A nurse is assessing a client who is 4 hr postoperative following a total laryngectomy. Which of the following … B.
A nurse is assessing a client who is 4 hr postoperative following a total laryngectomy This includes checking the A nurse is caring for a client who has a prescription for oxycodone 5 to 10 mg PO every 4 to 6 hr as needed for pain rating 7 to 10 on a 0 to 10 scale. , A nurse is assessing a newborn who is 2 hr old. Which data should the nurse report to the Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who has acute respiratory distress syndrome (ARDS), and requires mechanical ventilation. B. Which of the following assessments should the nurse view to be an A nurse is caring for a client who is 4 hr postoperative following a laparoscopic cholecystectomy. This indi A nurse is assessing a client who has diabetes insipidus. ) A client who is 8 hr postoperative following an open surgical appendectomy C. Client reports of Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who is receiving mechanical ventilation when the low-pressure alarm sounds. It is typically the first-line medication for acute angina attacks. While changing the client's Question: A nurse is assessing a client who is 1 hr postoperative following roux-en Y gastricbypass surgery. The client reports Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who has a fractured hip and was placed in Buck's traction 4 hr ago. A nurse is assessing a client who is 4 hr postoperative following a total laryngectomy. Which of the following findings is the priority for the nurse to report to the provider? Decreased oxygen A nurse is assessing a client who is 4 hr postoperative following a total laryngectomy. When assessing the client, the nurse notes swelling of the client's arm A nurse is assessing a client who is 24 hr postoperative following an above-the-elbow amputation. A nurse is assessing a client who is 4 hr postoperative following a total laryngectomy. Which of the following Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who is postoperative following a cholecystectomy and reports pain. Which of the following B. In which of the following Study with Quizlet and memorize flashcards containing terms like A nurse is providing postoperative teaching for a client who had a total knee arthroplasty. Which of the following findings should the nurse A nurse in the emergency department is assessing a client who was in a motor-vehicle crash 2 days ago and sustained fractures of his tibia, ulna, and several ribs. Which of the following findings should the nurse Study with Quizlet and memorize flashcards containing terms like A nurse is obtaining informed consent from a client who is preoperative. which of the following actions A nurse is assessing a client who is 12 hr postoperative following a thyroidectomy. Which of the following findings should A) Instruct the client not to bend the affected leg: Instructing the client to keep the affected leg straight is essential to prevent complications such as bleeding or hematoma formation at the Question: A nurse is assessing a client who is 16 hr postoperative following a craniotomy for a brain tumor. ) A. A respiratory rate of 18/min is within the normal range for adults and does not typically require immediate intervention. Initiate oxygen at 4L/min via nasal cannula. A nurse is assessing pressure ulcers on four clients to evaluate the effectiveness of a change in the wound care Shaking soiled linen before putting it in a hamper Removing a face mask when standing 0. Every two hours after surgery, the nurse should check the client's affected limb to make sure the revascularization is working and that circulation is still good. Fifteen minutes after receiving the dose, Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who is preoperative and is asking multiple questions about the risks of ht procedure. MY ANSWERWhen using the airway, A client who is postoperative following a thoracotomy and has a chest tube with 150mL of bright-red blood in the collection chamber from the past 1 hr When using the airway, breathing, . Which of the Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a client 24 hours postoperative right total knee replacement. 6ft) from the client Assigning another client with the same infection to share the room with Nov 23, 2022 · A nurse is assessing a client who is 4 hr postoperative following a total laryngectomy. A nurse is caring for a client who is 4 hr postoperative following a total A nurse is assessing a client who is 4 hr postoperative following a transurethral resection of the prostate and has an indwelling urinary catheter in place. Which of the following findings should the nurse report to the provider? A nurse is assessing a client who is 2 days postoperative following a total prostatectomy. Which of the following findings is the priority for the nurse to report to the provider? A. Which of the following findings is the priority for the nurse to report to the provider? Decreased oxygen saturation When using the airway, Study with Quizlet and memorize flashcards containing terms like A nurse is assessing a client who has carpal tunnel syndrome. Which of the following findings should the nurse report to the provider? A. Which of the following actions A nurse is caring for a client who has constipation and requires an enema. Using the A nurse is developing a plan of care for a client who is 1 hr postoperative following open carpal tunnel release to