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I was having this discussion with a friend, but we later agree to to these. Hope this will benefit all nurses student still in school or awaiting to take NCLEX. Is more or less like a study :rckn:group. If you think you have any question you can thread and pple will respond with answer. Just thread in question with no answer to see what you have learn so far.
Absence of bubbling in the water seal compartment indicate what?:thnkg:
ok here are the answers:a preterm infant develops nasal flaring, cyanosis, and diminished unilateral breath sounds. the health care providerer's diagnosis is unilateral phenomorthorax. which procedure should the nurse prepare first?
1. cardiopulmonary resusciation
2. inseration of chest tube
3. oxygen therapy
4. assisted ventilation
a parent tells the nurse that their six year old child, who normally enjoys school, has not been doing well since grandmother died 2 months ago. which statement accuratly describes thoughts about death and dying at this age?
1. death is personofied as boogeyman or devil
![]()
2. death is percieved as being irreversible
3. the child feels guilty for the grandmother's death
4. the child feels worried that the child , too, might die
a nurse is caring for a client with active tb and a history of noncompliance. which of these actions by the nurse would represent appropriate care for this client?
1. instruct client to wear high effiency particulate air mask in public areas
2. ask a family member to supervise daily compliance
direct observation therapy needs to be iniated
3. schedule weekly clinic visits for the client
client needs dot
4. ask the health care provider to change the regimen to fewer medications
A pt with severe chest trauma is admitted to the ER. what should the nurse do first?
1- obtain detailed description of the cause
2- identify the pt
3- ability to communicate
4- determine Hx of allergic reaction
The nurse call time out during surgery when she observed another nurse doing what?
1- place a sterile glove hand below waist level
2- discard sterile supplies into a waste basket
3- place sterile drape in position from front to the back
4- move an instrument from a sterile towel to a sterile bowl
which of the following documentation is incorrect
1- after a thorough search a the CNA was unable to locate the pt denture
2- T. Rogers, RN discovered pt lying on floor next to the bed. pt states "i got dizzy"
3- because of staffing shortage, phenytoin 100mg IV was given instead of Dilantin 100mg P.O
4- pt fell out of bed while reaching for cane. The bed was at the lowest level.
A pt with severe chest trauma is admitted to the ER. what should the nurse do first?
1- obtain detailed description of the cause
2- identify the pt
3- ability to communicate
4- determine Hx of allergic reaction
The nurse call time out during surgery when she observed another nurse doing what?
1- place a sterile glove hand below waist level
2- discard sterile supplies into a waste basket
3- place sterile drape in position from front to the back
4- move an instrument from a sterile towel to a sterile bowl
which of the following documentation is incorrect
1- after a thorough search a the CNA was unable to locate the pt denture
2- T. Rogers, RN discovered pt lying on floor next to the bed. pt states "i got dizzy"
3- because of staffing shortage, phenytoin 100mg IV was given instead of Dilantin 100mg P.O
4- pt fell out of bed while reaching for cane. The bed was at the lowest level.
a pt with severe chest trauma is admitted to the er. what should the nurse do first?
1- obtain detailed description of the cause
2- identify the pt
3- ability to communicate
4- determine hx of allergic reaction
the nurse call time out during surgery when she observed another nurse doing what?
1- place a sterile glove hand below waist level
2- discard sterile supplies into a waste basket
3- place sterile drape in position from front to the back
4- move an instrument from a sterile towel to a sterile bowl
which of the following documentation is incorrect
1- after a thorough search a the cna was unable to locate the pt denture
2- t. rogers, rn discovered pt lying on floor next to the bed. pt states "i got dizzy"
3- because of staffing shortage, phenytoin 100mg iv was given instead of dilantin 100mg p.o
4- pt fell out of bed while reaching for cane. the bed was at the lowest level.
a pt with severe chest trauma is admitted to the er. what should the nurse do first?1- obtain detailed description of the cause
2- identify the pt ability to communicate
4- determine hx of allergic reaction
sorry for these question. an incomplete answer. the answer should be determine the extent of the chest injury.
the nurse call time out during surgery when she observed another nurse doing what?
1- place a sterile glove hand below waist level:yeah:
2- discard sterile supplies into a waste basket
3- place sterile drape in position from front to the back
4- move an instrument from a sterile towel to a sterile bowl
which of the following documentation is incorrect
1- after a thorough search a the cna was unable to locate the pt denture
2- t. rogers, rn discovered pt lying on floor next to the bed. pt states "i got dizzy"
3- because of staffing shortage, phenytoin 100mg iv was given instead of dilantin 100mg p.o:yeah:
4- pt fell out of bed while reaching for cane. the bed was at the lowest level.
