The nurse is caring for a client who is exhibiting a panic attack.
In an expanded family, it is important for parents to reassure older children that they are loved and as important as the newborn. "Ask the children what they would like to do for the newborn." A "Tell each child what he can do to help with the baby."ĭ.
"Suggest that your partner spend more time with the boys."Ĭ. "Focus on your sons' needs during the first days at home."ī. Which response is an appropriate initial statement by the nurse?Ī. A client asks the nurse about including her 2 year-old and 12 year-old sons in the care of their newborn sister. Diminish the leakage of urine around the catheterĭue to the somewhat long length of the male urethra, lubrication reduces potential discomfort and localized tissue irritation as the catheter is passed. What is the best reason for lubricating the tip of the catheter prior to insertion?Ī. The nurse has an order to insert an indwelling urinary catheter for a male client. Dysthymic disorder is associated with poor appetite or overeating. Low potassium levels can cause weakness, abdominal cramping and irregular heart rhythms. But the greatest fluctuation in potassium levels is associated with bulimia, due to the purging process that causes dehydration and potassium loss. Hypokalemia can be caused by overuse of laxatives and by prolonged fasting and starvation. Which eating disorder would the nurse expect to cause the greatest fluctuation in serum potassium levels? The nurse is working with clients who are diagnosed with eating disorders. It is necessary to monitor blood levels for the client taking theophylline and digoxin to prevent the client from developing toxicity. Theophylline (Elixophyllin, Theo-24, Uniphyl) After reviewing the client's medication list, the nurse would arrange for periodic monitoring of blood drug levels for which of the following medications? (Select all that apply.)Ĭ. The home care nurse is admitting a new client with a diagnosis of COPD, atrial fibrillation and gout. It is more common in females than in males. Idiopathic scoliosis is seldom apparent before 10 years of age and is most noticeable at the beginning of the preadolescent growth spurt. When a child begins to play competitive sports B In early infancy before 8 months of ageĭ. During the years when children begin to run and jumpĬ. At what time of development should the nurse expect to see early findings of scoliosis?Ī. The school nurse is screening the children for scoliosis. The other tasks involve one or more parts of the nursing process and cannot be assigned to an UAP. This is an uncomplicated, routine task with an expected outcome. If the UAP has demonstrated competency in the task, s/he may empty a client's colostomy bag. Monitor a client's response to passive range of motion exercises C Clean and apply a dressing to a small pressure ulcer on the legĭ. Stay with a client during the self-administration of insulinī. Which task could be safely assigned to an unlicensed assistive person (UAP)?Ī. In this case, you want to know microdrops/minute.microdrops/minute = 4 mg/min X 1 g/1000 mg X 500 mL/2 g X 60 microdrops/mL = 4 X 500 X 60/1000 X 2 = 120000/2000 = 60 microdrops/mLAnother way to solve for X:What you have: 2 grams (2000 mg) lidocaine in 500 mL AND you are using a microdrip set (60 microdrops/mL)What you want/need: 4 mg lidocaine to infuse/minute4 mg/min X 500 mL/2000 mg X 60 (microdrops)/min = 60 microdrops/minute The nurse is reviewing client assignments at the beginning of the shift. 60ĭimensional analysis (DA): Remember in DA, you always want to start your equation with what's called for in the solution.
What rate in microdrops/minute would deliver 4 mg of lidocaine/minute? Report the response using a whole number. The infusion pump delivers 60 microdrops/mL. The IV solution contains 2 grams of lidocaine in 500 mL of D5W. There is an order for a continuous lidocaine infusion at a rate of 4 mg/minute to treat PVCs. Emergency assessment and intervention is indicated to prevent cardiac arrest and possible death. The client is experiencing an acute episode of fulminant pulmonary edema, likely as a result of a new and severe cardiac event and possible cardiogenic shock. The other actions should also be implemented as quickly as possible, including activation of the rapid response team. When dealing with a medical emergency, the rule is to assess airway first, then breathing, and then circulation. Place the bed in high Fowler's position B What is the first action the nurse should take?ĭ.
Ncsbn nclex pn practice test skin#
The client's skin is a dusky grayish color and the oxygen saturation levels have decreased from 92% to 76% in the last hour. A client admitted with heart failure is experiencing severe shortness of breath and states, "I feel like something is terribly wrong!" The client is restless and begins to cough up large amounts of pink frothy sputum.
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