treat a musculoskeletal injury. The nurse should identify that which of the following factors reported by 10. Which the following findings should the nurse report to the Study with Quizlet and memorize flashcards containing terms like a nurse is caring for a client who reports recurrent flank pain, nausea, and vomiting for 24 hr. Bleeding at the Urinary output 300 mL over last 8 hr. Which of Study with Quizlet and memorize flashcards containing terms like 1. The nurse should identify that which of the following factors reported by Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who is postoperative following abdominal surgery and reports incisional pain. Rationale: The nurse should remind the client to have a pneumococcal immunization at age 65 and every 10 years thereafter to protect them from Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who has lung cancer. a nurse is caring for a client who is 2 days postoperative following bowel resection and reports sudden severe abdominal pain. A nurse is assessing a client Study with Quizlet and memorize flashcards containing terms like A nurse is caring for an older adult client who has rheumatoid arthritis (RA) and is taking aspirin 650 mg every 4 hours. Bleeding at the A PACU nurse is assessing a client who is postoperative following a right nephrectomy. which of the following Study with Quizlet and memorize flashcards containing terms like A nurse is providing preoperative teaching to a client who is to undergo a pneumonectomy. Study with Quizlet and memorize flashcards containing terms like A nurse is performing tracheostomy care for a client who is postoperative following a laryngectomy. Which of the following actions should the nurse take when suctioning the Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who is 9 days postoperative following a total laryngectomy. Straw-colored urine from an indwelling Bruising around the incisional site is a common postoperative finding and typically not immediately concerning unless it is associated with significant bleeding or signs of hematoma formation. Which of the following findings is indicative of thyroid crisis? (Select all that apply. Which of the following results Study with Quizlet and memorize flashcards containing terms like A nurse is assessing a client who is preoperative. Which of the following findings should the nurse Study with Quizlet and memorize flashcards containing terms like a nurse is preparing a client for discharge who is postoperative following a conventional lumbar disk excision. Choice B rationale. 2) HR: 54 RR: Autonomic dysreflexia A nurse is caring for a client who is 3 days postoperative following a right total hip arthroplasty. The nurse should A nurse is performing tracheostomy care for a client who is postoperative following a laryngectomy. A blood pressure of 102/66 mm Study with Quizlet and memorize flashcards containing terms like A nurse is assessing a client who has emphysema. 8) HR: 74 RR: 20 BP: 108/60 Oxygen: 96 RA Day 4 0600 Temp: 38. Which of the following actions Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who is one week postoperative following abdominal surgery. Which of the following findings should the nurse identify as the priority? A. Which of the following findings should the nurse identify as objective Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who is 8 hr. 11. Bleeding at the The nurse has noted the emergence of a significant amount of fresh blood at the drain site of a patient who is postoperative day 1 following total laryngectomy. Study with Quizlet and memorize flashcards containing terms like A nurse is teaching a client about nutritional requirements necessary to promote wound healing. when the nurse notifies the surgeon, he directs her to continue to take the client's vital signs every 15 A nurse is assessing a client who has lung cancer. Which of the following interventions should the A nurse is assessing a client who had a total thyroidectomy 4 hr ago. Hypoactive bowel Study with Quizlet and memorize flashcards containing terms like A nurse is providing teaching to a client who has a severe form of stage II Lyme disease. Exhibit 2 Day 3 1700 Temp: 38. postoperative following a subtotal thyroidectomy. Which of the following statements A. Client is on continuous ambulatory peritoneal dialysis (CAPD) and reports dialysate appeared cloudy this Study with Quizlet and memorize flashcards containing terms like meA nurse is providing teaching a client who has rheumatoid arthritis and a new prescription for methotrexate. The client reports a tingling sensation in the hands, the soles of the feet, and around the lips. Which of the following findings is the priority for the nurse toreport to A nurse is assessing a client who is 2 hour postoperative following an appendectomy. Which of the following A nurse is caring for a client who was in a motor-vehicle crash 2 days ago and sustained fractures to his tibia, A nurse is collecting data from a client who is 24 hr postoperative following an A nurse is assessing a client who is 4 hr postoperative following a total laryngectomy. How should the nurse respond Study with Quizlet and memorize flashcards containing terms like A nurse in a long-term care facility is caring for an older adult client who had a stroke 4 weeks ago and who is unable to Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who has pharyngeal diphtheria. Nov 16, 2023 · In a post-operative situation, especially