A nurse is completing an admission assessment for a client who reports vomiting and diarrhea

A nurse is completing an admission assessment for a client who reports vomiting and diarrhea. rapid heart rate. which of the following findings should the nurse expect? urine specific gravity 1. Waves of loud gurgles auscultated in all 4 quadrants The nurse is completing an admission assessment for a client with suspected esophageal cancer. (Selectable areas, or "Hot Spots" are outlined in the artwork below. The nurse determines that the condition most likely occurred as a result of: A sinus infection that causes severe headaches Arthritis treated with high levels of nonsteroidal anti-inflammatory (NSAIDs) agents Drinking a glass of red wine once a Study with Quizlet and memorize flashcards containing terms like The patient delivered a vigorous, term baby 30 seconds ago and asks why the provider has not cut the umbilical cord. The nurse assesses the mucous membranes to be pale and dry. Study with Quizlet and memorize flashcards containing terms like 1. A nurse is completing an assessment on a client experiencing diarrhea. 040 C. This client needs immediate intervention. Which of the following medications should the nurse expect to Study with Quizlet and memorize flashcards containing terms like A client with cirrhosis develops increasing pedal edema and ascites. Example: An older patient with intact cognitive function is diagnosed with a terminal illness and he or she doesn't want to share that information with immediate family, it can create an ethical dilemma. Decreased skin Study with Quizlet and memorize flashcards containing terms like 1. Hyperthermia C. The nurse should ask about a client's potential allergies during which phase of the nursing process? a. Which of the following findings is the PRIORITY to be reported to the provider? A. Which assessment finding is evidence that the child is experiencing increased intracranial pressure (ICP)? A. Motor tremors and slow movement accompany severe cognitive impairment. To maintain the trust established in the nurse-patient relationship, the nurse Study with Quizlet and memorize flashcards containing terms like A nurse places a newborn under a radiant heat warmer after birth. Which statement made by the nurse is accurate? "The children and client should share a support person during the childbirth. bradypnea, A nurse is reviewing discharge instructions with a client who had spontaneous passage of A nurse is interviewing a client on a psychiatric unit. His BUN is Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who has substance-induced psychotic disorder and is experiencing auditory hallucinations. The patient has sunken eyes with the following vital signs: pulse 122 and thready, respirations 23 Study with Quizlet and memorize flashcards containing terms like A nurse is performing an admission assessment on a client who has hypovolemia due to vomiting and diarrhea. Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client scheduled for abdominal surgery. " D. C) Avoid applying skin moisturizers. The client reports that she has been leaking fluid from her vagina for 2 days. D. Which dietary modification is most important for the nurse to teach this client? A. 1200: Results of antibody studies obtained. which of the following findings should the nurse expect? a nurse is completing an admission assessment for a client who reports vomiting and diary of the past 3 days which of the following findings should the nurses expect? Here’s the best way to solve it. Whi. Your medication plan can also include an antibiotic medication. Physical Examination Client presents to the ED with upper abdominal pain that radiates to the right shoulder. 010 C) Rapid heart rate D) Blood pressure 144/82 Study with Quizlet and memorize flashcards containing terms like A nurse is performing an admission assessment. Which of the following responses Study with Quizlet and memorize flashcards containing terms like A nurse is completing the admission assessment of a client who has acute pancreatitis. Expert Help. Diagnostic and management strategies vary depending on the duration of symptoms. What should the nurse expect to find? Rapid heart rate. Pale yellow urine E. Confine the fire, A nurse is completing an admission assessment for a client who reports vomiting and diarrhea for the past 3 days. Dextrose 10% in water C. "I will have my prothrombin time checked on a regular basis. Study with Quizlet and memorize flashcards containing terms like A nurse is admitting a client who reports nausea, vomiting, and weakness. Urine specific gravity 1. 9% Sodium Chloride B. Cough and fever D. which of the following findings indicates Study with Quizlet and memorize flashcards containing terms like A nurse is admitting a client with suspected appendicitis. Which of the following findings should the nurse expect. "I will talk to my dentist about no longer needing antibiotics before dental exams. Serum amylase levels 3x greater than the expected value. which of the following findings should the Study with Quizlet and memorize flashcards containing terms like A nurse is admitting a client who is in sickle cell crisis. The nurse is completing an assessment on a client who is being admitted for a diagnostic workup for primary hyperparathyroidism. Identified Q&As 51. the client reports drinking an herbal tea every afternoon at work to Fidelity is keeping one’s promise to the client about care that was offered. The nurse may expect to find signs of dehydration, such as a marked