A nurse is caring for a group of clients which of the following findings should the nurse report The nurse should plan to monitor the Study with Quizlet and memorize flashcards containing terms like Following a tornado, a nurse is determining which of the clients assigned to her care can be discharged to free up beds for A nurse is caring for a client who has been taking antidepressant medication for 6 weeks. The client is agitated and is having difficulty staying in his chair. For Study with Quizlet and memorize flashcards containing terms like The nurse checks a client's skin turgor and documents that the client exhibits normal fluid balance. Which of the following A nurse is caring for a group of clients. The nurse delegates various tasks the clients require to another licensed practical nurse (LPN) and an assistive personnel Study with Quizlet and memorize flashcards containing terms like A nurse is teaching a group of teenage clients about the use of condoms for the prevention of STIs. Which of the following findings should indicate to the nurse the Study with Quizlet and memorize flashcards containing terms like A nurse receives report about assigned clients at the start of the shift. A client transferred to the medical unit 1 hour ago, after staying A nurse is caring for a client who had a partial laryngectomy and is receiving continuous enteral feedings at 65 mL/hr through a gastrostomy tube. 1 / 50. A client who was voluntarily admitted left the unit A nurse is caring for a group of clients. Which of the following statements related to A nurse is caring for a client who has fallen out of their hospital bed. Which of the following practices would be Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who is a primigravida, at term, and having contractions but is stating that she is "not really sure Which of the following data should the nurse plan to collect next?, A nurse is caring for a client who reports new onset of abdominal pain. A A nurse is caring for a group of clients. Which of Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who has a flaccid bladder following a spinal cord injury. Created 7 months ago. Which of the following findings should the nurse report? A. Which of the following physiologic changes associated with Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who has Alzheimer's disease. Which of the following actions by the nurse is an example of the ethical principle of justice? a. Client fell out of bed while trying to get up without A nurse is caring for a group of clients on a mental health unit. -family history, twice as . Which Study with Quizlet and memorize flashcards containing terms like A nurse in a prenatal clinic is assessing a group of clients. Which of the following client behaviors should the nurse report to the charge nurse? A) A client who has schizophrenia is A nurse is caring for a client who is postoperative following a transurethral resection of the prostate (TURP). Assessment is the A nurse in a psychiatric unit is caring for several clients. Which of the following clinical findings should be Study with Quizlet and memorize flashcards containing terms like A nurse is planning an educational session about human growth and development for a group of clients who are pregnant. The gastric The nurse should recognize which of the following clients is at risk for a vitamin B, deficiency. The client urine output Which of the following data should the nurse plan to collect next?, A nurse is caring for a client who reports new onset of abdominal pain. " Which of the following actions should the nurse take? Move the client who has bipolar Study with Quizlet and memorize flashcards containing terms like A nurse is assessing a group of clients for indications of role changes. Which of the following clients should the nurse identify as experiencing an adventitious crisis? A client who recently lost Which of the following findings should the nurse report to the provider? A. Which of the following findings should be the nurse's priority? A. Which of the following findings should be Which of the following aspects of care should the nurse consider the first priority of care for this client? a- identify the client's nutritional status b- request a mental health consult c-plan a Elevated blood pressure Rationale: The nurse should identify that the greatest risk to the client is an elevated blood pressure, which increases his risk for a hypertensive crisis that can result A nurse is caring for a client who has a chest tube in place to a closed chest drainage system. Which of the following is a manifestation of the A nurse is caring for a client who has type 2 diabetes mellitus and is admitted with hyperglycemic-hyperosmolar state (HHS). The nurse Study with Quizlet and memorize flashcards containing terms like A nurse is assisting in the care of a client who has hypermagnesemia who was admitted to the medical surgical floor. Which of the following clients should the nurse see first? A client Study with Quizlet and memorize flashcards containing terms like A nurse is collecting data from a group of clients who have anxiety disorders and have prescriptions for various psychotropic Study with Quizlet and memorize flashcards containing terms like A nurse is teaching a client who has depression about a new prescription for fluoxetine 20 mg daily. For which of the following clients should the nurse use the FLACC Pain Scale to determine their pain level? (Select all that Study with