Medicine

Which is the best way for the nurse to assess pain in the neonate?

Which is the best way for the nurse to assess pain in the neonate?

[html]Which is the best way for the nurse to assess pain in the neonate?

▸ Using the CRIES scale to assess for behavioral and physiologic indicators of pain

▸ Using the Children's Fatigue Scale

▸ Using the Oucher Scale with faces showing mild to s

xiaily   114   1 Reply

miemitch

What action should the nurse take when a home hospice client exhibits Cheyne-Stokes breathing?

What action should the nurse take when a home hospice client exhibits Cheyne-Stokes breathing?

[html]What action should the nurse take when a home hospice client exhibits Cheyne-Stokes breathing?

▸ Prepare the family for imminent death

▸ Tell the family that this type of breathing indicates improvement

▸ Ask the family to leave the room

▸

Jgal   113   1 Reply

kinnigit

The nurse is assessing a hospice client who has had changes in cognition due to delirium. Using the ...

The nurse is assessing a hospice client who has had changes in cognition due to delirium. Using the ...

[html]The nurse is assessing a hospice client who has had changes in cognition due to delirium. Using the Confusion Assessment Method, what would the nurse expect to find?

▸ Able to reorient to person and place

▸ Enhanced ability to focus

▸ A grad

maportil   490   1 Reply

carolyne254

An alert and oriented female client in early hospice care is experiencing urinary incontinence. ...

An alert and oriented female client in early hospice care is experiencing urinary incontinence. ...

[html]An alert and oriented female client in early hospice care is experiencing urinary incontinence. Which is the most appropriate initial intervention for this client?

▸ Establish a voiding schedule

▸ Teach pelvic floor muscle strengthening exerc

jtfortwengler   443   1 Reply

Dratini

When starting a terminal client on an opioid for pain control, which action should be included in ...

When starting a terminal client on an opioid for pain control, which action should be included in ...

When starting a terminal client on an opioid for pain control, which action should be included in the plan of care?

▸ Administer a daily laxative

▸ Limit fluid intake

▸ Reduce fiber in the diet

▸ Administer a daily enema

SirJohnny   110   1 Reply

sharonfaith31

A client in the terminal phase of dying reports feeling very tired and no longer wants to get out of ...

A client in the terminal phase of dying reports feeling very tired and no longer wants to get out of ...

[html]A client in the terminal phase of dying reports feeling very tired and no longer wants to get out of bed and engage with family. What is the best response for the nurse to make to the family?

▸ "Encourage your family member to be a part of fam

dcooper78   285   1 Reply

slmseuf1105

How should the nurse respond when the son of an end-stage cancer patient tells the nurse that his ...

How should the nurse respond when the son of an end-stage cancer patient tells the nurse that his ...

[html]How should the nurse respond when the son of an end-stage cancer patient tells the nurse that his "dad is refusing to eat" and he fears that his father has "given up hope"?

▸ Have the son complete a 24-hour food diary of what his father eats.

Katseye   108   1 Reply

Ignesias

What suggestions should the nurse give the family of a client with end-stage cancer who is ...

What suggestions should the nurse give the family of a client with end-stage cancer who is ...

[html]What suggestions should the nurse give the family of a client with end-stage cancer who is experiencing nausea and vomiting?

▸ Encourage ingestion of foods that appeal to the client.

▸ Serve food very hot.

▸ Serve seasoned foods.

▸ Do not f

BigFella9503   106   1 Reply

Kocojda

The nurse would expect to assess which metabolic condition in the client at the end of life who is ...

The nurse would expect to assess which metabolic condition in the client at the end of life who is ...

The nurse would expect to assess which metabolic condition in the client at the end of life who is vomiting?

▸ Respiratory alkalosis

▸ Metabolic alkalosis

▸ Respiratory acidosis

▸ Metabolic acidosis

katiemarie   109   1 Reply

hamusa4

A client at the end of life has an antimuscarinic medication ordered for secretion management. When ...

A client at the end of life has an antimuscarinic medication ordered for secretion management. When ...

[html]A client at the end of life has an antimuscarinic medication ordered for secretion management. When is the ideal time for the nurse administer this medication?

