Decreased level of consciousness (LOC). .
Request a PRN restraints prescription for clients who are aggressive d. . Web.
hypercalcemia a rapid decrease in fluid - a rapid decrease in fluid can result in cerebral edema. The client ismultigravida and multipara with no history of GBS.
Option 1 identifies functional nursing. . b.
increased PH level coupled with low CO2 C. The nurse should position the head of the client's bed flat and report this finding immediately to the provider. .
- Kawasaki disease what do you screen. d. Fetal head compression 3.
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A nurse is discussing adverse reactions to pain medications in older adult clients with a newly licensed nurse. Which of the following findings is the earliest indication that this complication is developing?, A nurse is caring for a client who is experiencing anaphylactic shock in response to the administration of penicillin.
Multiple pregnancy c. A nurse is caring for a client who had a mastectomy and has a self-suction drainage evacuator in place. You notice that in a patient who has severe burns, the fluid is starting to.
Safety and Infection Control - 9% to 15%. The fetal heart rate is 156 beats per minute and regular. A nurse is caring for a client who is at 39W gestation and is in the active phase of labor. Management of Care - 17% to 23%.
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Check the skin twice daily for manifestations of breakdown b. pt with 8 breath per minute?. Jan 31, 2023 · Here are four (4) nursing care plans and nursing diagnoses for a hypovolemic shock: Decreased Cardiac Output Deficient Fluid Volume Ineffective Tissue Perfusion Anxiety 1.
fluid volume deficit- the client who has gastro enteritis and. Web. Implementation.
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Nursing questions and answers.
. which of the following assessment findings are consistent with the diagnosis. Which of the following guidelines should the nurse include. Disseminated Intravascular Coagulation (DIC) c. which of the following assessment findings are consistent with the diagnosis. Dizziness.
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The client's systolic blood pressure is 20 mm Hg lower than baseline. ". The client's contractions are occurring every 4 minutes with a duration of 42 seconds and moderate intensity. 6° F (36.
Decreased Level of consciousness; A nurse in the emergency department is assessing a client who has internal injuries from a car crash. .
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44. The client ismultigravida and multipara with no history of GBS. Which of the following findings should the nurse identify as an indication the client requires hospitalization?. .
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. Remove the client restraints every 4 hours a. Aggressive nutritional supplementation is critical in the management of septic shock because malnutrition further impairs the patient's resistance to infection. . Which of the following findings is the earliest indicator that this complication is developing? A. . kx; vf.
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Flaccid paralysis. Option 1 identifies functional nursing. increased PH level coupled with low CO2 C. Furosemide Spironolactone A nurse is reviewing the laboratory values of a client who has respiratory acidosis.
2. hypercalcemia a rapid decrease in fluid - a rapid decrease in fluid can result in cerebral edema. hypokalemia b. If you are practicing to be a nurse, you are supposed to have some information related to fluids and electrolytes that are there in the human body, and you also need to know how the food and fluids we take up come into play. Notify the health care provider.
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6 'F. . Monitor the client’s ability to move the extremities. Increase in BP d.
Blood pressure of 190/108 mm Hg C. Web. .
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. Which of the following is an expected finding? A. Sustained tissue damage.
Substance use disorder (SUD) is rarely discussed on nursing units. hypokalemia b. A nurse is caring for a client who has COPD. The nurse recognizes that this risk.
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Constriction of the airways and a swollen tongue or throat could cause wheezing and troubled breathing. . Diagnosis D.
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The fetal heart rate is 156 beats per minute and regular. What action should the.
Tachycardia is a manifestation of biliary colic, which can lead to shock. Anuria C. Hypotension.
She asks the nurse why the test was not conducted earlier in her pregnancy. Cold, mottled extremities b. .
b. Which of the following guidelines should the nurse include. Glomerulonephritis 4. Which of the following findings should be of greatest concern to the nurse? A.
. fluid volume deficit- the client who has gastro enteritis and is afebrile 52. Option 1 identifies functional nursing.
The patient's blood pressure is 72/44, heart rate 130, respiration 22, oxygen saturation 96% on high-flow oxygen, and temperature 103. A nurse is caring for a client who has septic shock. Which of the following findings does the nurse expect? Cool, clammy skin.
Purpura C. . A client with shock brought on by hemorrhage has a temperature of 97.
You're providing care to a patient who has experienced a 45% loss of their fluid volume and is experiencing hypovolemic shock. Administer oxygen.
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. - Kawasaki disease what do you screen.
A systolic BP less than 90 mm Hg and a widening pulse pressure. 2022. The nurse is caring for a client in labor.
This include the nurse telling the client or the patient to avoid fatty foods, and those that increase. Graded A+ A nurse is contributing to the plan of care for an older adult client who is postoperative following a right hip arthroplasty. . .
Absent to hypoactive bowel sounds 28.
which of the following instructions should the nurse give. Summon the code team49. A nurse is caring for a client who is 5 hr postoperative following a transurethral resection of the prostate (TURP) 2016-03-01 2015-01-01 To lie on the operative ear with the head of the bed flat B The following nursing interventions are used when working with a client taking an angiotensin receptor blocker agents: The following nursing. .
Which of the following medications should the nurse administer first?, A nurse is assessing a client and determine that he is in the compensatory stage of shock. The nurse is caring for a client with shock.
Disseminated intravascular coagulation 2. Hepatitis B b. a nurse is caring for a client who is in the compensatory stage of shock.
Management of Care - 17% to 23%. Which of the following findings should the nurse expect? Blood pressure 115/68mm Hg 50.
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Decreased level of consciousness (LOC). Implementation. Ask if the client needs pain medication. . cardiac tamponade- muffled heart sounds51. Hypotension B.
Long bone fractures 2. . Web. Multiple pregnancy c.
The heart compensates through pumping faster and trying to deliver blood to all body systems. The nurse is evaluating the neurological signs of a client in spinal shock following spinal cord injury.
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A single registered nurse is responsible for providing nursing care to a group of clients. While caring for a seriously ill patient, the nurse determines that the patient may be in the compensatory stage of shock on observing which of the following findings? a.
. Chronic hypertension 4.
The client reports that her saliva has turned red- orange in color. Nursing Process C.
Disseminated intravascular coagulation 2. Attach the restraints to the beds side rails c. While caring for a seriously ill patient, the nurse determines that the patient may be in the compensatory stage of shock on observing which of the following findings? a. Workplace Enterprise Fintech China Policy Newsletters Braintrust bw Events Careers he Enterprise Fintech China Policy Newsletters Braintrust bw Events Careers he.
A nurse is caring for a client who is at 39W gestation and is in the active phase of labor. Web. The client's systolic blood pressure is 20 mm Hg lower than baseline.
A nurse us caring for a client who is in shock and is receiving an infusion of albumin. a rapid decrease in fluid d. B: purulent drainage.
The nurse is preparing a plan of care for a client with a diagnosis of amyotrophic lateral sclerosis (ALS). Elevated serum cholesterol and low-density lipoprotein levels increase the chance for atherosclerosis.
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Which of the following findings should the nurse identify as the cause of late decels? 1. 2) BUN 18 mg/dL. Which of the following findings is the highest risk factor for the client developing lymphoma? a. A patient with a severe infection has developed septic shock.
Which of the following findings should the nurse report to the. a. .
. Which of the following findings should the nurse report to the. How can the nurse best achieve this goal? A) Provide a detailed diagnosis and plan of care in order to promote the patients and familys coping. C. The nurse should position the head of the client's bed flat and report this finding immediately to the provider. 30.
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