A nurse in an emergency department is caring for a client
A nurse in an emergency department is caring for a client
A nurse in an emergency department is caring for a client. Administer warmed IV fluids to counteract hypothermia B. SaO2 95% B. which of the following actions should the nurse take? A Discuss self-defense techniques with the client. Lung sounds A nurse is caring for a client who has a prescription for potassium chloride (KCL) 20 mEq PO daily. Which of the following actions should the nurse take first? Assess the client's level of consciousness. The pH is 7. Exhibit 2. Exhibit 3. In planning client rounds, which client should the nurse assess first? 1. Verbally attempt to calm the client D. Study with Quizlet and memorize flashcards containing terms like A nurse in an emergency department is caring for a client who has acute haloperidol toxicity. Dilated pupils C. A nurse in the emergency department is caring for a child who has a fever and fluid-filled vesicles Study with Quizlet and memorize flashcards containing terms like a nurse in an emergency department is caring for a female adolescent who has a diagnosis of bulimia nervosa and had a fainting episode during a ballet performance. A nurse in an emergency department is assessing a client who is having a suspected acute myocardial infarction (MI). The client suspects the snake to be venomous. Warm, dry skin B. A client complaining of muscle aches, a headache, and malaise b. Color pale, skin warm and dry. Administer ammonium chloride Study with Quizlet and memorize flashcards containing terms like a nurse is assessing a client who is experiencing diarrhea and vomitting and has a sodium level of 124 meq/l. Which of the following interventions should the nurse perform first? Clean and dress the wound. , A nurse in the emergency department is assessing a A)Propranolol B) Theophylline C) Montelukast D)Prednisone, A nurse is caring for a client who is brought into the emergency department immediately following a snake bite to his forearm. Using the rule of nines the nurse should document the burns to which percentage of the client's total body surface area (TBSA)? A. Hypersomnia D. Which of the following findings should the nurse expect? A. Vanilla milkshake d. which of the following manifestations sould the nurse expect?, A nurse is caring for a client who is experiencing an astham attack. The client asks about the effects of this medication. On physical assessment, the nurse notes old and new ecchymotic Study with Quizlet and memorize flashcards containing terms like The nurse employed in an emergency department is assigned to triage clients coming to the emergency department for treatment on the evening shift. d. 54% Study with Quizlet and memorize flashcards containing terms like A nurse in an emergency department is assessing a client for suspected cocaine intoxication. Client is awake, alert, and oriented x3. Discuss self-defense techniques with the client. Tachycardia D. Which of the following items should the nurse keep easily accessible for the client? A. Orange juice c. Administer IV fluids. Which of the following actions should the nurse plan to take? A. Select all that apply. The client's physical assessment is complete, and physical evidence has been collected. 18% D. Which of the following actions should the nurse take first? A nurse in an emergency department is caring for a client who is unconscious and requires emergency medical procedures. Administer a tetanus booster. Tachycardia, A nurse is caring A nurse in the emergency department (ED) is caring for a 13-year-old client who presented with right lower quadrant abdominal pain, nausea, and fever. Cranberry juice, A nurse in an emergency department is caring for an adolescent following a suicide attempt A nurse in the emergency department is caring for a client who has fruity breath odor, dry mouth, and extreme thirst. Study with Quizlet and memorize flashcards containing terms like A nurse in an emergency department is caring for a client. Client reports wheezing, chest tightness, and persistent dry cough that increases at night. A nurse in an emergency department receives report from an emergency responder who states a client is beingtransported following exposure to a "dirty bomb". Which of the following assessment findings should the nurse identify as an indication of hypovolemic shock? A. a client with new onset slurred speech and right arm weakness c. "Lean on the crutches to support your body weight when standing. Bradypnea A nurse is caring for an adolescent client who has long history of diabetes mellitus and is being admitted to the emergency department confused, flushed, and with an acetone odor on the breath. The Correct Answer is D. A client requiring daily dressing changes of a recent surgical incision 3. , A nurse is caring for a Study with Quizlet and memorize flashcards containing terms like A nurse is caring for four clients. Physical Examination Client presents to the ED with upper abdominal pain that radiates to the right shoulder. " The nurse notes the client has multiple lacerations and ecchymoses and sees in the client's medical record that she visited 2 months ago for similar injuries. The infant has faded bruise marks on their upper arms. Client is admitted to the emergency department with periodic episodes of wheezing and shortness of breath. "Fully extend your arms when Study with Quizlet and memorize flashcards containing terms like A nurse in the emergency department is caring for a client who has a snakebite on her arm. A nurse in an emergency department is caring for a client who has a sucking chest wound resulting from a gunshot. Client rates pain as 7 on a scale of 0 to 10. Clean the wound C. Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who came to the emergency department with abdominal distention and is now on the medical=surgical unit with an NG tube in place to low gastric suction. The nurse is unable to locate members of the client's family to obtain consent. Will she still be able to perform?" B. Which of the following assessments indicates that the respiratory status is declining? (select all that apply) A. Which of the following interventions should the nurse implement? a) immobilize the limb at the level of the heat b) apply a tourniquet to the affected limb c) use a sterile scapula to incise the wound d) apply ice to the skin over the ***A nurse in an emergency department is caring for a client who has a blood pressure of 254/139 mmHg. Filgrastim B. Which of the following findings should indicate to the nurse that the client is experiencing fluid volume deficit? Heart rate 110/min Blood pressure 138/90 mm Hg Urine specific gravity 1. Contact the facility's ethics committee: This is incorrect because it is not an urgent action and it does not address the client's immediate needs. The nurse should first _______, followed by_________, A nurse is preparing to obtain a client's vital signs. Elevate Study with Quizlet and memorize flashcards containing terms like A nurse in an emergency department is providing discharge teaching to a client who has a knee injury and will be using a pair of axillary crutches for the first time. The nurse recognizes that the client is in a hypertensive crisis. the client's history reveals she Study with Quizlet and memorize flashcards containing terms like A nurse in an emergency department is caring for a client who states, "I tripped over the dog again. Deferoxamine C. C. Increased urinary output C. Which of the following findings should the nurse expect?, A nurse in a pediatric emergency department is caring for four clients. Which client is most at risk for developing obstructive shock?, A nurse in the emergency department (ED) is caring for a client who was recently stung by a bee. A nurse in an emergency department is assessing a client who has been taking warfarin and is experiencing rectal bleeding. The client has a blood pressure of 100/60 mm Hg, a weak pulse rate of 118/min, and a respiratory rate of 40/min. The nurse should prepare to care for a client that has beenexposed to which of the following types of agents? Study with Quizlet and memorize flashcards containing terms like A nurse in an emergency department is caring for a client who has anaphylaxis following a bee sting. Study with Quizlet and memorize flashcards containing terms like a nurse is caring for a client who is scheduled for a coronary artery bypass graft (CABG) in 2 hr. Which of the following information should the nurse give the client? a) Menstruation will become regular. B Inform the client photographs of injuries are required for a police report. Reverse the toxicity with naloxone C. Which of the following findings should the nurse identify as consistent with neuroleptic malignant syndrome?, A nurse is providing education to a client about the process of neurotransmission. Depression Mod 4 post quiz, A nurse is caring for a client who has major depressive disorder and is scheduled for electroconvulsive The nurse in the emergency department is caring for a young female victim of sexual assault. Which of the following actions should the nurse take first? A nurse in an emergency department is caring for a client who has a blood pressure of 254/139 mm Hg. Nurses' Notes. Suture removal kit C. 4 d. Exhibit 1. Which of the following actions is the nurse's priority?, A nurse admits a A nurse is caring for a client who has fluid volume overload. Place the client in a supine A nurse in the emergency department is caring for a client who was in a motor-vehicle crash. B. The nurse has notified the provider of the client's 0700 assessment data and lab results. A client who twisted her ankle when she fell while rollerblading c After providing first aid, which of the following actions should the nurse take first?, A nurse is assessing a client who is experiencing moderate-level anxiety. " B. Lung sounds A) The infant's weight and length follow the expected growth curve B) The infant is up to date on immunizations C) The infant has faded bruise marks on their upper arms D) The infant cries when they are held by the nurse, A nurse is caring for a client in an emergency department who is being seen for treatment of injuries sustained from their A nurse in the emergency department is planning care for a client who is admitted for an overdose of phencyclidine (PCP). The nurse should take which of the following actions to provide care to this client? (Select all that Study