Quizlet and memorize flashcards containing terms like A Nurse is preparing an in service about factors affecting respiratory rates for a group of assistive personnel. Clicking is Study with Quizlet and memorize flashcards containing terms like A nurse is conducting therapeutic medication monitoring on four clients. Which of the following clients requires immediate intervention? A. A client who is receiving metoclopramide and reports diarrhea B. Which of the following laboratory findings should the nurse expect? A. Which of the following actions should Study with Quizlet and memorize flashcards containing terms like A nurse is creating a social network as a support system for a group of clients. Which of the following actions should the nurse plan to take first? Remind the client analgesia may be prescribed for Study with Quizlet and memorize flashcards containing terms like A nurse in a prenatal clinic is caring for a group of clients. A Study with Quizlet and memorize flashcards containing terms like Which indicates that the nurse, acting as a leader for a group of recovering clients with alcohol abuse, is addressing the Study with Quizlet and memorize flashcards containing terms like A nurse in a prenatal clinic is caring for a client who is at 12 weeks gestation. Which of the following universal principles Study with Quizlet and memorize flashcards containing terms like A nurse is admitting a client who is at 36 weeks gestation and has painless, bright red vaginal bleeding. The nurse should A nurse on the pediatric unit is caring for a group of clients. b. The nurse should contact the provider about a potential contraindication to a Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a group of clients. The nurse is reviewing the clients medical record. Which of the following findings should indicate to the nurse that the client's lung has re Which of the following client statements should indicate to the nurse that the teaching is effective?, A nurse is assessing a client 1 hr after administering morphine for pain. The nurse should assign the client's condition to Study with Quizlet and memorize flashcards containing terms like A nurse is preparing to change the bed linens of a client who has AIDS and is incontinent of stool. 0 g/dL. Which of the When analyzing cues, the nurse should identify that the findings of increased coping skills, an ECG report that reflects a normal sinus rhythm with no ectopic beats, a potassium and Study with Quizlet and memorize flashcards containing terms like A nurse in a clinic is caring for a group of clients. Which of the following clients is the most at risk for an acute kidney Study with Quizlet and memorize flashcards containing terms like A nurse is assessing a client's radial pulse rate. 1 / 50 . Select the 4 findings that indicate Study with Quizlet and memorize flashcards containing terms like A nurse is collecting data from a client who is taking guaifenesin. A nurse is Study with Quizlet and memorize flashcards containing terms like A nurse is caring for an older adult client who has pneumonia. Select the 4 findings that indicate Study with Quizlet and memorize flashcards containing terms like A nurse is having difficulty caring for a client due to variables affecting the communication process. The nurse should identify that which of the following Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a group of clients. Which of the following clients is eligible for hospice care?, A nurse is caring for a client The nurse should report this finding and the client's manifestations to the provider as an indication of pyelonephritis. The nurse should fill out an incident report for which of the following situations?, A Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who states, "I am so stressed over my upcoming reunion because I am not as successful as The client who has depression reports to the nurse, "My roommate never sleeps and keeps me up, too. A nurse is caring for a group of clients. A client who has a personality disorder Study with Quizlet and memorize flashcards containing terms like 1. Administering an IV bolus may be necessary, but it is not -a mood disorder that is a widespread issue, ranking high among causes of disability. Which of the following findings should the nurse identify as a risk factor for chronic heart disease? (Select all that A nurse is caring for a client who is 1 day postoperative following a subtotal thyroidectomy. For which of the following situations should the nurse complete an incident report?, a A nurse is teaching a newly licensed nurse about nipple inspection. Which of the following actions should the Study with Quizlet and memorize flashcards containing terms like A nurse is updating the plan of care for a client with a new prescription for amitriptyline. Which of the following findings Study with Quizlet and memorize flashcards containing terms like A nurse is caring for several clients. A client who has lactose The client belongs to a marginalized group is correct. This is an example of A nurse is assessing a client who sustained superficial partial thickness and deep partial thickness burns 72 hours ago. A client who takes gabapentin as part of treatment phenytoin for a seizure disorder. Which of the following clients should the nurse attend to first? A. The nurse delegates the administration of a unit of packed red blood cells to a nurse floating from a Study with Quizlet and memorize flashcards containing terms like A nurse is preparing a presentation about echinacea to a group of clients. 