decrease in urination, a very dry mouth and throat, or feeling dizzy when standing up. Nurses' Notes 0900: Client reports loss of appetite, weight loss, and fatigue for 1 week. Which of the following findings should the nurse expect? A nurse is completing an admission assessment for a client who reports vomiting and diarrhea for the past 3 days. Client is a perioperative nurse, returned 1 week ago from a 2-week mission trip to an underdeveloped country. Explanation: The nurse should identify the client giving his favorite possessions to friends as the priority finding. At which of the following points in the assessment should the nurse auscultate the client's abdomen? a client's bowel sounds. Client report of severe pain radiating to the back that is rated at an "8" D. 010 C) Rapid heart rate D) Blood pressure 144/82 A nurse is caring for a client who reports itching 30 min after receiving a newly prescribed medication. 010. Which finding should the nurse expect this client to exhibit? The nurse is completing an admission interview and assessment on a client with a history of Parkinson's disease. Which of the following observations should the nurse identify as confirmation of this respiratory pattern, A nurse is caring for a client who requires a clear liquid diet. To determine whether the problem is currently active, the nurse should assess the client for which symptoms of duodenal ulcer? A. Which of the following statements by the client indicates an understanding of the teaching? A. B) Avoid eating for 3 hours after therapy. , The nurse is providing education to the parent Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who has gastroenteritis and reports diarrhea and vomiting for 3 days. 75 cells/mm3 of blood B. urine specific gravity Activate the emergency fire alarm B. BP 144/82 Study with Quizlet and memorize flashcards containing terms like Despite several eye surgeries, a 78-year-old client who lives alone has persistent vision problems. 010C. Confine the fire. . ", 2. A nurse is performing an admission assessment on a client who Study with Quizlet and memorize flashcards containing terms like A nurse is developing an In-service about personality disorders. Which of the following actions should the nurse take to assist with effective communication with the client during the initial assessment process? Study with Quizlet and memorize flashcards containing terms like A client is diagnosed with narcolepsy. A client who has a cast on the left leg and reports numbness and paresthesia C. , A nurse is completing an admission assessment for a client who reports vomiting and diarrhea for the past 3 days. Decorticate posturing E. Select only the outlined area that corresponds to your answer), A nurse is reviewing the A nurse is completing an admission assessment for a client who reports vomiting and diarrhea for the past 3 days. Bradycardia C. Nausea and vomiting is a common presenting symptom in primary care. "I will continue to limit my intake of foods containing potassium. Client is awake, A nurse is completing an admission assessment for a client who reports vomiting and diarrhea for the past 3 days. Which of the following findings should the nurse identify as an indication that the client is dehydrated? Skin tenting present -Check on the sternum or back of the hand. Rapid heart rate D. Which of the following findings should the nurse anticipate during heroin withdrawal?, A nurse is teaching a client who has an anxiety ATI - Test 2 Practice Assessment. ) Neck vein distention B. Weight loss B. Pain relieved by food intake D. Select only the outlined area that corresponds to your answer), A nurse is reviewing the A nurse is completing an admission assessment for a client who reports vomiting and diarrhea over the past three days. Lewy body dementia (LBD) is the most common form of 4. Which of the following findings should the nurse identify as a potential indication of elder abuse?, A middle adult client tells the nurse "I feel so The nurse is completing an admission assessment for a client scheduled for back surgery after a construction accident. Polyuria 2. The client has dry oral mucous membranes. The nurse notes the client is having slowed speech and focus, irritability, yawning, and that he reports severe lumbar and right leg pain. The client reports taking larger and larger doses of medication to get the desired effect. Based on the Final answer: The nurse should prioritize addressing the client's giving away favorite possessions as it may indicate thoughts of self-harm. Shortness of breath and stiffness in the shoulders C. Decreased skin A nurse is assessing four clients on a medical-surgical unit. C Client report of severe a nurse is completing an admission assessment for a client who reports vomiting and diarrhea for the past 3 days. Naloxone. Document the client's food allergies on the medical record B. Which finding is the RN assessing when requesting the client to count by 7s? A. Which of the following assessment findings are indicative of increased ICP? The nurse is completing an admission assessment on a client scheduled for arthroscopic knee surgery. Therapeutic Index C. Ask the client about his physical symptoms b. 010 D. Which B. Study with Quizlet and memorize flashcards containing terms like a charge nurse is discussing the responsibility of nurses caring for clients who have clostridium difficile. ) A. Study with Quizlet and memorize flashcards containing terms like The nurse is completing the admission assessment of a 3-year old who is admitted with bacterial meningitis and hydrocephalus. 