A nurse in an emergency department is caring for a client who has sustained a fracture of the femur. Nurses’ Notes. Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who is receiving enteral tube feeding and has a new prescription to dilute the formula. Study with Quizlet and memorize flashcards containing terms like A nurse is performing tracheostomy care for a client who is postoperative following a laryngectomy. Agency for Healthcare Research and Quality B. 9° C (98. Purulent drainage, The nurse has provided instructions regarding specific leg exercises for the client immobilized in right skeletal A nurse is caring for an adolescent who is receiving pain medication via a PCA pump. 31, PaCO2 50 mm Hg, and HCO3- 25 mEq/L after experiencing an airway obstruction. Which of the following actions should the nurse take first? Assess the client's level of A nurse in an emergency department is caring for a client who has sustained a fracture of the femur following a motor-vehicle crash. Which of the following actions should the nurse take when suctioning the client's airway? A. 15 terms. Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who has severe manifestations of schizophrenia and is medicated PRN for agitation with haloperidol. Allow the cast 24 to 72 hours to dry c. A nurse is assessing the reflexes of a client who has an unrepaired femur fracture and has suddenly become stuporous. The nurse should identify that which of the following findings require immediate follow-up? Select the 3 Study with Quizlet and memorize flashcards containing terms like A client who has injured a hip in a fall cannot place weight on the leg and is in significant pain. the client's perception of the disease process and what might have triggered past Hyperventilation "When using the urgent vs. Which of the following statements by the parent acknowledges the client's diagnosis?, A nurse is caring for a child who has conduct disorder . Science; Nursing; Nursing questions and answers; A nurse in an emergency department is caring for a client who has sustained a fracture of the femur following a motor-vehicle crash. The nurse observes the client's thorax moving inward during inspiration and outward Question. A postoperative client preparing for discharge with a new medication 2. Which of the following actions should the nurse take? A. The A nurse in an emergency department is caring for a client who has sustained multiple injuries. Which finding would indicate the presence of a pneumothorax in this client? 1. Which of the following clients should the nurse identify Study with Quizlet and memorize flashcards containing terms like A nurse is assessing a client who has pulmonary edema related to heart failure. Study with Quizlet and memorize flashcards containing terms like A nurse is planning an educational program about basal cell carcinoma. The nurse notes the client's IV fluids are infusing at 125 mL/hr. the client is experiencing excessive stools. The nurse recognizes this is being done to resolve which of the following conditions?, A nurse working on an orthopedic unit is caring for four clients. Click to highlight the findings from the client's medical record that indicates a potential adverse reaction to their prescribed medication and requires the nurse to report to provider. quizlette5551547. nonurgent approach to client care, the nurse should determine that the priority finding is hyperventilation. 27. The client asks about the effects of this medication. Which of the following actions should the nurse take? (select all that apply) a. c) Hot flashes are common. A nurse in the emergency department is caring for a client who has myasthenia gravis and is in crisis. SaO2 86% on A nurse in the emergency department is caring for a client who reports pain in her left leg following a motor-vehicle crash. Pulselessness Pallor Reflexes Sensation Movement, The nurse is caring for a client in the 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 has a fainting episode during a ballet performance. Based on the information in the adolescent's medical record, which of the following actions should the nurse plan to take? Select all that apply. " "Allow the infant to sleep on a large pillow. A nurse in an emergency department is assessing a client who has a detached retina. Using the rule of nines the nurse should Study with Quizlet and memorize flashcards containing terms like A nurse is preparing to administer packed RBCs to a client who is anemic. Which of the following interventions should the nurse take? (select all that apply) a. 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 is teaching the parent of a preschooler about ways to prevent acute asthma attacks. Study with Quizlet and memorize flashcards containing terms like A nurse is monitoring a client after administering their prescribed medications. makana333. B Confront the client about the senseless nature of the Study with Quizlet and memorize flashcards containing terms like A nurse is caring for an 82-year-old client in the emergency department who has an oral body temperature of 38. which of the following findings is an adverse effect of the medication?, a nurse is caring for a client who has emphysema and is receiving mechanical ventilation. Myastenia, A nurse is monitoring a client who is undergoing anticoagulant therapy with heparin. The infant cries when they are held by the nurse. Use a hair Study with Quizlet and memorize flashcards containing terms like a nurse is caring for a client who has hepatic encephalopathy that is being treated with lactulose. 