Patient Data

Exhibits

Which are the 3 most important goals that would help the nurse evaluate the treatment of this client at discharge?

The client will be afebrile for 24 hours

The client will have quit smoking

The client will report pain less than 3 on a pain scale of 0 to 10.

The client will remain free of skin breakdown

The client will maintain oxygen saturation of 96% without supplemental oxygen

Answer and Explanation

Correct Answer : A,B,E

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Correct Answer is "\"\\\"{\\\\\\\"xRanges\\\\\\\":[215.828125,250.828125],\\\\\\\"yRanges\\\\\\\":[93.5,128.5]}\\\"\""

Explanation

In the assessment of a client with a head injury, the nurse should be vigilant for signs of rhinorrhea, which could indicate a leakage of cerebrospinal fluid (CSF).

The nurse should observe for a clear, watery discharge from the nose, which is a characteristic sign of CSF rhinorrhea.

A. Give the child syringes or hospital masks to play with at home prior to hospitalization. B. Include the child in play therapy with children who are hospitalized for similar surgery. C. Provide a family tour of the preoperative unit one week before the surgery is scheduled. D. Provide dolls and equipment to re-enact feelings associated with painful procedures.

Correct Answer is C

Explanation

A. While playing with syringes or hospital masks may familiarize the child with some medical equipment, it may not significantly reduce anxiety about surgery.

B. Play therapy with children who have undergone similar surgeries can be beneficial but might not be practical or feasible before surgery.

C. Providing a family tour of the preoperative unit allows the child and family to become familiar with the environment, reducing anxiety by demystifying the process and setting.

D. Providing dolls and equipment can help in expressing feelings, but it may not directly address anxiety about the surgical procedure itself.

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Patient Data Exhibits Which are the 3 most important goals that would help the nurse evaluate the treatment of this client at discharge?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

In caring for a client following a head injury, the nurse plans to assess for rhinorrhea so that a sample can be tested for the presence of cerebrospinal fluid (CSF). At which location should the nurse observe for this finding? (Click the chosen location. To change, click on the new location.)

Correct Answer is "\"\\\"{\\\\\\\"xRanges\\\\\\\":[215.828125,250.828125],\\\\\\\"yRanges\\\\\\\":[93.5,128.5]}\\\"\""

Explanation

The nurse is planning the preoperative teaching plan for a 12-year-old child who is scheduled for surgery. To help reduce this child's anxiety, which action is best for the nurse to implement?

Correct Answer is C

Explanation

After receiving a change of shift report for clients on a medical surgical unit, which task should the nurse assign to an unlicensed assistive personnel (UAP)?

In caring for a client who is receiving linezolid IV for nosocomial pneumonia, which assessment finding is most important for the nurse to report to the healthcare provider?

A mother calls the nurse to report that at 0900 she administered an oral dose of digoxin to her 4-month-old infant, but at 0920 the baby vomited the medicine. Which instruction should the nurse provide to this mother?

After a scheduled downtime, the computer documentation system fails to restart. Which action should the nurse take first?

Patient Data Exhibits The nurse reviews the findings in the history and physical. Drag from Word Choices to complete the sentence. The nurse recognizes that dropdown, dropdown, and dropdownare findings consistent with elder mistreatment.

When developing a teaching plan for a client with newly diagnosed type 1 diabetes mellitus, the nurse should explain that an increased thirst is an early sign of diabetic ketoacidosis (DKA). Which action should the nurse instruct the client to implement if this sign of DKA occurs?

Patient Data Exhibits Which intervention(s) should the nurse initiate if elder mistreatment is suspected? Select all that apply.

The psychiatric nurse is talking to a newly admitted client when another male client, who is diagnosed with antisocial behavior, intrudes on the conversation and tells the nurse, "I have to talk to you right now! It is very important!" How should the nurse respond to this client?

Patient Data

Exhibits

Which are the 3 most important goals that would help the nurse evaluate the treatment of this client at discharge?