Question Answered step-by-step Image transcription textA nurse is caring for a client diagnosed with end stage renal disease. The client is 6 feet tall, weighs 180pounds, has a total serum protein of 5.8 g/dl, and nursing assessment reveals 2+ pitting edema. The nursedetermines that this client’s edema is most likely the result of: . A. increased capillary hydrostatic … Show more… Show more Health Science Science Nursing Share QuestionEmailCopy link This question was created from Reduction of Risk Potential in-class PPT- students without answers.ppt Comments (0)

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Question Answered step-by-step Image transcription textA nurse is caring for a client diagnosed with end stage renal disease. The client is 6 feet tall, weighs 180pounds, has a total serum protein of 5.8 g/dl, and nursing assessment reveals 2+ pitting edema. The nursedetermines that this client’s edema is most likely the result of: . A. increased capillary hydrostatic … Show more… Show more Health Science Science Nursing Share QuestionEmailCopy link This question was created from Reduction of Risk Potential in-class PPT- students without answers.ppt Comments (0)

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Question Answered step-by-step 31, a local team wreck has released the chemical agent chlorine. Aclient of exposure arrives  at local hospitals , as a part of the internal disaster team, the nurse is assigned to decontaminate the victims , what measure would the nurse take first to decontaminate the skin?A, remove contaminated clothing B, flush skin with plain water 2-3 minutes C, was skin with soap and water D, use bleach to decontaminate skin 32, requires assistance performing a thoracentesis at the bedside , the nurse realizes that this is what type of procedure?A, non-sterile procedure  C, surgical aseptic procedure  33) There are many causes for hypovolemic shock. Which of the following situation put someone at risk for hypovolemic shock (select all)A. Third degree burnsB. Persistent vomitingC. Excessive blood lossD. BacteriaE. Bites or stings 34) A 15 yrs old male arrives at the ambulatory clinic. He is conscious, coherent and ambulatory. His shirts and pants are covered with blood. He and his friends stated that they were playing and he fell onto a sharp stick. The victim pulled the stick out of his abdomen because it was causing him pain. Which of the following comments cause the most concernA. There was a lot of blood, we used three t- shirtsB. He has diabetes  35) During the disaster drill the nurse becomes suspicious that the clients are victims of a biological event. Which action should the nurse take next?A. Alert hospital leadership to activate an internal disasterB. Alert the charge nurse to activate the internal disasterC. Calmly apply PPED. Remove all the victims from the ER waiting area to decontaminate the area 36) A 60-year-old arrives at the triage area with a complaint of diaphoresis, dizziness and left chest sided chest pain. The LPN will expect the client to be prioritized into which categoryA. High urgentB. Non urgentC. EmergentD. Urgent 38. Which type of fluid would the nurse expect the provider to order for a client in hypovolemic shock?A. Oral hydrationB. IsotonicC.HypertonicD.Hypotonic41, during anaphylactic shock, the body reacts by rapidly vasodilating blood vessels , the body's response also includes an airway reaction to histamine. What is the expected airway response during anaphylaxis?A, bronchophony B, bronchodilation 42. A nurse is assisting with the care of a client immediately following a lumbar puncture. Which of the actions should the nurse take? Select all that applyA. Elevate the client's head of bedB. Insert a urinary catheterC.Apply a cervical collar to the client.D Monitor the puncture site for hematomaE. Encourage fluid intake.43. A client is admitted to the medical surgical unit with a diagnosis of gastrointestinal bleeding. The nurse noted that the client's hourly urine output is decreasing. What is the normal output of urine per hour?A. 30ml/hrB. 100 ml/hr 44, a client in hypovolemic shock , the nurse knows that with any type of shock , there will be a decrease in circulating blood volume resulting in decreased tissue perfusion.The inadequate tissue causes what observable sign in the client evaluation?        a, Flushed skin        b, Vasodilation        c, Increased urine output        d, Delayed capillary refill45.A nurse is collecting data on a client who has a major burn injury. The nurse should recognize which of the following findings as a priority.A.      the client has a heart rate of 122 beats per minuteB.      The client reports immediately discomfort at the burn siteC.      The client has a cough productive of black colored sputumD.      The client has a first degree burn on their hands46, nursing care for a client who is admitted with frostbite of the includes which of the following A, giving the client hot fluids to drinkB, applying a heating pad to the frostbitten area C, immersing the foot in warm water D, wrapping the foot unwarmed blankets  47, the client receiving mechanical ventilation has became more restless throughout the shift which is the nurse's first action/A , call the health care provider B, sedate the client  C, evaluate the client for pain D, evaluate the clients oxygenation  49. A client presents to the outpatient clinic with a two-day history of fever, fatigue, coughing and difficulty breathing. She is short of breath and unable to speak in complete sentences. What is the priority action?A. Review the physician orders and implement.B Obtain blood pressureC. Obtain oxygen saturation. 51, what is the priority action for the nurse to take if phlebitis infection at iv site is suspected?A, elevate the extremity B,remove the catheter C, apply continuous heat D, continue to monitor site 52. Which of the following interventions should the nurse identify as the priority for a long-term care client who is receiving mechanical ventilation?A. Suction the airway as needed.B.Providing a communication board for the clientC.Begin continues the feeding through a nasogastric tube.D.Application of antiembolism stockings.53.Which client needs to be placed immediately in isolation?A. A probable cause of inhalation anthraxB.suspected smallpox, but probable chickenpoxC.A client diagnosed with botulism poisoning 54, a nurse is caring for a client in a rehab center who is being treated for partial -thickness and full-thickness bums of his head , neck, and chest. A client who sustains bums on their face, neck , and chest is most at risk for which of the following?A, infection B, airway obstruction C, fluid and electrolyte imbalance D, loss of motor function 55, older adult clients often have fragic skin. To help prevent skin tears , which of the following interventions would be the best option when initiating a peripheral iv?A, slap the skin vigorously to cause the vein to riseB, avoid the use of a tourniquet if the vein is arady hard C, use a blood pressure cuff to cause the vein to distend D, place a gauze pad under the tourniquet before tightening 56, in a disaster triage situation, which of the following is an example of the emergent (red tag) category?A , a client who has a punctured temporal artery B, a client who exhibits manifestations of multiple organ failure C, a client who has several closed fractures with bruising D, a client who has an open fracture 57, a client has suffered a deep laceration to the femoral artery. Which type of sock would the nurse anticipate?A, hypovolemic B, neurogenicC, cardiogenic D, septic    Health Science Science Nursing NURSING 155 Share QuestionEmailCopy link Comments (0)
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