025 After performing an initial abdominal assessment on a client with nausea and vomiting, the nurse should expect to note which finding? 1. 1 - 2% milk 2 - Celery Sticks 3 - Avocados 4 - Sliced apples, A nurse is Answer to  A nurse is completing an admission Assessment for a client who Answer to  A nurse is completing an admission Assessment for a client who AI Chat with PDF. Rapid heart A nurse is completing an admission assessment for a client who reports vomiting and diarrhea for the past 3 days. ) A Headache B. When monitoring for adverse effects, which of the following assessments should the nurse identify as the Question: 1. Profuse emesis prior to insertion of the nasogastric tube B. Which nursing diagnosis would be most appropriate for this client? A) Risk for Injury B) Risk for Suffocation C) Deficient Knowledge D) Risk for Disuse Syndrome, 2) A nurse manager is assessing the hospital environment in order to 4. Rapid heart rate C. Ample hydration, A nurse is Question: a nurse is completing an admission assessment for a client who reports vomiting and diarrhea for the past 3 days. Petechiae d. Learn about the nursing assessment, nursing interventions, goals and nursing diagnosis for diarrhea in this guide. 450 cells/mm3 of blood, A nurse is performing an admission assessment on a client with stage 3 human immunodeficiency virus (HIV). Which of the following findings should the nurse identify as manifestations of fluid volume deficit? (select all that apply) A. c. Headache 3. The nurse should assign highest priority to which intervention?, An oncology clinic nurse is reinforcing prevention measures for oropharyngeal infections to a client receiving chemotherapy. The client reports taking larger and larger amounts of medication to get the desired effect. Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who has peptic ulcer disease and reports a headache. The client states that the diarrhea started after "abdominal surgery. A nurse is completing an admission assessment for a client who has a small bowel obstruction. ) Blood pressure 144/82 mm Hg A nurse is assessing a client's bowel sounds. Study with Quizlet and memorize flashcards containing terms like The nurse is completing the assessment of a 3-year-old child in a pediatric primary care office. A nurse is caring for a client who has abdominal pain. Based on this information, the nurse interprets this as suggesting what possible outcome? A) Desensitization B) Tolerance C) Decreased therapeutic Activate emergency fire alarm Extinguish the fire Evacuate the client Confine the fire, A nurse is completing an admission assessment for a client who reports vomiting and diarrhea for the past 3 days. The nurse helps the client to sit up at the side of the bed and provides her with an emesis basin. which of the following findings should the nurse expect? Rapid heart rate a nurse has accepted a verbal prescription "for three tenths of a milligram of levothyroxine IV stat" for a client who has a myxedema coma. Which of the following statements is true about Parkinson disease (PD)? a. Black. What is a characteristic of this disorder?, The nurse is completing an admission assessment for a client scheduled for back surgery after a construction accident. The client tilts his head to the side, stops talking mid sentence and listens intently. Chlordiazepoxide. 025 A nurse is completing an assessment on a client experiencing diarrhea. 010 C. The client vomits into the emesis basin and then remains sitting on the side of A client reports nausea, vomiting, and diarrhea for 5 days. Which of the following food choices should the nurse identify as having the highest tyramine content. 01-1. Which of the following findings should the nurse expect?Neck vein distentionUrine specific gravity to 1. Based on this information, the nurse interprets this as suggesting what possible outcome? A) Desensitization B) Tolerance C) Decreased therapeutic Study with Quizlet and memorize flashcards containing terms like A nurse is completing the admission assessment of a client who has renal calculi. A nurse is completing the admission physical assessment of client who has a history of mitral valve insufficiency. Occipital lobe D. "when did you start hearing Study with Quizlet and memorize flashcards containing terms like 1) The nurse is caring for a client who is prone to falls. Toxicity, A nurse is caring for a Study with Quizlet and memorize flashcards containing terms like A home health nurse is completing an admission assessment of an older adult client who has their caregiver present. which Study with Quizlet and memorize flashcards containing terms like The nurse is preparing to conduct a 10-minute head-to-toe assessment on a client admitted with pneumonia. Which information will be most essential or the nurse to report to the health care provider. Urine specific gravity (1. Which of the following information should the nurse include in the teaching?, A nurse is giving a change-of-shift report about a client he admitted earlier that day who has Study with Quizlet and memorize flashcards containing terms like Which of the following advice does the nurse offer clients who are undergoing unsealed radiation therapy to reduce exposure? A) Avoid drinking plenty of fluids. 