Which of the following instructions should the nurse include in the client’s discharge teaching plan? A) "Avoid the use of any nonsteroidal anti-inflammatory drugs (NSAIDs). You have severe abdominal pain. Postoperative fevers are fevers that occur after you’ve had surgery. A client is receiving a heparin infusion for deep vein thrombosis. b)Suctioning the client. On data collection, the nurse notes staining and bleeding on the dressing. Which of the following actions should the nurse take? Offer written instructions in the clients language Request that an assistive personnel interpret instructions for the client. Nursing and Interdisciplinary Team Member Note Problem Areas and Subsequent Consequences: •Failure to chart each shift on patient condition. ATI Med-Surg part B – Chamberlain College of Nursing MED-SURG PART B 1. The nurse and client explore each others' expectations of the relationship. o Add vitamin D supplement to his diet to promote calcium absorption. I will avoid crushing this medication A nurse is assessing a client who is receiving enteral feeding via an NG tube. Discharge Instructions for Laparoscopic Cholecystectomy. Eat high-carbohydrate foods. The client is experiencing excessive stools. Left ventricular functioning. “I will take my pills every day at the same time. Which of the following neurologic deficits. Many times patients appear to un-derstand what the nurse is explaining about the. ) Set patients up for success. A nurse is caring for a client who has bipolar disorder and is experiencing acute mania. 50 Likes, 2 Comments - College of Medicine & Science (@mayocliniccollege) on Instagram: “🚨 Our Ph. The nurse notes a hard, distended abdomen and absent bowel sounds. The inability to urinate following the procedure is uncommon. Postoperative fevers are fevers that occur after you’ve had surgery. A surgeon removed the cloudy lens in your eye and replaced it with a clear manmade lens. what action by the nurse is appropriate? select all that apply. –If the note is not written by the end of the. The nurse is providing discharge instructions to a client following gastrectomy and should instruct the client to take which measure to assist in preventing dumping syndrome? 1. Which of the following statements by the client indicates an understanding of the teaching?. You had a hip replacement surgery. Introductory medical-surgical nursing (10th ed. Issues concerning airway, breathing, or circulation should be addressed first, then move to choose the least invasive procedures (e. A nurse is providing discharge instructions for a client following a temporary tracheostomy. During a well-baby visit, the mother expresses feeling inexperienced in caring for the baby. What should the nurse teach the client? A) Coumadin will continue to break up the clot over a period of weeks. Use proper medical terms giving instructions to client. Which of the following instructions should the nurse include in the. The client needs to be evaluated to see if they are ready for discharge. which of Following intervention should the nurse include in the plan of care? a. Assist the patient in early ambulation. A nurse is teaching a client who has a family history of colorectal cancer. The Penrose drain is designed to passively remove unwanted fluid, usually when treating abscesses or open wounds. Care for your wound as instructed. Instructions may include:. A home health nurse is assigned to a client who was recently discharged from a rehabilitation center after experiencing a right-hemispheric stroke. Ambulate following a meal. In which position will the nurse place the head of the bed when the client is fully awake? A) Flat with the head elevated on a pillow. Use proper medical terms giving instructions to client. A nurse is providing discharge instructions for a client who is postoperative following inner maxillary fixation with wiring. The discharge nurse observes a 5-foot 9-inch 18-year-old female following surgery. The wires are left in place until the fracture is healed. Which of the following information should the nurse include? Cut the wiring if emesis occurs. A home health nurse is assigned to a client who was recently discharged from a rehabilitation center after experiencing a right-hemispheric stroke. o Add vitamin D supplement to his diet to promote calcium absorption. On the other. " B) "Stop taking the corticosteroids when your symptoms are resolved. B- Adjust the rate of the bladder irrigant. A nurse is providing discharge instructions about newborn safety to a client who is 2 days postpartum. The client tells the nurse that she is very concerned because she has numbness in the area of the surgery and along the inner side of the arm from the armpit to the elbow. On the other. Tell the child they will feel discomfort during the catheter insertion. A nurse is providing