1. During report, an older female client who had a right total hip…

Question Answered step-by-step 1. During report, an older female client who had a right total hip… 1. During report, an older female client who had a right total hip replacement three days ago, is described as intoleratant of pain. when assessing the client, the nurse finds that the client cannot starighten her right foot which is pointing outward from her body. which action should the nurse take?a. Gently place a pillow on the outside of the leg to prevent further rotation outward.b. Sit down and talk to the client in a non-judgemental way about effective ways to handle painc. Call the healthcare provider immediately and report that the clients prosthesis is mostly likely dislocatedd. Administer a PRN opioid analgesic immediately and assess the client’s response to the medication 30 minutes later. 2. The nurse is conducting discharge teaching with the mother of a 22 month old with respiratory syncytial virus(RSV) who has one younger and one older sibling living in the home. which priority instruction should the nurse include in this teaching plan.a. Avoid tobacco use in the homeb. Institute airborne precautions for the infected childc. practice consistent handwashingd. Administer prophylactic antibiotics to both siblings 3. The nurse is calculating fluid resuscitation for a young adult male who was burned in a boating accident at 12 noon and is in the emergency center at 2 pm. the healthcare provider determines that the client has burns over 30% of his body, mainly on the arms and chest. Using the parkland formula for fluid resuscitation, the client is to receive 7,000 ml of fluids in 24 hours. which goal should the nurse establish for this client plan of carea. By 4pm, the client will have received 500 ml of iv fluidsb. By 10pm, the client will have received 3,000 ml of fluidsc. By 8pm, the client will have received 3,500 ml of fluidsd. By 2am, the client will have received 5,000 ml of iv fluids. 4. A client with hepatic failure recently started on diuretic therapy. which intervention should the nurse include in the plan of care.a. Review arterial blood gases results.b. Monitor daily sodium intake c. Record usual eating patterns d. assess for dependent pitting edema 5. A client with partial thickness and fullness turns over 50% of the body is admitted to the emergency department. The healthcare provider prescribes hydromorphone 4 mg IM q4 hours for pain. The client is complaining of 9 on 1 to 10 pain scale. which intervention shoulf the nurse implement first?a. Rule ouy any complications prior to administering the medicationb. Asssist the client with relaxation techniques and guided imageryc. Contact the healthcare provider and question the prescriptiond. Administer an additional dose of the medication into an unburned area 6. A middle-aged client is admitted to the hospital for the new onset of a nonproductive cough, elevated temperature, and sweating. The healthcare provider makes a preliminary diagnosis of community- acquired pneumonia (CAP). which prescription should the nurse address first?a.      Arterial blood gasses.b.      Portable chest radiographc.      Comprehensive metabolic paneld.      Complete blood count    7. A mother brings her 2 – years to the clinic because he has been crying and pulling on his year lobe for the passed 12 hours. The child’s oral temperature is 101.2(38.4c). Which intervention should the nurse implement?a.      cleanse purulent exudates from the affected earb.      apply a topical antibiotic to the preauricular areac.      ask the mother if the child has had a runny nosed.      provide parent education to prevent recurrence8. An older client is admitted with acute respiratory distress and has a history of COPD. On assessment there is cyanosis around the mouth and breath. The client is awake but stuporous and has a non-rebreather mask. Arterial blood gas (ABG) result s is PH.22 PaCo2 62 fi 02 0.3. Which intervention should the nurse implement?a.      Perform aggressive pulmonary toilet with postural drainage.b.      Give ipratropium 0.5 mg by nebulizer.c.      Increase Fi 02 to 0.4 on the non- rebreather mask immediatelyd.      Prepare for the intubation and mechanical ventilator placement   Health Science Science Nursing NURSING NUR 1211 D Share QuestionEmailCopy link Comments (0)