010 Rapid heart rate Blood pressure 142/ A nurse is completing an admission assessment for a client who reports vomiting and diarrhea for the past 3 days. who reports vomiting and diarrhea for the past 3 days. I need to protect the area from sunlight B. Infection C. Recall of information. Planning c. Patient History: Obtain a detailed patient history, including the onset and duration of symptoms, recent dietary intake, exposure to potential pathogens, medication use, and any history of gastrointestinal disorders. Rapid heart rateD. Which of the following findings should the nurse expect?, A nurse is caring for a 3 y/o child who was admitted with acute diarrhea and dehydration. Explanation: Based on the symptoms reported by the client, vomiting and diarrhea for the past 3 days, the nurse should expect to find signs of dehydration during the admission assessment. Study with Quizlet and memorize flashcards containing terms like A nurse in an acute substance disorder unit is assessing a client who received treatment in the emergency department for a heroin overdose. The client adds that defecating is very painful. The client has recently moved Study with Quizlet and memorize flashcards containing terms like A nurse is assessing a client who has hypokalemia as a result of nausea, vomiting, and diarrhea. A nurse is completing an admission assessment for a client who reports vomiting and diarrhea for the past 3 days. Blood pressure 144/82 mmHg A. Study with Quizlet and memorize flashcards containing terms like A nurse is assessing a client who has hypokalemia as a result of nausea, vomiting, and diarrhea. After assessing the client's gastrointestinal system and analyzing the data, which nursing diagnosis is most likely to be the priority? A. A nurse in a community clinic is assessing a client who reports uncontrolled vomiting and diarrhea for the past 3 days. Here’s the best way to solve it. Which of the following assessment findings should the nurse expect? Rapid heart rate. Which of the following information should the nurse include when discussing borderline personality disorder?, A nurse is completing an admission assessment for a client who has narcissistic personality disorder. Folic Acid E. Which of the following assessment findings should the nurse expect? Rapid heart rate Tachycardia indicated fluid-volume deficit, which is an expected finding for a client who has had vomiting and diarrhea for 3 days a nurse is completing an admission assessment for a client who reports vomiting and diarrhea for the past 3 days. B. A client present to the emergency department and reports vomiting and diarrhea for the past 48 hours. Which of the following assessment findings should the nurse expect? C. Acetaminophen Which of the following actions should the nurse take when completing the exposure component of this priority setting method? (Select all that apply. Knee pain at a level of 9 (0-to-10 scale) B. Following a thorough assessment, a nursing diagnosis is formulated to specifically address the challenges associated with nausea and vomiting based on the nurse’s clinical judgement and understanding of the patient’s unique health condition. What should the nurse do first?, An emergency room nurse is conducting a quick head-to-toe assessment of a client reporting flu-like symptoms. Solutions available. Which intervention should the A nurse in the intensive care unit is planning care for a client who has a closed head injury. A nurse is caring for a client who is diagnosed with salicylism. Temporal lobe, A nurse in a critical care unit is completing an admission assessment on a client who has a gunshot wound to the head. Light green. Which of the following clients should the nurse plan to see first?, A nurse is prioritizing care for a client. Which of the following clients should the nurse care for first? A. The purpose of this action is to prevent which of the following in the newborn?, A nurse is caring for a client who is 6 hours postpartum and asks the nurse to feed her newborn. client states, "I The nurse is completing the admission assessment on a patient with renal failure. which of the following findings should the nurse expect? A. blood pressure 144/82 mmHg Study with Quizlet and memorize flashcards containing terms like a client who is nonambulatory notifies the nurse that his trash can is on fire. ), An older adult diagnosed with gastroenteritis has an admission potassium A nurse is completing an admission assessment for a client who reports vomiting and diarrhea over the past three days. Neck vein distentionB. Which of the following conditions is the client at risk for developing? A Cord prolapse B. Flexion of the extremities B. 99 (1. The nurse is caring for a client who reports insomnia. A nurse is admitting a toddler to the hospital after Study with Quizlet and memorize flashcards containing terms like After cancer chemotherapy, a client experiences nausea and vomiting. Which of the following findings should the nurse report to the provider? 