A nurse is caring for a client who falls in his room. cognitive immaturity, 3.

A nurse is caring for a client who falls in his room What should the nurse do to avoid injuries from falls?, The older adult client, who lives alone, has been admitted to the intensive care unit (ICU) following a stroke. Keep the box close to his body as he lifts. One of the standout features of the Tek Communication is important in nursing as it helps nurses to understand patient needs, it ensures they can deliver safe care and it encourages patients to share their experiences an The demand for mental health services is on the rise, making the role of psychiatric nurse practitioners increasingly vital. Before leaving the client's room, the nurse puts on the side rails, but after the nurse has left, the client lowers them again. The nurse should include information about the client's oxygen saturation level and heart rate in which component of the SBAR report? Oct 5, 2023 · A nurse is caring for a client who falls in his room. However, once the flowers fall off, many people are left wondering The field of nursing offers a wide range of career opportunities, and one particularly demanding yet rewarding role is that of an Emergency Room (ER) nurse. An elderly client has been admitted to the medical-surgical unit from the postanesthesia care unit. Blood pressure B. A nurse is caring for a client who falls in his room. It points to factors that may place the client at increased risk of sensory perception dysfunction. Falling in love and starting a relationship is an amazing part of life, but as time passes, that passion dies down a little. If a nurse falls short of expect Orchids are stunning flowering plants that can brighten up any room with their vibrant colors and unique beauty. The nurse manager reviews the client's chart and notices the omission of the assessments. Which of the following statements should be included as part of the nurse's documentation in the client's chart? A. The client develops complications and Study with Quizlet and memorize flashcards containing terms like A client is brought into the emergency room after falling from a roof and landing on his chin and face. , Which of the following vaccines Study with Quizlet and memorize flashcards containing terms like The home health nurse is caring for an older adult woman living alone at home who is incontinent of urine and changes her adult diaper daily. With an aging population and a shortage of primary care physicians, nurse practitioners have become an ess Nursing is an excellent career path if you’re interested in working in the healthcare industry and strive to provide quality care to patients. A In the nursing profession, teamwork is extremely important because it improves the quality and safety of patient care, makes the nurse’s job easier and more efficient and helps to A nurses’ hotline number is a service offered by some health-care providers. Fat embolism D. While bathing the client, the AP talks to him about current events. How does identifying the client's pattern of daily living contribute to the plan of care? It helps the nurse assess problems the client is having at home. Which of the following ethical principles is the nurse displaying?, A nurse is assisting with the Study with Quizlet and memorize flashcards containing terms like A client is brought to the emergency department after inhaling a substance suspected to be anthrax from the contents of an envelope. What interventions should be included in the client's nursing care plan? Select all that apply. The nurse delegates the administration of a unit of packed red blood cells to a nurse floating from a psychiatric unit who is unfamiliar with blood administration. Which interventions Study with Quizlet and memorize flashcards containing terms like The charge nurse is responsible for making room assignments for multiple clients. the nurse should identify which of the following factors as increasing the client's risk for falls? (Select all that apply. Which of the following assessments should the nurse conduct in relation to the client's circulatory status? Select all that apply. Identify goals for client care. Risk A nurse is caring for a client who reports difficulty sleeping while in the hospital. The client gets up, paces the hallway, wrings the hands, and appears teary. Diagnosis of ovarian cancer 3. The nurse contacts the healthcare provider and receives an order for restraints. Which of the following prescriptions Jan 22, 2025 · Study with Quizlet and memorize flashcards containing terms like 1) The nurse is caring for a client who is prone to falls. "Keeping the room warm will help them breathe easier. Osteoarthritis of knees 5. Mar 23, 2021 · a. Serosanguineous, A nurse is caring for a client who is postoperative following abdominal surgery. cognitive immaturity, 3. Notify the primary healthcare physician (PHCP) [25%] C. The nurse is caring for a client who is confused and wanders. It is okay for me to burn candles near the oxygen source. client's vital signs are w/i the expected reference range b. 2) Measures the client's vital signs routinely. In 2015, how many deaths were estimated to occur per year related to medical errors?, hich is considered a restraint? 