Podcast
Questions and Answers
The child is at risk for developing which of the following? (Select all that apply)
The child is at risk for developing which of the following? (Select all that apply)
What should you set your hot water heater temperature at or below?
What should you set your hot water heater temperature at or below?
Which laboratory value indicates cellular injury of myocardial tissue?
Which laboratory value indicates cellular injury of myocardial tissue?
What should the newborn receive vitamin K to prevent?
What should the newborn receive vitamin K to prevent?
Signup and view all the answers
What instruction should a nurse give to a postpartum client to help prevent engorgement discomfort?
What instruction should a nurse give to a postpartum client to help prevent engorgement discomfort?
Signup and view all the answers
What action should the nurse take for a child experiencing a tonic-clonic seizure?
What action should the nurse take for a child experiencing a tonic-clonic seizure?
Signup and view all the answers
What is the most likely condition the child is experiencing?
What is the most likely condition the child is experiencing?
Signup and view all the answers
What parameter should be monitored for the child?
What parameter should be monitored for the child?
Signup and view all the answers
What causes constipation in a client who is 28 weeks pregnant?
What causes constipation in a client who is 28 weeks pregnant?
Signup and view all the answers
The client is at highest risk for developing _______
The client is at highest risk for developing _______
Signup and view all the answers
As evidenced by the client's __________
As evidenced by the client's __________
Signup and view all the answers
Which of the following instructions should the nurse plan to include for preventing further UTIs?
Which of the following instructions should the nurse plan to include for preventing further UTIs?
Signup and view all the answers
Which of the following assessment findings should the nurse report to the provider as unexpected?
Which of the following assessment findings should the nurse report to the provider as unexpected?
Signup and view all the answers
Select the two findings that require immediate follow-up:
Select the two findings that require immediate follow-up:
Signup and view all the answers
What should the nurse plan to first assess the newborn's _______
What should the nurse plan to first assess the newborn's _______
Signup and view all the answers
What should the nurse plan to assess the newborn's _______
What should the nurse plan to assess the newborn's _______
Signup and view all the answers
Which of the following may be a common adverse effect of methadone?
Which of the following may be a common adverse effect of methadone?
Signup and view all the answers
Which findings require follow-up?
Which findings require follow-up?
Signup and view all the answers
Which action should the nurse take when preparing to administer insulin?
Which action should the nurse take when preparing to administer insulin?
Signup and view all the answers
To facilitate the staff's acceptance of the scheduling system change, which action should the nurse manager take first?
To facilitate the staff's acceptance of the scheduling system change, which action should the nurse manager take first?
Signup and view all the answers
Which of the following indicates a manifestation of vaso-occlusive crisis in sickle cell anemia?
Which of the following indicates a manifestation of vaso-occlusive crisis in sickle cell anemia?
Signup and view all the answers
Which statement about car seat safety should the nurse include in teaching?
Which statement about car seat safety should the nurse include in teaching?
Signup and view all the answers
Which catheter should a nurse use for intermittent urinary catheterization?
Which catheter should a nurse use for intermittent urinary catheterization?
Signup and view all the answers
Which action requires a nurse manager to intervene?
Which action requires a nurse manager to intervene?
Signup and view all the answers
What should the nurse do for a client presenting with alcohol withdrawal symptoms?
What should the nurse do for a client presenting with alcohol withdrawal symptoms?
Signup and view all the answers
Which actions should be taken for a client with major depressive disorder?
Which actions should be taken for a client with major depressive disorder?
Signup and view all the answers
Which method should the nurse manager use to evaluate the nurse's time management skills?
Which method should the nurse manager use to evaluate the nurse's time management skills?
Signup and view all the answers
Which of the following actions should the nurse plan to take first?
Which of the following actions should the nurse plan to take first?
Signup and view all the answers
Which of the following findings requires immediate intervention by the nurse?
Which of the following findings requires immediate intervention by the nurse?