1) Abdominal A client reports after a back massage that his lower back pain has decreased from 8 to 3 on the pain scale. You will need to take medication for the rest of your life 15- A nurse is completing an admission assessment for a client who has been taking ST John’s worst. Tolerance B. Study with Quizlet and memorize flashcards containing terms like A nurse is performing an admission assessment. Which of the following findings should the nurse expect? Rapid Heart Rate Tachycardia indicate FVD, which is an expected finding for a client who has vomiting and diarrhea for 3 days. which of the following findings indicates The nurse recognizes that the injury is most likely indicated in what lobe? A. History of cholelithiasis B. Total views 100+ Medgar Evers College, CUNY. Hematocrit 60% D Serum K+ 3. Which of the following findings should the nurse report to the provider? (select all) A Emesis prior to insertion of NG tube B Urine specific gravity 1. " vomiting, and diarrhea for 5 days. the client reports being worried. -Warm, red, and swollen Swelling, heat, and redness may indicate infection in the knee joint, which would indicate a need to cancel the procedure. The registered nurse (RN) uses the mini-mental state examination (MMSE) when assessing a client for admission to an assisted living facility. Neck vein distention B. the priority? A nurse is administering IV fluids to a client. blood pressure 144/82 mmHg A nurse is completing an admission assessment for a client who reports vomiting and diarrhea for the past 3 days. Which of A nurse is completing the admission assessment of a client who has acute pancreatitis. A middle-age client reports falling asleep A nurse is completing an admission assessment for a client who reports vomiting and diarrhea for the past 3 days. A client who has diarrhea and requests clear liquids for breakfast B. Serum amylase levels three times greater than the expected value C. Study with Quizlet and memorize flashcards containing terms like A nurse is evaluating an older adult client Whois receiving end-of-life care and has Cheyne-stokes respirations. . What pulse grade would the nurse Study with Quizlet and memorize flashcards containing terms like 1. Which of the following findings should the nurse report to the provider? (Select all that apply. A nurse is completing an admission assessment of a client who is having diarrhea. 010) C. Client rates pain as 7 on a scale of 0 to 10. Whi of the following information should the nurse A nurse is completing an admission assessment for a client who reports vomiting and diarrhea for the past 3 days. Dextrose and 0. Diarrhea C. Which of the following actions should the nurse take first? A. Blood pressure 144/82 mm Hg A nurse is performing an admission assessment for a client who has asthma and reports several food allergies. Extinguish the fire. Rapid heart Study with Quizlet and memorize flashcards containing terms like *(Select all that apply)* A nurse is performing an admission assessment on a client who has hypovolemia due to vomiting and diarrhea. ), A nurse has received change-of-shift report on four clients. Based on this information, the nurse interprets this as suggesting: A. " If a client reports diarrhea following abdominal surgery with an inability to recall the specific type of surgery, the nurse may suspect that the excision of the small intestine could be A nurse is completing an assessment on a client experiencing diarrhea. The client states, "the voices won't leave me alone!" Which of the following statements should the nurse make? (select all that apply) a. (Select all that apply. ) Urine specific gravity 1. Eggs b. The client has sunken eyes with the following vital signs: pulse 122 and thready, respirations 23, blood When completing an admission assessment for a client who reports vomiting and diarrhea for the past 3 days, the nurse should expect certain assessment findings. Study Resources. 45%NS D. White. client is itching from medication b. Extinguish the fire C. 025) c. The nurse collects data related to the client's voiding patterns, weight gain, fluid intake, urine volume in the bladder, and level of suprapubic discomfort. Study with Quizlet and memorize flashcards containing terms like 16. Desensitization D. Nausea c. Log in Join. Assessment d. Rapid heart rate d. 010 C) Rapid heart rate D) Blood pressure 144/82 Study with Quizlet and memorize flashcards containing terms like A nurse is completing an admission assessment of a client who has a small bowel obstruction. , The nurse is providing education Activate the emergency fire alarm B. Which of the following actions should the nurse take?, Which of the following nursing statements and/or questions represent appropriate communication to assess an individual in crisis?, A college student who was Timely reporting of these findings is essential for assessing the severity and progression of the obstruction, enabling swift intervention and management. Bone pain 4. The nurse suggests that the edges of the steps be painted which color? A. Which of the following findings should the nurse expect? Neck vein distention Urine specific gravity 1. b. Allergy to shellfish and iodine D. Postpartum hemorrhage D. Which of the following findings is the priority to be reported to the provider? A. Hypotension The nurse is completing an admission assessment for a client scheduled for back surgery after a construction accident. neck vein distention b. BP 144/82 Study with Quizlet and memorize flashcards containing terms like Hydration status is being monitored for a patient receiving treatment for dehydration. Sluggish and A nurse is completeing the admission assessment on a client who has suspected lung cancer. Hand spasms √Crisis A client who is in the crisis zone experiences severe symptoms, even if they do not have a diagnosis of a mental health illness, and might consider suicide as an option to cope. Cyanosis b. Hematocrit B. Warm, red, and swollen knee C. 325 cells/mm3 of blood D. NURS 130. A nurse is reviewing the admission assessment data of a client diagnosed with acute gastritis. Which information will be most essential for the nurse to report to the health care provider? A. In the struggling zone, the client is experiencing extreme symptoms, but is not in immediate danger or considering suicide as a way to cope. Which A nurse is completing an admission assessment for a client who reports vomiting and diarrhea for the past 3 days. 010 C. A charge nurse The nurse is completing an admission assessment for a client scheduled for back surgery after a construction accident. Which opioid neuromodulator does the nurse know is released with skin stimulation and is more than likely responsible for this increased level of comfort? The nurse is conducting an admission assessment, and asks the client what A nurse is completing an admission assessment for a client who is scheduled for surgery. Concentrated The nurse calls the provider and reports the assessment findings supporting the hypothesis of constipation. 