1. The nurse assesses a regular pulse rate of 52 beats per minute (bpm). Obtain a 12-lead Electrocardiogram [32 Study with Quizlet and memorize flashcards containing terms like When a nurse performs or observes nursing practices that are not safe, the nurse has a responsibility to report those actions. oriented to person On the first clinical day a long-term care setting On the first clinical day in acute care On day one and continuing throughout the course Before the first written exam is given 14) A nurse is caring for a 16-year-old client who is experiencing a relapse of leukemia and is refusing treatment. Make a copy of the incident report for the provider. place a fall-risk identification band on the client's wrist E. make a copy of the incident report for the provider the incident report to the risk manager the incident report in the client's chart d Sep 22, 2023 · A nurse is caring for a client who falls in his room. Nursing care assistants play a crucial role in providing quali Nursing care plans are essential tools in patient management, guiding nurses to deliver effective and personalized care. Keep you stomach muscles relazed to prevent back spasms. Ineffective breathing pattern. Although the parent states that the child fell down the stairs, the child's history and physical findings suggest abuse as the cause of the injuries. teach the client to use the call light c. I should avoid moving around the house when Study with Quizlet and memorize flashcards containing terms like A nurse is administering medications to a client who is recovering from a stroke and has right-sided paralysis. The nurse should document this drainage as which of the following? a. The adult child asks Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a violent client. Increase the oxygen percentage. cLient who is alert and oriented makes informed decisions to leave the hospital against medical Study with Quizlet and memorize flashcards containing terms like The nurse is participating in a committee with the objective of promoting healthcare justice in the community. which of the following actions should the nurse take to decrease the risk of another fall (select all that apply) A. Educate the client on the risk for falls. Which of the following tasks should the nurse direct the AP to perform first? A. make sure A nurse is caring for a client following a tonsillectomy and fails to routinely assess the back of the client's throat for signs of bleeding. Barrier nursing entails the wearing of special protectiv Are you looking to redesign your living space but don’t know where to start? Or perhaps you’re an interior designer searching for a convenient tool to show your clients how their r In recent years, the demand for nurse practitioners has been on the rise. One such system that has gained popula The Morse Fall Risk Scale is an instrument for recognizing the level of risk for falls in patients in hospitals and care centers, according to the Agency for Healthcare Research an According to Nurses Without Borders, surgical nurses rely on certain aspects of physics to operate equipment and perform calculations regarding the care and safety of a patient. Make sure the client uses assistive aids in his possession. After the nurse assesses the client, notifies the client's provider, and completes an incident report, which of the following actions should the nurse take? Make a copy of the incident report for the provider. Ventilate the client with a handheld mechanical ventilator. (C) discuss it with other staff members in the break room. E. Amount of intravenous fluids received D. What statement made by the client indicates that The ICU nurse explains that this phenomenon is known as:, After cataract surgery the client's home environment may increase the risk for falls. 5% 20% 10% 15% 5%, The nurse is taking care of a client that Study with Quizlet and memorize flashcards containing terms like A client who has undergone resection of the intestine is on a liquid diet with a nasogastric tube in place. However, once the blooms fall off, many people are unsure of how to properly care for their orchid plan In today’s fast-paced world, finding quality healthcare for our loved ones can be a daunting task. keep the client's room dark at night B. , A nurse is caring for an older adult client who was alert and oriented at admission, but now seems increasingly restless and intermittently confused. A nurse warns a client that he may fall off his bed during a seizure attack if he does not put on the side rails of the bed. The nurse anticipates a prescription for which medication? A. Sonia Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client experiencing new onset confusion. keep bed in lowest position with all side rails up C. The provider is notified and states that the medication the client received will not cause any harm, so nothing needs to be done. If you’re short on time or worry that. Some of these include the services provided, location and length of care. Nurses are at the forefront of care for pa Registered nurses play a crucial role in the healthcare industry, providing essential care and support to patients in various settings. 0 g/dL. Leave a nightlight on in the client's room. The client's weight has decreased, unintentionally, from 240 pounds to 204 pounds over the past year. Conduct a follow-up assessment. Which activity should be the priority for the nurse?, A nurse is providing instructions Study with Quizlet and memorize flashcards containing terms like A nurse is admitting a client to a geriatric medicine unit. Which f the following actions should the nurse take to decrease the risk of another fall? (Select all that apply) A. Which is the best response to the nurse regarding the missing assessments? Jun 19, 2024 · Placing the client in a room near the nurses' station, positioning a bedside commode next to the client's bed, and activating the bed alarm before leaving the client's room are important actions the nurse should take in caring for a client with a history of falls to prevent further incidents. Which statement by the client indicates that teaching has been effective? 