Signup and view all the answers
The nurse should recognize the client is demonstrating which defense mechanism?
The nurse should recognize the client is demonstrating which defense mechanism?
Signup and view all the answers
Which of the following findings is the priority for the nurse to report to the provider?
Which of the following findings is the priority for the nurse to report to the provider?
Signup and view all the answers
Which finding should the nurse identify as a contraindication for the client to receive clozapine?
Which finding should the nurse identify as a contraindication for the client to receive clozapine?
Signup and view all the answers
Which of the following actions should the nurse plan to take first?
Which of the following actions should the nurse plan to take first?
Signup and view all the answers
Which of the following statements by the client indicates an understanding of the infection prevention teaching?
Which of the following statements by the client indicates an understanding of the infection prevention teaching?
Signup and view all the answers
Which of the following actions should the nurse recommend first when implementing an emergency preparedness plan?
Which of the following actions should the nurse recommend first when implementing an emergency preparedness plan?
Signup and view all the answers
Which actions should the nurse take after reviewing assessment findings?
Which actions should the nurse take after reviewing assessment findings?
Signup and view all the answers
Which information should the nurse report to the provider?
Which information should the nurse report to the provider?
Signup and view all the answers
Which action should the nurse take first for a client refusing to ambulate post-surgery?
Which action should the nurse take first for a client refusing to ambulate post-surgery?
Signup and view all the answers
Which statement indicates that the therapy of using acupressure bands is having the desired effect?
Which statement indicates that the therapy of using acupressure bands is having the desired effect?
Signup and view all the answers
Which of the following actions should the nurse take regarding a reusable BP cuff?
Which of the following actions should the nurse take regarding a reusable BP cuff?
Signup and view all the answers
Which findings require immediate follow-up by the nurse?
Which findings require immediate follow-up by the nurse?
Signup and view all the answers
Which intervention should the nurse include in the plan of care for a child with acute lymphoid leukemia?
Which intervention should the nurse include in the plan of care for a child with acute lymphoid leukemia?
Signup and view all the answers
Which task should the RN delegate to the LPN?
Which task should the RN delegate to the LPN?
Signup and view all the answers
Which action should the charge nurse take first after observing a staff nurse document a dressing change that was not performed?
Which action should the charge nurse take first after observing a staff nurse document a dressing change that was not performed?
Signup and view all the answers
Which client should the nurse identify as having a nationally notifiable infectious condition?
Which client should the nurse identify as having a nationally notifiable infectious condition?
Signup and view all the answers
Which of the following instructions should the nurse include for a client who has hepatitis A?
Which of the following instructions should the nurse include for a client who has hepatitis A?
Signup and view all the answers
Which action should the nurse take regarding reporting STI information?
Which action should the nurse take regarding reporting STI information?
Signup and view all the answers
Which of the following should the nurse include in the toddler's plan of care?
Which of the following should the nurse include in the toddler's plan of care?
Signup and view all the answers
Which medication should the nurse anticipate administering after a client develops a respiratory rate of 6/min?
Which medication should the nurse anticipate administering after a client develops a respiratory rate of 6/min?
Signup and view all the answers
Which assessment findings should the nurse report to the provider?
Which assessment findings should the nurse report to the provider?
Signup and view all the answers
Which provider prescriptions should the nurse anticipate for this client?
Which provider prescriptions should the nurse anticipate for this client?
Signup and view all the answers
The client is at highest risk for developing ____
The client is at highest risk for developing ____
Signup and view all the answers
Which actions should the charge nurse take first to provide teaching about chest tubes?
Which actions should the charge nurse take first to provide teaching about chest tubes?
Signup and view all the answers
What should the nurse do while waiting for the new infusion pump?
What should the nurse do while waiting for the new infusion pump?
Signup and view all the answers
Which action should the nurse take first for a client who is immediately postoperative following a total vaginal hysterectomy?
Which action should the nurse take first for a client who is immediately postoperative following a total vaginal hysterectomy?