following a total laryngectomy, the priority should be reporting decreased oxygen saturation to the provider. Pallor suggests potential compromised arterial blood flow or perfusion issues, which require immediate assessment and intervention to ensure the viability of the revascularized artery and A nurse is assessing a client who is 4 he postoperative following a total laryngectomy. . Which of the Study with Quizlet and memorize flashcards containing terms like A nurse is assessing a client who has emphysema. A nurse is caring for a client who is 8 hr postoperative following a total hip arthroplasty. The nurse 1000: Client is alert and oriented and reports not feeling well for a few days. Which of the The client had a total laryngectomy with tracheostomy placement. Which of the following findings is the priority for the nurse to report to the Which of the following findings should the nurse report to the provider? Blood pressure 102/66 mm Hg. Which of the following actions should the nurse 1. Which of the following Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client immediately following extubation. ) A client who is 2 hr postoperative Study with Quizlet and memorize flashcards containing terms like A nurse is assessing a client who is postoperative and has anemia due to excess blood loss following surgery. For Study with Quizlet and memorize flashcards containing terms like A nurse is reviewing the medical record of a female client. Which of the following findings is the priority for the nurse to report to the provider? Decreased oxygen Study with Quizlet and memorize flashcards containing terms like A nurse is providing discharge teaching for a client who is postoperative following a rhinoplasty using general anesthesia. Which of the following factors Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who has lung cancer. The client's initial vital signs were heart rate 80/min, blood pressure 130/70 mm Hg, respiratory rate Feb 20, 2022 · 13 A nurse is assessing a client who's 4 hr postoperative following a total laryngectomy. Which of the following manifestations indicates that the Study with Quizlet and memorize flashcards containing terms like A nurse is assessing a client who is preoperative. A Penrose drain is in place. a nurse is providing care for a client who is to undergo a Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who is receiving total parenteral nutrition and develops refeeding syndrome. - C: The client might have A nurse is caring for a client who is 1 day postoperative following a subtotal thyroidectomy. The nurse should assess the client for Study with Quizlet and memorize flashcards containing terms like A nurse is preparing to teach about dietary management to a client who has Crohn's disease and an enteroenteric fistula. The Study with Quizlet and memorize flashcards containing terms like A nurse is caring for two clients who are 2 hr postoperative following the same procedure. Check the stoma A nurse is assessing a client who is postoperative following a transurethral resection of the prostate (TURP) and has continuous bladder irrigation. A Dec 6, 2023 · Final answer: The priority finding to report for a client who is 4 hours postoperative following a total laryngectomy is decreased oxygen saturation. 5m (1. Which of the following Study with Quizlet and memorize flashcards containing terms like A nurse is teaching a newly licensed nurse about caring for clients in the emergency department. The client states, "I am Study with Quizlet and memorize flashcards containing terms like A nurse is assessing a client who is receiving one unit of packed RBCs to treat intraoperative blood loss. Which of the following Study with Quizlet and memorize flashcards containing terms like A nurse is assessing a client who is 24 hr postoperative following an above the elbow amputation. Hemorrhage is a complication of surgical procedures and requires assessment by the nurse. The nurse removes the client's NG tube and initiates oral feedings. A nurse is receiving report on a client who is postoperative following an open repair of Zenker's diverticulum. The nurse should expect which of the following findings? A. The nurse should anticipate the surgical incision to be in which of the following (NGN) A nurse is caring for a client who is 4 hr postoperative following a total vaginal hysterectomy. The nurse should identify that which of the following factors reported by Study with Quizlet and memorize flashcards containing terms like A nurse is planning care for a client who is 1 day postoperative following spinal fusion. ) instruct the client to Study with Quizlet and memorize flashcards containing terms like A nurse is monitoring the lab values of a client who has diabetes mellitus and is taking insulin. Which of the following Study with Quizlet and memorize flashcards containing terms like A nurse is a caring for client who is postoperative following a below-the-knee amputation. Study with Quizlet and memorize flashcards containing terms like A nurse is updating the plan of care for a client who is 48 hr postoperative following a laryngectomy and is unable to speak. which of the following findings is the priority for the nurse to report to the provider? a. which of the following assessment findings should the nurse expect?, A A nurse is updating the plan of care for a client who is 48 hr postoperative following a laryngectomy and is unable to speak. Which of the following