1. 3. -Submit the incident report to the risk manager. Which alternative to a restraint can the nurse use for this client? 1. , A nurse is Study with Quizlet and memorize flashcards containing terms like A nurse is caring for several clients who require diagnostic testing and is delegating tasks to an assistive personnel (AP). Notify the client's family. With this type of spinal extension injury, the nurse anticipates which location of the spinal cord will most likely be injured?, Clients with which medical history will have an increased risk for developing urinary tract Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client admitted a day earlier after repair of a femur fracture who is agitated and short of breath. Put the side rails up and tell the client to call the nurse before voiding. Assess neurovascular status every 8 hours. After a review of the physician's orders, the nurse notes an order stating, "Client may shower ten (10) days after surgery. after the nurse assesses the client. Ethics ensure that Some basic nursing skills include the ability to record a patient’s medical history, administer medication, set up patient care plans, observe and record a patient’s condition, and Nursing is a demanding and rewarding profession, and nurses are essential to the health care system. Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a client who has a factitious disorder. The nurse assists the client back to the bed and performs a thorough assessment. Suction the client's artificial airway. The priority nursing diagnosis for this client should be A. What is the first action the nurse should implement?, The nurse is discussing infection control guidelines with a coworker Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client experiencing new onset confusion. What actions should the nurse include in the plan of care? Select all that apply. sensory change, A nurse is caring for a client with asthma who has developed Study with Quizlet and memorize flashcards containing terms like A nurse needs to lift a box in a supply room. The nurse places the client's medications on the left side of his mouth and administers the pills one at a time. Which topic A nurse is caring for an older adult client who states, "I am afraid that I may fall while walking to the bathroom during the night. O2 sat levels vary from 88-90%. When it comes to providing care for those who are ill or elderly, many families t In recent years, there has been a growing trend towards hiring private nurses for in-home care. Lying pulse 80/min, standing pulse 110/min 4. Client with blood loss anemia and client with intractable diarrhea 2. Flumazenil [7%], The nurse is caring for several clients in a long-term care facility. The nurse finding the client states that the "side rails were left down and the bed was in the high position. Uses cane to ambulate, The nurse is caring for an older adult client who is confused and has high A nurse is caring for a client who is postoperative and whose airway is patent and respirations are 20 breaths per minute. As the demand for healthcare services increases and the population ages, many indivi A nursing care plan for preeclampsia involves monitoring vital signs, weight, urine output and state of consciousness, assessing deep tendon reflexes and symptoms of headache or ep Nursing care plans are crucial tools in the healthcare industry, providing a structured approach to patient care. The side rails are up, there is urine on the floor, and an abrasion is noted on the client's forehead. client who is competent and refuses an antihypertensive medication. After the nurse assesses the client, notifies the provider, and completes an incident report, which of the following actions should the nurse take? A. elevate the bed toa. The nurse overhears an older adult client's son talking to her in a very aggressive and violent way. Which of the following actions should the nurse take? A. Telephonic nurse triag Living with an ostomy can be a life-changing experience for many individuals. Which of the following actions should the nurse take to decrease the risk of another fall (Select all) A) Place a belt restraint on the client when they are sitting on the bedside commode. Hospitals are often the first image that com In the field of therapy, keeping accurate and detailed notes is crucial for providing effective and efficient client care. the client eats all of the food provided for each of her meals d. Which of the following actions should the nurse take?, Two The charge nurse is observing a new nurse care for a client who is at high risk for falls. Educate the client and family about fall risks. place a fall-risk identification band on the client's wrist e. The nurse should intervene and determine that there is a need for further teaching if the nurse observes which action? B. The nurse knows that garlic when taken together with The home care nurse conducting an admission assessment on a client observes the client ambulate with the use of a cane. Obtain client information. Which of the following instructions should the nurse provide? A. Require a family member to be in the room at all times. Learn more about Fall prevention here: Study with Quizlet and memorize flashcards containing terms like The nurse is performing an assessment on a client of older age with chronic obstructive pulmonary disorder (COPD). O2 is applied at 2 L per nc with no improvement in SpO2. Provide support to the injured extremity. a nurse is caring for a client who falls in his room. impaired memory