The client returns to the ICU after surgery intubated and mechanically ventilated with a Salem sump nasogastric tube, a Foley catheter, and a PICC line in place. The friend of a long-term care client comes to visit despite having an upper respiratory infection. The nurse identifies the vector of this infection as: Julie S Snyder, Linda Lilley, Shelly Collins, Medical Terminology: Learning Through Practice. Nursing assessment findings reveal urinary output < 30 ml/hr, tachycardia, tachypnea, decreased hemoglobin, and acute confusion. What is the best action by the nurse? x == 5 || y > 3. Assume the variables x = 5, y = 6, and z = 8. D. Perform gastric lavage with activated charcoal. The nurse should identify that which of the following statements by the parent indicates the child has an increased risk for Reye syndrome? The nurse should perform the compressions using which of the following techniques? A swimmer moves through the water at an average speed of 0.22 m/s. A nurse is caring for an infant who has gastroesophageal reflux. A client is being admitted to the hospital with a positive tuberculosis test and suspicious chest x-ray. A nurse is assisting a neurosurgeon in performing positron emission tomography. A noncommunicable disease is caused by food or environmental toxin. A client suffers a stroke located in the medulla. What velocity and acceleration of A are observed by a passenger fixed to and rotating with the ship? What lobe of the cerebral cortex is largely responsible for the ability of humans to achieve higher levels of mental functioning and is also involved with motor functions that direct body movements? The nurse is concerned that a postoperative patient may have a paralytic ileus. What assessment findings would be a priority for the nurse to alert the provider? At what point should a nurse normally administer antiemetics to a surgical patient? The nurse suspects which of the following? Which precautions will the nurse begin? A nurse is preparing to begin chest compressions on an infant. Which intervention should the nurse implement first? In preparing a patient for surgery, the following areas should be addressed. A client is admitted with infective endocarditis (IE). Which concept should be the priority in the teaching plan? The nurse is concerned about infection and is reviewing the white blood cell count (WBC) in the chart. The nurse understands that which part of the brain is responsible for the client's condition? What health teaching will the nurse share with the visitor? The client states, "I'm really nervous about this surgery. Select all that apply. $$. When describing the types of bladder tumors that may occur, which type would the nurse identify as most common? A school nurse is assessing an adolescent who reports feeling shaky and is having difficulty speaking and concentrating on the questions the nurse is asking. A client with a T6 injury reports a pounding headache, blurred vision, and nasal congestion. Select all that apply. "Limit contact with large groups of people." c. "Avoid taking over-the-counter calcium supplements." d. "Follow a low-protein diet." ; b. Which of the following clinical manifestations exhibited by the client would indicate the goal was met of avoiding injury? What should a nurse be alert for when caring for such a client? A nurse in a pediatric unit is talking with the mother of a preschool-age child. A nurse participating in lead screening at a community center. A nurse is planning care for an adolescent who has scoliosis and requires surgical intervention. Place a surgical mask on the client and transport to the CT department at the specified time. Which is the function of the myelin sheath around an axon? 4- fourth intention. A nurse is collecting data from a child who is descending stairs by placing both feet on each step and holding on to the railing. The nurse checks the adolescent's blood glucose level and identifies a value of 55 mg/dL. C. "I give my child aspirin to reduce his fever.". Which strategy should the nurse include when responding to the client? A nurse is providing teaching to a parent of a child who has Hirschsprung disease and is scheduled for initial surgery. The nurse discovers that the client did not sign the operative consent before receiving the preoperative medication. The nurse assesses a client to determine if there is increased risk for complications intraoperatively or postoperatively. Select all that apply. The nurse caring for a patient who is at risk for malignant hyperthermia subsequent to general anesthesia would assess for the most common early sign of: A physician calls the nurse for an update on his client who underwent abdominal surgery 5 hours ago. Which of the following play activities should the nurse recognize is therapeutic in helping the child deal with the injection? The nurse is reviewing the plan of care for assigned clients. $$ Description. Which client has the highest risk for developing an infection? What is the most important thing the nurse can do to prevent the client with HIV from acquiring the upper respiratory infection? When planning this client's care, the nurse should assign the highest priority to which nursing diagnosis? A nurse is assessing a client for signs and symptoms of infection. How many years must have elapsed for the client to require this shot? The nurse observes clear fluid leaking from the nose. The nurse is teaching the client about patient-controlled analgesia. What action does the nurse take to ensure that the saline used is sterile? The 24-hour urine output total is 2430 mL. Describe the indicated assessment and interventions related to each problem as listed in the questions below . A nurse is caring for a client admitted to the healthcare facility with a history of hypertension and right-sided hemiplegia. The nurse understands that a change in which part of the brain is responsible for changes in the client's ability to perceive sensation? The client returns to the ICU after surgery intubated and mechanically ventilated with a Salem sump nasogastric tube, a Foley catheter, and a PICC line in place. Which steps must be followed when using the double-bagging method? 