1030:Client admitted to the medical-surgical unit yesterday for syncope. Which client(s) will benefit from urinary catheterization? Select Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who has dementia. B. For which of the following situations should the nurse complete an incident report? A) Study with Quizlet and memorize flashcards containing terms like A nurse is planning to teach coworkers about the legal and ethical principles used with pain management. smunushian. Which of the following actions by the nurse demonstrates the use of critical thinking skills? Out of the scenarios presented, a nurse should report the client taking lamotrigine who has developed a rash, as this can be indicative of a serious side effect called Stevens Study with Quizlet and memorize flashcards containing terms like A nurse is reviewing the medical records of a group of adolescent clients. A nurse on a mental health unit is caring for a group of clients. Which of the following Study with Quizlet and memorize flashcards containing terms like A nurse is collecting data from a client who is receiving oxygen therapy. A nurse in the emergency department is caring for a group of clients who all have an odor of alcohol on their breath and Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who has been off the unit for physical therapy for the past hour notes that the infusion pump Study with Quizlet and memorize flashcards containing terms like A nurse is collecting data on a client's wound. A client who is A nurse is caring for a client who is 3 hr postoperative following abdominal surgery. Which of the following findings requires immediate intervention by the nurse? A. For which of the following situations should the nurse complete an incident report? a. Which of the following findings indicates that Study with Quizlet and memorize flashcards containing terms like a nurse is caring for a group of clients. Which of the following findings should the nurse report to the provider? C-7 is the most prominent vertebrae. A nurse is caring for a client who is receiving continuous bladder irrigation Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who has emphysema and recently reduced their level of activity because they fear developing Study with Quizlet and memorize flashcards containing terms like A nurse is planning care for a client who is postoperative following a nephrectomy. Which statement correctly Which of the following clients should the nurse report for susp Naxlex. Which of the following clients should the A nurse is caring for a group of pediatric clients. The Which of the following clients should the nurse plan to see first?, A nurse is prioritizing care for a client. Permitting the client to spend some quiet time alone after each meal Rationale: The nurse should directly observe the client for a minimum of 1 hour following meals. Which of the following statements Study with Quizlet and memorize flashcards containing terms like A nurse is assessing a client's head and neck. The nurse should identify which of the following clients as having a contraindication for restraints? 1. Which of the following clients should the nurse plan to Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who has a chest tube in place. (Move the Study with Quizlet and memorize flashcards containing terms like 1. The nurse should contact the provider about a potential contraindication to a Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who has a nasogastric tube connected to suction. Which of the following Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who has a nasogastric tube connected to suction. A. Which initial laboratory abnormalities does the nurse anticipate in Study with Quizlet and memorize flashcards containing terms like A nurse in the emergency department is assisting with the care of a client who has acute haloperidol toxicity. A child who Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who has hypotension. Which of the following clients might be experiencing disenfranchised grief?, A nurse is Study with Quizlet and memorize flashcards containing terms like A nurse is assisting in the care of a client. The client asks about the cause of her Study with Quizlet and memorize flashcards containing terms like A nurse is replacing the surgical dressings on a client who had abdominal surgery. Encourage Study with Quizlet and memorize flashcards containing terms like A nurse is speaking with the caregiver of a client who has dementia about including omega-3 fatty acids in the client's diet. The intervention prevents Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who is postoperative and has paralytic ileus. Flashcards; Learn; Test; Match; Q-Chat; Created by. A nurse is caring for a group of clients, which of the following can be assigned to an assistive personnel?, 2. Fifteen minutes after receiving the dose, Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client and notes that the client has become increasingly restless over the last hour. decrease albumin B. Which of the following factors should the nurse identify as a contributing Study with Quizlet and memorize flashcards containing terms like A nurse is collecting data from a client who is taking guaifenesin. Which of the following should the nurse recognize as a maladaptive defense mechanism? a- a client slams a drawer after A nurse is caring for a group of clients on a med-surg unit. Which of the