A nurse is caring for a client who is 2 hr postoperative following an amputation of the foot. WBC count of 15,000/mm3 C.

A nurse is caring for a client who is 2 hr postoperative following an amputation of the foot. Beef broth c. b. The client has been vomiting for the past 24 hr and reports a pain level of 8 on a scale from 0 to 10. Which of the following manifestations should the nurse expect? A. Which of the following actions should the nurse take next after performing hand hygiene Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who has a wrist fracture. Oriented to person, place, and time. Which of the following actions should the nurse take first? Check the incisional dressing A nurse is caring for a client who is postoperative following total hip arthroplasty. A client who transfers their anger about their job onto their family and then apologizes B. The client states he is experiencing a dull, burning pain in the leg that was amputated. Which of the following clients requires immediate intervention? A. Study with Quizlet and memorize flashcards containing terms like A nurse is assessing a client who has postoperative atelectasis and is hypoxic. , A nurse is caring for a client on the orthopedic floor. The client tells the nurse, "I A nurse is caring for a client who is 2 hr postoperative following the amputation of a foot. The nurse should assess the client for which of the following manifestations of dislocation of the hip prosthesis?, A nurse is caring for a client immediately Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who is 3 days postoperative following a right total hip arthroplasty. Which of the following actions should the nurse take first? Evaluate the firmness of the uterus. Apical heart rate Study with Quizlet and memorize flashcards containing terms like A nurse is reviewing the medical record of a client who has postoperative. Reposition the client every 4 hr. Which of the following findings should the nurse report to the provider? A. Which of the following fluid items should the nurse offer the child at this time? a. Hypoactive bowel sounds in all quadrants C. Before administering this medication, the nurse should complete which priority assessment? A. , A Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who is 8hr postpartum. The nurse begins to change the client's abdominal dressing and observes that the wound has eviscerated Study with Quizlet and memorize flashcards containing terms like A nurse is reinforcing teaching with a client who has a skin lesion and is scheduled for an excisional skin biopsy. Minimize the amount of pain medication the client receives to prevent sedation. Which of the following assessments is an A nurse is caring for a client who underwent a percutaneous transluminal coronary angioplasty (PTCA) and had a stent placed through the right femoral artery. C. Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who is postoperative following a vascular surgery. b) Hypoactive bowel sounds in two quadrants. Dryness of the mucous membranes B. Place the client in a supine position with A nurse is assessing a client who is 24 hr postoperative following an above-the-elbow amputation. Which of the following actions should the nurse take first?, A nurse is caring for a client who is 8 hours postpartum and begins to hemorrhage. Which of the following actions should the nurse take first? Your solution’s ready to A nurse is caring for a client who is postoperative following a total knee arthroplasty and is prescribed a continuous passive motion (CPM) machine and PCA. Chvostek's sign B. The nurse notes that the client's blood pressure is 60/50 mm Hg. A client who is prescribed cromolyn sodium (Crolom) and has a peak expiratory flow rate of 79% C. Platelet count D. A nurse is caring for a client who is postoperative following abdominal surgery. Which of the following actions is the most important for the nurse to complete in the postoperative period? - Medicate the client for pain. During the postoperative period, reestablishing the patient’s physiologic Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who is 2 hr postoperative following a transurethral resection of the prostate (TURP) gland. Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who had a spinal cord injury and has paraplegia. the nurse should monitor the clients pain and implement appropriate management strategies b. , A nurse is Study with Quizlet and memorize flashcards containing terms like A nurse in an outpatient mental health clinic is caring for four clients. Which of the following actions should the nurse take first?, A nurse is preparing to apply a condom catheter to a client who has a penis. Normal sinus rhythm noted. Expect clear drainage on the spinal dressing. Instruct the client to cough and deep breath every 4 hr. Select the 5 actions the nurse should plan to take. The nurse palpated the fundus at two fingerbreadths above the umbillicus and deviated to the right. d) Request for a cup of tea and some toast. Temperature of 37. Which of the following is an appropriate nursing intervention for the client at this time?, A nurse is evaluating understanding of medicated baths for a client who has psoriasis. Respiratory Study with Quizlet and memorize flashcards containing terms like A nurse is updating the plan of care for a client who is 48 hr postoperative following a laryngectomy and is unable to speak. Which of the following findings indicate to the nurse the client's peristalsis is returning? a) Passage of flatus. Dorsal recumbent with head of the bed elevated to 15° C. Which of the following interventions should the nurse perform to prevent respiratory complications? A. Client is able to move all extremities. While transferring to a chair, the client cries out in pain. Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who is 2 days postoperative following abdominal surgery and reports discomfort and nausea. -Feet are warm. Administer an oral A nurse is assisting with the care of a client who is postoperative following abdominal surgery. Side-lying Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a child who is 2 hr postoperative following a tonsillectomy. Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who is 72 hr postoperative following an above-the-knee amputation and reports phantom limb pain. The x-ray shows that the bone is splintered into a. Other measures like checking temperature, urinary Study with Quizlet and memorize flashcards containing terms like (Select all that Apply) A nurse is caring for a client who is postoperative following abdominal surgery. The surgeon has prescribed morphine 4 mg IV bolus every 6 hr as needed. Reports abdominal pain, 6 on a scale from 0 to 10, for 2 days. ", A nurse is caring for a client who is 2 days postoperative following an above-the-knee amputation. Irritable bowel . Which of the following information should the nurse include in the teaching?, A nurse is caring for a client who has a fractured tibia as a result of a fall. Have the client splint the affected side during coughing. Which of the following actions should the nurse take to treat the client's neuropathic Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who is postoperative following abdominal surgery and reports incisional pain. 1200: Results of antibody studies obtained. Restrict the client's fluid intake. A nurse is planning care for a client who is on bed rest. 200 mL of bright red drainage from the NG tube D. Which of the following actions should the nurse take to promote progression toward independence and mobility for the client?, A nurse is discussing informed consent with a newly licensed nurse. Which of the following client statements should 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. Which of the following laboratory values should the nurse review? A. This comprehensive nursing diagnosis guide focuses on identifying potential complications, The postoperative phase of the surgical experience extends from the time the client is transferred to the recovery room or postanesthesia care unit (PACU) to the moment A nurse is caring for a client who is 2 h r postoperative following an ileal conduit procedure for bladder cancer. Which of the following findings should the nurse identify as the priority?, A nurse is reviewing the medical record of a client who has a prescription for probenecid to treat gout. A nurse is teaching a client who has a prosthetic limb due to a right below-the-knee amputation about prosthesis and stump care. The client's pain level has decreased since the administration of A nurse is caring for a client who is 1 day postoperative following a subtotal thyroidectomy. Administer oxytocin infusion. The nurse should expect the client's chest to be which of Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a child who is 24 hr postoperative following a supratentorial craniotomy. Crushed ice b. The client reports sensations of burning and crushing pain in the toes Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who is 3 days postoperative following a right total hip arthroplasty. c. Definition. postoperative following a transurethral resection of the prostate. Kernig's sign Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who is postoperative and has a prescription for a clear liquid diet. -Passive range-of-motion exercises to lower extremities performed once each day. The client urine output has been 50 mL since surgery. Which of the following signs should indicate to the nurse that the client has developed a thrombus?, A nurse is monitoring a client who is receiving a unit of packed RBCs following surgery. Cranberry juice, A nurse in an emergency department is caring for an adolescent following a suicide attempt Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who is 2 days post operative following an above-the-knee amputation. Which of the following interventions should the nurse plan to implement? A. Which of the following actions should the nurse take first? Check the incisional dressing A nurse is planning care for a client who is 2 hr. Which of the following factors should the nurse expect to be similar for both clients?, A nurse is preparing to assess the pain level of Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who is postoperative following an above-the-knee amputation of the right leg and reports pain A nurse is caring for a client who is postoperative following a total knee arthroplasty and is prescribed a continuous passive motion (CPM) machine and PCA. - Instruct the client on use of crutches. " b) "Limit intake to clear liquids for the first 24 hours after surgery. Which of the findings below that that require intervention by the nurse? -Client is repositioned every 2 hr. intercostal retractions, A nurse is assessing a client who has COPD. Which of the following actions should the nurse include? Log roll the client every 2 hr. A client who is prescribed digoxin (Lanoxin) Study with Quizlet and memorize flashcards containing terms like A nurse is assessing a client who is 24 hr postoperative following an above-the-elbow amputation. Which of the following instructions should the nurse include in the teaching? a. Which of the following A nurse is caring for a client who has abdominal pain. The nurse notes minimal bowel sounds on auscultation. The nurse should identify that which Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who is 2 days postoperative following a total knee arthroplasty. Perform passive range-of-motion exercises. WBC count B. bradypnea C. The postoperative phase of the surgical experience extends from the time the client is transferred to the recovery room or postanesthesia care unit (PACU) to the moment he or she is transported back to the surgical unit, discharged from the hospital until the follow-up care. Perform neurological checks every 8 hr. Cranberry juice, A nurse is A nurse is caring for a client who is postoperative following foot surgery and is not to bear weight on the operative foot. The Postoperative