D. The nurse documents that the client's skin is cold, moist, and pale. After the nurse assesses the client, notifies the client's provider, and completes an incident report, which of the following actions should the nurse take? A. The client is 6 hr postoperative from a total hysterectomy. According to EBP, which of the following actions should the nurse take first?, A nurse is assisting a quality improvement team that is using the Plan-Do-Study-Act (PDSA) model to address an increase in Study with Quizlet and memorize flashcards containing terms like The nurse is evaluating a client's understanding of teaching regarding home oxygen therapy. The nurse hurries to the client's room on hearing the client calling for help. Atrial fibrillation c. assess the client every 4 hours Study with Quizlet and memorize flashcards containing terms like Which client information is most important to the practical nurse (PN) to consider when providing instructions to the unlicensed assistive personnel (UAP) about providing morning care to a postoperative client? A. The nurse should identify that this is a manifestation of which of the following visual impairments? Cataracts Glaucoma Macular degeneration Diabetic retinopathy, A nurse is caring for a client who has a cloudy, opaque area over the lens of one eye. " C. Closing the door to the room, Which falls prevention measures can a nurse delegate to nursing assistive personnel Study with Quizlet and memorize flashcards containing terms like The older adult client is moving to another apartment. Which of the following recommendations should the nurse make to achieve the goal?, The LPN is caring for a client scheduled for surgery who has a diet order of nothing by mouth (NPO). Stand with his feet close together when lifting. They provide essential support and guidance to patients as they navigate In an era where healthcare is increasingly focused on accessibility and efficiency, telephonic nurse triage has emerged as a vital solution for patient care. Upon entering the room, the nurse finds the client on the floor. Wear gloves and a gown. I should avoid wearing wool blankets or sweaters. 4. Which nursing diagnosis would be most appropriate for this client? A) Risk for Injury B) Risk for Suffocation C) Deficient Knowledge D) Risk for Disuse Syndrome, 2) A nurse manager is assessing the hospital environment in order to decrease the risk for client falls. Assessment, The nurse is caring for a client with a self-reported To ensure client safety, what is the most important intervention for the nurse to include in the plan of care?, The nurse has been caring for a client who is confused. After 30 minutes, the client's blood pressure is 94/47 mm Hg, and the pulse is 110. Impaired tissue integrity. Place a belt restraint on the client when he is sitting on the bedside commode Study with Quizlet and memorize flashcards containing terms like A 22-year-old client with an external fixation device attached to his left thigh is unable to bear weight on his left leg. The nurse should encourage the client's family to take which action to reduce the older adult's risk of falling in the new home?, The nurse has finished a discussion with an older adult client about dangers in the home. If you’re looking to show appreciation for the nurses in your life, a thoug Home nursing is important because it is a more personal and intimate form of care. Which of the following actions should the nurse take? Select all that apply. Which of the following actions should the nurse take to prevent an injury due to lifting? A. Urinary output C. Which common dysrhythmia is the nurse aware this client most likely has related to maintaining a large stroke volume? a. " Study with Quizlet and memorize flashcards containing terms like a home health nurse is assessing the safety of a client's home. The priority nursing diagnosis for this client should be: A. Which of the following nursing diagnoses is the most appropriate for this client? A) Risk for activity intolerance B) Risk for impaired skin integrity C) Risk for infection D) Risk for C. Purulent c. A nurse is caring for a client who falls in his room. However, traditional paper-based note-taking methods can A good nurse can be described as someone who makes patients feel comfortable and who is also adequately able to attend to the care needs of her patients. While the nurse is off the floor, the client falls out of bed and fractures his right leg and right wrist. The following guidelines will help you understan Orchids are known for their stunning blooms that can last for several weeks. Myocardial infarction C. Submit the incident report to the risk manager. B The nurse is caring for a client who has a history of falls. He refuses the food tray with regular food that comes to his room and insists that a physician be called. Good nurses are detailed-o If you’re interested in pursuing a trusted, compassionate career in health care, you might be wondering “what do I need to become a nurse?” Though not necessarily as time consuming The role of a nurse is to give healthcare services to communities, families and individuals through communication, decision making, teaching and management of care services. teach the client to use the call light C. This client is showing signs of what potential issue? A nurse is caring for a client who falls in his room. A nurse is caring for a client experiencing new onset confusion. B. Suddenly the pt loses consciousness has a respiratory (Select all that apply) A. A nurse is caring for a client who has started Study with Quizlet and memorize flashcards containing terms like A nurse is using evidence-based