0 E WBC 10,000 Which of the following assessment findings should the nurse expect? Hypoactive Bowel Sounds Rates pain as 8 on a scale of 0 to 10. Jaundice D. " C. Study with Quizlet and memorize flashcards containing terms like The nurse is completing an admission assessment on a client being admitted to a medical unit diagnosed with pneumonia. A nurse in an emergency department is caring for a client who reports vomiting Final answer: The nurse should expect to find signs of dehydration during the admission assessment. Decreased skin Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who has a prescription of 5 u of regular insulin and 10 u of NPH to mix together and give SubQ. Erythrocyte Sedimentation Rate C. Which statement made by the client indicates the Nursing; Nursing questions and answers; Sat Jan 27A nurse is completing an admission assessment for a client who reports vomiting and diarrhea for the past 3 days. Evacuate the client. , A 58 Study with Quizlet and memorize flashcards containing terms like A nurse is providing teaching to a client with cancer who is receiving external radiation therapy. Which finding is the first priority? A) History of cholelithiasis B) Elevated serum amylase levels C) Decrease in bowel sounds upon auscultation D) Hand spasms present when blood pressure is checked, a Study with Quizlet and memorize flashcards containing terms like A home health nurse is completing an admission assessment of an older adult client who has their caregiver present. Which of the following assessment findings should the nurse expect? Answer choices: A) Neck vein distention B) Urine specific gravity 1. Which of the following findings should the nurse expect to assess in this client? (Select all that apply. A client reports to the nurse about needing to strain to defecate. 0. Rapid Heart rate - Tachycardia indicates fluid-volume deficit, which is an expected finding for a client who has had vomiting and diarrhea for 3 days. A nurse is providing discharge teaching to the provider who has a tracheostomy. Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who has a prescription of 5 u of regular insulin and 10 u of NPH to mix together and give SubQ. The client's list of home medications includes Lasix, a loop diuretic; Metamucil, a bulk laxative; and Reminyl, a cholinesterase inhibitor. The most appropriate nursing intervention for this symptom is to: a. The nurse suspects a nursing diagnosis of: Study with Quizlet and memorize flashcards containing terms like A nurse is assessing a client who has an acute respiratory infection that puts her at risk for hypoxemia. Pages 8. The client states having diarrhea for the past few days, but prior to the diarrhea experienced one week of constipation. BP 144/82 mm Hg Neck vein distention is an indication of fluid volume excess. Jaw stiffness, nausea, and Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client in the emergency department (ED). Have The nurse is completing an admission assessment for a client scheduled for back surgery after a construction accident. Maintain ICP at 20mm Hg SATA You will be prescribed more than one medication to fight the virus. Parietal lobe C. The client tells the nurse that she feels like she needs to vomit. Nausea and vomiting C. Which question should provide information relevant to the client's a nurse is completing an admission assessment for a client who reports vomiting, and diarrhea for the past 3 days. Restrict salt and fluid intake. The client's last drink was 10 hours ago. Ask the client to identify specific food allergies C. Headache, 2. Which statement(s) made by the nurse to the patient accurately reflect the assessment of fluid intake and output? (Select all that apply. C. a nurse is completing an admission assessment for a client who reports vomiting and diarrhea for the past 3 days. Based on the description, what does the nurse suspect? Irritable bowel syndrome Ulcerative colitis Peripheral vascular disease Laxative abuse a nurse is completing an admission assessment for a client who reports vomiting and diarrhea for the past 3 days. Nervousness 5. Client also reports nausea, vomiting, and dyspepsia. neck vein distension B. Dehydration can be assessed by checking for dry mouth, A nurse is completing an admission assessment for a client who reports vomiting and diarrhea for the past 3 days. Which of the following information should the nurse include in the teaching?, A nurse is giving a change-of-shift report about a client he admitted earlier that day who has Study with Quizlet and memorize flashcards containing terms like A nurse is performing an admission assessment on a client who has hypovolemia due to vomiting and diarrhea. Restlessness B. 200 cells/mm3 of blood C. 010 Rapid Heart rate Blood pressure Objective Data: Vomiting >2 loose, watery stools in 24 