Signup and view all the answers
The nurse should first address the client's _______
The nurse should first address the client's _______
Signup and view all the answers
Followed by the client's __________
Followed by the client's __________
Signup and view all the answers
Which action should the nurse take when providing colostomy care?
Which action should the nurse take when providing colostomy care?
Signup and view all the answers
What information is the priority for the nurse to communicate to the oncoming nurse about a client preparing for discharge?
What information is the priority for the nurse to communicate to the oncoming nurse about a client preparing for discharge?
Signup and view all the answers
Which statement by the parents indicates an understanding of sleep promotion for their preschooler?
Which statement by the parents indicates an understanding of sleep promotion for their preschooler?
Signup and view all the answers
What action should the nurse take when conducting a root cause analysis for increased client falls?
What action should the nurse take when conducting a root cause analysis for increased client falls?
Signup and view all the answers
For which of the following manifestations should the nurse monitor a client with a potassium level of 3 mEq/L?
For which of the following manifestations should the nurse monitor a client with a potassium level of 3 mEq/L?
Signup and view all the answers
What should the nurse document when a mental health client refuses medication?
What should the nurse document when a mental health client refuses medication?
Signup and view all the answers
Which physiological change should the nurse recognize as related to aging in an older adult client?
Which physiological change should the nurse recognize as related to aging in an older adult client?
Signup and view all the answers
Which actions should the nurse take for a client with colorectal cancer and a new colostomy?
Which actions should the nurse take for a client with colorectal cancer and a new colostomy?
Signup and view all the answers
How many mL should the nurse administer for a toddler weighing 22lb who needs diazepam 0.3mg/kg IV bolus?
How many mL should the nurse administer for a toddler weighing 22lb who needs diazepam 0.3mg/kg IV bolus?
Signup and view all the answers
Match the following conditions and actions the nurse must take.
Match the following conditions and actions the nurse must take.
Signup and view all the answers
What intervention should a home health nurse include in the care plan for an older adult client with impaired vision?
What intervention should a home health nurse include in the care plan for an older adult client with impaired vision?
Signup and view all the answers
What statement should the nurse make to a client with a terminal illness requesting no lifesaving measures?
What statement should the nurse make to a client with a terminal illness requesting no lifesaving measures?
Signup and view all the answers
Which findings require immediate follow-up for a client with schizophrenia?
Which findings require immediate follow-up for a client with schizophrenia?
Signup and view all the answers
What manifestation should the nurse expect in a client with delirium?
What manifestation should the nurse expect in a client with delirium?
Signup and view all the answers
What manifestation should the nurse expect in a client in the manic phase of bipolar disorder?
What manifestation should the nurse expect in a client in the manic phase of bipolar disorder?
Signup and view all the answers
Which action should the nurse take when performing gastric lavage for a client with gastrointestinal bleeding?
Which action should the nurse take when performing gastric lavage for a client with gastrointestinal bleeding?
Signup and view all the answers
What action should the nurse take first when interviewing a client who is now without a home due to a natural disaster?
What action should the nurse take first when interviewing a client who is now without a home due to a natural disaster?
Signup and view all the answers
Which response should a nurse make to a family member of a client with end-stage Alzheimer's disease who expresses doubt about visiting?
Which response should a nurse make to a family member of a client with end-stage Alzheimer's disease who expresses doubt about visiting?
Signup and view all the answers
What is the first action the nurse should take when preparing to discharge a client who has experienced intimate partner violence?
What is the first action the nurse should take when preparing to discharge a client who has experienced intimate partner violence?
Signup and view all the answers
The child is at risk for developing _______ and _______.
The child is at risk for developing _______ and _______.
Signup and view all the answers
Which of the following actions should the nurse take when receiving a call from someone claiming to be the client's parent?
Which of the following actions should the nurse take when receiving a call from someone claiming to be the client's parent?
Signup and view all the answers
Which of the following assessment findings should the nurse identify as the priority for a client with a fractured femur and fiberglass cast?