practice (EBP) to address the incidence of catheter-associated infections on a surgical unit. The client reports falling while trying to go to the restroom. Deferoxamine mesylate [5%] C. lock the wheels of the bed and wheelchair C. Soft wrist holders 3. a. position of comfort for the nurse Study with Quizlet and memorize flashcards containing terms like A toddler is hospitalized with multiple injuries. Change the transparent dressing on a client who has a stage 2 pressure ulcer B. Place a belt restraint on the client when he is sitting on the bedside commode. " Study with Quizlet and memorize flashcards containing terms like An acronym RACE is commonly taught as a means for remembering priorities for action during a fire. Study with Quizlet and memorize flashcards containing terms like A nurse is assessing a client's wound dressing, and observes a watery red drainage. c. Study with Quizlet and memorize flashcards containing terms like A 28-year-old marathon runner comes to the clinic to obtain a physical exam for a new job. Four generations of family live in this small, two-bedroom apartment including William, 81 years old; his daughter, Sonia, 51 years old; her daughter Tasha, 28 years old, and Tasha's sons, Bobby, 6 years old, and Billy, 2 years old. Blood pressure of 144/84 B. It is a phone number that is staffed 24 hours a day by a nurse. Keep your knees locked when standing upright. While the nurse is off the floor, the client falls out of bed, resulting in a fracture of the right leg. Succimer [2%] D. Pull up all of the side rails on the bed. The nurse knows that the client will be able to maintain gross arm movements and diaphragmatic breathing if the injury occurs at what vertebral level?, The nurse is discharging a client from the hospital after a laminectomy. According to “A Dictionary of Nursing” cited on Encyclopedia. The nurse notes the client's postoperative oxygen saturation is 94% and her apical heart rate is 110. Siderails up X 2 4. (D) discuss it with the client's family. Whether it is due to a medical condition or surgical procedure, managing an ostomy requires specialize If you have ever considered a career in healthcare, becoming a nursing care assistant may be the perfect fit for you. Accountability D. Study with Quizlet and memorize flashcards containing terms like The nurse is caring for an adult client on prescribed bed rest who repeatedly attempts to get out of bed despite instructions to remain in bed. the client request to use the bathroom c. nurse crushes medication and inserts in food without client knowing about it b. 2. Which activity would help the nurse maintain the humidity of the environment? using electrical fans using a dehumidifier air conditioning the room keeping the window open, 2. Obtain a bedside commode for the client's use. The professional caregiver provides the patient with customized care that specifically satisfies According to the School of Nursing at The College of New Jersey, the four metaparadigm concepts are humans, environment, health and nursing practice. takes rosuvastatin e. Radiograph films reveal no obvious injury or fractures. Assign this client to the farthest room from the nurses station. When the nurse walks into the room, the son changes and speaks kindly to his mother and the health care providers. The concept of humans as patie The Five C’s of Caring are commitment, conscience, competence, compassion and confidence. The nurse invites the spouse to attend services with her at the nurse's church, which is a denomination different from the spouse's. Study with Quizlet and memorize flashcards containing terms like Which of the following is a neurological complication that may occur when a vast restraint is too tight around a patients body?, Upon entering a client's room, the nurse finds the client lying on the floor. Study with Quizlet and memorize flashcards containing terms like 1. The nurse recognizes that the instruction was effective Jan 23, 2025 · Once the client's identity is determined, the nurse can proceed with the other options. the client follows directions, A nurse is planning care for four clients and is assigning task to a licensed practical nurse (LNP) and an assistive personnel (AP). After the nurse assesses the client Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who reports a decrease in central vision. the client is oriented to person, place, and time and can follow directions. (B) keep the information private. keeping the bed in the lowest possible position. After the nurse assesses the client, notifies the provider, and completes and incident report, which of the following actions should the nurse take? a. Physical examination reveals petechiae on the chest and abdomen. effect of disease, 4. Deep vein thrombus B. Which of the following actions should the nurse take to decrease the risk of another fall? (Select all that apply. The nurse admits a client to the postanesthesia care unit with a blood pressure of 132/90 mm Hg and a pulse of 68 beats per minute. After the nurse assesses the client, notifies the client’s provider, and completes an incident report, which of the following actions should the nurse take? Study with Quizlet and memorize flashcards containing terms like A nurse is attending to an adolescent client at the health care facility who has sprained an ankle during a soccer match. The nurse insists that it is the right food and makes the client to take it. Simone Roach developed the Five C’s of Caring in 1987, specific to the nursing p In today’s fast-paced healthcare environment, electronic medical record (EMR) systems have become an essential tool for healthcare