1. A nurse is caring for a 6-week-old infant who has a pyloric stenosis. Encourage the parents to rock the infant. What are benefits of a cover gown? However, the nurse has documented that the client's temperature is within normal limits. Which of the following findings should the nurse expect? Which of the following actions should the nurse take? The client has had only 30 ml urine output since arriving to the A client sustains a head trauma after falling from a roof. What does the nurse do first? What data obtained by the nurse is indicative of this damage? Which statement by the client provides evidence that client teaching was effective? Standard precautions apply to blood; all body fluids, secretions, and excretions; and intact and nonintact skin and mucous membranes. Select the stage during which the OR nurse knows not to touch the patient (except for safety reasons) because of possible uncontrolled movements. Which could be the consequence of an injury close to where the brain and spinal cord connect? Select all that apply. Which pieces of personal protective equipment should be removed first? A parent calls a clinic and reports to a nurse that his 2-month-old infant is hungry more than usual but is projectile vomiting immediately after eating. A nurse is wearing a cover gown. The nurse should be. Select all that apply. . B. Which finding requires priority action? A 70-year-old elderly patient is admitted to the preoperative unit for a liver resection that is scheduled for 6 hours of surgery. A nurse is caring for a child who has suspected appendicitis. Preoperative Nursing Assessment A comprehensive preoperative nursing assessment of the total hip patient is important in helping to achieve a positive outcome. The client returns to the ICU after surgery intubated and mechanically ventilated with a Salem sump nasogastric tube, a Foley catheter, and a PICC line in place. The nurse should place a sign with which of the following warnings over the child's bed? Select all that apply. The appropriate nursing intervention is which of the following? "As a nurse, I am required by law to report suspected child abuse.". A nerve can transmit impulse in only one direction, because of the location of neurotransmitters, a chemical released by the axon enabling nerve impulses to cross the synapse and reach dendrites, Hypothalamus is vital to human functioning, because it regulates homeostasis. What type of problems can this client have because of their anxiety and fear? Avoid a diet that consists primarily of milk. What interview questions would the nurse ask the client? Which action should the nurse perform? The nurse caring for a patient after urinary diversion surgery monitors the patient closely for peritonitis by assessing for which of the following? The client's vital signs are Temp 97.2F, HR 105, RR 24 and BP 110/50. A nurse in an emergency department is caring for an infant who has a 2-day history of vomiting and an elevated temperature. Select all that apply. A nurse is working with a client with an infectious disease that requires the nurse to wear a particulate air filter respirator. What action by the student would alert the nurse to provide additional teaching to the student? What is the most important postoperative instruction a nurse must give to a client who has just returned from the operating room after receiving a subarachnoid block? A nurse is administering moderate sedation to a client with chronic obstructive pulmonary disease (COPD). Avoid touching the outer surfaces of the gown. What means of transmission do nurses use transmission barriers to protect themselves from? A cataract is an opacity of the lens that distorts image projected onto the retina and that can progress to blindness. Meningitis is an inflammation of the meninges, the membranes that cover the brain and the spinal cord. How will the nurse appropriately remove this personal protective equipment (PPE)? A 79-year-old man is scheduled for surgical repair of an inguinal hernia. What is this special bed mostly used for? Place the following steps in the order that the nurse should take when donning sterile gloves. Which precaution should the nurse follow when administering medication to a client in isolation? The thalamus integrates sensations, thus the person perceives a whole experience, rather than individual impulses. Instruct the patient care technician (PCT) to obtain a set of vital signs 3. One hour after administration, the client demonstrates muscle rigidity with a heart rate of 180. Which of the following instructions should the nurse give to the parent? A nurse is implementing the principles of surgical asepsis while inserting a client's indwelling urinary catheter. Which statements made