Which of the following assessment findings should the nurse identify as the priority for a client with a fractured femur and fiberglass cast?
Signup and view all the answers
What information should the nurse provide a client who is to start taking misoprostol?
What information should the nurse provide a client who is to start taking misoprostol?
Signup and view all the answers
Which manifestation should the nurse include when teaching about digoxin toxicity?
Which manifestation should the nurse include when teaching about digoxin toxicity?
Signup and view all the answers
For which complication should the nurse monitor a client with obstructive sleep apnea?
For which complication should the nurse monitor a client with obstructive sleep apnea?
Signup and view all the answers
Identify the proper sequence of steps for performing tracheostomy care.
Identify the proper sequence of steps for performing tracheostomy care.
Signup and view all the answers
What should the nurse ensure when observing a newly licensed nurse administer enteral feedings?
What should the nurse ensure when observing a newly licensed nurse administer enteral feedings?
Signup and view all the answers
Which medication should the nurse expect to administer for a client with a closed-head injury to reduce intracranial pressure?
Which medication should the nurse expect to administer for a client with a closed-head injury to reduce intracranial pressure?
Signup and view all the answers
Which action by the assistive personnel (AP) requires the nurse to intervene while turning a client onto the right side?
Which action by the assistive personnel (AP) requires the nurse to intervene while turning a client onto the right side?
Signup and view all the answers
Which of the following instructions should the nurse include to improve nutrition for a client with multiple sclerosis?
Which of the following instructions should the nurse include to improve nutrition for a client with multiple sclerosis?
Signup and view all the answers
The infant is at highest risk of developing __________ as evidenced by __________.
The infant is at highest risk of developing __________ as evidenced by __________.
Signup and view all the answers
Which action should the nurse take first for a client who is 4 hours postpartum and has a boggy uterus with heavy lochia?
Which action should the nurse take first for a client who is 4 hours postpartum and has a boggy uterus with heavy lochia?
Signup and view all the answers
Which of the following events should the nurse complete an incident report for?
Which of the following events should the nurse complete an incident report for?
Signup and view all the answers
What action should the nurse take to prevent clogging of a client's percutaneous gastrostomy tube?
What action should the nurse take to prevent clogging of a client's percutaneous gastrostomy tube?
Signup and view all the answers
Which task should the nurse delegate to an assistive personnel (AP) for a client with hypertension taking captopril?
Which task should the nurse delegate to an assistive personnel (AP) for a client with hypertension taking captopril?
Signup and view all the answers
The client is most likely experiencing manifestations of ______ and ______.
The client is most likely experiencing manifestations of ______ and ______.
Signup and view all the answers
Which findings should the nurse expect when assessing a client who is experiencing autonomic dysreflexia?
Which findings should the nurse expect when assessing a client who is experiencing autonomic dysreflexia?
Signup and view all the answers
Which intervention should a charge nurse include in the care plan for a client in mechanical restraints?
Which intervention should a charge nurse include in the care plan for a client in mechanical restraints?
Signup and view all the answers
Which strategy incorporates visualization techniques to help decrease a child's discomfort?
Which strategy incorporates visualization techniques to help decrease a child's discomfort?
Signup and view all the answers
Which assessment finding should the nurse expect for a client admitted with cardiac tamponade?
Which assessment finding should the nurse expect for a client admitted with cardiac tamponade?
Signup and view all the answers
Which assessment findings should the nurse suspect a transfusion reaction based on?
Which assessment findings should the nurse suspect a transfusion reaction based on?
Signup and view all the answers
Which action should the nurse take first when preparing to administer long-acting insulin?
Which action should the nurse take first when preparing to administer long-acting insulin?
Signup and view all the answers
Which finding indicates a priority in assessing the client in skeletal traction for a femur fracture?
Which finding indicates a priority in assessing the client in skeletal traction for a femur fracture?
