(Click on the audio button to listen to the clip. Which of the following nursing actions is appropriate? We have tutors online 24/7 who can help you get unstuck. Which of the following is correct documentation of this incident? d. the client's output was 60 mL for the past 3 hr. d. put the client's bed in the lowest position. A nurse is providing instructions to a client who will be using a walker. A nurse is performing a spiritual assessment on a client newly admitted to the unit. © 2003-2020 Chegg Inc. All rights reserved. Can he or she move from sitting to standing independently or with assistance. TO prevent the transmission of this infection to others, which of the following actions should the nurse plan to take? . A nurse is caring for a client who has recurrent lower urinary tract infections (UTIS). d. remove the staple from the skin after both sides are visible. A nurse is providing anticipartory guidance to the parent of an 11-month-old child. Pollart says lower extremity DVTs in patients have decreased by over 30% since implementation of the program. A nurse is caring for a client who is combative in the emergency department. Place the client who has tuberculosis in a room with negative-pressure airflow. A nurse is caring for a client who has chronic kidney disease. They have also seen improved disposition to the right level of care. Which of the following actions should the nurse take to prevent skin breakdown? Which of the following actions should the nurse take to prevent this complication from occurring during the next feeding?
Which of the following is a therapeutic response the nurse should make? A nurse is caring for a client who has an indwelling urinary catheter. I want you to tell me about measures available to keep me comfortable. Patients are also encouraged to walk outside their rooms at least twice a day and to get out of bed for meals, which is known as "Heels for Meals," because the patients have their heels on the floor while eating. the following is the nurses priority action? A nurse is contributing to the plan of care for a client who is dying. A nurse is caring for a client who has limited mobility in his lower extremities. The nurse takes home the report sheet on her team's clients.
A nurse is assisting with the admission of an adult client to a medical-surgical unit. Decreased muscle strength, control, or mass 7. A nurse is caring for a client who takes a chewable medication. . A nurse is caring for a client who is at risk for falls. A nurse is caring for an older adult client. Have the client use a trapeze bar when being repositioned. Which of the following actions should the nurse take?
Which of the following actions should the nurse take? One benefit of the mobility team is that it allows nurses and therapists to work at the top of their licenses. A 27-yr-old client who has schizophrenia. c. use 0.9% sodium chloride solution to rinse the client's mouth. Which of the following actions should the nurse take to prevent skin breakdown? The provider orders wrist restraints after the client attempts to assault the admitting nurse. Which of the following responses should the nurse make?
The nurse is preparing to auscultate the pulmonary valve. The nurse should assist the client into which of the following positions? A client who is nonambulatory notifies the nurse to tell her that his trash can is on fire. Remove the stocking at least once per shift.
To clearly define the patient's mobility needs, an assessment tool was created and integrated into the EMR. a. use warm water when bathing the client b. place a donut-shaped cushion in the client's chair c. massage reddened areas over bony prominences d. maintain the client in high-fowler's position A nurse is caring for a client who has limited mobility in his lower extremities. Which of the following is the nurse's priority action? b. observe the client for nonverbal indications of pain. Imposed restrictions of movement 10. Which of the following instructions should the nurse include in the teaching? c. "I will remove all stuffed animals from my baby's crib.". A nurse is caring for a client who is receiving parenteral fluid therapy via a peripheral IV catheter.
Have the client sit and dangle his feet at the bedside. A nurse is caring for a client who has limited mobility in how lower extremities. Which of the following is the correct placement of the stethoscope? Which of the following tasks can the nurse delegate? Wash hands before and after client contact. Which of the following client statements indicates an understanding of the teaching? For which of the following clients should the nurse initiate airborne precautions? Which of the following actions is appropriate for the nurse to take? Increased intracranial pressure 11. Hospital employee injuries have also decreased. The nurse responds by reducing distractions and loud noises in the environment and providing calm and empathic care. . A nurse is assisting with the admission of an older adult client to an acute care facility. Which of the following actions should the nurse take? "This wasn’t just adding a team and expecting them to solve all the problems with mobility, but defining those responsibilities according to each job role.". A nurse is preparing to document information about a client's lower legs, which are swollen with 6 mm edema. Which of the following necessitates removal and reinsertion of the IV catheter.
A nurse is reinforcing teaching with a client who has hypertension and a prescription to measure her blood pressure daily. To address this issue and ensure patients were getting the ambulation they needed to achieve optimal outcomes, the hospital revamped its mobility program, including creation of a designated mobility team. 10. The nurse should take which of the following actions first? That Time I Dropped Out of Nursing School. A nurse is preparing a client for a Romberg test. A nurse is caring for a group of clients who have communicable diseases.