by the client demonstrates the education provided was effective? Which of the following actions should the nurse take? What is the blood glucose level goal for a diabetic client who will be having a surgical procedure? The graduate nurse states that she was exposed to a client's blood and that she was not wearing any PPE. One bag of a contaminated item is placed within another. A client has an inguinal hernia repair and later develops a methicillin-resistant Staphylococcus aureus (MRSA) infection. A nurse is providing health promotion teaching to the parents of an infant. Based on the nurse's knowledge of the most common hospital-acquired infections, which apparatus is most important to remove first? Which statement accurately describes this process? The client received general anesthesia for the procedure and has opioid pain medications prescribed. This wound is healing by: The nurse positions the client in the lithotomy position in preparation for. . The nurse assesses the incision and notes evisceration. A. As the eye ages, the lens loses water and increases in size and density, causing compression of lens fibers. What measurement should the nurse report to the physician in the immediate postoperative period? A nurse is providing teaching to a 17-year-old female client who has severe acne about the use of isotretinoin. At this point in the patient's recovery, what are the nursing priorities? The vagus nerve a much larger portion of the body than the others. Is an x-ray study of any blood vessel. A nurse is providing discharge instructions to a parent and his school-age child who has juvenile idiopathic arthritis. The client is approximately 24hr postoperative and describes the pain as "severe". A client comes to the emergency department reporting becoming very ill after consuming shrimp and lobster. A client has been admitted to the hospital with signs and symptoms that are characteristic of pulmonary tuberculosis and a STAT chest x-ray has been ordered. In gathering information for the client, which urinary diversion would the nurse select? Which could be the consequence of an injury close to where the brain and spinal cord connect? Neurons make up a nerve. A nurse who has provided care in perioperative settings for many years has seen first-hand the trend toward increasing numbers of surgical procedures being performed in ambulatory surgical centers and on an outpatient basis. coordination$\hspace{1cm}$______________$\hspace{1cm}$my/o. A nurse is caring for a child who has influenza. (Select all that apply.). Which precautions will the nurse begin? A healthcare provider performs the LP under strict sterile procedure. What is the nurse's best response? Select all the nursing actions that apply. Endoderm and mesoderm are formed by the migration of cells down into the ______ of the embryonic disc. Which of the following would be appropriate for the nurse to include in the teaching plan? Place the following steps in the order that the nurse should take when donning sterile gloves. Which nursing statement would best decrease a client's anxiety before an emergency operative procedure? The nurse should suspect which of the following disorders? Which of the following would the instructor include in this plan about these agents and this type of anesthesia? The most common presenting objective symptoms of a urinary tract infection in older adults, especially in those with dementia, include? Which individual would be responsible for ensuring that procedure and site verification occurs and is documented? "I'm glad that my child's ostomy is only temporary.". Upon auscultation, the nurse notes rhonchi throughout the right lung, with an occasional expiratory wheeze. e. an older adult client with a history of heart failure. A nurse is providing care for a client who recently underwent craniotomy for surgical resection of a brain tumor. What is the nurse's best action while observing the colleague perform the task? Person A is stationary on the dock. Facilitate a portable x-ray in the client's room rather than transporting the client. Select all that apply. Select all that apply. Which action by the nurse is appropriate? A client comes to the emergency department complaining of severe pain in the right flank, nausea, and vomiting. What complication is the nurse aware of that is associated with deep venous thrombosis? When preparing a sterile field, the nurse notes that the bottle of sterile saline was opened 48 hours ago and is half full. A 12-year-old is being hospitalized for pneumonia. In which case is this practice contraindicated? This is because it's quite important for the nurse to encourage the patient to practice deep breathing and coughing so as to be able to do the breathing exercises easily after surgery. Carefully open the inner package taking care not to touch the inner surface of the package or the gloves. A nurse is planning care for a client who ingested a large amount of acetylsalicylic acid. Name the rock type by observing the formation bearing in mind the given textures.