Signup and view all the answers
Which complementary therapy should the nurse recommend to alleviate distress for a client with PTSD?
Which complementary therapy should the nurse recommend to alleviate distress for a client with PTSD?
Signup and view all the answers
Which intervention should the nurse include in the plan of care for a client receiving heparin to treat deep-vein thrombosis?
Which intervention should the nurse include in the plan of care for a client receiving heparin to treat deep-vein thrombosis?
Signup and view all the answers
The client is at risk for __________ due to __________.
The client is at risk for __________ due to __________.
Signup and view all the answers
Which finding should the nurse identify as the priority for a client taking lithium carbonate?
Which finding should the nurse identify as the priority for a client taking lithium carbonate?
Signup and view all the answers
Which staff member should the nurse assign to collect vital signs for a postoperative client requiring a blood pressure check?
Which staff member should the nurse assign to collect vital signs for a postoperative client requiring a blood pressure check?
Signup and view all the answers
Study Notes
Communication and Client Privacy
- Nurses must verify the caller's identity before disclosing client information, especially when family members inquire about the client's status.
Pediatric Nursing Considerations
- Redness and tenderness of the heel in a child with a leg cast may indicate potential complications and should be prioritized in assessments.
Medication Guidelines
- Before starting misoprostol, a serum pregnancy test is essential for clients on long-term NSAID therapy to prevent complications.
Digoxin Toxicity Awareness
- Nausea is a common manifestation of digoxin toxicity, which nurses should educate clients about when prescribing this medication.
Obstructive Sleep Apnea Complications
- Hypertension is a significant complication to monitor in clients diagnosed with obstructive sleep apnea.
Tracheostomy Care
- The correct sequence for tracheostomy care includes cleaning the stoma, removing the inner cannula, changing the collar, and removing soiled dressings.
Enteral Feeding Practices
- Keeping the head of the bed elevated to 45 degrees for one hour post-NG tube feeding is vital to reduce aspiration risk.
Intracranial Pressure Management
- Mannitol is expected to be administered to reduce intracranial pressure in clients with closed-head injuries.
Patient Safety in Positioning
- During patient repositioning, unapproved actions like placing a pillow under the right arm during lateral turns require intervention by the supervising nurse.
Nutrition for Neurological Conditions
- Providing appropriate guidance for clients with multiple sclerosis includes suggesting speech pathologist evaluations and encouraging rest before meals.
Pediatric Risk Assessment
- Infants who exhibit projectile vomiting may be at higher risk for dehydration, as highlighted by crying and other symptoms indicative of pyloric stenosis.
Postpartum Assessment
- For a boggy uterus and heavy lochia in a postpartum client, the immediate action should focus on fundal massage to expel clots.
Incident Reporting
- Nurse should complete an incident report for medication errors, such as inadequate IV pump doses, to ensure proper documentation and follow-up.
Medication Administration Techniques
- Flushing a gastrostomy tube with water before medication administration is a crucial practice to prevent clogging.
Hypertension Management and Delegation
- Obtaining a blood pressure reading is an essential task that should be delegated to assistive personnel in managing a client on captopril.
Spinal Cord Injury Observations
- In clients with spinal cord injuries, autonomic dysreflexia and pneumonia are critical complications to monitor due to changes in vital signs and symptoms.
Autonomic Dysreflexia Symptoms
- Common symptoms include facial flushing, nasal congestion, and headaches, which nurses should identify and manage promptly.
Care for Clients with Restraints
- Ongoing supervision, including continuous staff presence with restrained clients, is an essential safety measure in care plans.
Pain Management for Children
- Visualization techniques, like blowing bubbles, can effectively complement pain medication for children, helping to reduce discomfort.
Cardiac Tamponade Indicators
- Pulsus paradoxus is an expected clinical finding in clients presenting with cardiac tamponade.
Transfusion Reaction Monitoring
- Symptoms of transfusion reactions can include back pain, headache, and anxiety, which should be carefully monitored during blood transfusion.