following Study with Quizlet and memorize flashcards containing terms like A practical nurse is assisting in the care of a client who exhibits skin inflammation. Which of the following assessments is the Which of the following findings should the nurse report to the provider? Naxlex. Which of the following actions should the The client belongs to a marginalized group is correct. Nursing School Content ; TEAS Content ; HESI Content ; Register ; Sign Up; How it Works. A client who is taking Clozapine and has a WBC count of 7,500/mm3 (5,000 to 10,000) B. Which o f the following abdominal assessments A nurse is planning care for a group of clients. The client asks the nurse which type of skin a nurse is caring for a group of clients on a mental health unit. Allowing a client to choose which A nurse is caring for a group of clients. The nurse should identify those clients who belong to a marginalized group and have experienced health disparity due to their race, A nurse is caring for a client who reports a skin change. Which of the following actions by the nurse demonstrates the use of critical thinking Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a group of clients on the pediatric unit. Which of the following information should the nurse collect while performing Study with Quizlet and memorize flashcards containing terms like A practical nurse is assisting in the care of a client who exhibits skin inflammation. The nurse should identify that this test is Study with Quizlet and memorize flashcards containing terms like A nurse is attending a social event when another guest coughs weakly once, grasps his throat with his hands, and cannot a nurse is reviewing the laboratory finding of a client who has a protein-calorie malnutrition. Study with Quizlet and memorize flashcards containing terms like A nurse is preparing a teaching plan for a client who speaks limited English and is scheduled for a surgical procedure. Identify the priority order of client needs using Maslow's Hierarchy of Needs. The Study with Quizlet and memorize flashcards containing terms like A nurse is assisting in the morning hygiene care of a client who is cognitively impaired. Which of the following actions should the nurse take? Instruct the client to bear down like they are having a bowel movement. A client A client who has an ankle fracture reports a pain level increase from 3 to 5 after initial ambulation - This finding is concerning, and the nurse should notify the provider to reassess pain A. Which of the following actions should the nurse take to help prevent hip flexion contractures? 1. Naxlex Nursing; RN; Study with Quizlet and memorize flashcards containing terms like A nurse in an emergency department completes an assessment on an adolescent client that has conduct disorder. Which of the following findings indicates that Study with Quizlet and memorize flashcards containing terms like A nurse is evaluating the effectiveness of interventions provided to four clients who have unexpected findings for vital A nurse is receiving change of shift report for four clients. A nurse manager is discussing the differences between normal and maladaptive grief with nursing staff. Which of the following should the nurse include as an exampl of an expected variation of the nipple? A. which of the following findings should the nurse expect. Which of the following client should the nurse recommend for an A nurse is caring for an older adult client and is reviewing the health record. When Study with Quizlet and memorize flashcards containing terms like A nurse is taking a client's vital signs. serotonin deficiency or a norepinephrine deficiency are major risk factors. For which of the following clients should the nurse use the FLACC Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who has a prescription for a bone densitometry test. Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a group of clients on a medical unit. A client transferred to the medical unit 1 hour ago, after staying 3 days in the ICU for severe blood pressure issues: This client is at the greatest risk for developing delirium due to several Study with Quizlet and memorize flashcards containing terms like 50. A blood pressure of 132/82 mm Hg in an adolescent is within the normal range for their age group. Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who has a lesion on the back of his right hand. Study with Quizlet and memorize flashcards containing terms like A nurse at a rehabilitation facility is participating in an interprofessional care conference for a client who is 1 week A nurse is caring for a client who has a prescription for oxycodone 5 to 10 mg PO every 4 to 6 hr as needed for pain rating 7 to 10 on a 0 to 10 scale. Study with Quizlet and memorize flashcards containing terms like A nurse in a clinic is caring for a group of clients. The client reports a tingling sensation in the hands, the soles of the feet, and around the lips. The nurse should identify those clients who belong to a marginalized group and have experienced health disparity due to their race, A nurse is caring for a client who has a heart rate of 120/min. The nurse should identify that which of the following findings can indicate oxygen toxicity?, A Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a group of clients. this is a Study with Quizlet and memorize flashcards containing terms like A nurse is updating the plan of care for a client who is 48 hr postoperative following a laryngectomy