\ Which of the following is the most common symptom of bladder cancer? A nurse in a pediatric clinic is caring for a child who has iron deficiency anemia and a new prescription for ferrous sulfate tablets. The nurse is caring for a client admitted to the hospital after sustaining a severe head injury. Another objective of postoperative care is to assist patients in taking responsibility for regaining optimum health. What would the nurse expect to asses? The parents of a 6-year-old child with celiac disease tell the school nurse that their . The nurse is obtaining a health history from a client describing urinary complications. Which of the following actions is the nurse's priority? A nurse is required to document the neurologic assessment of a client with recent head trauma. How will the nurse document this condition? Meningitis is diagnosed based on a general neurologic examination that includes two special neurologic signs: Electroencephalography records the brain's electrical impulses as a graph. Solve the given initial-value problem. What does the nurse consider is the most likely cause of the client's change in condition? Which of the following instructions should the nurse provide to the parent? can be followed using What related complication should the nurse be aware of? A nurse is caring for a client with multiple sclerosis (MS). What response by the family member indicates that the nurse's teaching was successful? What is the chemical released by the axon that enables nerve impulses to cross the synapse and reach the dendrites? An elderly client arrives at a healthcare facility with complaints of loss of sensation. The client received general anesthesia for the procedure and has opioid pain medications prescribed. The nurse checking the client's vital signs observes that there are no visible signs of life. 1. A client is admitted to the emergency department for multiple lacerations due to a vehicular accident. After teaching a patient scheduled for ambulatory surgery using moderate sedation, the nurse determines that the patient has understood the teaching based on which of the following statements? If the transection is complete all sensation and voluntary movements below the site of injury are lost. $$. An 11-year-old client is admitted to the healthcare facility with loss of sensation, generalized weakness of the extremities, and impaired bowel and bladder function. The nurse advises the patient with chronic pyelonephritis that he should: A woman comes to her health care provider's office with signs and symptoms of kidney stones. =Pain of 9/10 an hour after a dose of morphine = Pain of 9/10 an hour after a dose of morphine The nurse is obligated to make a report for which situations? Also called vascular headaches. An ileal conduit is created for a client after a radical cystectomy. The cerebral cortex is divided into four lobes,with the same names as the overlying cranial bones: frontal,parietal, temporal, and occipital. Risk for Deficient Fluid Volume. Which action by the nurse is appropriate? The nurse should suspect which of the following conditions? Find the tangential and centripetal components of the net force exerted on a car (by the ground) when its speed is $27 \mathrm{~m} / \mathrm{s}$, and it has accelerated to this speed from rest in $11 \mathrm{~s}$ on a curve of radius $450 \mathrm{~m}$. Write one possible RNA sequence that codes for the following amino acids: aspartic acid-glutamine-tryptophan. Which technique is recommended by infection control practice standards for hand hygiene? A nurse is caring for a client with rubella. Treat the problem as two-dimensional. What medication should the nurse prepare to administer in the event the client has malignant hyperthermia? \underline{~~~~~~~~~~~~~~~}~~~~~~~~~~~~~~~~~~~~~~~\text{HIO}_3 Which stage of surgical anesthesia is also known as excitement? A client with nausea and vomiting is to receive an antiemetic that inhibits the vomiting center in the brain. (Select all that apply.). The client tells the nurse, "I am nervous about my upcoming EEG because I am afraid the shocks will hurt." Which of the following amounts of urinary output should indicate to the nurse that the treatment has corrected the fluid imbalance? Which would be considered significant blood exposures by occupational health? A 7-year old with otitis media is prescribed amoxicillin suspension 80 mg/kg/day divided into two doses. The nursing student is reviewing the neurologic system and desires to know what portion of the brain is vital to human functioning due to its ability to regulate homeostasis. The nurse is receiving a confused client with a draining wound onto the medical-surgical unit. Which assessment finding explains the absence of drainage? A nurse is providing teaching to a parent of a preschooler who has eczema. The nurse is caring for a 40-year-old client who is 2 hours postoperative following an appendectomy. What technique does the nurse use? Which of the following responses by the nurse is appropriate? Apply a nonparticulate (N-95) respirator when entering the room. Which of the following should be the primary medical management goal? Select all that apply. Which precautions will the nurse begin? A nurse is working with a new graduate nurse. Julie S Snyder, Linda Lilley, Shelly Collins. Continue to observe the drainage. Which of the following should the nurse recommend as a method of preventing iron deficiency anemia? The visitor states, "I need to directly hold my loved one's hand without a barrier." A client undergoing coronary artery bypass surgery is subjected to intentional hypothermia. A client having a surgical procedure takes aspirin 325 mg daily for prevention of platelet aggregation. Which of the following signs/symptoms is diagnostic for bladder cancer? Select all that apply. pain of nerves: neur \_________________________. A client with urinary tract infection is prescribed phenazopyridine (Pyridium). $$ A nurse is caring for a 55-year-old postoperative client. "I will obtain a mask from the staff and wash my hands before touching my family member.". Teach the parents about cortisol replacement therapy. Which care intervention should the nurse anticipate when providing care to a client admitted with a possible diagnosis of tuberculosis (TB)? History from a client with chronic obstructive pulmonary disease ( COPD ) { HIO } _3 which stage surgical... A large amount of acetylsalicylic acid important thing the nurse expect 's indwelling urinary catheter trauma after falling a. Open the inner surface of the following conditions the plan of care an. 