the client? Standard precautions apply to blood; all body fluids, secretions, and excretions; and intact and nonintact skin and mucous membranes. Which nursing action carries the greatest likelihood of contributing to the spread of vancomycin-resistant enterococci (VRE)? 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}$. What is the priority action by the nurse? In preparing a patient for surgery, the following areas should be addressed. What means of transmission do nurses use transmission barriers to protect themselves from? Respiration has ceased, and there is no heartbeat. $$ Which of the following should the nurse recognize as the most reliable indicator of fluid loss? C. Provide a passive range of motion three times a day. Nursing> HESI > 2022 HESI EXIT EXAM V2 160 Questions And Correct Answers. What outcome does the nurse anticipate if the diagnosis is confirmed? Which concept should be the priority in the teaching plan? Which care intervention should the nurse anticipate when providing care to a client admitted with a possible diagnosis of tuberculosis (TB)? The nurse is monitoring a client admitted to the hospital with a diagnosis of appendicitis who is scheduled for surgery in 2 hours. The primary nurse educates the client about surgery and the postoperative period. The nurse witnesses a client having a tonic-clonic seizure in the bed. The appropriate nursing intervention is which of the following? The nurse receives the client's culture and sensitivity report on her tracheal aspirate. The nurse is receiving a confused client with a draining wound onto the medical-surgical unit. A nurse is caring for a client who is being treated for a nervous system disorder. Use all options. Which action by the nurse is appropriate? What is an implication of this assessment finding? \underline{~~~~~~~~~~~~~~~}~~~~~~~~~~~~~~~~~~~~~~~\text{HIO}_3 Select all that apply. The nurse should be. A 17-year-old client is having same-day surgery. What is the patient most likely experiencing? What related complication should the nurse be aware of? When preparing a sterile field, the nurse notes that the bottle of sterile saline was opened 48 hours ago and is half full. When collecting the client's vital signs, the nurse notes her rectal temperature to be 103.1F (39.5C). Patricia O'Connor, a 17-year-old high school student, is returning to the medical-surgical unit where you practice nursing from surgery. 2. Last bowel movement 5 days ago. A patient is in the operating room for surgery. A. The patient states that her health care provider has explained the parameters for fasting prior to her surgery but tells the nurse that she does not entirely understand why she cannot eat or drink before surgery. $$ The compressed air enters this $2.5-\mathrm{cm}$ diameter fitting at $1.6 \mathrm{~MPa}$ and $40^{\circ} \mathrm{C}$ with a velocity of $50 \mathrm{~m} / \mathrm{s}$. The nurse is conducting a preoperative assessment on a client scheduled for gallbladder surgery. How will the nurse document this condition? A nurse is collecting data from a child who is descending stairs by placing both feet on each step and holding on to the railing. Con sider a hypot hetic al case in which the charge on a proton is twice that of an electron. A 55-year-old patient arrives at the operating room. She is concerned her newborn will develop the disease. "Encourage your child to avoid sharing hats with other children.". What velocity and acceleration of A are observed by a passenger fixed to and rotating with the ship? Select all that apply. The client is infected with a strain of Streptococcus pneumonia, which is particularly prone to cause infections, also referred to as what? The students demonstrate understanding of the information when they identify which cell as important in synthesizing immunoglobulins? What does the nurse do first? What should a nurse be alert for when caring for such a client? There are four stages of general anesthesia. Which disease does the client likely have? $$ Which factor has contributed to resistant microbial strains? A parent calls a clinic and reports to a nurse that his 2-month-old infant is hungry more than usual but is projectile vomiting immediately after eating. Correct- Young children often have a vigorous immune response to infection and thus high fevers. The nurse should take which initial action? The nurse understands that which part of the brain could be responsible for the client's condition? Which of the following provider prescriptions should the nurse clarify? A nurse is caring for a client who has influenza and varicella. The nurse states that she was exposed to a client's blood and that she was not wearing any PPE. A nurse reports an incident of suspected child abuse. The nurse is caring for a client who became very ill after ingesting seafood. Nurses practice asepsis, which encompasses all activities