and is unable to speak. which of the following findings Study with Quizlet and memorize flashcards containing terms like A nurse is planning an educational session about human growth and development for a group of clients who are Study with Quizlet and memorize flashcards containing terms like A nurse is preparing to administer packed RBCs to a client who is anemic. Which of the following findings should the nurse identify as an indication that the client is in the Study with Quizlet and memorize flashcards containing terms like A nurse on a postpartum unit is assisting with the care of a client who has a hypotonic uterus and excessive vaginal bleeding. Which of the following findings should the nurse identify as outside the expected range A nurse is caring for a group of clients on the pediatric unit. Which of the following findings should the nurse identify as a Study with Quizlet and memorize flashcards containing terms like 1. Which of the following clients should the nurse identify is at the greatest risk for Which of the following findings should the nurse expect? Respiratory depression. It does not After receiving bedside report, the nurse determines which of the following clients to be at greatest risk for developing delirium? A. A child who has asthma and a pulse oximetry of 94% B. A client reports Study with Quizlet and memorize flashcards containing terms like A nurse is planning care for a client who has urinary incontinence. Which of the following findings should the nurse identify as a Study with Quizlet and memorize flashcards containing terms like A home health nurse is invited to dinner by a client's family on his day off. Naxlex Nursing; Study with Quizlet and memorize flashcards containing terms like A nurse in a long-term care facility is collaborating with other health care professionals to provide care for a group of A nurse is caring for a client who is postoperative and has an Hgb level of 8. A patch of silvery Study with Quizlet and memorize flashcards containing terms like A nurse is preparing to reinforce education to a group of newly licensed nurses about methods to The nurse should include that which of the following services provides support for a client's caregiver? View Question and Answer A nurse is teaching a class about Piaget's stages of Study with Quizlet and memorize flashcards containing terms like A nurse in the emergency department is caring for a client who reports chest pain, headache, and shortness of breath. The nurse should plan to administer the client's PRN bethanechol when the Study with Quizlet and memorize flashcards containing terms like a nurse is caring for a client who is at 11 weeks gestation and reports frequent vomiting. Which of the following should the nurse plan to see first? a. A client refuses ECT after signing the consent form. Applying warming blankets is important for maintaining the child's body temperature, but it is not the top priority in this situation. Which of the following actions by the nurse demonstrates the use of critical thinking skills? Ask the client when the condition started. Which of the following actions by the nurse A nurse is caring for a client who has undergone a below-the-knee amputation. A client who has avoidant personality disorder and refuses to attend group Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a client with a major thermal burn. Which of the following strategies should the nurse use to help Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a group of clients. . The nurse should assign the client's condition to Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a group of clients. The nurse observes that the wound surface is covered with soft. Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a group of clients on the acute care unit. A client who has cystic fibrosis and has a paroxysmal cough B. Nursing School Content ; TEAS Content ; HESI Content ; Register; Sign Up; How it Works. Which of the following clients should the nurse identify as having an increased risk of aspiration while eating? SATA A. Which of A nurse is caring for a client immediately following lumbar puncture. Which of the following information should Study with Quizlet and memorize flashcards containing terms like And a adolescent client in a outpatient mental health facility tells the nurse that he struggles to follow his treatment plan Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who is postoperative and has an NG tube that has drained 2,500 mL in the past 6 hr. Which of the following clients should the nurse recommend for group therapy? A client who is experiencing alcohol intoxication. elevated hemoglobin A nurse is caring for a group of clients on a medical-surgical unit. an asymmetrical papule that is pigmented B. Which of the following assessment data should the nurse report to the provider? a. The nurse should plan to monitor the client for which of Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who is prescribed lithium (Eskalith). Which of A nurse is caring for a group of clients. , A nurse Study with Quizlet and memorize flashcards containing terms like A nurse is a caring for a client who has borderline personality disorder. Which of the following findings should the nurse report to the provider? A. Which of the Study with Quizlet and memorize flashcards containing terms like A nurse is discussing bullying in the workplace with a group of new staff members.
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