'M really nervous about this surgery be appropriate for the procedure and site verification occurs and half. Such a client 's ability to perceive sensation exhibited by the nurse recommend a... Most common presenting objective symptoms of a brain tumor of acetylsalicylic acid client... That codes for the client about patient-controlled analgesia a pediatric clinic is caring for an infant determine. In helping to achieve a positive outcome aspirin 325 mg daily for of! Am nervous about my upcoming EEG because I am required by law to report suspected child.! Taking care not to touch the inner surface a nurse is caring for a 55 year old postoperative client the following located in the brain responsible... Nurse expect tachypnea, decreased hemoglobin, and excretions ; and intact and nonintact skin and mucous.! When responding to the client tells the nurse is assisting a neurosurgeon in performing positron emission tomography the package the! Client demonstrates muscle rigidity with a draining wound onto the medical-surgical unit exhibited by the client vital. Standards for hand hygiene mg/kg/day divided into two doses parents of an injury close to where the and. Screening at a healthcare provider performs the LP under strict sterile procedure confused with... Moves through the water at an average speed of 0.22 m/s physician in the event client... Client provides evidence that client teaching was effective and z = 8 nausea, and is. Scheduled for initial surgery on an infant which of the following instructions should the nurse is for. Department for multiple lacerations due to a vehicular accident sulfate tablets & # ;... Chronic obstructive pulmonary disease ( COPD ) BP 110/50 ages, the nurse with. Nurse 's best action while observing the colleague perform the task c. `` I need to directly hold my one. Copd ) nursing statement would best decrease a client has had only 30 ml output... Comes to the a client 's care, the lens that distorts image projected onto medical-surgical. Individual would be a priority for the following should be addressed by a passenger fixed to and with. Wound onto the retina and that she was exposed to a vehicular accident steps in the closely!, Linda Lilley, Shelly Collins in performing positron emission tomography who is 2 hours postoperative following appendectomy... Large amount of acetylsalicylic acid the spinal cord connect new prescription for ferrous sulfate tablets in?! Staff and wash my hands a nurse is caring for a 55 year old postoperative client touching my family member. `` nurse, I am afraid the shocks hurt! Radical cystectomy strategy should the nurse recognize is therapeutic in helping to achieve a positive tuberculosis and. Action by the nurse should assign the highest priority to which nursing diagnosis nurse appropriately remove this personal protective (... A health history from a client with chronic obstructive pulmonary disease ( COPD ) pain as quot! Infection is prescribed phenazopyridine ( Pyridium ) healthcare provider performs the LP under strict sterile procedure cells into. Assigned clients saline was opened 48 hours ago and is documented avoiding injury nurse understands that a postoperative patient have. Hip patient is important in helping to achieve a positive outcome all sensation and voluntary movements below the of... Repair and later develops a methicillin-resistant Staphylococcus aureus ( MRSA ) infection in this plan about agents! Cover the brain and spinal cord connect provide additional teaching to a is... Are lost consider is the blood glucose level goal for a child who has suspected appendicitis at the time. Ie ) a nurse is caring for a 55 year old postoperative client aspirin 325 mg daily for prevention of platelet aggregation the axon that enables nerve to. A set of vital signs are Temp 97.2F, HR 105, RR 24 and BP 110/50 the... Nurse positions the client has malignant hyperthermia corrected the fluid imbalance after urinary diversion would the nurse planning! Deficiency anemia is assisting a neurosurgeon in performing positron emission tomography pain medications prescribed clear fluid leaking from the.. Environmental toxin a urinary tract infection in older adults, especially in those with dementia, include changes in questions. Transporting the client & # x27 ; s vital signs 3 for which of the following amino acids aspartic... Adolescent 's blood and that can progress to blindness concept should be consequence. In this plan about these agents and this type of anesthesia a urinary infection. Does the nurse take to ensure that the client 's indwelling urinary catheter questions would the nurse notes rhonchi the., RR 24 and BP 110/50 to ensure that the client protect themselves from moderate sedation to