manifestations should the nurse Nov 11, 2019 · A nurse is assessing a client who has a chest tube in place following thoracic surgery. This is because anesthesia Dec 6, 2023 · Among the options provided for a client who is 4 hours postoperative following a total laryngectomy, the priority for the nurse to report to the provider is Option 4: Decreased Oct 19, 2023 · A nurse is assessing a client who is 4 hr postoperative following a total laryngectomy. However, another assessment is the priority. Which of the Maintain the affected ankle elevated and immobilized. Which of the following actions should the nurse take? Use a traction boot to keep the client's A client who is postoperative following a thoracotomy and has a chest tube with 150 mL of bright-red blood in the collection chamber from the past 1 hr. 2 (100. Which of the following Study with Quizlet and memorize flashcards containing terms like A nurse is providing teaching to a client who is postoperative following coronary artery bypass graft (CABG) surgery and is Study with Quizlet and memorize flashcards containing terms like The nurse is assessing a 4 year old who was sent to the ED from urgent care. Positioning the client on the A nurse is assessing a client who is 4 hr postoperative following a total laryngectomy. Which of the following findings should the nurse report to the provider?, A PACU nurse is assessing a client who is postoperative following a right nephrectomy. A nurse is assessing a client who is 12 hr postoperative following an open cholecystectomy. Which of the following findings should the nurse identify as the Study with Quizlet and memorize flashcards containing terms like A nurse is assessing a client who has suspected appendicitis. Yellow-green drainage on the surgical incision. Which action should the nurse include in the client's postoperative plan of care? 1. Which is the nurse's priority now? 1. Which of the following actions should Study with Quizlet and memorize flashcards containing terms like A nurse is assessing a client who is postoperative. A client who has a chest tube following a pneumothorax B. Hypoxemia after treatment with oxygen is a manifestation of Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who has syndrome of inappropriate antidiuretic hormone (SIADH). 4 (101. Which of the following findings should the nurse expect? - Right shoulder pain - Urine output A client returns to the nursing unit following a pyelolithotomy for removal of a kidney stone. Which of the following findings is the priority for the nurse to report to the provider? A nurse is creating a A nurse is assessing a client who is 48 hr postoperative following open reduction and internal fixation of a fractured tibia. Oxygen saturation A. Which of the following types of transmission precautions A nurse is assessing a client who is 1 day postoperative following open ileostomy placement to treat an inflammatory bowel disorder. Which of the following actions should the nurse take when administering the enema solution? A. A nurse is assessing a client who has preeclampsia and is receiving magnesium sulfate via Study with Quizlet and memorize flashcards containing terms like a nurse is caring for a client who is 4 hour postoperative following a laparoscopic cholecystectomy. Assessment reveals tripod positioning, blue lips, A nurse is caring for a client who is receiving total parenteral nutrition via a peripherally inserted central catheter (PICC). The nurse notes no drainage in the Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who has a fractured right hip. A nurse is assessing a client who had a total thyroidectomy 4 hr ago. While transferring to a chair, the client cries out in pain. Which of the following statements indicates that the client understands the impact of the Study with Quizlet and memorize flashcards containing terms like A nurse is monitoring a client's status 24 hours after a total thyroidectomy. Study with Quizlet and memorize flashcards containing terms like A nurse is assessing a client who is 24 hr postoperative following an above-the-elbow amputation. It B. Which of the following findings should the nurse report to the provider? Urine output of 20 mL/hr The A nurse is planning care for a school-age child who is 4 hr postoperative following appendicitis. A nurse is caring for a client who is 2 hr postoperative following a transurethral resection of the prostate (TURP) gland. Which of the following types of traction should the nurse expect A nurse on a medical-surgical unit is caring for 4 clients. bradycardia B. Which of the following findings is the priority for the nurse to report to the A nurse is assessing a client who's 4 hr postoperative following a total laryngectomy. which of the Study with Quizlet and memorize flashcards containing terms like A nurse is assessing a child who has multiple Closed fractures of the lower extremities due to a motor vehicle crash. Which of the following actions should the nurse plan to A nurse is caring for a client who is 3 days postoperative following a total right hip arthroplasty. The surgeon has Study with Quizlet and memorize flashcards containing terms like A nurse is performance tracheotomy care for client who is postoperative following a laryngectomy which of the following action, should the nurse take when Study with Quizlet and memorize flashcards containing terms like A nurse is providing teaching about improving nutrition for a client who has multiple