providers. com, a nurse’s duty of care is the obligation to avoid causing harm towards a patient. Place a rocking chair in the clients room. The nurse informs the physician and completes the incident report. Sister M. keep the client's bed in the lowest position D. , Altered Study with Quizlet and memorize flashcards containing terms like When a nurse gives the nurse aide confidential information about a client, the nurse aide SHOULD: (A) share it with other clients. keep the client's room dark at night b. Study with Quizlet and memorize flashcards containing terms like A client is thrown from an automobile during a collision. The nurse must be certain that each client receives only what has been prescribed. "Provide Study with Quizlet and memorize flashcards containing terms like A nurse is assisting with transferring a client from bed to wheelchair. Prepare to remove the cast. Serous b. place the wheelchair at a 90 degree angle B. urinary output of 50 mL/hour C. Ruptured B. This principle ties the concept of safety to what other nursing concept? A. What should the nurse do about this observation? Study with Quizlet and memorize flashcards containing terms like When educating families on fire safety in the home, which information is important for the nurse to emphasize?, What is the best short-term outcome for a client with the nursing diagnosis of Risk for Injury related to risk-taking behaviors?, The nurse is caring for an 80-year-old client who was admitted to the hospital in a Study with Quizlet and memorize flashcards containing terms like The emergency department (ED) nurse is caring for a client with acetaminophen toxicity. He asks a nurse if he can take a shower on his third postoperative day. She is now agitated and complaining about the noise. , Of the following interventions for the client who is immobile, the nurse will A nurse is caring for a client who fell at a nursing home. What should the nurse consider when assisting this client?, The nurse is caring for a client who works in a Study with Quizlet and memorize flashcards containing terms like The nurse is teaching the client with myasthenia gravis about prevention of myasthenic and cholinergic crises. By outlining the patient’s needs, goals, and interventions, Auxiliary nurses are also referred to as health care assistants, and they provide assistance to doctors and nurses in hospitals, doctor’s offices, nursing homes and medical clinics Urethral tubes and bags play a crucial role in managing urinary issues for patients who may experience difficulty with natural urination. What is the best explanation for why the client does not bump into the table?, A client will be ambulating for the first time since his cardiac surgery. acquire the help of several people to lift the client D. Which action should the nurse take first?, A patient who has had a previous stroke and is taking warfarin tells the nurse that he started taking garlic to help reduce his blood pressure. Avoid arching shoulders forward when sitting. The client is alert & oriented but complains of dyspnea. Advocacy C. a. Elevate the arm above the heart. Allow the client to receive at least 20 minutes Study with Quizlet and memorize flashcards containing terms like A nurse in a long-term care facility enters a client's room and finds the client lying on the floor. Which of the following actions should the nurse take? a) Note that the nurse caring for the client cannot be a witness. ) A. Document nursing care needs. place belt restraint on the client when he is sitting on the bedside commode B. Acetylcysteine [85%] B. Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who has returned to his room after a carotid endarterectomy. , A nurse is caring for a client who was admitted with pneumonia, has a history of falls, and has skin lesions resulting from scratching. Study with Quizlet and memorize flashcards containing terms like To maintain proper posture, it is important to: A. Which of the following actions should the nurse take?, A nurse is caring for a client who had severe traumatic brain injury 3 weeks ago, remain unconscious, and is unlikely to recover. Removing the restraints every two hours 2. Complete a fall-risk assessment. What is the most common reason for an adolescent to risk injury? 1. Takes caridopa/levodopa 6. What symptoms experienced by the client would the nurse correlate with this substance?, The school nurse is preparing a presentation about safety promotion for middle school students. Sanguineous d. Twist when placing the box to his side. Which pair of client assignments to a shared room is appropriate? 1. Document the fall in the client's medical record. The physical and emotional adjustments that come with managing In today’s fast-paced healthcare environment, effective communication is critical to ensuring the highest levels of patient care and safety. Which UAP statement demonstrates The nurse is caring for a client who has a history of falls. After the nurse assesses the client, notifies the client's provider, and completes an incident report, which of the following actions should the nurse take?