Insulin Administration Protocol
- Checking the insulin dosage with another nurse is a critical safety step in administering long-acting insulin for diabetic clients.
Fat Embolism Signs
- Upper chest petechiae is a significant sign of a fat embolism, requiring immediate medical attention in clients with skeletal traction.
Mental Health Complementary Therapies
- Guided imagery is an effective non-pharmacological therapy that can help alleviate distress in clients with post-traumatic stress disorder.
Deep Vein Thrombosis Management
- Elevating the affected leg is a critical intervention for clients being treated with heparin for deep vein thrombosis management.
Thrombocytopenia Risk
- Clients with petechiae and a low platelet count may be at risk for thrombocytopenia, which necessitates ongoing monitoring and intervention.
Lithium Toxicity Awareness
- Confusion is an early warning sign of lithium toxicity in bipolar disorder treatment, signaling the need for immediate assessment.
Postoperative Care Responsibilities
- Assigning an assistive personnel to check the blood pressure of a postoperative client is an appropriate task in nursing delegation.
Prenatal Assessment Priorities
- In pregnant clients experiencing changes in responsiveness, immediate concern should focus first on respiratory rate, followed by level of consciousness.
Postpartum Assessment Indicator
- A boggy uterus in the postpartum assessment is a crucial sign that the nurse must address for the health of the client.### Immediate Interventions
- Boggy uterus indicates potential uterine atony; requires immediate intervention to prevent hemorrhage.
- Temperature of 39.4 C (102.9 F): High fever in a client on chlorpromazine may suggest infection or neuroleptic malignant syndrome; priority to report.
- WBC count of 2,800 indicates leukopenia, contraindicating clozapine initiation due to increased risk of infection.
Nursing Priorities in Community Health
- First step in health education for a rural community: Identify health-related issues to tailor the program effectively.
Client Education for Infection Prevention
- Walking for short distances during chemotherapy reflects understanding of maintaining mobility while avoiding fatigue.
Emergency Preparedness
- The first action in an emergency preparedness plan should be to notify the incident commander to initiate response protocols.
Pediatric Nursing Response
- In the case of a preschooler exhibiting signs of allergic reaction (swollen lips, hives), actions include discontinuing IV medication, monitoring vital signs, administering epinephrine IM, and starting IV fluids.
Postoperative Neurological Assessment
- Neurologic status is critical to report after cardiac catheterization, especially if there are signs of impairment such as slurred speech or unequal hand grasp.
Postoperative Pain Management
- Instructing the client to rate their pain level provides necessary information for effective pain management and appropriate interventions.
Client Self-Report and Understanding
- A statement such as "I have not vomited as much recently" indicates effective symptom management using acupressure bands during pregnancy.
Infection Control Measures
- For cleaning a reusable BP cuff after contamination, it should be placed in a labeled bag for decontamination to ensure proper sanitation.
Emergency Assessment Focus
- In an adolescent with fever, decreased appetite, and leg injury, immediate follow-up should focus on skin assessment, temperature, WBC count, and casual blood glucose.
Pediatric Immunization Planning
- In children with low neutrophil counts, withholding vaccines like varicella is essential to avoid complications from infection.
Delegation of Nursing Tasks
- In a care team, insertion of a nasogastric tube can be delegated to an LPN, demonstrating appropriate task delegation based on scope of practice.
Reporting Inaccurate Documentation
- Observations of incorrect documentation by a nurse should prompt the charge nurse to gather more information about the incident.
Notifiable Infectious Diseases
- Foodborne botulism is a nationally notifiable infectious condition, warranting reporting for public health tracking.
Client Education for Hepatitis A
- Instructing a client with hepatitis A to use hydrogen peroxide for kitchen surface cleanliness helps prevent virus transmission.
STI Reporting Protocol
- Explaining to the client why their STI information needs to be shared is crucial for transparency and adherence to public health policies.
