A nurse in an emergency department is caring for a client
A nurse in an emergency department is caring for a client. The nurse is unable to locate members of the client's family to obtain consent. Which of the following findings should the nurse expect?, A nurse in a pediatric emergency department is caring for four clients. The client is reporting anxiety, discomfort, and a feeling of bloating. Will she still be able to perform?" B. Vitamin K A nurse in an emergency department is caring for an adolescent client who reports being sexually assaulted just prior to admission. c) Hot flashes are common. Which of the following procedures should the nurse use to assess the clients repiratory A triage nurse in an emergency department is caring for a client who has a gunshot wound to the right side of her chest. Which of the following drugs should the nurse expect to administer to the client? A. Suture removal kit C. Client is undergoing chemotherapy for pancreatic cancer and has been taking 40 mg oxycodone extended-release tablets Study with Quizlet and memorize flashcards containing terms like A nurse in an emergency department is caring for a client who reports developing severe right eye pain with a gritty sensation while sawing wood. Client is admitted to the emergency department with periodic episodes of wheezing and shortness of breath. The client suspects the snake to be venomous. Client works outside building homes and reports a medical history of diabetes. The Correct Answer is C. Place the client in a supine A nurse in the emergency department is caring for a client who was in a motor-vehicle crash. A client who is 2hr postoperative following an open reduction Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who has a chest tube following a lobectomy. , A nurse in the emergency department is assessing a A)Propranolol B) Theophylline C) Montelukast D)Prednisone, A nurse is caring for a client who is brought into the emergency department immediately following a snake bite to his forearm. Which of the following actions should the nurse take when washing their hands?, A nurse is collecting data from a client who has an NG tube set to low intermittent A nurse in the emergency department is caring for a client who was injured in a motor-vehicle crash. Which of the following actions is the nurse's priority?, A nurse admits a A nurse is caring for a client who has fluid volume overload. A nurse in the emergency department is caring for a child who has a fever and fluid-filled vesicles Study with Quizlet and memorize flashcards containing terms like a nurse in an emergency department is caring for a female adolescent who has a diagnosis of bulimia nervosa and had a fainting episode during a ballet performance. C. Diabetic Ketoacidosis is suspected. The nurse should anticipate which of the following prescriptions from the provider?, A nurse is reviewing the arterial blood gas values for a client. Which of the following items should the nurse keep easily accessible for the client? A. Administer pain medication. Lung sounds A nurse is caring for a client who has a prescription for potassium chloride (KCL) 20 mEq PO daily. Contact the facility's ethics committee: This is incorrect because it is not an urgent action and it does not address the client's immediate needs. Discuss self-defense techniques with the client. Study with Quizlet and memorize flashcards containing terms like The nurse is assigned to care for four clients. Which of the following instructions should the nurse include? A. a client with dysuria and urinary urgency for a day and a temp of 100. Increased urinary output C. A client who is 8hr postoperative following an open surgical appendectomy. Which of the following actions should the nurse take first? A. The nurse should assign priority to which client? a. Container of sterile water D. A nurse in an emergency department is assessing a client who has been taking warfarin and is experiencing rectal bleeding. A client who twisted her ankle when she fell while rollerblading c After providing first aid, which of the following actions should the nurse take first?, A nurse is assessing a client who is experiencing moderate-level anxiety. Physical Examination Client presents to the ED with upper abdominal pain that radiates to the right shoulder. Client reports wheezing, chest tightness, and persistent dry cough that increases at night. Elevate Study with Quizlet and memorize flashcards containing terms like A nurse in an emergency department is providing discharge teaching to a client who has a knee injury and will be using a pair of axillary crutches for the first time. Which of the following statements by the parent acknowledges the client's diagnosis? A. Protamine D. Using the rule of nines the nurse should document the burns to which percentage of the client's total body surface area (TBSA)? A. Client is awake, alert, and oriented x3. Auscultate for wheezing. Which of the following clients is at greatest risk for pulmonary embolism? A. The client has a blood pressure of 100/60 mm Hg, a weak pulse rate of 118/min, and a respiratory rate of 40/min. " B. A nurse in an emergency department is caring for a client who has a sucking chest wound resulting from a gunshot. Exhibit 1: Nurses' Notes 1200:Client arrives to ED and reports abdominal pain and no bowel movement for the past 7 days. Nonadherent pads, A nurse in the emergency department is caring for a client who is Study with Quizlet and memorize flashcards containing terms like A nurse in an emergency department is caring for a client who has heroin toxicity. A nurse in an emergency department receives report from an emergency responder who states a client is beingtransported following exposure to a "dirty bomb". 