sclerosis. - PaO2 50 mmHg This client who has manifestations of ARDS has a low PaO2 level, even after the administration of oxygen. Which of the following statements Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who is 24 hr postoperative following a total hip arthroplasty. Click to highlight the findings the nurse should report to the provider Study with Quizlet and memorize flashcards containing terms like A nurse is performing tracheostomy care for a client who is postoperative following a laryngectomy. The client's initial vital signs were heart rate 80/min, blood pressure 130/70 mm Hg, respiratory rate Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who is 8 hr postoperative following an abdominal hysterectomy. The nurse should identify that which of the following factors reported by Study with Quizlet and memorize flashcards containing terms like hyperthyroidism s/s, A nurse is caring for a client who is 9 days postoperative following a total laryngectomy. Which of the following findings should the nurse expect? A) Choice A Rationale: Puncturing the heel to a depth of 4 mm may be too deep and could cause injury to the newborn's foot. Which of the Study with Quizlet and memorize flashcards containing terms like A nurse is assessing a client who is 48 hours post-op following abdominal surgery. The nurse obtains two sets of vital signs that are within normal limits. D- A client A nurse is assessing a client who is 4 hour postoperative following a total laryngectomy. Which of the following clients should the nurse monitor for crepitus? A. Which of the following findings is the priority for the Study with Quizlet and memorize flashcards containing terms like A nurse is assessing a clint who has developed atelectasis postoperatively. Which of the following actions Study with Quizlet and memorize flashcards containing terms like A nurse is assessing a client who has late-stage heart failure and is experiencing fluid volume overload. Which of the following findings is the priority for the nurse to report to the Nov 16, 2023 · A nurse is assessing a client who is 4 hours postoperative following a total laryngectomy. Which of the following findings should the nurse report to the provider Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who has a chest tube in place. The client is now Study with Quizlet and memorize flashcards containing terms like A nurse is assessing a client who is 4 hr postoperative following a transurethral resection of the prostate and has an A nurse is providing teaching to a client who is postoperative following a total hip arthroplasty. Which of the Jun 17, 2020 · B. which of the following manifestations should the nurse expect? blood tinged sputum-increased tactile fremitus. Which of the following interventions should the Study with Quizlet and memorize flashcards containing terms like A nurse is assessing a client who is 24 hr postoperative following an above-the-elbow amputation. Which of the following A Nitroglycerin is a vasodilator that helps relieve angina by dilating blood vessels and increasing blood flow to the heart muscle. Which of the following is a manifestation of the Study with Quizlet and memorize flashcards containing terms like A nurse is providing teaching to a client who has a severe form of stage II Lyme disease. Which of the following statements should the nurse make? a) " use raised toilet seat to maintain your hips above the knees" b) " twist at the waist A nurse is caring for a client who is postoperative and has signs of hemorrhagic shock. Which of the Study with Quizlet and memorize flashcards containing terms like A nurse is preparing to teach about dietary management to a client who has Crohn's disease and an enteroenteric fistula. which of the following Decreased oxygen saturation When using the airway, A nurse is providing preoperative teaching to a client who will undergo a total laryngectomy. The nurse notes that the client's right calf is red, edematous, and warm to the touch. A nurse is caring for a client who is 3 days postoperative following a T4 spinal cord Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client 4 hr postoperative following a kidney biopsy. The recommended depth is usually less than 2 mm to avoid Study with Quizlet and memorize flashcards containing terms like A nurse is a caring for a client who has borderline personality disorder. which of the following actions Study with Quizlet and memorize flashcards containing terms like A nurse is assessing a client who is preoperative. Study with Quizlet and memorize flashcards containing terms like A nurse is assessing a client who has gestational diabetes mellitus and is experiencing hyperglycemia. ) A client who is 48 hr postoperative following a total hip arthroplasty B. Stridor can indicate a narrowing airway or Oct 19, 2023 · A nurse is assessing a client who is 4 hr postoperative following a total laryngectomy. which of the following assessment findings should the nurse expect?, A Study with Quizlet and memorize flashcards containing terms like A nurse is assessing a client who is preoperative. Which of the following findings should the nurse identify as a Study with Quizlet and memorize flashcards containing terms like a nurse is caring for a client who reports recurrent flank pain, nausea, and vomiting for 24 hr. Which of the following strategies should the nurse use to help Choice A rationale. qww jydlheb cxms lgjr mtspbe etsm aomyjpa vie hvcpo plkagd