Comfort Measures in Pediatrics
- Encouraging parents to bring familiar toys for the hospitalized toddler can help ease anxiety and provide comfort during hospitalization.
Medication Administration for Overdose
- For a client experiencing respiratory depression while on lorazepam, administration of flumazenil is indicated to reverse the effects.
Assessing Urinary Symptoms
- Report significant symptoms such as dysuria, frequency, and urgency in an assessment, as they suggest possible urinary tract issues that need evaluation.
Anticipated Nursing Actions
- Anticipated prescriptions for a client with urinary symptoms include educating on sulfamethoxazole/trimethoprim, collecting urine for culture, and prescribing phenazopyridine for symptomatic relief.
Risk Assessment for Pyelonephritis
- A client with a positive nitrite and leukocyte esterase in urinalysis is at high risk for developing pyelonephritis, necessitating prompt medical attention.
Preventive Steps for UTIs
- Teaching the client to gently cleanse the perineum before intercourse is a key preventive measure against urinary tract infections.
Reportable Lab Findings
- Unexpected findings in a returning client may include temperature changes reflecting infection risk and unanticipated bowel elimination, which could indicate further complications to discuss with healthcare providers.### Client Assessment and Findings
- Client has difficulty reaching the bathroom on time and experiences night-time urination.
- Vital signs indicate slight elevation in blood pressure; lower extremity edema is present; S3 heart sound auscultated.
- Urinalysis shows orange-colored urine, and the presence of nitrites and leukocyte esterase suggests a possible urinary tract infection.
- Client reports a fluid intake of 3L daily but is increasingly concerned about bruising.
Laboratory Results
- Initial urinalysis indicates amber, cloudy urine with a specific gravity of 1.04 and pH of 9.
- Notable findings include positive nitrite and leukocyte esterase.
- Three days later, urine analysis shows orange color, normal specific gravity, and a return to neutral pH.
- New findings include trace glucose in urine.
Vital Signs Tracking
- Temperatures: 37.2°C (99°F) to 37.7°C (100.9°F); blood pressure increased from 142/88 to 144/90.
- Heart rates are stable but slightly elevated to 88 and 87 bpm.
- Oxygen saturation varies between 92% and 93% on room air.
Medication Administration Protocols
- NPH and regular insulin administration requires injecting air into the NPH vial before drawing insulin to prevent vacuum formation.
- Methadone education for patients with opioid use disorder should include information about common side effects, particularly sedation.
- Immediate nursing interventions for alcohol withdrawal may include CIWA-Ar assessments, seizure precautions, and medication administration (e.g., chlordiazepoxide).
Newborn Assessment Insights
- Vital signs and assessments are crucial in newborn care, particularly after birth complications such as meconium-stained amniotic fluid.
- The newborn's respiratory rate and heart rate should be monitored first in any assessment.
- Detailed observations such as abnormal skin color or breastfeeding patterns necessitate further follow-up.
Patient Safety and Care Guidelines
- Discharge teaching for new parents about car seat safety should emphasize the proper placement of the retainer clip at the baby's armpits.
- Conduct regular assessments of clients for signs of suicidal ideation, ensuring safety measures are in place.
- Interventions for psychiatric patients include monitoring their access to harmful objects and evaluating their mental state.
Monitoring Electrolyte Levels
- For patients diagnosed with anorexia nervosa, addressing electrolyte imbalances is paramount before tackling psychological concerns like fear of weight gain.
- Regular tracking of vitals, weight changes, and specific lab values is essential for assessing a patient's health status during treatment.
Nursing Management Strategies
- Investigating environmental factors contributing to client falls assists in improving patient safety within care settings.
- Establish clear communication regarding any patient's need for assistance in daily activities during shift changes to ensure continuity of care.
Studying That Suits You
Use AI to generate personalized quizzes and flashcards to suit your learning preferences.
Description
Test your knowledge of various nursing topics including communication, pediatric considerations, medication guidelines, and more.