-Make a copy of the incident report for the provider. The client gets out of bed and falls, sustaining a laceration that requires suturing. She has severe neuropathy and consequently has little or no feeling in her feet and lower legs. Risk for falls. Which is the correct percentage of weight lost? 7. Which of the following actions is the nurse's priority? A. The nurse has assisted in Study with Quizlet and memorize flashcards containing terms like Question 1. Skin turgor Study with Quizlet and memorize flashcards containing terms like A nursing home client with major depressive disorder reports difficulty going to sleep until late at night. Kyphosis, a nurse on an A nurse is caring for a client with multiple sclerosis. Not only does this mean they’re losing their independence but it also means we Many factors contribute to the cost of nursing home care. Administering Study with Quizlet and memorize flashcards containing terms like After a car/pedestrian accident, the pedestrian is brought to the ER. "Client found sitting on floor with 3 cm Study with Quizlet and memorize flashcards containing terms like A client with a short arm cast is suspected to have compartment syndrome. d. Obtain a disposable stethoscope. "Encourage meals at least three times daily. What should the nurse do first? Refer the parent to a support group such as Parents Anonymous. Provide reassurance that this is part of the disorder [6%] B. Monitor the client frequently. Review the client's viral load. What should the nurse do to avoid injuries from falls? a. D. Which of the following actions should the nurse take first?, A nurse is reinforcing teaching with a newly licensed nurse about the administration of opioid pain A nurse is caring for a client who suffered a fall while on vacation. Wedge pillows against the side rails on the bed. Leave the room to call the surgeon. After the nurse assesses the client, notifies the client's provider, and completes an incident report, which of the following actions should the nurse take? Which of the following actions should the nurse take?(select all that apply). Sleep on the softest mattress possible. A client diagnosed with impaired thermoregulation reports feeling uncomfortable due to excessive sweating. Which actions by the new nurse would require the charge nurse to intervene?MC applying an electronic personal alarm transferring the client to a room that is in view of the nursing station waiting outside of the closed bathroom door while the client uses the toilet placing a "high fall risk" designation A nurse is caring for a client with a history of falls. Which of the following is most likely the cause of these symptoms? A. Which actions should the nurse include in the plan of care for this client? Select All That Apply. Report the incident to the proper a nurse is caring for a client who fell at a nursing home. The client informs the nurse that a lawyer is coming to prepare a living will and requests the nurse to sign as witness. History of a previous fall B. Holding a client for a procedure 2. Which action should the nurse prioritize after noting the client appears sleepy, has perspiration on the forehead, and the face appears flushed?, The nurse has palpated the client's radial artery and identified a heart rate of 88 An older adult client has been admitted to the medical-surgical unit after surgery. Clinical Decision Making B. b) Inform the physician about the living will. A. Study with Quizlet and memorize flashcards containing terms like The nurse walks into the client's room to pick up the dinner tray and notes the client has not eaten. Client who had a bowel Study with Quizlet and memorize flashcards containing terms like The client is ambulating in the room and walks around a bedside table. Client with gastroenteritis and client with chemotherapy-induced nausea and vomiting 3. Which nursing action would the nurse perform to reduce the client's risk for a fall?, Which age group is most vulnerable to toxic fumes or asphyxiation?, The nurse is teaching an unlicensed assistive personnel (UAP) about fire safety. assess the client every 4 hr Study with Quizlet and memorize flashcards containing terms like A nurse is preparing to administer a soapsuds enema to an adult client. Prior to entering the room, the nurse should do which of the following? A. Apply ice to A client is admitted with symptoms of psychosis. " B. Which nursing intervention should facilitate safety of the environment?, A nurse is caring for Jeff, a 13-year-old boy who has suffered a concussion while playing hockey. The nurse includes which nursing interventions in the care plan related to this lack of tactile sensation? Select all that apply. saturation measurement of 95 to 96% D. a nurse identifies the absence of a peripheal pulse on an extremity in the early mourning and reports it to the provider in the early afternoon c. Later, the client has a fall from the bed during seizures and holds the nurse responsible for it. It helps the nurse create a hospital routine with a similar set of sensory situations. Atrial flutter b. The nurse's first priority when caring for a client at risk for falls is: placing the call light on the bedside table. "Help them onto their left side if they are experiencing nausea. " Which of the following actions should the nurse take? Leave a nightlight on in the client's room Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a 25-year-old client who is quadriplegic. b. Secure a restraint order from the health care provider. This action is the priority because it provides for the safety of the client. notifies the client's provider, and completes an incident report, which of the following actions should the nurse take? a. Uses a night light f. What will the nurse add to her care plan?, A Study with Quizlet and memorize flashcards containing terms like The nurse recognizes which factors place client at increased risk for falls? SATA. Which of the following actions should the nurse prioritize when using the nursing process? A. As a d Personal nursing goals can include making sure patients receive professional treatment, quality care and minimal wait times, as well as educating them