ADVANCED MED SURG II RN CRITICAL ALTERATIONS IN PERFUSION ASSESSMENT QUESTIONS AND ANSWERS 2024/2025 GRADED A+. 2 / 4 1. A nurse is providing care to a client who has a severe infection and has de-veloped disseminated intravascular coagulation (DIC).Which of the followinginterventions should the nurse include in their care of the client?: Treat the underlying infection with an antibiotic. 2. A nurse is planning care for a client who has been admitted for evaluationof their heart nurse ...

A nurse is assessing a client's I.V. site. Which of the following findings is indicative of phlebitis? (Select all) - CORRECT ANS Palpable, hard mass above insertion site. Pain at site. Hint: **the 2 P's** A nurse manager is reviewing facility policies for I.V. therapy management with the members of his team. The nurse manager should inform the team members that which of the following techniques will minimize risk of catheter embolism? - CORRECT ANS Avoid reinserting the needle into an ...

An RN has to teach the client initially but can delegate to anLPN.: reinforcing the teaching 1. An LPN can perform care.: ANS tracheostomy care 2. Can an RN delegate to an LPN to perform suctioning? ANS yes 3. Can an RN delegate to an LPN to put in a urinary catheter? ANS yes 4. Can an RN delegate to an AP to feed a client not on swallow precautions?- ANS yes 5. Is an RN allowed to delegate to an AP to collect a urine sample?: ANS yes 6. A nurse delegates to an AP to assist in obtain...

An RN has to teach the client initially but can delegate to anLPN.: reinforcing the teaching 1. An LPN can perform care.: ANS tracheostomy care 2. Can an RN delegate to an LPN to perform suctioning? ANS yes 3. Can an RN delegate to an LPN to put in a urinary catheter? ANS yes 4. Can an RN delegate to an AP to feed a client not on swallow precautions?- ANS yes 5. Is an RN allowed to delegate to an AP to collect a urine sample?: ANS yes 6. A nurse delegates to an AP to assist in obtain...

Following the administration of sublingual nitroglycerin to a client experiencing an acute anginal attack, which assessment finding indicates to the nurse that the desired effect has been achieved? A. Client states chest pain is relieved B. Client's pulse decreases from 120 to 90 C. Client's systolic blood pressure decreases from 180 to 90 D. Clients SaO2 level increases from 92% to 96% - CORRECT ANS A. nitroglycerin reduces mycocardial oxygen consumption which decreases ischemia and r...

1. 1. A nurse manager is preparing to institute a new system for schedul- ing staff. Several nurses have verbalized their concern over the possible changes that will occur. Which of the following is an appropriate method to facilitate the adoption of the new scheduling system? A. Identify nurses who accept the change to help influence other staff nurses B. Provide a brief overview of the new scheduling system immediately before it implementation C. Introduce the new scheduling system by des...

1. Ready to move: Prioritize bed request for bed planning staff 2. Read to plan: Assign bed needed 3. Back to bed: Current location 4. Hyperspace: Document patient info Record Patient movement Do research Document procedure 5. T/F: shared documentation does not eliminate the need for verbal informa- tion: TRUE (EMERGENCY ESP) 6. Hyperspace tool bar: Contains tools and activities you will use the most 7. Hyperspace home workspace: Most appropriate activity for you to start in each day 8. ...

1. What instruction should the nurse include in the discharge teaching plan of a client who had a cataract extraction today? a. Sexual activities may be resumed upon return home b. Light housekeeping is permitted but avoid heavy lifting c. Use a metal eye shield on operative eye during the day d. Administer eye ointment before applying eye drops 2. A male adult comes to the urgent care clinic 5 days after being diagnose with influenza. He is short of breath, febrile, and coughing green co...

1. What instruction should the nurse include in the discharge teaching plan of a client who had a cataract extraction today?: Light housekeeping is permit- ted but avoid heavy lifting 2. A male adult comes to the urgent care clinic 5 days after being diagnose with influenza. He is short of breath, febrile, and coughing green colored spu- tum. Which intervention should the nurse implement first?: Obtain a sputum sample for culture 3. An elder male client tells the nurse that he is loosing sleep...

COMPREHENSIVE PREDICTOR ATI 2nd RETAKE 2023 COMPLETE ACTUAL EXAM What can be delegated to Assistive personnel (AP)? - ADLs - bathing - grooming - dressing - ambulating - feeding (w/o swallow precautions) - positioning - bed making - specimen collection - I&O - VS (stable clients A nurse on a med surg unit has received change of shift report and will care for 4 clients. Which of the following clients’ needs will the nurse assign to an AP?  Reapplying a condom catheter for a client wh...