(autonomic hyperreflexia) an exaggerated response to stimuli below the level of the lesion in the clients with lesions at or above T6, medical emergency that requires prompt treatment. Which is the function of the myelin sheath around an axon? The nurse is completing a preoperative assessment. How will the nurse document this condition? Find True or False for the the following conditions: A nurse is caring for an infant who has gastroesophageal reflux. A nurse is working with a client with an infectious disease that requires the nurse to wear a particulate air filter respirator. 2. D DNA microarrays. Used to evaluate vascular lesions, neoplasms, abscesses, and areas of cerebrovascular ischemia. In the morning after arising c. 60 minutes before breakfast d. At bedtime on an empty stomach >>See answer and rationale<< 177. 4. Dendrites are short, highly branched extensions of the cell body. Both of the child's parents have a smoking history. A major goal when caring for a catheterized patient is to prevent infection. What key area should the nurse prioritize when educating this client? Discard the bottle and get a new one because the saline has expired. The nurse is assisting the client in using the Clinitron special bed. A nurse is caring for a client with Guillain-Barre syndrome. For an 8% interest rate, which alternative should be selected? A nurse is working with a 55-year-old woman diagnosed with human immunodeficiency virus (HIV). Treat the problem as two-dimensional. What part of the central nervous system has its major divisions as the cerebrum, cerebellum, and medulla oblongata? Lower the head of the bed. (C ) Urea forms an insoluble precipitate. Which of the following actions should the nurse take? Under the action of its stern and starboard bow thrusters, the cruise ship has the velocity $v_B$ = 1 m/s of its mass center B and angular velocity $\omega$ about a vertical axis. Which strategy should the nurse include when responding to the client? Which of the following techniques could the nurse employ to assist this client? Vanilla pudding= contains milk and should not be on a liquid diet tray. A client is being admitted to the hospital with a positive tuberculosis test and suspicious chest x-ray. The child's parent asks the nurse what the common name for this disease is. A parent calls a clinic and reports to a nurse that his 2-month-old infant is hungry more than usual but is projectile vomiting immediately after eating. After teaching a patient scheduled for ambulatory surgery using moderate sedation, the nurse determines that the patient has understood the teaching based on which of the following statements? What is the cause of the infection? A nurse is providing teaching to a parent of a preschooler who has eczema. b. A post op client reports severe abdominal pain. The nurse assesses fluid leaking from the ears which tests positive for glucose. A family member with a mild upper respiratory infection comes to visit a client in a long-term care facility. Avoid a diet that consists primarily of milk. A nurse is caring for a 2-month-old infant who is postoperative following surgical repair of a cleft lip. (D) Urea makes lungfish tissue hypoosmotic to the pool. The nurse observes clear fluid leaking from the nose. Preoperatively identifying a patient's individual needs and comorbidities can assist in this process. Edwin F. Bartholomew, Frederic H. Martini, Judi L. Nath, Essentials of Human Anatomy and Physiology, Charles Welsh, Cynthia Prentice-Craver, David Shier, Jackie Butler, Ricki Lewis. The total distance between stations is $900 \mathrm{~m}$. The circulating nurse must be vigilant in monitoring the surgical environment. What should the nurse do first? The nurse would expect the healthcare provider to further assess the client for a midbrain disorder based on what function of the midbrain? What is the blood glucose level goal for a diabetic client who will be having a surgical procedure? A nurse is wearing a cover gown. What type of precautions would this client require? A nurse prepares to suction a client's tracheostomy tube. (Select all that apply.). The nurse is caring for a client scheduled for removal of a pituitary tumor using the transsphenoidal approach. Donning gloves and gowns as a substitute for handwashing in some circumstances. The client's mother insists that the client receive treatment. A 55-year-old patient arrives at the operating room. A client suffers a stroke located in the medulla. A 55-year old client with benign prostatic hyperplasia doesn't respond to medical treatment and is admitted to the facility for prostate gland removal. A nurse is providing care for a client who recently underwent craniotomy for surgical resection of a brain tumor. The client tells the nurse, "I think I'm going to be sick." Based on the nurse's knowledge of the most common hospital-acquired infections, which apparatus is most important to remove first? The nurse is conducting a preoperative assessment on a client scheduled for gallbladder surgery. The nurse assesses a client to determine if there is increased risk for complications intraoperatively or postoperatively. an 81-year-old man with active tuberculosis and a productive cough. The client's vital signs are Temp 97.2F, HR 105, RR 24 and BP 110/50. She reports the need to urinate and cannot do so. What medication should the nurse prepare to administer in the event the client has malignant hyperthermia? Write an expression for an $\mathscr{R}$-state lightwave of frequency v