The nurse is taking care of a 40-year-old client complaining of chronic, thick, persistent mucus production in the lower airway. The provider ordered chest physiotherapy and postural drainage. The nurse explains that after the client is positioned for postural drainage the nurse will perform which action to help loosen secretions?
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A client is 4 days post-op a vaginal hysterectomy. The indwe…
A client is 4 days post-op a vaginal hysterectomy. The indwelling urinary catheter was removed 24 hours ago and is now complaining of burning with urination. The urine output for the previous shift was 410 mL, VS: are T 100.1° F, HR 84; RR 20, and BP 110/70. Which of these newly received orders from the HCP will the nurse prioritize and implement?
The nurse is providing education on the use of a peak flow m…
The nurse is providing education on the use of a peak flow meter to a client with asthma. Which statement by the client demonstrates they understand how to use the device?
The nurse is reviewing the following arterial blood gas resu…
The nurse is reviewing the following arterial blood gas results from a client admitted with pneumonia. pH: 7.31 PaCO2: 80 mm/Hg HCO3: 25 mEq/L PaO2: 70 mm/Hg The nurse realizes that these results necessitate which priority nursing intervention?
A nurse is caring for a client with a history of gastrointes…
A nurse is caring for a client with a history of gastrointestinal bleeding, sickle cell anemia and a platelet count of 20,000/mm3. Client complains of pain 10 out of 10 and is scheduled to receive morphine sulfate, has tented skin turgor, dark amber urine and shortness of breath. The HCP has prescribed the orders below. Which order is most important for the nurse to question the HCP about?
A client is seen in the emergency department in a sickle cel…
A client is seen in the emergency department in a sickle cell crisis with, HR 88 bpm, RR 24 bpm, BP of 130/90, pulse ox 90%, and pain of 10/10. Of the following initial orders from the healthcare provider, what does the nurse implement first for this client?
A nurse is reviewing a journal article about erectile dysfun…
A nurse is reviewing a journal article about erectile dysfunction and possible causes associated with this condition. Which factor/s would the nurse assess to determine a client’s risk for this condition? Select All That Apply:
A nurse is reviewing orders written by the HCP for the clien…
A nurse is reviewing orders written by the HCP for the client post-chemotherapy treatment. Orders include ondansetron 4 mg IV push PRN for nausea and vomiting. The nurse should clarify which part of the order with the provider?
The nurse is caring for a client with a history of urinary r…
The nurse is caring for a client with a history of urinary retention that reports pain in the suprapubic area of 7/10. The nurse’s assessment reveals that the abdomen is distended, the client has not voided in 4 hours, and a bladder scan of 300 mL. What is the next intervention?
The nurse is placing an indwelling catheter for a client wit…
The nurse is placing an indwelling catheter for a client with a history of urinary retention. Which principle of care is the priority for this client?