instructions to a client and family regarding home care following cataract removal from the left eye. A nurse is caring for a client who is 2 days postoperative following a cholecystectomy. You have severe abdominal pain. Question the client regarding the sensation of palpation in the abdomen. If you are unable to urinate a urethral catheter (Foley) will be placed by the nursing staff in the recovery room or short stay unit. After conventional surgery, device. A nurse is providing discharge instructions for a client who is postoperative following inner maxillary fixation with wiring. Nursing documentation is completed, inclusive of a PAS score, initial nursing assessment and discharge summary. The nurse makes the client comfortable on the bed and completes an assessment. The nurse teaches the client that the catheter will be inserted to provide information about: a. A nurse is caring for a client who has hepatic encephalopathy that is being treated with lactulose. analgesia and, on discussion, states that this refusal is motivated by his fear of becoming addicted to pain medications. Although many nurses remove postoperative dressings 48 hours after surgery there seems to be no. A nurse is providing discharge teaching to a client who is 3 days postoperative following a cesarean birth. Which of the following instructions should the nurse include? Use cool compresses on your eyes, nose, and face A nurse is planning care for a client who is postoperative and has a closed-wound drainage system in place. A nurse is reinforcing instructions to a client following a total laryngectomy about caring for the stoma. High-fat, high-carbohydrate. Question 2: A nurse provides care for a client who is 1-day post-partum following a vaginal delivery. A nurse is teaching a client who has a family history of colorectal cancer. |In conclusion, perioperative diabetes management requires communication and coordination amongst patients, outpatient providers, and surgical and anesthesia staff. Postoperative instructions include information on diet, wound care, medications, physical activity, and other issues that may come up during hernia repair surgery recovery. Keep the outer ear plug clean and dry, changing it as needed. "I will resume taking my prenatal vitamins. Which of the following medication should the nurse administer? Flumazenil A nurse is caring for a client who is febrile. Marie, a 51-year-old woman, is diagnosed with cholecystitis. A nurse in a clinic is interviewing a client who has a possible diagnosis of endometriosis. what action by the nurse is appropriate? select all that apply. Use a mummy restraint to hold the child during the catheter insertion. The nurse is providing postoperative care for a client who has undergone tonsillectomy. A nurse is providing discharge teaching to a client who is postoperative following a transurethral resection of the prostate (TURP) for treatment of benign prostatic hyperplasia. Initially a tracheostomy may need to be suctioned and cleaned as often as every 1 to 2 hours. A nurse is providing discharge instructions for a client following a temporary tracheostomy. You had a hip replacement surgery. A nurse is teaching a client who has a family history of colorectal cancer. Have the patient turn, cough, and breathe deeply every shift. b) Increase daily fluid intake to at least 2 to 3 L. Which of the following signs might lead the nurse to place a diagnosis related to poor nutrition on this client’s chart?. Problem-solving Is the basic skill of identifying a problem and taking steps to resolve it. A nurse is providing discharge teaching for a client who is postoperative following a rhinoplasty using general anesthesia. A nurse is completing discharge teaching with a client following arthroscopic knee surgery. Patient progress is regularly reported to client in accordance with veterinarian's instructions. The nurse is providing discharge instructions to a client following gastrectomy and should instruct the client to take which measure to assist inpreventing dumping syndrome? 1. What assessment data will the nurse. What instructions should the nurse include in the client's discharge teaching plan? a) Eliminate dairy products from the diet. b) Increase daily fluid intake to at least 2 to 3 L. Use a mummy restraint to hold the child during the catheter insertion. Blood is made available for use during and after surgery as needed. To take a sitz bath, fill the bathtub with about four to six inches of warm water. Administer. The client tells the nurse that she is very concerned because she has numbness in the area of the surgery and along the inner side of the arm from the armpit to the elbow. 