▸ If the death rattle upsets the family

▸ When the death rattle can be heard from

cc84sc   142   1 Reply

ugotpwned5

The daughter of a client, who is at the end of life, is concerned that the gurgling sound she hears ...

The daughter of a client, who is at the end of life, is concerned that the gurgling sound she hears ...

[html]The daughter of a client, who is at the end of life, is concerned that the gurgling sound she hears is her father drowning in his own secretions. What is the best initial response by the nurse?

▸ "It might be best if you leave the room."

▸ "I

kady   173   1 Reply

aedukuye

The nursing care plan for a client in hospice who is experiencing daytime coughing due to excessive ...

The nursing care plan for a client in hospice who is experiencing daytime coughing due to excessive ...

The nursing care plan for a client in hospice who is experiencing daytime coughing due to excessive accumulated secretions should include:

▸ antitussive medication.

▸ chest physiotherapy.

▸ bronchodilators.

▸ reducing fluid intake.

ejoty   118   1 Reply

djbo89

At the time of death, which finding is the nurse most likely to assess?

At the time of death, which finding is the nurse most likely to assess?

At the time of death, which finding is the nurse most likely to assess?

▸ Lack of heartbeat

▸ Rigor mortis

▸ Body temperature same as room temperature

▸ Livor mortis

drdoombot   106   1 Reply

anitasag

Which action by the spouse of a hospice client indicates understanding of the nurse's teaching plan ...

Which action by the spouse of a hospice client indicates understanding of the nurse's teaching plan ...

[html]Which action by the spouse of a hospice client indicates understanding of the nurse's teaching plan for reducing dyspnea?

▸ Using a fan near the client's face

▸ Keeping the room warm

▸ Closing a window near the client

▸ Reducing the humidit

MasterPriapis   122   1 Reply

skdiveelis

Which nursing intervention would be a priority in managing dyspnea in the hospice client?

Which nursing intervention would be a priority in managing dyspnea in the hospice client?

Which nursing intervention would be a priority in managing dyspnea in the hospice client?

▸ Providing an inhaled bronchodilator

▸ Administering supplemental oxygen

▸ Administering opioid medication

▸ Raising the head of the bed

farendrn   95   1 Reply

ydnam23

What is the best way for the nurse to determine if a client is experiencing dyspnea?

What is the best way for the nurse to determine if a client is experiencing dyspnea?

[html]What is the best way for the nurse to determine if a client is experiencing dyspnea?

▸ Send an arterial blood gas sample to the laboratory

▸ Obtain subjective data from the client

▸ Evaluate pulmonary function test results

▸ Observe the cli

cc84sc   89   1 Reply

carolyne254

The nurse is caring for a client in palliative care who is alert and oriented to person, place, and ...

The nurse is caring for a client in palliative care who is alert and oriented to person, place, and ...

[html]The nurse is caring for a client in palliative care who is alert and oriented to person, place, and time. Which assessment data would be most appropriate in determining the client's need for pain medication?

▸ Ask the client's spouse if the cl

sweetapple718   103   1 Reply

tk9790

Which of the following pain medication orders for a client with ovarian cancer would be most ...

Which of the following pain medication orders for a client with ovarian cancer would be most ...

[html]Which of the following pain medication orders for a client with ovarian cancer would be most appropriate for the nurse to use to control a client's chronic pain?

▸ Administer short-acting pain medication as needed.

▸ Administer long-acting pa

vlademirsimon   96   1 Reply

lewmyr

The nurse is using the Karnofsky Performance Scale to determine the performance status of a client ...

The nurse is using the Karnofsky Performance Scale to determine the performance status of a client ...

[html]The nurse is using the Karnofsky Performance Scale to determine the performance status of a client in palliative care with end-stage lung cancer. With a score of 50, what activity level should the nurse anticipate?

▸ Needs total assistance

▸

duo21   103   1 Reply

Hlh13

The plan of care for a client in hospice care should include:

The plan of care for a client in hospice care should include:

The plan of care for a client in hospice care should include:

▸ curative treatments.

▸ postponing death.

▸ control of symptoms.