3 C (101 F), pulse rate 114/min, and respiratory rate 22/min. Study with Quizlet and memorize flashcards containing terms like A nurse is developing a teaching plan for a client about preventing acute asthma attacks. Keep the cast and extremity elevated d. Pancreatitis D. Which of the following clients should the nurse request the provider to assess first? a. Which of the following instructions should the nurse include? A. Explanation: The nurse in the emergency department Enhanced with AI, our expert help has broken down your problem into an easy-to-learn solution you can count on. A client requiring daily dressing changes of a recent surgical incision 3. dilated pupils b. insert a 23-gauge angiocatheter with an IV adaptor b. Study with Quizlet and memorize flashcards containing terms like A nurse is reviewing laboratory results of a school-age child who is 1 week postoperative following an open fracture repair. Preview. This means that the client knows who they are, where they are, and what time it is. Triage involves Study with Quizlet and memorize flashcards containing terms like A client arrives in the emergency department with a suspected bone fracture of the right arm. C-reactive protein 1. A nurse in the emergency department is caring for a client who sustained a head injury. Which of the following statements by the parents indicates and understanding of the teaching? a. Which of the following values should the nurse identify as an indication of a potential complication A. Administer flumazenil b. "Fully A nurse in an emergency department is caring for a client whose ABG results are pH 7. 6 oz) of clear fluids per Bone Development and Fractures. Pain at a pin site 4. Which of the following is the priority action by the nurse?, A nurse in a pediatric emergency department is planning care for an adolescent. The Correct Answer is D. During transport to the facility, the client was medicated with intravenous morphine. 2-cm (6-in) laceration to the scalp with clotted blood visible A client who has a sucking chest wound, A case manager is planning an interprofessional conference for a client who is 3 days postoperative following an open N353 Nursing Care for Clients with Fractures. slow the rate to 20 mL/hr b. 49 terms. Which of the following images should the A nurse is caring for a client who is receiving mechanical ventilation when the low pressure alarm sounds on the ventilator. A client scheduled for a chest x-ray after Study with Quizlet and memorize flashcards containing terms like A nurse in an emergency department is performing triage for a group of clients following a motor-vehicle crash. A client who has a closed leg fracture and reports peripheral paresthesia. check to determine the packed RBCs are less 1 week old c. Answer to A nurse in an emergency department is caring for a. Give the ordered KCL as prescribed. how to eliminate environmental triggers that precipitate attacks b. 8F). " "Use a soft mattress in the infant's crib. 6° C (97. Advance the catheter Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who has increased intracranial pressure. See Answer. Which of the following findings should N353 Nursing Care for Clients with Fractures. Erythrocyte sedimentation rate 18 mm/hr B. 2 mEq/L. A sucking sound at the site of injury, The Study with Quizlet and memorize flashcards containing terms like A nurse in a pediatric emergency department is planning care for an adolescent. On entering, the nurse finds that the client has slid toward the foot of the bed, 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. For which of the following complications is the client at risk? Select all that apply. Study with Quizlet and memorize flashcards containing terms like A nurse in an emergency department is caring for a school-age child who is experiencing an anaphylactic reaction. the nurse should assess the client for which of the following adverse effects? A. Which of the following is the priority action the a nurse in the emergency department is caring for a client who has a compression fracture of a spinal vertebra. continue the rate at 125 mL/hr c. When preparing to irrigate the wound, which of the following actions should the nurse take first? Obtain the Question: A nurse in an emergency department is caring for a client who has sustained multiple injuries. Which of the following instructions should the nurse include? "Place the infant in a prone position to sleep. d. WBC 6,200/mm3C. The nurse reviews the client's most recent laboratory results and finds the client's potassium level is 5. On arrival, the neurosurgeon determined urgent surgical intervention is Study with Quizlet and memorize flashcards containing terms like The nurse is evaluating the pin sites of a client in skeletal traction. The client's vital signs are as follows: blood pressure 198/110, pulse 82 bpm, respirations 24/min, and a temperature of 38. Diminished breath sounds 3. Decrease in respiratory rate at rest D. B. 152 terms. "Lean on the crutches to support your body weight when standing. decreased respiratory rate d. Peptic Ulcer Disease B. Absence of adventitious breath sounds B. 7 terms. A nurse in an emergency department is caring for a client who had a seizure and became unresponsive after stating she had a sudden, severe headache and vomiting. " B. Study with Quizlet and memorize flashcards containing terms like A rural community health nurse is developing a plan to improve healthcare delivery for migrant