to prevent infection. B plasmid transformation. $$ When performing further assessments of this client, the nurse should understand that: older adults may present atypical signs and symptoms of infection. What is the priority action by the nurse? AKA Spinal tap, involves the insertion of a hollow needle with a stylet (guide) into the subarachnoid space of the lumbar region of the spinal canal. A client in the emergency department waiting room is showing signs of respiratory symptoms. The nurse is caring for a client admitted with tuberculosis (TB). Which strategy should the nurse include when responding to the client? The nurse is caring for a postpartum mother who delivered her second child yesterday. **Summarize** the difference between mafic and felsic magma. The nurse is educating a client with human immunodeficiency virus (HIV) about ways the virus can be transmitted. The cerebral cortex is divided into four lobes,with the same names as the overlying cranial bones: frontal,parietal, temporal, and occipital. Available amoxicillin 250mg/5 mL. Which of the following drug classifications may cause respiratory depression from an associated electrolyte imbalance during anesthesia? The nurse discovers that the client did not sign the operative consent before receiving the preoperative medication. What is the best action for the nurse to take? A nurse is caring for a postoperative patient who had spinal anesthesia. 4. What action should the nurse take? The nurse is caring for a 52-year-old client who has experienced a complex lower leg fracture that needed surgical repair and is now immobilized. The nurse is reviewing the plan of care for assigned clients. Initially, MS may be manifested as difficulty in walking, tremors, lack of coordination, pins and needles, numbness, and visual changes including loss of vision. B. (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. Which finding is an early indicator of bladder cancer? 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. You know that this client's anxiety can cause problems with the surgical experience. A nurse is caring for a child who has acute gastroenteritis but is able to tolerate oral fluids. Which nursing action regarding the stethoscope used to auscultate this client's lungs and bowel sounds is appropriate? In MS, the myelin sheath covering the nerves is destroyed. This increase in pressure can cause the delicate structures to be moved, damaged, or destroyed. The nurse is teaching the client about patient-controlled analgesia. Diagnostic test performed to visualize the spinal cord. Assume the variables x = 5, y = 6, and z = 8. A nurse is providing teaching to a 17-year-old female client who has severe acne about the use of isotretinoin. The Glasgow coma scale (GCS) is commonly used as a broad indicator of the severity of brain injury. When should the client stop taking the aspirin before the surgery? Emptying the Foley catheter bag of a client with VRE and then helping the client in the next bed transfer to a chair without washing hands between contact. Each alternative has a 6-year useful life. A nurse is caring for a client who is three hours post op from open abdominal surgery. A. The surgical client is at risk for injury related to positioning. Which client would require a negative flow room? How will the team proceed with care? How will the nurse document this condition? 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 is assisting the provider during a lumbar puncture on a client. A client who sustained head trauma in a motor vehicle crash is determined to have an increase in intracranial pressure (ICP). Ms. Simpson, age 72 years, is being seen in the clinic with a suspected bladder tumor. Describe three characteristics of ctenophores. What important steps should the nurse follow when providing care for this client? A swimmer moves through the water at an average speed of 0.22 m/s. Intracranial pressure is the pressure that the brain, blood, and CSF exert inside the cerebrospinal cavity. Which measure by the nurse is appropriate? Inspection of his mouth reveals a white, milky plaque that does not come off with rubbing. Offer the family member a mask, explaining its use. Which assessment finding is most suggestive of a malignant tumor of the bladder? The nurse suspects abnormal orthostatic changes. \underline{~~~~~~~~~~~~~~~}~~~~~~~~~~~~~~~~~~~~~~~\text{HClO}_2 You are asking Ms. Simpson about symptoms that she has had that brought her to the clinic. A cataract is an opacity of the lens that distorts image projected onto the retina and that can progress to blindness. Which of the following nursing diagnoses would be a priority for this patient? Respiratory rate is 20, temperature is 99.8 (taken orally), heart rate is 87, and blood pressure is 124/70. Which of the following actions should the nurse take? 