▸ laboratory tests.

mktrujillo   90   1 Reply

tranle311

The nurse is reviewing prescriptions for a client with acute radiation syndrome. Which prescription ...

The nurse is reviewing prescriptions for a client with acute radiation syndrome. Which prescription ...

[html]The nurse is reviewing prescriptions for a client with acute radiation syndrome. Which prescription will the nurse verify with the healthcare provider before proceeding?

▸ Subcutaneous filgrastim for bone marrow stimulation

▸ IV normal saline

bigben0007   197   1 Reply

jchang19

The nurse is educating a client who has experienced radiation exposure. The client asks, "What type ...

The nurse is educating a client who has experienced radiation exposure. The client asks, "What type ...

[html]The nurse is educating a client who has experienced radiation exposure. The client asks, "What type of exposure is most likely to lead to cancer?" What is the nurse's response?

▸ "All types of exposure will eventually lead to cancer."

▸ "When

blakenordgaard   97   1 Reply

evgenome

The nurse is caring for a client recovering from radiation sickness. Which factors does the nurse ...

The nurse is caring for a client recovering from radiation sickness. Which factors does the nurse ...

[html]The nurse is caring for a client recovering from radiation sickness. Which factors does the nurse know will affect the ultimate outcome for this client? Select all that apply.

▸ Organ damage

▸ Total dos

kady   89   1 Reply

moraa

The nurse is assessing a client in the prodromal phase of radiation sickness. Which assessment ...

The nurse is assessing a client in the prodromal phase of radiation sickness. Which assessment ...

[html]The nurse is assessing a client in the prodromal phase of radiation sickness. Which assessment findings does the nurse anticipate? Select all that apply.

▸ Vomiting

▸ Nausea

▸ Fever

▸ Anorexia

▸ Diar

exteesy07   92   1 Reply

strawberry8971

The nurse is caring for a client with radiation poisoning. Which forms of energy does the nurse ...

The nurse is caring for a client with radiation poisoning. Which forms of energy does the nurse ...

[html]The nurse is caring for a client with radiation poisoning. Which forms of energy does the nurse understand to be common causes of radiation poisoning? Select all that apply.

▸ Alpha rays

▸ Gamma rays

▸

lcard044   98   1 Reply

jpinette86

The nurse is caring for a client with cyanide poisoning. Which statement about the mechanism of ...

The nurse is caring for a client with cyanide poisoning. Which statement about the mechanism of ...

[html]The nurse is caring for a client with cyanide poisoning. Which statement about the mechanism of injury in this client does the nurse know to be true? Select all that apply.

▸ Cyanide halts ATP production

marcsleiman   95   1 Reply

navgil

The nurse is educating a group of industrial employees on the importance of decontamination ...

The nurse is educating a group of industrial employees on the importance of decontamination ...

[html]The nurse is educating a group of industrial employees on the importance of decontamination following exposure to a vesicant. Which statement will the nurse include in the material?

▸ Cellular damage occurs immediately on contact with the agen

mrtrombley92   90   1 Reply

jcochran128

The nurse is collecting the medical history of a client with exposure to a nerve agent. Which ...

The nurse is collecting the medical history of a client with exposure to a nerve agent. Which ...

[html]The nurse is collecting the medical history of a client with exposure to a nerve agent. Which assessment findings does the nurse understand are associated with inhalation of a nerve agent? Select all that apply.

JZ240   105   1 Reply

john august t

The nurse is caring for a client exhibiting diarrhea, bradycardia, emesis, and salivation. The nurse ...

The nurse is caring for a client exhibiting diarrhea, bradycardia, emesis, and salivation. The nurse ...

[html]The nurse is caring for a client exhibiting diarrhea, bradycardia, emesis, and salivation. The nurse understands that these findings are consistent with what mechanism?

▸ Overstimulation of nicotinic receptors

▸ Overstimulation of acetylcholi

pmiller1129   210   1 Reply

TanjaG

The nurse is educating a group of industrial workers about the mechanism of injury by nerve agents. ...

The nurse is educating a group of industrial workers about the mechanism of injury by nerve agents. ...

[html]The nurse is educating a group of industrial workers about the mechanism of injury by nerve agents. Which statement will the nurse include in the teaching?

