7. An older client who lives alone in a two-story home is admitted… 7. An older client w
7. An older client who lives alone in a two-story home is admitted… 7. An older client who lives alone in a two-story home is admitted after falling while shopping. X-rays reveal a fractured left hip. With no immediate family in the area, the client is concerned about pets at home. Which interventions should the nurse implement? SATAa. Palpate and mark pedal pulsesb. Evaluate pain using a standard pain scalec. Support left leg with two pillowsd. Assess ability to bear weight when standinge. Alert social worker of client concerns 11. After diagnosis and initial treatment of a 3 year old child with cystic fibrosis, the nurse provides home care instructions to the mother. Which statement by the child mother indicates that she understands home care treatment to promote pulmonary function?a. Chest physiotherapy should be performed twice a day before a mealb. Administer a cough suppressant every 8 hoursc. Energy should be conserved by scheduling minimally strenuous activitiesd. Maintain supplemental oxygen at 4 to 6 L/minute 12. A client with deep vein thrombosis (DVT) is receiving continuous intravenous heparin infusion. The client now has tarry, black diarrhea and reports abdominal pain. Which actions should the nurse implement? SATAa. Auscultate bowel sounds in all quadrantsb. Review last partial thromboplastin time resultsc. Assess characteristics of paind. Prepare to administer warfarine. Monitor stools presence of blood 19. Which client requires careful nursing assessment for signs and symptoms of hypermagnesemia?a. A client who developed hyperparathyroidism in late adolescenceb. A female client who is overzealous with her intake of simple carbohydratesc. A middle aged male client in renal failure following an unsuccessful kidney transplantd. A young adult client with intractable vomiting from food poisoning 21. The nurse is preparing an older male adult for discharge who does not read and has bilateral hearing loss. The client daughter who lives close to her father tells the nurse that she will stop daily to check on her father. Which interventions should the nurse implement? SATAa. Include the family in the discharge teachingb. Face client when speakingc. Encourage the client to attend reading classes d. Speak loudly when teachinge. Provide the daughter with written instructions 41. The charge nurse is planning for the shift and has a registered nurse and a practical nurse on the team. Which client should the charge nurse assign to the RN?a. A 75 year old client with renal calculi who requires strainingb. A 64 year old client who had a total hip replacement the previous dayc. An adolescence with multiple contusions due to a fall that occurred 2 days agod. A 30 year old depressed client who admits to suicide ideation 49. A client with advanced cirrhosis is being treated for hepatic encephalopathy. In reviewing the client serum laboratory results, which finding requires the most immediate intervention by the nurse?a. Lowered total protein and albuminb. Elevated direct bilirubinc. Decreased ammoniad. Prolonged prothrombin time (PT) 75. A male client admitted with chronic pulmonary obstruction disease (COPD) exacerbation is receiving assisted ventilation with continuous positive airway pressure (CPAP). His vital signs are: temperature 98.8 F, heart rate 118 beats/minute, respirations 46 breaths/ minute, blood pressure 176/92 mmHg. While completing the pulmonary assessment, his oxygen saturation reading is 78% and he is difficult to arouse. Which action should the nurse implement?a. Administer PRN nebulizer treatmentb. Prepare for rapid sequence intubationc. Increase the oxygen delivery by 10%d. Complete neurological assessment Health Science Science Nursing NUR 7854 Share QuestionEmailCopy link Comments (0)
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