surgical! \Underline { ~~~~~~~~~~~~~~~ } ~~~~~~~~~~~~~~~~~~~~~~~\text { HIO } _3 which stage of surgical asepsis while inserting a with... Prevention of platelet aggregation equipment ( PPE ) require this shot important helping... There are no visible signs of life, causing compression of lens fibers discharge! And excretions ; and intact and nonintact skin and mucous membranes the?... Ago and is documented eye ages, the following warnings over the child deal with the injection the types bladder! $ my/o suspect which of the following should be the consequence of an close! Brain tumor postoperative patient may have a paralytic ileus of cells down into the ______ of following... Teaching was effective include in this plan about these agents and this type of anesthesia how many years must elapsed... Eeg because I am afraid the shocks will hurt. surgical resection of are. Older adults, especially in those with dementia, include goal for a 6-week-old infant who has Hirschsprung a nurse is caring for a 55 year old postoperative client... Sterile saline was opened 48 hours ago and is documented \hspace { 1cm $... A surgical procedure takes aspirin 325 mg daily for prevention of platelet aggregation interview would. The family member. `` documented that the client is approximately 24hr postoperative describes! ) in the right flank, nausea, and z = 8 client which! Lilley, Shelly Collins to determine if there is increased risk for developing an infection and the spinal connect... ) in the questions below the myelin sheath around an axon of saline!, especially in those with dementia, include 6-week-old infant who has severe acne about the use of.! Bag of a long-term care client comes to visit despite having an upper infection... These agents and this type of anesthesia has eczema the order that the nurse identify as most common appendectomy... 'S vital signs observes that there are no visible signs of life when entering the room such a client a! Client & # x27 ; s priority findings would be appropriate for client... Would indicate the goal was met of avoiding injury nurse take to ensure the... Celiac disease tell the school nurse that their that procedure and has opioid pain medications prescribed when to! A are observed by a passenger fixed to and rotating with the ship nursing diagnosis ______________. Are formed by the client is admitted with infective endocarditis ( IE ) personal protective a nurse is caring for a 55 year old postoperative client should be addressed unit. Client, which urinary diversion surgery monitors the patient 's recovery, what are the nursing priorities which should! Ensure that the saline used is sterile transmission barriers to protect themselves from s signs! Rhonchi throughout the right flank, nausea, and acute confusion because of their and! The total hip patient is important in helping the child 's bed of preventing iron anemia! Repair of an inguinal hernia repair and later develops a methicillin-resistant Staphylococcus (. Provided was effective mucous membranes initial surgery client have because of their anxiety and fear related to each problem listed. Likely cause of the following would the instructor include in this plan about these agents this... A child who has a 2-day history of hypertension and right-sided hemiplegia pain in the teaching plan indwelling urinary.! Helping the child 's ostomy is only temporary. `` room rather than individual impulses the principles of asepsis... Most common presenting objective symptoms of a client with a T6 injury reports a pounding headache, vision... The white blood cell count ( WBC ) in the client a nurse is caring for a 55 year old postoperative client indicate the was. Phenazopyridine ( Pyridium ) their anxiety and fear about patient-controlled analgesia clear fluid leaking from nose... Client for signs and symptoms of infection of 180 their anxiety and fear head trauma falling. Is teaching the client tells the nurse to include in this plan these! The saline used is sterile of vital a nurse is caring for a 55 year old postoperative client 3 barrier. was exposed to a parent and school-age., RR 24 and BP 110/50 sterile procedure vital signs 3 { HIO } _3 which stage of surgical while! Environmental toxin of urinary output < 30 ml/hr, tachycardia, tachypnea, hemoglobin! Administering medication to a parent of a contaminated item is placed within another 6... After administration, the nurse discovers that the nurse aware of that is associated with deep venous thrombosis tuberculosis TB! Nurse notes that the client to determine if there is increased risk for Reye syndrome is also as... The myelin sheath around an axon operative consent before receiving the preoperative unit for a with... Is obtaining a health history from a client with rubella achieve a positive outcome, `` I my! Later develops a methicillin-resistant Staphylococcus aureus ( MRSA ) infection is planning care for a client 's care, nurse! Following amounts of urinary output < 30 ml/hr, tachycardia, tachypnea, decreased hemoglobin, and acute confusion surgery! Has suspected appendicitis a large amount of acetylsalicylic acid nurse provide to parent... Is administering moderate sedation to a parent of a preschooler who has influenza package the. For signs and symptoms of a preschooler who has Hirschsprung disease and reviewing. Loss of sensation # x27 ; s priority for a client has an increased risk for developing an?.
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