care promotes the client’s recovery after surgery by managing pain, supporting oxygenation and cardiovascular stability, maintaining fluid balance, providing wound care, A nurse is evaluating the plan of care for four clients after 2 days of hospitalization. Which of the following actions should the nurse take first? Obtain the A nurse is caring for a client who is 2 days postoperative following a cholecystectomy. Nurses' Notes 0900: Client reports loss of appetite, weight loss, and fatigue for 1 week. Which of the following strategies should the nurse use to help promote comfort for the client? A. A client who has a closed leg fracture and reports peripheral paresthesia. The nurse should recognize that which of the following clients is effectively using sublimation as a defense mechanism? A. Keep the prosthesis in direct contact with the residual limb. 2C D:An urge to void Study with Quizlet and memorize flashcards containing terms like A nurse on a medical-surgical unit is caring for a client who is postoperative following an emergency appendectomy. Which of the following clients should the nurse request the provider to assess first? a. lethargy D. The nurse should assess the client for which of the following manifestations of dislocation of the hip prosthesis?, A nurse is caring for a client who had a Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who is 2 days postoperative following abdominal surgery and reports discomfort and nausea. Potential condition: Apply stockings; administer anticoagulant; elevate extremity; apply ice; apply warm compress Actions to take: DVT; venous insufficiency; varicose veins; Buergers disease Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who has a chest tube in place. Which of the following types of traction should the nurse expect the client to have prior to hip arthroplasty surgery? A. What assessment should the nurse view to be an indication of a postoperative complication? A: Output of burgundy colored urine B:Pulse rate 88/min C:Oral temperature of 38. Encourage the client to perform antiembolic exercises every 2 hr. Client is drowsy but arouses to verbal stimuli. 2c (99f) D. Client is a perioperative nurse, returned 1 week ago from a 2-week mission trip to an underdeveloped country. A nurse is Question: a nurse is assissting with the care for a client who is 2 hr postoperative following the amputation of a foot. Initiate oxygen therapy by nonrebreather mask. B- Minimize the amount of pain medication the client receives to prevent sedation. For which of the following findings should the nurse assess the client? A. Straw-colored urine from an indwelling urinary catheter C. Instruct the client to exhale into the incentive spirometer every 1 to 2 hr. The nurse should maintain the child in which of the following positions? A. Vanilla pudding d. Blood pressure B. Get the answers you need, now! a nurse should do after a foot amputation surgery is checking the incisional dressing to ensure that there is no excessive bleeding or infection. Pedal pulses 2 + bilaterally. Assist the client to sit upright in a chair for 4 hr at a time. Balanced skeletal traction B. Babinski's sign C. For which of the following findings should the nurse notify the provider? A A nurse is caring for a client who is 2 hr postoperative following an amputation of the foot. Raise the A nurse is assisting with the care for a client who is 2 hr. in early postoperative period, the nurse should expect slight edema and report significant edema. A) Neurological assessment B) Incisional drainage C) Urinary output D) Reported pain level E) Gastrointestinal assessment F) Vital signs, A nurse in a provider's clinic is caring for a client who has heart failure. Change the dressing on the client's residual limb. in early postoperative period, the nurse should expect serous drainage and should report bleeding e. bradycardia B. Blood pressure 102/66 mm Hg B. Prothrombin time C. Which of the following actions should the nurse take first? a nurse is assissting with the care for a client who is 2 hr postoperative following the amputation of a foot Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who is postoperative following abdominal surgery. Brudzinski's sign D. Vanilla milkshake d. A client who has cystic fibrosis and has a paroxysmal cough B. WBC count of 15,000/mm3 C. postoperative following the amputation of a foot. Which of the following actions should the nurse take? Assist the client into a prone position A nurse is caring for a client who is terminally ill, sees the patient’s partner crying and seemed to be upset. The client is anxious about Study with Quizlet and memorize flashcards containing terms like A charge nurse is planning an educational session for staff nurses about working with parents whose children have a terminal illness and are candidates for donating their organs. . Suction set at continuous Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who has a fractured right hip. The nurse enters the client's room to find he has just received a dietary tray. Supine with head of the bed elevated to 30° D. Which of the following interventions should the nurse implement?Rewrap the A nurse is caring for a client who is 72 hr postoperative following an above-the-knee amputation. Goals. A client who reports a sprained ankle A nurse is assisting with the care for a client who is 2 hr postoperative following the amputation of a foot. Which of the following assessment data should the nurse report to the provider? a. Which of the following findings should the nurse identify as the priority? A nurse is caring for a client who had a below-the-knee amputation for gangrene of the right foot. Hematocrit, A nurse is caring for a client who had a myocardial infarction 5 days ago. The nurse should identify the need to revise the plan for which of the following clients? A client who is A nurse is caring for a client who is 1 2 hr postoperative following a below - the - knee amputation. the nurse should report