While assessing a new Jackson-Pratt (JP) drain after a patient’s surgery, the nurse notes pink to reddish thin, clear, and watery drainage in the resivoir. What type of drainage will the nurse document this as?
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The nurse has just received change-of-shift reports about th…
The nurse has just received change-of-shift reports about these postoperative clients. Which clent should the nurse assess first?
In the postanesthesia care unit (PACU), a client’s vital sig…
In the postanesthesia care unit (PACU), a client’s vital signs are blood pressure 116/72 mm Hg, pulse 74 beats/min, respirations 12 breaths/min, and SpO2 91%. The client is sleepy but awakens easily. Which action should the nurse take first?
Which of the following are reasons why the nurse should clam…
Which of the following are reasons why the nurse should clamp the tubing of the nasogastric tube and pull the tube out smoothly and steadily when discontinuing a patient’s nasogastric tube?
The nurse is caring for a patient who had undergone elective…
The nurse is caring for a patient who had undergone elective left total knee arthoplasty 5 days ago. During the dressing change today, the incision appears to be dry, pink, warm, and well approximated with staples intact. The left leg is edematous, warm to the touch, and the calf has mild to moderate erythema. Which of the following complications may the patient be experiencing?
A newborn weighs 5 pounds and 11 ounces. How many kilograms…
A newborn weighs 5 pounds and 11 ounces. How many kilograms does this newborn weigh?
A client’s IV insertion site is in the left wrist and is swo…
A client’s IV insertion site is in the left wrist and is swollen and cool to touch. The client reports that the IV site is tender and hurting. When looking for a new area to re-site the IV, the nurse knows that this area should not be considered?
You are caring for a patient with an elevated potassium leve…
You are caring for a patient with an elevated potassium level according the a Complete Metabolic Panel. Which of the following would you likely see on an EKG that would indicate hyperkalemia?
The nurse is educating a hesitant client on suture removal. …
The nurse is educating a hesitant client on suture removal. Which of the following statements regarding suture removal is the most appropriate?
The nurse is going to assist a client on the first postopera…
The nurse is going to assist a client on the first postoperative day, to ambulate, deep breathe, and cough. What action by the nurse would be most helpful to this client?