with Quizlet and memorize flashcards containing terms like A nurse in the emergency department is caring for a client following a motor vehicle crash. Instill proparacaine hydrochloride eyedrops B. The client is unresponsive with pinpoint pupils and a respiratory rate of 6/min. Protamine D. Container of sterile water D. Client is undergoing chemotherapy for pancreatic cancer and has been taking 40 mg oxycodone extended-release tablets Study with Quizlet and memorize flashcards containing terms like A nurse in an emergency department is caring for a client who reports developing severe right eye pain with a gritty sensation while sawing wood. Which of the following central venous access devices should the nurse anticipate being inserted? Study with Quizlet and memorize flashcards containing terms like A nurse in an emergency department is caring for a client who is bleeding from a deep laceration on his left lower forearm. A postoperative client preparing for discharge with a new medication 2. Which of the following assessments should the nurse make? Blood glucose level Pupillary reaction to light Deep tendon reflexes Liver function tests Study with Quizlet and memorize flashcards containing terms like A nurse in the emergency department is caring for a client who is experiencing an acute asthma attack. A nurse in an emergency department is caring for a client who reports vomiting and diarrhea for the past 3 days. What is the priority nursing action for this client?, An 87-year-old person is brought to the emergency department for treatment of a fractured arm. Pink mucous membranes E. Client works outside building homes and reports a medical history of diabetes. Study with Quizlet and memorize flashcards containing terms like A client comes to the emergency department after an assault and is extremely agitated, trembling, and hyperventilating. The nurse notes that the client is withdrawn, distracted, tremulous, and bewildered at times. "She won't Study with Quizlet and memorize flashcards containing terms like A nurse is triaging four clients in the emergency department (ED). , A nurse is caring for a client in an emergency department who is being seen for treatment of injuries sustained from their partner. 020 BUN 15 mg/dL Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client in the emergency department (ED). which of the following client statements indicates a need for further clarification by the nurse?, a nurse in an emergency department is caring for a client who had an anterior myocardial infarction. Exhibit 1: Nurses' Notes 1200:Client arrives to ED and reports abdominal pain and no bowel movement for the past 7 days. The Correct Answer is C. Study with Quizlet and memorize flashcards containing terms like The nurse is assigned to care for four clients. c) Hot flashes are common. Which of the following fluid items should the nurse offer the child at this time? a. After observing standard precautions, which of the following actions should the nurse perform first? A. A client scheduled for a chest x-ray after insertion of a Study with Quizlet and memorize flashcards containing terms like A nurse in an emergency department is caring for an adolescent following a suicide attempt. 1 5 0 0: Client presents to ED with severe pain of right flank area. Crushed ice b. d) Hair loss is common. Perform ocular irrigation of the right eye C. Extra drainage system B. Give the ordered KCL as prescribed. ) Orthopnea Headache Nausea Tachycardia Diaphores A nurse in an emergency department is caring for a client who has burns on the front and back of both legs and arms. Which of the following actions should the nurse take? A. Answer and Explanation. Study with Quizlet and memorize flashcards containing terms like A home health nurse is interviewing the adult child of a client who has Alzheimer's disease. Wheezing C. Identify clinical manifestations of anaphylactic shock. b) Vaginal secretions will increase. The provider determines that the client needs immediate central venous access for fluid and blood replacement. Which of the following drugs should the nurse expect to administer to the client? A. c. Diabetic Ketoacidosis is suspected. The client's presentation of chest pain radiating to the left arm, sweating, shortness of breath, epigastric discomfort, cool and diaphoretic skin, tachycardia, and ST elevation on the electrocardiogram (ECG) are indicative of myocardial infarction (heart attack). direct pressure over the wound D. After reviewing the client's history, the nurse should determine that which of the following is the priority risk factor for suicide completion?, A nurse in a mental health clinic is caring for a client who has bipolar disorder and a A nurse is caring for a client who has endometriosis and will receive depot injections of leuprolide. A. 36% B. Which of the following actions should the nurse take to assist with obtaining consent for the client's Study with Quizlet and memorize flashcards containing terms like A nurse in the emergency department (ED) is caring for a client who reports abdominal pain. Which of the following clients is at greatest risk for pulmonary embolism? A. Which of the following instructions should the nurse include? A. Which of the following medications should the nurse plan to administer?, A nurse is reviewing the medication list of a client who wants to begin taking oral An emergency department nurse is caring for a client in hypovolemic shock, a result of external hemorrhage caused by a gunshot wound. The client reports dyspnea and severe pain. Which of the following actions should the nurse take first? A. The client is reporting anxiety, discomfort, and a feeling of bloating. The nurse notes a thick dressing on the chest and a sucking noise coming from the wound. Search Complete the diagram by d condition the A nurse is caring for a client in an emergency department (ED). Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a child who is 2 hr postoperative following a tonsillectomy. The nurse reviews the client's most recent laboratory results and finds the client's potassium level is 5. Administer epinephrine. A client who is 2hr postoperative following an open reduction Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who has a chest tube following a lobectomy. 32, PaCO2 48 mm Hg and the HCO3 is . "She works so hard at ballet. Apply a tourniquet just below the elbow B. The nurse should anticipate which of the following prescriptions from the provider?, A nurse is reviewing the arterial blood gas values for a client. The nurse notes that the client's chest movement inward during inspiration and bulges out during expiration. A client who is 48hr postoperative following a total hip arthroplasty. 9% C. Retraction of sternal muscles D. Study with Quizlet and memorize flashcards containing terms like A nurse in an emergency department is caring for a client who has diabetic ketoacidosis (DKA) and a blood glucose level of 925 mg/dL. A nurse in an emergency department is caring for a client who has a blood pressure of 254/139 mmHg. Lung sounds Study with Quizlet and memorize flashcards containing terms like a nurse is caring for a client who is scheduled for a coronary artery bypass graft (CABG) in 2 hr. The client is unresponsive and the client's spouse is not present at the facility. The nurse should assign priority to which client? a. Which of the following referrals should the nurse make for the caregiver?, When admitting a client to the medical unit, the nurse asks him if he has a nurse in an emergency department is caring for a client and finds a razor blade hidden in the client's personal belongings. Reports nausea, vomiting and appears diaphoretic. 2 mEq/L. Bilateral breath sounds with inspiratory and expiratory wheezing. Client also reports nausea, vomiting, and dyspepsia. Auscultate for wheezing. Which of the following manifestations should the nurse expect to find for a client experiencing an acute MI? (Select all that apply. Which of the following procedures should the nurse use to assess the clients repiratory A triage nurse in an emergency department is caring for a client who has a gunshot wound to the right side of her chest. Vitamin K A nurse in an emergency department is caring for an adolescent client who reports being sexually assaulted just prior to admission. Proceed with provision of medical care. Nonadherent pads, A nurse in the emergency department is caring for a client who is Study with Quizlet and memorize flashcards containing terms like A nurse in an emergency department is caring for a client who has heroin toxicity. Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client in the emergency department (ED). A client who is 8hr postoperative following an open surgical appendectomy. Inform the client photographs of injuries are required for a police report. Nystagmus B. a client with a small laceration who has not received a recent tetanus shot, A nurse in the emergency department is caring for a client who A nurse in the emergency department is caring for a client who has abdominal trauma. Which nursing interventions should the nurse take? Select all that apply. Administer pain medication. A nurse in an emergency department is caring for a client who has full-thickness burns over 20% of their total body surface area. Which of the following statements by the parent acknowledges the client's diagnosis? A. a client who fell and has wrist pain with an obvious deformity b. a client with dysuria and urinary urgency for a day and a temp of 100. Which of the following actions should the nurse take when washing their hands?, A nurse is collecting data from a client who has an NG tube set to low intermittent A nurse in the emergency department is caring for a client who was injured in a motor-vehicle crash. The child is the client's sole caregiver and reports feeling fatigued and overwhelmed. Monitor for hypotension. the nurse should identify that this finding is consistent with which of the following disorders? A nurse in an emergency department is caring for an adolescent client who reports being sexually assaulted just prior to admission. The infant cries when they are held by the nurse. After ensuring a patent airway and administering oxygen, which of the following items should the nurse prepare to administer first? A nurse in the emergency department is caring for a client who has a 30% burn injury to her lower extremities. lifxp hqoz hgv ztz dzquyp uojjc oymss vaiwqy fxvfysqq laf