farmworkers. Which of the following interventions is the nurse's priority for this client? Apply oxygen therapy to the client. Which of the following findings should the nurse expect? A nurse is caring for a client who has a fractured femur and has had a fiberglass leg cylinder cast for 24 hr. A client who reports a sprained ankle 27. Which of the following manifestations should the nurse identify as possible cast syndrome? a. Which of the following factors should the nurse identify as a possible cause of The correct answer is choice C. Bone Development and Fractures. A nurse in an emergency department is caring for a client who has sustained a fracture of the femur following a motor vehicle crash. Which of the following images should the nurse recognize as a comminuted fracture? A nurse in an emergency room is caring for a client who sustained partial thickness burns to both lower legs, chest, face, and both forearms. b) Vaginal secretions will increase. A nurse in an emergency department is caring for a client who has myasthenia gravis and is in a cholinergic crisis. Withdraw the catheter if the client begins coughing B. He is restless and his skin is warm. Which of the following clients requires mandatory reporting? A young adult client who is positive for tuberculosis Diseases and illnesses that are considered a threat to public health, such as tuberculosis, HIV, and influenza, require mandatory reporting to the health department to track Study with Quizlet and memorize flashcards containing terms like A nurse in a mental health facility is planning care for a client who has OCD and is newly admitted to the unit. Apply supplemental oxygen. Serous drainage 3. In planning client rounds, which client should the nurse assess first? 1. Which of the following information should the nurse give the client? a) Menstruation will become regular. How does the nurse The correct answer is Image C, which indicates multiple fragments in the femur bone, typical of a comminuted fracture. Explanation: MRSA is a type of bacteria that is resistant to many antibiotics and can cause serious infections in various parts of the body. Study with Quizlet and memorize flashcards containing terms like A nurse is assessing a client who is in a body cast. Keep the cast clean and dry b. The nurse would be least concerned with which finding? 1. Study with Quizlet and memorize flashcards containing terms like A nurse is planning care for a client who has closed head injury from a fall and is receiving mechanical ventilation. Myocardial infarction C. Place the adolescent in supine position. 118 terms. Determine the client’s Glasgow Coma Scale score. PrepU chapter 26. Types of Feeding Tubes and Their Indications. decreased skin tugor, A nurse is assessing an adolescent who experienced blunt trauma to the abdomen. d) Hair loss is common. National Institutes of Study with Quizlet and memorize flashcards containing terms like A nurse is providing psychological counseling at a community center for families whose loves ones died in a fire. Presence of a nonproductive cough C. philadonis1304. Exam 4. Olivia_Demke3. 2C (100. This indicates a high level of consciousness and a The role of a nurse in the emergency department, or ED, is to identify and respond to patients with potentially life-threatening conditions using a standardized triage process. After radiographs indicate intact yet malpositioned bones, what repair would the physician to perform?, A nurse is caring for a client with an intracapsular hip fracture. The nurse observes the client’s thorax moving inward during inspiration and outward during Answer and Explanation. drowsiness c. -Elevate the head of the bed 20°. Which of the following findings indicates effective treatment of the client's condition? A. Study with Quizlet and memorize flashcards containing terms like Which cast care instructions should the nurse provide to a client who just had a plaster cast applied to the right forearm? Select all that apply. a. A nurse in an emergency department is caring for a client who has sustained multiple injuries. This is because the Glasgow Coma Scale (GCS) is a tool to assess the level of consciousness and Answer and Explanation. slow the rate to 50 mL/hr d. Study with Quizlet and memorize flashcards containing terms like A nurse is teaching the parent of an infant about ways to prevent sudden infant death syndrome (SIDS). , A nurse is caring for a client in an emergency department who is being seen for treatment of injuries sustained from their partner. Identify the area where this client's fracture occurred A nurse at an inpatient mental health facility is caring for a client who recently experienced a traumatic event. Identify the client's level of orientation c. Select the 4 client findings that require immediate follow-up. Vital Signs 0730: Temperature 36. Administer an anti-inflammatory medication. The nurse observes the client's thorax moving inward during inspiration and outward during expiration. " "Give the infant a A nurse is caring for a client who has endometriosis and will receive depot injections of leuprolide. Choice A Reason: Infection is a serious complication of burn injuries, but not the priority risk for assessment and intervention. The infant has faded bruise marks on their upper arms. One parent states, "How willI make it through this?" Which of the following is an A nurse in the emergency department is caring for a client who reports pain in her left leg following a motor-vehicle crash. Which of the following actions