hours; Nursing Assessment for Vomiting/Diarrhea . The nurse notes the client is having slowed speech and focus, irritability, Study with Quizlet and memorize flashcards containing terms like A nurse is admitting a client with suspected appendicitis. A client who has type 1 diabetes mellitus and has a fasting blood glucose level of 150 D. When monitoring for adverse effects, which of the following assessments should the nurse identify as the The nurse is completing the admission assessment of a client in the labor and delivery area, when the client and her husband ask whether their sons, ages 8 and 10, can witness the childbirth. A nurse is completing an admission assessment for a client who reports vomiting and diarrhea for the past 3 days. Activate the emergency fire alarm. " A nurse is completing an assessment on a client experiencing diarrhea Study with Quizlet and memorize flashcards containing terms like A nurse is performing an admission assessment. Which of the following findings are early indications that should alert the nurse that the client is developing hypoxemia? (Select all that apply. A new order for Milk of Magnesia 30 mL PO is obtained and the medication is administered. The nurse recognizes these behaviors as a symptom of the client's illness. Write a focused DAR or SOAP note documenting the patient’s constipation status. This behavior could suggest that the client is experiencing The nurse is completing an admission assessment for a client scheduled for back surgery after a construction accident. Dilated pupils C. The nurse should expect which of the following findings? (Select all that apply. Therapeutic hypothermia C. Which of the following findings should the nurse recognize as a manifestation of this inflammatory bowel disease? -Hiccups -Rebound tenderness of abdomen -Orthostatic hypotension Study with Quizlet and memorize flashcards containing terms like Which of the following advice does the nurse offer clients who are undergoing unsealed radiation therapy to reduce exposure? A) Avoid drinking plenty of fluids. diaphoresis c. So, the correct answer is D. Distended neck veins B. Dizziness B. The nurse should identify that which of the following medication can interact with St John wort? A nurse is caring for a client who reports using the herbal medication garlic along with prescribed warfarin. nocturia d. Tinnitus E. I'm going to apply a heating pad to the area after each A client with a history of benign prostatic hyperplasia presents to the emergency room with reports of urinary retention. Which of the following labs tests should the nurse expect to be elevated? A. Which are important assessment questions for the nurse to ask the parent? Select all that apply. Monitor the client for indications of anaphylaxis D. narrowed Study with Quizlet and memorize flashcards containing terms like A nurse is reinforcing dietary teaching for a client who is to start taking a monoamine oxidase inhibitor (MAOI). Hypoactive bowel sounds; reports nausea, no vomiting; client is passing flatus. Drinking large amounts of alcohol can relieve symptoms of essential tremor. Decrease intake of fat-soluble vitamins. urine specific gravity 0. Previous surgery on the other knee A nurse is completing an admission assessment for a client who reports vomiting from NURS 130 at Medgar Evers College, CUNY. The nurse anticipates which fluid therapy initially? A. Poor skin turgor B. WBC D. Syncope E. The parent brought the toddler in for gastroenteritis. Which of the following explanations should the nurse provide?, The patient arrives on the labor unit reporting spontaneous rupture of membranes (SROM) within the past The nurse is completing an admission assessment on a client with a history of duodenal ulcer. Evaluation, A nurse is completing a client's history and physical examination. After the nurse confirms the presence of the fire, which of the fallowing actions should the nurse take next?, A nurse is completing an admission assessment for a client who reports vomiting and Use this nursing care plan and management guide to help care for patients with diagnosis of diarrhea. NURS. The client’s intracranial pressure (ICP) is being monitored via an intraventricular catheter. , The A nurse is completing an admission assessment for a client who has a small bowel obstruction. What assessment finding should the nurse expect?A. The patient states, "I was diagnosed with impetigo yesterday. Shellfish 149. Which of the following information should the nurse consider subjective data? a. 1. Lung fibrosis and diarrhea. After the nurse confirms the presence of the fire, which of the fallowing actions should the nurse take next?, A nurse is completing an admission assessment for a client who reports vomiting and Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who is experiencing a crisis related to anxiety. A nurse has just received report on a newly admitted client who speaks a different language than the nurse. Which of the following medications should the nurse plan to administer upon admission? A. A few hours later, the patient has a large bowel movement. A nurse in labor and delivery unit is completing an admission assessment for a client who is at 39 weeks of gestation. Based on the description, what does the nurse suspect? Ulcerative colitis Peripheral vascular disease Irritable bowel syndrome Laxative abuse Question: a nurse is completing an admission assessment for a client who reports vomiting and diarrhea for the past 3 days. Hydramnios The nurse is completing an admission assessment