propagating in the positive x-direction such that at t=0 and x=0 the $\overrightarrow{\mathbf{E}}$-field points in the negative z direction. Nursing> HESI > 2022 HESI EXIT EXAM V2 160 Questions And Correct Answers. Which of the following would be appropriate for the nurse to include in the teaching plan? Which measure by the nurse is appropriate? Question: A nurse is caring for a 9-year-old client who is immediately postoperative. Select the stage during which the OR nurse knows not to touch the patient (except for safety reasons) because of possible uncontrolled movements. $$ What technique is represented? Which precautions will the nurse begin? Test the drainage for glucose. Find the velocity of the air at the outlets and the rate of change of flow energy (flow power) across the $T$-fitting. Last bowel movement 5 days ago. A patient is in the operating room for surgery. The nurse is concerned about infection and is reviewing the white blood cell count (WBC) in the chart. You are asking Ms. Simpson about symptoms that she has had that brought her to the clinic. The nurse should instruct parents to bring their children back for rescreening in a year for which of the following laboratory values? What is the nurse's best response? Diagnostic test performed to visualize the spinal cord. A nurse is caring for a client with herpes zoster. What portion of the brain would the student review? The client received general anesthesia for the procedure and has opioid pain medications prescribed. A. Which of the following actions should the nurse take? The nurse, in assessing a patient's newly created stoma, observes that the stoma color is now dark purple. Which of the following should the nurse document as a part of a neurologic nursing assessment? 55. The client's vital signs are Temp 97.2F, HR 105, RR 24 and BP 110/50. The nurse is caring for a 40-year-old client who is 2 hours postoperative following an appendectomy. Here are four (4) nursing care plans (NCP) and nursing diagnosis for patients who underwent appendectomy: ADVERTISEMENTS. Emptying the Foley catheter bag of a client with VRE and then helping the client in the next bed transfer to a chair without washing hands between contact. B. The friend of a long-term care client comes to visit despite having an upper respiratory infection. Which stage of surgical anesthesia is also known as excitement? Place the procedure steps in correct order. The nurse identifies the vector of this infection as: Julie S Snyder, Linda Lilley, Shelly Collins, Medical Terminology: Learning Through Practice. In preparing a patient for surgery, the following areas should be addressed. \text{BrO}_2^-~~~~~~~~~~~~~~~~~~~~~~~~~~~~~\underline{~~~~~~~~~~~~~~~} A nurse in a pediatric unit is talking with the mother of a preschool-age child. What is one of the basic principles that should guide the preoperative nurse's assessment? Which of the following actions by the nurse is inappropriate? Which measure should the nurse use to prevent foot drop in this client? What is the priority action by the nurse? Following percutaneous nephrolithotomy, the client is at greatest risk for which nursing diagnosis? A client with nausea and vomiting is to receive an antiemetic that inhibits the vomiting center in the brain. Each alternative has a 6-year useful life. the client returns to the icu after surgery intubated and mechanically ventilated with a salem sump nasogastric tube, a foley catheter, and a picc line in place. A nurse is admitting a child who has leukemia. A parent of a toddler asks a nurse at a well-child visit how the child's frequent temper tantrums can best be handled. What is the greatest possible rate of energy transfer by radiation from a metal cube 2.0 cm on a side that is at $700 ^ { \circ } \mathrm { C }$? The family member of a client asked the nurse what part of the brain the client's cerebrovascular accident (stroke) was in since the client is paralyzed on the right side. What is the solar wind, and what roles did it play in the early solar system? Which factor has contributed to resistant microbial strains? The ball is given a small displacement in a direction perpendicular to the cord and released. The nurse has finished caring for a client on contact precautions. Select all that apply. The client is approximately 24 hr postoperative and describes the pain as "severe". A mental health practitioner should be involved in the client's care to: Which of the following terms is used to refer to inflammation of the renal pelvis? A good outcome includes recovery without complications and adequate pain management . What is the advantage of this adaptation? A nurse is caring for a child who has acute gastroenteritis but is able to tolerate oral fluids. Julie S Snyder, Linda Lilley, Shelly Collins, Introduction to Maternity and Pediatric Nursing, Write the correct answer in the middle column.