2 mEq/L. Extra drainage system B. "Lean on the crutches to support your body weight when standing. Which of the following interventions should the nurse perform first? Clean and dress the wound. " The nurse notes the client has multiple lacerations and ecchymoses and sees in the client's medical record that she visited 2 months ago for similar injuries. In planning client rounds, which client should the nurse assess first? 1. 020 BUN 15 mg/dL Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client in the emergency department (ED). Reverse the toxicity with naloxone C. 18% D. Wheezing C. 1 5 0 0: Client presents to ED with severe pain of right flank area. d. 32, PaCO2 48 mm Hg and the HCO3 is . Pink mucous membranes E. Orange juice c. Which of the following actions should the nurse take first? A nurse in an emergency department is caring for a client who is unconscious and requires emergency medical procedures. Filgrastim B. Hypersomnia D. Clean the wound C. Which of the following findings should the nurse expect? A. Cranberry juice, A nurse in an emergency department is caring for an adolescent following a suicide attempt A nurse in the emergency department is caring for a client who has fruity breath odor, dry mouth, and extreme thirst. B. Search Complete the diagram by d condition the A nurse is caring for a client in an emergency department (ED). Monitor for hypotension. B Inform the client photographs of injuries are required for a police report. Retraction of sternal muscles D. , A nurse is caring for a client in an emergency department who is being seen for treatment of injuries sustained from their partner. Which of the following manifestations should the nurse expect to find for a client experiencing an acute MI? (Select all that apply. , A nurse is caring for a Study with Quizlet and memorize flashcards containing terms like A nurse is caring for four clients. A postoperative client preparing for discharge with a new medication 2. The nurse notes a thick dressing on the chest and a sucking noise coming from the wound. Give the ordered KCL as prescribed. Vanilla milkshake d. Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who came to the emergency department with abdominal distention and is now on the medical=surgical unit with an NG tube in place to low gastric suction. Which of the following findings should the nurse identify as consistent with neuroleptic malignant syndrome?, A nurse is providing education to a client about the process of neurotransmission. Which of the following actions should the nurse take to assist with obtaining consent for the client's Study with Quizlet and memorize flashcards containing terms like A nurse in the emergency department (ED) is caring for a client who reports abdominal pain. Bilateral breath sounds with inspiratory and expiratory wheezing. Which of the following assessments should the nurse make? Blood glucose level Pupillary reaction to light Deep tendon reflexes Liver function tests Study with Quizlet and memorize flashcards containing terms like A nurse in the emergency department is caring for a client who is experiencing an acute asthma attack. a client who fell and has wrist pain with an obvious deformity b. a client with new onset slurred speech and right arm weakness c. The nurse notes that the client's chest movement inward during inspiration and bulges out during expiration. Which of the following medications should the nurse plan to administer?, A nurse is reviewing the medication list of a client who wants to begin taking oral An emergency department nurse is caring for a client in hypovolemic shock, a result of external hemorrhage caused by a gunshot wound. After observing standard precautions, which of the following actions should the nurse perform first? A. The nurse reviews the client's most recent laboratory results and finds the client's potassium level is 5. Bradypnea A nurse is caring for an adolescent client who has long history of diabetes mellitus and is being admitted to the emergency department confused, flushed, and with an acetone odor on the breath. Proceed with provision of medical care. The nurse should prepare to care for a client that has beenexposed to which of the following types of agents? Study with Quizlet and memorize flashcards containing terms like A nurse in an emergency department is caring for a client who has anaphylaxis following a bee sting. Which of the following findings should indicate to the nurse that the client is experiencing fluid volume deficit? Heart rate 110/min Blood pressure 138/90 mm Hg Urine specific gravity 1. Answer and Explanation. Which of the following assessments indicates that the respiratory status is declining? (select all that apply) A. Nystagmus B. b) Vaginal secretions will increase. 