A nurse is reinforcing preoperative teaching with a client who will undergo surgery to create a temporary colostomy. The client asks the nurse about the difference between colostomy and ileostomies. Which of the following responses should the nurse offer?
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The client hands advance directives information back to the…
The client hands advance directives information back to the nurse and states, “I don’t need this. I am too young to worry about life-sustaining measures. Only old people die, that’s who needs this information. Which of the following actions should the nurse take?
A newly licensed nurse is preparing to insert an IV in a cli…
A newly licensed nurse is preparing to insert an IV in a client. Which of the following sources should the nurse use to review the procedure and the standard at which it should be performed?
A client presents to the clinic with complaints of fatigue,…
A client presents to the clinic with complaints of fatigue, weight gain, and cold intolerance. Upon assessment, the nurse notes dry skin and a slow heart rate. The nurse anticipates the provider will order which of the following laboratory tests?
The nurse is bathing a client and discovers a pressure injur…
The nurse is bathing a client and discovers a pressure injury on the buttocks (see photo). Which nursing intervention, following completion of the bath, is completed first? stage 2 pressure ulcer.jpg
A nurse in the ER has been assigned a patient who is experie…
A nurse in the ER has been assigned a patient who is experiencing unstable angina. Which of the following medications will the nurse anticipate administering to the patient?
A nurse is planning the care for a client who is post operat…
A nurse is planning the care for a client who is post operative following a urinary diversion to treat bladder cancer. Which of the following interventions should the nurse include in the plan of care?
A nurse is demonstrating colostomy care to a client who has…
A nurse is demonstrating colostomy care to a client who has a new colostomy. Which of the following actions should the nurse instruct the client to perform? (Select all that apply)
A nurse administers cefazolin instead of ceftriaxone to a cl…
A nurse administers cefazolin instead of ceftriaxone to a client with pneumonia. The client has suffered no adverse effects. The nurse tells the charge nurse of the incident but fears disciplinary action from reporting the error. What should the charge nurse tell the nurse?
An elderly client comes into the emergency room with symptom…
An elderly client comes into the emergency room with symptoms of delirium. Which of the following would not be a possible cause?