Pulsus paradoxus
The nurse should identify pulsus paradoxus, a finding in which the systolic BP is 10 mm Hg or greater on expiration than inspiration, as an expected finding of cardiac tamponade, along with jugular vein distention, bradycardia, and hypotension.
A nurse is providing teaching about improving nutrition for a client who has multiple sclerosis
which of the following instructions should the nurse include
a speech pathologist will be performing a swallowing study for you, you should rest
before eating a meal, thicken your beverage before drinking
In RN is planning care for a group of clients and is working with a licensed practical nurse and an
assistive personnel which of the following tasks should that RN delegate to the LPN?
insertion of a nasogastric tube
A nurse is performing tracheostomy care for a client who is postoperative following a learn just
to me which of the following actions should the nurse take when suctioning the client’s airway.
apply suction for 10 seconds
A nurse is teaching about total parental nutrition an Ivy liquid emulsions with a client who has
an extensive burn injury which of the following information should the nurse include?
you will receive finger sticks for blood glucose testing
A nurse is initiating discharge planning for a client who had a stroke and is experiencing right
sided weakness which of the following action should the nurse take first
request a referral for the client To receive physical therapy.
a nurse is planning care for a client who has a deficit with cranial nerve to which of the following
actions should the nurse plan to take
clear Objects from the client's walkway
the nurse is assessing a client who has a stage two pressure injury which of the following wound
characteristics should the nurse expect
partial thickness skin loss
A nurse is caring for a client who was receiving total parental nutrition solution by continuous
Ivy infusion at 60 milliliters per hour the nurse discovers the infusion pump has stopped working
which of the following action should the nurse take while waiting for a new infusion pump
provide dextrose 10% in water solution using manual drip tubing at 60 ml/hr
A nurse is caring for a child who is experiencing a tonic clonic seizure which of the following
action should the nurse take
place a child in a sideline position
A community health nurse is performing triage tagging following a mass casualty incident on
which of the following clients should the nurse place a black tag?
a client who has significant head trauma and agonal respirations
A nurse is caring for a client who is at 28 weeks of gestation the client ask nurse to explain what
causes her to have Constipation which of the following responses should the nurse make
the enlarged uterus compresses the intestines in causes Constipation
A home health nurse is planning care for an older adult client who has impaired vision which of
the following intervention should the nurse include in the plan of care to prevent injury in the
home
mark the edges of the stairs for contrast
A charge nurse observes a staff member document addressing change in the clients chart that
was not performed which of the following action should the charge nurse take first
gather more information about the staff nurses actions