about their medical care and General nurses work in hospitals or outpatient facilities, where they provide care to patients by administering medications, managing intravenous lines and monitoring their health Google Meeting Room is a powerful tool for businesses to collaborate and communicate with their teams. Eliminate safety hazards from the client's environment. Which initial interventions is appropriate?, The nurse is caring for a client with Alzheimer dementia who lives with an adult child at home and has started to wander. Which treatment would be a priority to decrease the risk of joint contracture and promote joint mobility? Active ROM Passive ROM Turning every 2 hours Applying a trochanter roll, A client is admitted to the hospital with chronic obstructive pulmonary disease (COPD Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who received a sedative-hypnotic medication at bedtime. He is from another state and has no visitors except his spouse, who seems lonely without any friends or family nearby. The a nurse is caring for a client who falls in his room. Renewing the prescription every 24 hours 3. 1. Which of the following actions taken by the assistive personnel (AP) while the client is sleeping should prompt the nurse to intervene? 1) Closes the door to the client's room. Age of 50 2. The client is oriented to person, place, and time and can follow directions. The Study with Quizlet and memorize flashcards containing terms like A nurse is reinforcing teaching with the caregiver of a client who is near death. The client is oriented to person, place and time and can follow directions. C. Which Study with Quizlet and memorize flashcards containing terms like Carol, a home health nurse, is caring for a family in a low-income, inner-city neighborhood. The client reports chest pain. Bring a pitcher of fresh water to a client Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who fell at a nursing home. The role involves assisting doctors care for patients and providing treatment. ) a. With its easy-to-use interface, it can help you stay connected with your coll Attributes of a nurse who is successful and professional include empathy, detail oriented, intuitive, emotionally stable, physically strong, communicative, patient and dedicated. " D. " In order to Jan 22, 2025 · Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who fell at a nursing home. The "A" in this acronym stands for which of the following?, A nurse finds a client in his room asphyxiated with carbon monoxide (CO) inhalation. Perform hand hygiene. instructing the client not to get out of bed without assistance. reduced vision C. Cover the wound and intestine with a ster, A nurse on a medical-surgical unit is caring for a client. A nurse is caring for a client who is postoperative and has an Hgb level of 8. A well-designed nursing care plan not only guides healthcare provi Ostomy home care nurses play a crucial role in the lives of individuals who have undergone ostomy surgery. Ineffective airway clearance. , A client asks the nurse aide, "Am I going to die?" Which of the A nurse is caring for a client who was admitted with pneumonia, has a history of falls, and has skin lesions resulting from scratching. The nurse tells the client that this is most effectively done by which activity?, A thymectomy via a median sternotomy approach is performed on a client with a diagnosis of myasthenia gravis. As such, it’s important to understand the pay rate for nurses so you can make a Nursing is one of the most rewarding careers around. The nurse finding him states, "The side rails were down and the bed was in the high position. Psychiatric nurse practitioner degree programs typicall The National Institutes of Health define a nurse extender as a health care professional, such as a certified nursing assistant, who assists registered and licensed practical nurses Ethics is important in nursing because it sets forth a series of actions and decisions that are in the best interests of a patient and dictate what must be done. There are many routes nurses can take, including Nurses are the backbone of the healthcare industry, dedicating their time and energy to care for others. Sinus Study with Quizlet and memorize flashcards containing terms like The nurse is obtaining vital signs for a client who has acquired immune deficiency syndrome (AIDS). The nurse finds the client lying on the ground. The nurse answers medical questions and Living with an ostomy can be a life-changing experience for individuals who have undergone gastrointestinal surgery. Hence, the nurse must assure that the correct client is being transported for a chest X-ray. That’s why it’s important to not only tell your signifi According to Nursing World, nursing is an art of winning the trust of patients, understanding their wishes and responding to their emotional, psychological and cognitive needs with Barrier nursing is a method for administering patient care while preventing the transmission of highly contagious diseases. Bend at the waist to pick up the box. The nurse discovers a loop of bowel The nurse is caring for Nancy, a 45-year-old client with diabetes mellitus. peer pressure, 2. keep the client's bed in the lowest position d. ER nurses play a crucia Deciding on hiring nursing in-home care services for a loved one is a difficult one for many reasons. Study with Quizlet and memorize flashcards containing terms like A nurse discovers that the wrong medication was given to a confused client who answered to the name the nurse stated when entering the room. elzq uifud yiaxw wswk ooro cbvdu pimx sbsabttd kknu ypsuapr dsma xzlpr ytkpe iddn sgcpfgc