54% Study with Quizlet and memorize flashcards containing terms like A nurse in an emergency department is assessing a client for suspected cocaine intoxication. c. After reviewing the client's history, the nurse should determine that which of the following is the priority risk factor for suicide completion?, A nurse in a mental health clinic is caring for a client who has bipolar disorder and a A nurse is caring for a client who has endometriosis and will receive depot injections of leuprolide. Warm, dry skin B. A nurse in an emergency department is caring for a client who has full-thickness burns over 20% of their total body surface area. A client complaining of muscle aches, a headache, and malaise b. The client's physical assessment is complete, and physical evidence has been collected. Which of the following actions should the nurse take first? A nurse in an emergency department is caring for a client who has a blood pressure of 254/139 mm Hg. direct pressure over the wound D. 9% C. Which of the following referrals should the nurse make for the caregiver?, When admitting a client to the medical unit, the nurse asks him if he has a nurse in an emergency department is caring for a client and finds a razor blade hidden in the client's personal belongings. "She won't Study with Quizlet and memorize flashcards containing terms like A nurse is triaging four clients in the emergency department (ED). a client with a small laceration who has not received a recent tetanus shot, A nurse in the emergency department is caring for a client who A nurse in the emergency department is caring for a client who has abdominal trauma. Which of the following information should the nurse give the client? a) Menstruation will become regular. Color pale, skin warm and dry. d) Hair loss is common. Depression Mod 4 post quiz, A nurse is caring for a client who has major depressive disorder and is scheduled for electroconvulsive The nurse in the emergency department is caring for a young female victim of sexual assault. Study with Quizlet and memorize flashcards containing terms like A nurse in an emergency department is caring for a client who has diabetic ketoacidosis (DKA) and a blood glucose level of 925 mg/dL. Crushed ice b. Study with Quizlet and memorize flashcards containing terms like A client comes to the emergency department after an assault and is extremely agitated, trembling, and hyperventilating. A client requiring daily dressing changes of a recent surgical incision 3. Study with Quizlet and memorize flashcards containing terms like a nurse is caring for a client who is scheduled for a coronary artery bypass graft (CABG) in 2 hr. Which of the following fluid items should the nurse offer the child at this time? a. Administer IV fluids. The child is the client's sole caregiver and reports feeling fatigued and overwhelmed. which of the following client statements indicates a need for further clarification by the nurse?, a nurse in an emergency department is caring for a client who had an anterior myocardial infarction. Which of the following central venous access devices should the nurse anticipate being inserted? Study with Quizlet and memorize flashcards containing terms like A nurse in an emergency department is caring for a client who is bleeding from a deep laceration on his left lower forearm. SaO2 95% B. Reports nausea, vomiting and appears diaphoretic. The Correct Answer is D. The provider determines that the client needs immediate central venous access for fluid and blood replacement. The nurse recognizes that the client is in a hypertensive crisis. Which nursing interventions should the nurse take? Select all that apply. Verbally attempt to calm the client D. On physical assessment, the nurse notes old and new ecchymotic Study with Quizlet and memorize flashcards containing terms like The nurse employed in an emergency department is assigned to triage clients coming to the emergency department for treatment on the evening shift. Client rates pain as 7 on a scale of 0 to 10. Exhibit 2. which of the following actions should the nurse take? A Discuss self-defense techniques with the client. The nurse has notified the provider of the client's 0700 assessment data and lab results. Study with Quizlet and memorize flashcards containing terms like A nurse in an emergency department is caring for a client who has acute haloperidol toxicity. Deferoxamine C. Study with Quizlet and memorize flashcards containing terms like A nurse in an emergency department is caring for a client. Administer a tetanus booster. Which of the following actions should the nurse take first? Assess the client's level of consciousness. A nurse in an emergency department is caring for a client who reports vomiting and diarrhea for the past 3 days. A nurse in an emergency department is caring for a client who has a blood pressure of 254/139 mmHg. Inform the client photographs of injuries are required for a police report. the nurse should identify that this finding is consistent with which of the following disorders? A nurse in an emergency department is caring for an adolescent client who reports being sexually assaulted just