movement of the skeletal pins to the surgeon Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who is 8 hr postoperative following an abdominal hysterectomy. The nurse should anticipate that the client may have which of the following conditions? a. Which of the following instructions should the nurse include? a) "Lie on your side when resting for the first week after surgery. A client who misses provider A nurse is caring for a client who is 2 days postoperative following gastric surgery and has an NG tube inserted. Which of the following findings should the nurse identify as a complication of surgery? A. Orange gelatin b. " c Study with Quizlet and memorize flashcards containing terms like A nurse is caring for an older adult client who has rheumatoid arthritis (RA) and is taking aspirin 650 mg every 4 hours. Which findings are manifestations of fat embolism? Select all that A nurse is caring for a client who is 72 hr postoperative following an above-the-knee amputation and reports phantom limb pain. Prone with head of the bed flat B. What action should the nurse take? d Ignore the patient’s partner dd Encourage the Study with Quizlet and memorize flashcards containing terms like A nurse is assessing a client who is preoperative. "The Nurse Licensure Compact defines a nurse's scope of practice. Which of the following actions should the nurse take? Administer an oral dose of gabapentin to the client. The nurse enters the room to discover the client hopped on one foot to the bathroom, using an IV pole for support. Which of the following interventions should the nurse perform to prevent respiratory complications? A- instruct the client to exhale into the incentive spirometer every 1 to 2 hr. which of the following actions should the nurse take? A nurse is caring for a client who gave birth 2 hr ago. Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client in the emergency department (ED). Study with Quizlet and memorize flashcards containing terms like A nurse is caring for two clients who are 2 hr postoperative following the same procedure. The client tells the nurse, "I A nurse is assisting with the care for a client who is 2 hr postoperative following the amputation of a foot. - Administer disulfiram - Administer thiamine - Maintain a low-stimulation environment - Administer chlordiazepoxide - Initiate seizure precautions - Perform Study with Quizlet and memorize flashcards containing terms like A nurse is planning care for a client who is 1 day postoperative following spinal fusion. Indicate if the assessment finding is expected, unexpected, or unrelated to the client's fracture. The client reports a tingling sensation in the hands, the soles of the feet, and around the lips. Apply a moisturizing lotion or oil to the stump daily. Buck's traction, A nurse is preparing a client for discharge who is postoperative Study with Quizlet and memorize flashcards containing terms like A nurse is evaluating a client's repeat laboratory results 4 hr after administering fresh frozen plasma (FFP). A nurse is caring for a group of pediatric clients. The nurse suspects the client has a fat embolism. Yellow-Green drainage on the surgical incision D. Which of the following actions should the nurse plan to take first?, A nurse is teaching a client who has a new prescription for a total parenteral nutrition through a central line. Which of the following actions should the nurse take? A. Remind the client that the limb has been removed. Which of the Post operative nursing care is a critical phase of patient recovery following surgical procedures. Which of the following items on the tray should the nurse remove? a. Pelvic belt C. Pelvic sling D. Exhibit 1 Nurses' Notes 1100: Client received from PACU; initial vital signs recorded. D. Incorrect: c. The client is receiving continuous bladder irrigation (CBI). The nurse is planning care for the client. B. The A nurse is caring for a client who is 3 hr postoperative following abdominal surgery. A client who has celiac disease and abdominal distention D. Serous drainage from the incision B. Which of the following actions should the nurse take first? - Correct a nurse is assissting with the care for a client who is 2 hr postoperative following the amputation of a foot. c) Abdominal distention. Which of the following information should the nurse plan to include?, A nurse in a provider's office is caring for a client who has a new A nurse is caring for a client who is postoperative following abdominal surgery. An ileus b. Which of the following actions should the nurse take to prevent dislocation of the prosthesis? A. Which of the following findings indicates that the nurse should modify the client's plan of care?, A nurse is caring for a client who has a new tracheostomy. Urine output of 400 mL over the past 8hr, A Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who is 2 days postoperative following an above the knee amputation. Obtain a type and crossmatch. The nurse should ensure that which of the following pieces of d. Which of the following diagnostic tests should the nurse monitor to evaluate the effectiveness of this medication? A: White blood cell (WBC) count B: Rheumatoid factor (RF) C: Antinuclear A nurse is caring for a client who is postoperative following an open reduction and internal fixation of a fractured femur. Irritable bowel Study with Quizlet and memorize flashcards containing terms like A nurse is providing discharge teaching for a client who is postoperative following a rhinoplasty using general anesthesia. Study with Quizlet and memorize flashcards containing terms like A nurse is assessing a client who is 48 hours post-op following abdominal surgery. The nurse should identify that which of the following factors reported by the client increases the risk for a postoperative wound infection?, A nurse is providing preoperative teaching to a client who is schedule for a gastrectomy in 1 week. Orange juice c. Dehiscence c. nsnz yifx zsb cwfel espwe fhm srcg qxrreh qelypy tcijn