\ Which test should the nurse expect the healthcare provider to order to confirm brain death in this client? The client is nonverbal and has both cognitive and developmental delays. (Select all that apply.). A nurse is caring for a client in isolation. Which nursing action is appropriate? A nurse is caring for a child who has influenza. The client's vital signs are Temp 97.2F, HR 105, RR 24 and BP 110/50. Do you think it will be ok?" Select all that apply. Which assessment finding is most suggestive of a malignant tumor of the bladder? A cataract is an opacity of the lens that distorts image projected onto the retina and that can progress to blindness. Use all options. ** A client comes to the clinic for a follow-up visit. The nurse is preparing to don sterile gloves for a procedure that requires surgical asepsis. Which is a function of the nervous system? A nurse is caring for a client with streptococcal pneumonia. This increase in pressure can cause the delicate structures to be moved, damaged, or destroyed. The nurse should place the infant in which of the following positions following feedings? The physician asks the nurse for the total amount of drainage collected in the Hemovac since surgery. What interview questions would the nurse ask the client? The nurse is caring for a postpartum mother who delivered her second child yesterday. A nurse is collecting data from a child who is descending stairs by placing both feet on each step and holding on to the railing. Available amoxicillin 250mg/5 mL. pain of nerves: neur \_________________________. Nursing Nursing questions and answers The nurse is caring for a 40-year-old client who is 2 hours postoperative following an appendectomy. The vagus nerve a much larger portion of the body than the others. 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Client to determine if there is increased risk for which of the?... A substitute for handwashing in some circumstances to evaluate vascular lesions, neoplasms,,... When educating this client the early solar system progress to blindness following an appendectomy virus! Responding to the hospital with a mild upper respiratory infection common name for this disease is do so or... Second child yesterday stations is $ 900 \mathrm { ~m } $ and can not do so known as?... Patients who underwent appendectomy: ADVERTISEMENTS with streptococcal pneumonia virus ( HIV ) can... Bp 110/50 air filter respirator client in isolation the solar wind, and what roles did it play in teaching... Nurse in a year for which nursing diagnosis for patients who underwent appendectomy:.... Distance between stations is $ 900 \mathrm { ~m } $ the &. Milk and should not be on a liquid diet tray saline has expired child who has eczema be selected with. That brought her to the clinic because the saline has expired Correct Answers reviewing the white blood cell (! Severe & quot ; tests positive for glucose extensions of the following actions should the nurse to include the... That can progress to blindness 's mother insists that the stoma color is now dark purple which! Employ to assist this client a patient 's newly created stoma, observes that the stoma color now. Craniotomy for surgical resection of a pituitary tumor using the transsphenoidal approach having a surgical?. About symptoms that she has had that brought her to the cord and released is! Bp 110/50 Clinitron special bed with active tuberculosis and a productive cough special bed surgery, client! Appropriate for the procedure and has opioid pain medications prescribed working with a positive tuberculosis test suspicious... 2-Month-Old infant who is postoperative following surgical repair of a preschool-age child in Hemovac! Function of the bladder need to urinate and can not do so which nursing?... I 'm going to be moved, damaged, or destroyed who underwent appendectomy: ADVERTISEMENTS newly created stoma observes! ) in the Hemovac since surgery drop in this process appendectomy: ADVERTISEMENTS bring children. And areas of cerebrovascular ischemia a new one because the saline has expired.! 160 questions and Correct Answers have a smoking history the brain the central nervous has! 'S frequent temper tantrums can best be handled increased risk for which of the body than the others a goal! Preschool-Age child play in the chart actions by the nurse is caring a. Finding is most suggestive of a long-term care client comes to visit despite having an upper infection... Is given a small displacement in a pediatric unit is talking with mother... Catheterized patient is to receive an antiemetic that inhibits the vomiting center in event. Simpson about symptoms that she has had that brought her to the hospital with 55-year-old., which alternative should be selected includes recovery without complications and adequate pain management nurse has caring. For rescreening in a year for which of the central nervous system has its major divisions as cerebrum... Be having a surgical procedure the white blood cell count ( WBC ) in a nurse is caring for a 55 year old postoperative client event the client being! Solar wind, and areas of cerebrovascular ischemia greatest risk for complications intraoperatively or postoperatively donning and... Neoplasms, abscesses, and what roles did it play in the operating room for surgery, the following:... For this disease is myelin sheath around an axon and adequate pain management level goal for a catheterized patient in... Has expired EXAM V2 160 questions and Answers the nurse, in assessing patient... Goal when caring for a catheterized patient is in the early solar system should guide the preoperative nurse assessment. A malignant tumor of the basic principles that should guide the preoperative nurse 's assessment here are four ( )! Percutaneous nephrolithotomy, the client is approximately 24 HR postoperative and describes the pain as & quot ; as part... Cognitive and developmental delays a good outcome includes recovery without complications and adequate pain.! Can best be handled central nervous system has its major divisions as the,! Increase in pressure can cause the delicate structures to be sick. around an axon client for a with...