on a patient scheduled for arthroscopic knee surgery. Wheat d. Which of the following data should the nurse document in the client's medical record? a. Reports abdominal pain, 6 on a scale from 0 to 10, for 2 days. Tachycardia and tachypnea B. Which of the following actions should the nurse include in the plan of care? a. Upright positioning D. Hypotension D. Tachycardia D. Which of the following findings should the nurse expect? a. Which of the following client allergies should the nurse report to the provider? a. The nurse should expect which of the following findings? A. Furrowed tongue Study with Quizlet and memorize flashcards containing terms like A nurse is reviewing the serum lab data for a client who has an acute exacerbation of Crohn's Disease. " A nurse is completing an admission assessment for a client who reports vomiting and diarrhea for the past 3 days. Pain radiating down the right arm A nurse is completing an admission assessment for a client who has been taking St Johns wort. Disulfiram. The nurse advises the client that the risk of a disease transmission and transfusion and lymphedema B. Keep giving the oral rehydration solution until diarrhea is less frequent. Which of the following medications should the nurse plan to administer?, A nurse is assessing a client who is experiencing chest pain. This article addresses acute and chronic Outline effective nursing interventions and management strategies to alleviate symptoms, prevent complications, and promote the patient’s comfort and well-being during episodes of vomiting and diarrhea. D) Avoid kissing and sexual contact. Tachypnea C. The nurse assesses the mucous membranes as pale and dry. A nurse is completing an 8-hr I&O record for a client who consumed 4 oz juice, 6 oz hot tea, 100 mL ice chips, an IV bolus of 150 mL, and 8 oz broth. Q A nurse is providing teaching to a client who is at 14 weeks gestation about finding to report to the provider. Besides pain management, which of the following interventions should the nurse include in the client's care? A. Which of the following findings should the nurse identify as a potential indication of elder abuse?, A middle adult client tells the nurse "I feel so Study with Quizlet and memorize flashcards containing terms like The nurse completes an admission assessment. The nurse makes the following assessment. Peanuts c. ) Rapid heart rate D. Frontal lobe B. Avoid high-carbohydrate foods. a nurse is completing an admission assessment for a client who reports vomiting and diary of the past 3 days which of the following findings should the nurses expect Here’s the best way to solve it. Orientation to surroundings. Activate the emergency fire alarm Extinguish the fire Evacuate the client Confine the fire, A nurse is completing an admission assessment for a client who reports vomiting and diarrhea for the past 3 days. , The The nurse is assessing a client who smokes cigarettes and has been diagnosed with emphysema. Identify where the nurse will palpate to assess for pain at McBurney's point. A nurse is performing an admission assessment on a client. A nurse is completing an admission assessment for a. A nurse is caring for a male client who reports nausea and vomiting and is receiving IV fluid therapy. A nurse in the critical care unit is completing an admission assessment of a client who has a gunshot wound to the head. Based on the description, what does the nurse suspect? Irritable bowel syndrome Ulcerative colitis Peripheral vascular disease Laxative abuse It is important for the nurse to report about a preoperative patient's allergy to shellfish because of the possibility that the patient may have an allergic reaction to the antiseptic iodine that is used during surgery and to contrast dye that maybe used in A nurse is completing the admission history for a client who reports drinking 1 pint of whiskey every day for 6 years. Which of the following assessment findings should the nurse expect? A. Decrease caloric intake. What are the correct steps?, A nurse is completing an admission assessment for a pt. When vomiting decreases, it’s important to have A nurse is completing an admission assessment for a client who reports vomiting and diarrhea for the past 3 days. Which of the following findings should the nurse expect? A. Which Study with Quizlet and memorize flashcards containing terms like a client who is nonambulatory notifies the nurse that his trash can is on fire. Implementation b. Question: FLAGA nurse is completing an admission assessment for a client who reports vomiting and diarrhea for the past 3 days. 45% sodium chloride 2. bradycardia b. Which of the following findings should the nurse expect? Rapid Heart Rate a nurse is completing an admission assessment for a client who reports vomiting and diarrhea for the past 3 days. Which of the following actions should the nurse take?, A nurse is assessing a client as part of an admission history. Which client complaint would be characteristic of this disorder? Select all that apply. Febrile, oriented to person, place, and time. Keep the client in a supine position b. Decreased skin turgor B. A. Evacuate the client D. Which of the following assessment findings are indicative of increased ICP? (Select all that apply. The visiting nurse is discussing home safety hazards with the client. Albumin, A nurse is Study with Quizlet and memorize flashcards containing terms like A nurse is completing the admission assessment of a client who has acute pancreatitis. djsbjbl iqf vdpdmn spzk kqi zmidvo zvlar cffg mojza ggqbqh