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. When planning this client's care, the nurse should assign the highest priority to which nursing diagnosis? Vanilla pudding = contains milk and should not be . What complication is the nurse aware of that is associated with deep venous thrombosis? What type of problems can this client have because of their anxiety and fear? Preoperative Nursing Assessment A comprehensive preoperative nursing assessment of the total hip patient is important in helping to achieve a positive outcome. A nurse is caring for a client in isolation. Select all that apply. The mother states her older child has just been diagnosed with chickenpox. A nurse is teaching a parent of a child who has hemophilia how to control a minor bleeding episode. Place the following steps in the order that the nurse should take when donning sterile gloves. Which assessment indicates that there is a positive outcome from this nursing care? a. Question: A nurse is caring for a 9-year-old client who is immediately postoperative. Record your answer using a whole number. The nurse should understand that these actions are developmentally appropriate at which of the following ages? Under the action of its stern and starboard bow thrusters, the cruise ship has the velocity $v_B$ = 1 m/s of its mass center B and angular velocity $\omega$ about a vertical axis. A 64-year-old man is seeing his urologist for an annual check-up, post prostatectomy. The nurse is caring for a client who is scheduled for the creation of an ileal conduit. Nursing care planning and management for patients who underwent appendectomy includes: preventing complications, promoting comfort, and providing information. A client sustains a head trauma after falling from a roof. What is the magnitude of the impulse on the passenger during the collision. Which of the following is the most common symptom of bladder cancer? Which statement about neonatal development is accurate? The 24-hour urine output total is 2430 mL. The car's mass is $1150 \mathrm{~kg}$. Which of the following instructions should the nurse include in the teaching? Which assessment finding explains the absence of drainage? Which intervention should the nurse implement first? 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 nurse is caring for a client who underwent a skin biopsy and has three stitches in place. "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.". A client comes to the emergency department reporting becoming very ill after consuming shrimp and lobster. 2- second intention. The ball is given a small displacement in a direction perpendicular to the cord and released. A nurse is caring for a toddler who is 24 hour postoperative following a cleft palate repair. When a client with a history of chronic alcoholism is admitted to the hospital for surgery, the nurse anticipates that the client may show signs of alcohol withdrawal delirium during which time period? ** An elderly client arrives at a healthcare facility with complaints of loss of sensation. **Complete the medical term, based on its meaning as provided. Nurses play a key role in reducing both the spread of disease and adverse outcomes for clients. x == 5 || y > 3. It is now 16:30. A 50-year-old client was admitted to a healthcare facility after a traffic accident. Also called vascular headaches. The client reports a sudden loss of appetite with no apparent cause. The nurse is completing a preoperative assessment. The nurse working with a patient after an ileal conduit notices that the pouching system is leaking small amounts of urine. What assessment findings would be a priority for the nurse to alert the provider? A nurse is caring for a client who is diagnosed with increased intracranial pressure (ICP). A 33-year-old woman had a laparoscopic cholecystectomy performed this morning and was transferred at 15:00 to the postsurgical unit from PACU. The nurse assesses the client's pupils and notes the client's pupils are unequal. What is the nurse's priority action? What important consideration should the nurse keep in mind when providing care to such a client? Move the bed to various places in the room or periodically rearrange the furnishings in the room. A nurse is wearing a cover gown. Which precaution should the nurse follow when administering medication to a client in isolation? 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 appropriate nursing intervention? The nurse reviews principles of infection prevention during yearly safety training. The nurse has completed an intervention with a client. Which of the following foods should the nurse recommend? Write the formula for a monosaccharide that has three carbons. An unconscious patient with normal pulse and respirations would be considered to be in what stage of general anesthesia? "I will obtain a mask from the staff and wash my hands before touching my family member.".