:ancong!:
which pt should be assign to CNA
1- pt with stable pulmonary artery pressure after mitral valve replacement.
2- pt on bed rest with bathroom privileges and negative troponin and CK-MB LEVEL
3- pt with chest pain to rule out a MI
4- pt with discharge order and wound care teaching after CABG
A pt with septic have a temp 104* F and unresponsive to antipyretics and the nurse places the pt on hypothermia blanket. what should the nurse instruct the CNA to perform?
1- document dietary intake
2- turn the pt every 2hrs
3- wrap the pt hands and feet
4- report the pt skin appearance
A pt with suprapubic catheter in place for 2 day.what delegation can the nurse give to the CNA
1- change the catheter
2- clean area around the catheter
3- determine the urine output adequacy
4- instruct the pt how to care for the catheter
which pt should be assign to cna1- pt with stable pulmonary artery pressure after mitral valve replacement.
2- pt on bed rest with bathroom privileges and negative troponin and ck-mb level
3- pt with chest pain to rule out a mi
4- pt with discharge order and wound care teaching after cabg
a pt with septic have a temp 104* f and unresponsive to antipyretics and the nurse places the pt on hypothermia blanket. what should the nurse instruct the cna to perform?
1- document dietary intake
2- turn the pt every 2hrs
3- wrap the pt hands and feet
4- report the pt skin appearance
a pt with suprapubic catheter in place for 2 day.what delegation can the nurse give to the cna
1- change the catheter
2- clean area around the catheter
3- determine the urine output adequacy
4- instruct the pt how to care for the catheter
which pt should be assign to cna
1- pt with stable pulmonary artery pressure after mitral valve replacement.
2- pt on bed rest with bathroom privileges and negative troponin and ck-mb level
3- pt with chest pain to rule out a mi
4- pt with discharge order and wound care teaching after cabg
a pt with septic have a temp 104* f and unresponsive to antipyretics and the nurse places the pt on hypothermia blanket. what should the nurse instruct the cna to perform?
1- document dietary intake
2- turn the pt every 2hrs:nono: not related to the hypothermia blanket
3- wrap the pt hands and feet- to prevent frobite
4- report the pt skin appearance
a pt with suprapubic catheter in place for 2 day.what delegation can the nurse give to the cna
1- change the catheter
2- clean area around the catheter
3- determine the urine output adequacy
4- instruct the pt how to care for the catheter
:ancong!:
which pt can be delegate to an LPN
1- pt with diagnosed with psychosis
2- pt in buck's traction
3- pt receiving blood transfusion
4- pt receiving chemotherapy
A pt on ventilator alarm show high pressure. which of the following action should the nurse take first
1- notify the respiratory therapist
2- observe the ventilator tubing for excessive fluid
3- auscultate breath sound
4- deactivate the alarm and check the spirometer
A nurse notice a pt coughing and experiencing tachycardia, dyspnea and pallor during insertion of CVC. which of the following action should the nurse take initially
1- administer oxygen
2- notify the physician
3- position the pt to the left side and lower HOB
4- instruct the pt to do valsalva maneuver
which pt can be delegate to an lpn1- pt with diagnosed with psychosis
2- pt in buck's traction
3- pt receiving blood transfusion
4- pt receiving chemotherapy
a pt on ventilator alarm show high pressure. which of the following action should the nurse take first
1- notify the respiratory therapist
2- observe the ventilator tubing for excessive fluid
3- auscultate breath sound
4- deactivate the alarm and check the spirometer
a nurse notice a pt coughing and experiencing tachycardia, dyspnea and pallor during insertion of cvc. which of the following action should the nurse take initially
1- administer oxygen
2- notify the physician
3- position the pt to the left side and lower hob
4- instruct the pt to do valsalva maneuver
which pt can be delegate to an lpn1- pt with diagnosed with psychosis
2- pt in buck's traction:yeah:
3- pt receiving blood transfusion
4- pt receiving chemotherapy
a pt on ventilator alarm show high pressure. which of the following action should the nurse take first
1- notify the respiratory therapist
2- observe the ventilator tubing for excessive fluid
3- auscultate breath sound:up:
4- deactivate the alarm and check the spirometer:nono:always check your pt first before the equipment
a nurse notice a pt coughing and experiencing tachycardia, dyspnea and pallor during insertion of cvc. which of the following action should the nurse take initially
1- administer oxygen
2- notify the physician
3- position the pt to the left side and lower hob:up:
4- instruct the pt to do valsalva maneuver:nono:pt is experiencing air embolism and the pt need to be placed on the left side to prevent air going into the right atrium.
2bNurse4life4ever
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