1. The client's oxygen saturation dropped from 97% to 93% after a dose of oxycodone O 2. The client developed a headache after a lumbar puncture. O 3. The client tripped over personal belongings and fell inside the hospital roomctay is negative for fractures. O 4. The client developed a deep vein thrombosis. Sequential compression device was applied to affected calf. O 5. The client developed a pneumothorax after a bronchoscopy.
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- When assessing a patient receiving a continuous opioid infu-sion, the nurse immediately notifies the physician when the patient has:a. A respiratory rate of 10/min with normal depthb. A sedation level of 4c. Mild confusiond. Reported constipationAfter receiving the third dose of a new oral anticoagulant prescription, Which action should the nurse implement? Select all A. Obtain a soft Bristol toothbrush B. Provide a PRN NSAID for gum discomfort C. Review most recent coagulation lab values D. Complete a medication variance report E. Report findings to healthcare providerThe nurse is assessing the respirations ola client with chronic obstructivepulmonary disease (COPD). What is therationale for the nurse to assess therespiratory rate without the client beingaware of it? It is more efficient for the nurse todo so because it takes less time Client awareness might alter therespiratory rate or pattern The client might suppressKussmaul's respirations if awarethe respirations are being counted It allows for observation forrespiratory distress, tachypnea, ororthopnea
- 1 of 1 Index of EHR Exercises The nurse is assigned to four clients. Which client should the nurse assess first? O 1. The client diagnosed with respiratory failure who is on 4L of oxygen by nasal cannula and reports shortness of breath. O 2. The client diagnosed with respiratory failure who is onr continuous positive airway pressure (CPAP) with settings of 5/10 at 50% FIO2. The client reports shortness of breath. O 3. The client diagnosed with respiratory failure who is on a Venturi mask with.50% Fi02. The client reports shortness of breath. O 4. The client diagnosed with respiratory failure who is on synchronized intermittent mandatory ventilation (SIMV) with settings of 5/10 at 50% FIO2. The client reports shortness of breath.1 of 1 Index of EHR Exercises The nurse is assigned to four clients. Which client should the nurse assess first? O 1. The client diagnosed with respiratory failure who is on 4L of oxygen by nasal cannula and reports shortness of breath. O 2. The client diagnosed with respiratory failure who is dr continuous positive airway pressure (CPAP) with settings of 5/10 at 50% FiO2. The client reports shortness of breath. O 3. The client diagnosed with respiratory failure who is on a Venturi mask with. 50% Fi02. The client reports shortness of breath. O 4. The client diagnosed with respiratory failure who is on synchronized intermittent mandatory ventilation (SIMV) with settings of 5/10 at 50% FIO2. The client reports shortness of breath.The nurse is educating a clent admited with mild scoliosis. Which of the following statements are appropriate when educating this cient? (Select all that apply) Currently Selected: A A can provide you with some informaton about support groups in the area for those with scoliosis" B Use buproten when needed for pain C s mportart to une the brace 1223 hours a dey D Twodto ow you some breathing exercises that may be helphul for you E Mea ow up appontment in 18 months
- Nursing Care Plan Diagnosis Goal Intervention Rationale Evaluation Activity intolerance isassociated withreduced hemoglobin,as seen by weaknessand exhaustion as aresult of fatigue. Subjective:She would complain offatigability, giddiness,blurring of visionwhich is relieved uponrest.Objective:Hemoglobin: 100 g/LDiscuss nursing organizations on these following: 1. JACHO 2. CMS. 3. ANA 4. AMA 5. MEDICAL BOARD 6. NALPN 7. LVNAT 8. TAVNEG Mec b tru Whr b WhiG Cha b he b The b Wli b nttps://gcblackboard.com/webapps/assessment/review/review.jsp?attempt_id=_17360099_1&course_id= 295598_1&content_id= 4858790_1&ret No results Options v Question 28 A nurse on the previous shift removed an indwelling catheter from a patient. What is the oncoming shift nurse's priority? Answers: Assisting the client to the toilet. O Assessing for urinary retention. Teaching the client bladder retaining excercises. Obtaining a specimen of urine. Question 29 The client's two-way catheter has blocked. An open irrigation has been ordered. Why should the solution be instilled gently and s Answers: To minimize the risk of bladder spasms. To increase the effectiveness of the solution. To prevent air being instilled into the bladder. To reduce the risk of introducing microorganisms into the urinary tract. Question 30 The patient is admitted to hospital diagnosed with urinary retention. After inserting an indwelling catheter, the nurse notes a pungent…
- A nurse is preparing to assess a client for whom a report has been given noting 6% dehydration. Which signs/symptoms would the nurse anticipate as being present? Select all that apply. a. increased respiratory rate b. hypotension c. headache d. extreme thirst e. sustained tachycardiaPt has stage 2 pressure injury and in end of life care. Lis 6 actions of pressure injury management for End of life patients and explain with rationale for each actions.1.What are poition statement in nursing 2. What is the TBON position on board rules associated with alleged patient abandoment on employment issues and licensure issues. ( 125 words). provide references and citation.