The tympanic thermometer reads 36.8 C (98.2 F). a. identify the landmarks for the ventrogluteal site before cleaning the skin.
They feel like the organization is committed to their safety. Thus, began the creation of a six-person dedicated mobility team.
A nurse is contributing to the plan of care for a client who is at risk for developing foot drop due to immobility. A nurse is reinforcing teaching with the partner of a client who is immobile. Then they went on to seeing patients paired with a therapist. Which of the following questions should the nurse ask the client to clarify her religious preferences? Upon admission, all family members are encouraged—unless it’s contrary to treatment—to bring in comfortable shoes for the patient. Which of the following precautions is important to take when a nurse is caring for a client with diarrhea due to Shigella? A nurse is caring for a client who has come to the emergency department after cutting himself intentionally. | A nurse is providing teaching to a client being discharged with crutches. A nurse is obtaining admission data from a client who reports having a fever. A nurse is collecting data from a client who is 1 day postoperative following abdominal surgery. "So, it’s really helped them shape their future career path.". Which of the following statements should the nurse make? A nurse is witnessing the signing of legal consent for the routine treatment of multiple clients. Re-check the client's temperature with an alternative method. A nurse is caring for a client who requires an NG tube for stomach decompression.
Pathophysiologic 1. Which of the following instructions should the nurse include in the teaching? 4-27-2018 Med-Surg Remediation *A nurse is caring for a client who has been prescribed a medication that is listed on his allergy list. View desktop site. Which of the following nursing interventions is the highest priority? The nurse is caring for a client experiencing acute lower Which of the following statements should the nurse. d. "You should cover your mouth with a tissue when you cough.". A nurse is providing care to several clients who have prescriptions for IV fluids. A nurse is caring for a client with a diagnosis of terminal cancer. d. notify the charge nurse of the client's concerns. Have the client use a trapeze bar when changing position. "Hospital-acquired pressure ulcers, falls in the hospital, falls that cause injury, DVTs, and pulmonary emboli are also caused by immobility," says Maggie Hansen, RN, BSN, MHSc, senior vice president, chief nurse executive at Memorial Healthcare System in Hollywood, Florida. When washing her hands, which of the following actions should the nurse take? Which of the following food items has the greatest protein value? A nurse is caring for a client who has limited mobility in his lower extremities.
The client tells the nurse that he has numerous allergies. A nurse in an acute care setting is documenting postmortem care for a client. Which of the following interventions should be initiated? . A nurse is preparing to transfer a client from the bed to a chair. "Then the mobility team has a work list of all of those patients that score into the mobility team," Pollart says. A nurse is documenting client care in a client's electronic health record. A nurse finds a client on the floor upon entering the client's room. Which of the following actions should the nurse take to prevent skin breakdown? A nurse is caring for a client who had a fasting blood sugar drawn at 0600. c. removing and inverting a lid before placing it onto a nonsterile surface. This allows nurses to delegate mobility responsibilities to the correct practitioner, such as nursing, physical therapy, or the mobility team. "We wanted to target the mobility team and [the patients] that often required more man power to ambulate.". Place the chair parallel to the client's bed. Which of the following techniques should the nurse use when performing nasotracheal suctioning for a client? The nurse should identify that the client is experiencing which of the following? Which of the following complementary therapies is the nurse suggesting? A nurse is contributing to the plan of care for a client who practices Islam. finding time to manage household responsibilities while caring for his partner. "When you look at that just from an employee standpoint, one employee injury is too much," Hansen says, "but when you look at [the] financial standpoint—if you were only looking at the dollars—every workers' compensation claim … averages $20,000 dollars. Which of the following client statements indicates a need for further teaching? Measurement of an adult's blood pressure with a cuff whose bladder surrounds 80% of the client's arm circumference. A nurse is caring for a client who has limited mobility in his lower extremities. Which of the following assessment findings is consistent with this history? The nurse should identify that he is going through. "Our philosophy was if you walk into the hospital, we want you to walk out.".
a.
A nurse manager is reinforcing teaching with a group of newly licensed nurses about the disclosure of client health information. Second intercostal space at the right sternal border. Apply intermittent suction when withdrawing the catheter. A nurse is caring for a client who is receiving an enteral tube feeding. A nurse is performing assessments on clients of various ages. Which of the following questions should the nurse ask this client to elicit this information? Which of the following actions should the nurse take? Make Mobility an Interdisciplinary Project. a) place the client in high-fowlers position b) increase the clients intake of carbohydrates c) …
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