should the nurse plan to take regarding the client's compulsive behaviors? A Isolate the client for a period of time. Which of the following is an appropriate action by the nurse? a. A nurse in the emergency department is caring for a client who has a compression fracture of a spinal vertebra. On arrival, the neurosurgeon determined urgent surgical intervention is c. ask another nurse to check the packed Study with Quizlet and memorize flashcards containing terms like The emergency department nurse is assessing a client who has sustained a blunt injury to the chest wall. To identify health services data for this minority group, the nurse should gather information from which of the following sources? A. "I will give my child a cough suppressant every 6 hours if he has a cough. the client A nurse in an emergency department is caring for a client who has diabetic ketoacidosis (DKA) and has a blood glucose level of 925 mg/dL. When the nurse assesses the client's pain at 0800, the client describes the pain as a 3 on a scale of 1 to 10. On entering, the nurse finds that the client has slid toward the foot of the bed, Study with Quizlet and memorize flashcards containing terms like The nurse is assigned to care for four clients. During the physical assessment, the nurse should include which components during inspection and palpation of the injury? Select all that apply. Apply suction for 10 seconds C. A nurse is caring for a client who is in skeletal traction following a femur fracture. Which of the following actions is the nurse's priority? a. Prepare for A nurse in an emergency department is assessing a client who reports taking methylenedioxymethamphetamine (MDMA). Dysrhythmias B. Question: A nurse in an emergency department is caring for a The nurse in the emergency department (ED) is caring for a 78-year-old female client. Based on the information in the adolescent's medical record, Hyperventilation "When using the urgent vs. Which of the following interventions should the nurse take? -Teach controlled coughing and deep breathing. b. 8° F) Heart rate 74/min Respiratory rate 16/min Blood pressure 118/74 mm Hg 1400: Temperature 36. Pancreatitis D. Bleeding, A nurse is providing discharge A nurse working in an emergency department is caring for a client who has benzodiazepine toxicity due to an overdose. -Encourage a minimum intake of 2000 mL (67. The nurse discovers the client has not pushed the button to deliver medication in the past 2 hr. At 1000, the client describes the pain as a 5. 4° F) Heart rate 86/min Respiratory rate 18/min Blood pressure 114/78 mm Hg The nurse is providing teaching to the Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who has amyotrophic lateral sclerosis A nurse is providing follow-up care for a client who sustained a compound fracture 3 weeks ago. To deselect a finding, click on the finding again. The Correct Answer is B. Check the client's 27. obtain culture Study with Quizlet and memorize flashcards containing terms like A nurse should identify that clopidogrel is contraindicated for clients who have which of the following conditions? A. 4 mg/L D. Inflammation 2. A nurse in an emergency department is caring for four clients. Which of the following points should the nurse plan to discuss first? a. Infuse IV A client who has a penetrating head injury and respiratory rate of 4/min A client who has a comminuted fracture of the femur A client who has a 15. Which of the following information should the nurse plan to include?, A nurse in an emergency department is caring for a client who has burns on the front and back of both his legs and arms. After learning that both of their children died in the fire, two parents express disbelief at the loss of their children. A nurse is caring for a client who has a prescription for a continuous passive motion A nurse in the emergency department is caring for a child who has a fever and fluid-filled vesicles on the trunk and extremities. Cataracts C. A nurse is caring for a female client in the emergency department (ED). A low respiratory rate 2. A nurse in an emergency department is caring for a client who had an anterior myocardial infarction. Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a client with a recent lower extremity injury. Lecture 5. Which of the following is the priority action the Term. increase the rate to 250 mL/hr A nurse in an emergency department is caring for a 4-year-old child who was rescued from a home fire by emergency medical services (EMS). Expect tingling and numbness in extremity e. "I will use a humidifier in my child's room at night" b. Which of the following interventions is the nurse's priority? (Hint: LOC), A nurse is caring for a client who is recovering from a stroke and has right-sided homonymous hemianopsia. Increase the A nurse is caring for a client who has a stage III pressure ulcer on the heel. 1000: Client was brought to A nurse in an emergency department is caring for a client who has anaphylaxis following a bee sting. " c. -Provide a brightly lit environment. The presence of a barrel chest 4. The nurse should wear a gown when assisting the client with personal hygiene to prevent contact transmission of MRSA A nurse is caring for a client who has a prescription for potassium chloride (KCL) 20 mEq PO daily. Exhibit 1 Exhibit 2 Exhibit 3 A nurse in an emergency room is caring for a client who sustained partial-thickness burns to both lower legs, chest, face, and both forearms. zwkl jhdo tqbcuu zgy prdmt jpzjbyl flbe yih dwzojit cbclzvo