▸ "Nerve agents block the action of cholinergic receptors."

▸ "Nerve agents block the

sharonfaith30   115   1 Reply

dorkiexcici

The nurse is teaching a community health class about the history of smallpox. Which statements does ...

The nurse is teaching a community health class about the history of smallpox. Which statements does ...

[html]The nurse is teaching a community health class about the history of smallpox. Which statements does the nurse include in the material? Select all that apply.

▸ "Before being eradicated, the death rate of

endah87   93   1 Reply

kidace

A nurse performing medical outreach in a developing country is assessing a client for signs and ...

A nurse performing medical outreach in a developing country is assessing a client for signs and ...

[html]A nurse performing medical outreach in a developing country is assessing a client for signs and symptoms of bubonic plague. Which finding does the nurse know is characteristic of this condition?

▸ Evidence of an insect bite

▸ Swollen lymph no

hliz3   81   1 Reply

marksonbol

The nurse is teaching a community health class about anthrax exposure and prevention. Which ...

The nurse is teaching a community health class about anthrax exposure and prevention. Which ...

[html]The nurse is teaching a community health class about anthrax exposure and prevention. Which statement will the nurse include in the material?

▸ "Treatment for known exposure to anthrax includes vaccination and treatment with antibiotics."

▸ "

Nursesn   114   1 Reply

Aquarius1

The nurse is assessing a client exposed to an unknown biologic agent. Which symptoms would cause the ...

The nurse is assessing a client exposed to an unknown biologic agent. Which symptoms would cause the ...

[html]The nurse is assessing a client exposed to an unknown biologic agent. Which symptoms would cause the nurse to suspect gastrointestinal anthrax exposure? Select all that apply.

▸ Constipation

▸ Confusion

tbparker   198   1 Reply

revanchist

The nurse is caring for a client with confirmed anthrax exposure. Which statements about the ...

The nurse is caring for a client with confirmed anthrax exposure. Which statements about the ...

[html]The nurse is caring for a client with confirmed anthrax exposure. Which statements about the mechanism of injury occurring with anthrax exposure does the nurse know to be true? Select all that apply.

▸ T

islandgurl   93   1 Reply

lpants

The nurse is preparing to assess a client injured during a large-scale disaster for signs of ...

The nurse is preparing to assess a client injured during a large-scale disaster for signs of ...

[html]The nurse is preparing to assess a client injured during a large-scale disaster for signs of exposure to hazardous agents and resulting injury. Which common manifestations of injuries due to biological, chemical, and radiologic agents does the

tmason   82   1 Reply

Tram Nguyen

The nurse is caring for a client with exposure to an unknown chemical agent. The client asks, "Why ...

The nurse is caring for a client with exposure to an unknown chemical agent. The client asks, "Why ...

[html]The nurse is caring for a client with exposure to an unknown chemical agent. The client asks, "Why can't a lab test be done to determine which agent I was exposed to?" What is the nurse's best response?

vikingblood   94   1 Reply

okayman

An occupational health nurse is teaching employees about chemical agents. Which statement does the ...

An occupational health nurse is teaching employees about chemical agents. Which statement does the ...

[html]An occupational health nurse is teaching employees about chemical agents. Which statement does the nurse include in the material?

▸ "Common side effects of exposure to these agents include flulike syndrome and hemorrhage."

▸ "These agents inc

ken80   111   1 Reply

hmging94

The nurse is caring for a client with known exposure to a biologic agent. The nurse understands that ...

The nurse is caring for a client with known exposure to a biologic agent. The nurse understands that ...

[html]The nurse is caring for a client with known exposure to a biologic agent. The nurse understands that which bacterial agents are most commonly weaponized? Select all that apply.

▸ Anthrax

▸ Q fever

▸ Pl

texasmade2550   173   1 Reply

rangelife

The nurse is caring for several clients who sustained chemical injuries. Which statement related to ...

The nurse is caring for several clients who sustained chemical injuries. Which statement related to ...

[html]The nurse is caring for several clients who sustained chemical injuries. Which statement related to chemical injuries does the nurse understand to be true? Select all that apply.

▸ A priority interventio

devildoc   104   1 Reply

Dratini