prior to admission. A client scheduled for a chest x-ray after insertion of a Study with Quizlet and memorize flashcards containing terms like A nurse in an emergency department is caring for an adolescent following a suicide attempt. A client who is 48hr postoperative following a total hip arthroplasty. Which client is most at risk for developing obstructive shock?, A nurse in the emergency department (ED) is caring for a client who was recently stung by a bee. What is the priority nursing action for this client?, An 87-year-old person is brought to the emergency department for treatment of a fractured arm. The nurse should first _______, followed by_________, A nurse is preparing to obtain a client's vital signs. Which of the following actions should the nurse plan to take? A. After ensuring a patent airway and administering oxygen, which of the following items should the nurse prepare to administer first? A nurse in the emergency department is caring for a client who has a 30% burn injury to her lower extremities. Administer warmed IV fluids to counteract hypothermia B. Identify clinical manifestations of anaphylactic shock. Which of the following actions should the nurse take? A. Tachycardia, A nurse is caring A nurse in the emergency department (ED) is caring for a 13-year-old client who presented with right lower quadrant abdominal pain, nausea, and fever. "She works so hard at ballet. Apply a tourniquet just below the elbow B. Perform ocular irrigation of the right eye C. The pH is 7. Dilated pupils C. "Fully extend your arms when Study with Quizlet and memorize flashcards containing terms like A nurse in the emergency department is caring for a client who has a snakebite on her arm. 4 d. A. Tachycardia D. Nurses' Notes. The client is unresponsive and the client's spouse is not present at the facility. The client reports dyspnea and severe pain. The nurse notes that the client is withdrawn, distracted, tremulous, and bewildered at times. Study with Quizlet and memorize flashcards containing terms like A home health nurse is interviewing the adult child of a client who has Alzheimer's disease. which of the following manifestations sould the nurse expect?, A nurse is caring for a client who is experiencing an astham attack. Lung sounds A) The infant's weight and length follow the expected growth curve B) The infant is up to date on immunizations C) The infant has faded bruise marks on their upper arms D) The infant cries when they are held by the nurse, A nurse is caring for a client in an emergency department who is being seen for treatment of injuries sustained from their A nurse in the emergency department is planning care for a client who is admitted for an overdose of phencyclidine (PCP). Select all that apply. Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client in the emergency department (ED). The client's presentation of chest pain radiating to the left arm, sweating, shortness of breath, epigastric discomfort, cool and diaphoretic skin, tachycardia, and ST elevation on the electrocardiogram (ECG) are indicative of myocardial infarction (heart attack). Lung sounds Study with Quizlet and memorize flashcards containing terms like a nurse is caring for a client who is scheduled for a coronary artery bypass graft (CABG) in 2 hr. Which of the following assessment findings should the nurse identify as an indication of hypovolemic shock? A. Exhibit 1. Instill proparacaine hydrochloride eyedrops B. The nurse should take which of the following actions to provide care to this client? (Select all that Study with Quizlet and memorize flashcards containing terms like A nurse in the emergency department is caring for a client following a motor vehicle crash. the client's history reveals she Study with Quizlet and memorize flashcards containing terms like A nurse in an emergency department is caring for a client who states, "I tripped over the dog again. ) Orthopnea Headache Nausea Tachycardia Diaphores A nurse in an emergency department is caring for a client who has burns on the front and back of both legs and arms. Administer ammonium chloride Study with Quizlet and memorize flashcards containing terms like a nurse is assessing a client who is experiencing diarrhea and vomitting and has a sodium level of 124 meq/l. The client asks about the effects of this medication. A nurse in an emergency department is assessing a client who is having a suspected acute myocardial infarction (MI). Client also reports nausea, vomiting, and dyspepsia. Administer epinephrine. The infant has faded bruise marks on their upper arms. The infant cries when they are held by the nurse. Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a child who is 2 hr postoperative following a tonsillectomy. The client is unresponsive with pinpoint pupils and a respiratory rate of 6/min. Exhibit 3. 36% B. Which of the following interventions should the nurse implement? a) immobilize the limb at the level of the heat b) apply a tourniquet to the affected limb c) use a sterile scapula to incise the wound d) apply ice to the skin over the ***A nurse in an emergency department is caring for a client who has a blood pressure of 254/139 mmHg. ughosemxhsshcyihlmzkbcjkpcnocvmgvykpabfliaveoauqu