1%) and they reported greater satisfaction from the nurse–patient communication and discharge instructions (19. Acetaminophen (Tylenol) 3. The nurse notes a hard, distended abdomen and absent bowel sounds. RN ADULT MEDICAL SURGICAL ONLINE PRACTICE 2019A A nurse is preparing to admit a client who has dysphasia. Which diet, when selected by the client, indicates that the nurse’s teaching has been successful? A. Tool 4, "How To Deliver the Re-Engineered Discharge to Diverse Populations," provides guidance on working effectively with culturally and linguistically diverse patients. Ultrasound. The nurse should provide relief for the report of itching by blowing cool air into the cast using a hair dryer on a cool setting or an empty 60-mL plunger syringe. C) Raised at a 45° angle. Assists nurses and physicians with discharge planning and arranges supplies and equipment for home setting. On which nursing diagnosis should the nurse focus her teaching? Risk for infection: What is the most common cause of mitral stenosis? Rheumatic endocarditis: What is the most significant risk factor for mitral stenosis? Rheumatic fever. ATI CAPSTONE-MED SURG-ASSESSEMENT 2 GREEN-------NEW QUESTIONS YELLOW-----AGREED ANSWER RED- ---DOUBLE CHECK 1. 1) The nurse is providing discharge instructions to a Chinese American client regarding prescribed dietary modifications. at 352-548-6153. The inhaler is held upright. The patient will receive paperwork in the mail to schedule an ultrasound after the procedure. Which of the following instructions should the nurse include in the. Inform the client that he should be voiding 150 to 200 mL of clear yellow urine every 3 to 4 hours by 3 days after surgery. 4 Wash dishes in warm water. Initially, a patient may be advised to put just a small percentage of weight on the affected leg, with incrementally more weight being applied over time. The client appears anxious and restless, and the high-pressure alarm is sounding. The client is to begin outpatient radiation therapy the next day. Postoperative fevers are fevers that occur after you’ve had surgery. Using an electric razor. Keep the leg in a dependent position. Assess the patient’s blood pressure more frequently than for younger clients and provide oxygen. The client has developed hyperosmolar. Assists nurses and physicians with discharge planning and arranges supplies and equipment for home setting. The nurse should plan to teach the client which piece of information about positioning in the postoperative period? 1. Discharge Instructions for Laparoscopic Cholecystectomy. The nurse instructs the client to dangle her legs as the nurse strikes the area below the patella with the blunt side of the reflex hammer. Offer written instructions in the clients language. A nurse is providing discharge teaching for a client who is postoperative following a rhinoplasty using general anesthesia. Naloxone hydrochloride (Narcan) 2. The nurse is providing discharge instructions for a postoperative client. what action by the nurse is appropriate? select all that apply. The critical care nurse does not just use the latest ma­chines and technologies to provide highly technical nursing, although maintaining technological devices is crucial. Before providing preoperative and postoperative instructions to the client, the nurse asks the surgeon which prostatectomy procedure will be done. Which of the following instructions should the nurse include in the teaching? 1 Take temperature once a day. "I will inspect the T-tube drainage site daily for signs of infection. The client diagnosed with emphysema is admitted to the surgical unit for a cholecys-tectomy (gallbladder removal). Which of the following findings indicates the client is having an adverse reaction to the cooling? Shivering A nurse is planning care. Chvostek's sign B. The nurse then informs the physician and the nursing supervisor about this incident and also completes an incident report. o Add a calcium supplement to his diet to maintain healthy bones and prevent osteoporosis. Call your doctor if: You have a fever. The nurse is providing discharge teaching for a patient who developed a pulmonary embolism after total knee surgery. Which of the following actions should the nurse take first? A- Notify the provider. You have severe abdominal pain. "I will resume taking my prenatal vitamins. Nurses provide tracheostomy care for clients with new or recent tracheostomy to maintain patency of the tube and minimize the risk for infection (since the inhaled air by the client is no longer filtered by the upper airways). A nurse is caring for a client who is 2 days postoperative following a cholecystectomy. Which of the following medication should the nurse administer? Flumazenil A nurse is caring for a client who is febrile. Which of the following instructions should the nurse include in the teaching? 1 Take temperature once a day. Take this free practice exam to get a sample of the types of questions that are on the NCLEX-RN exam. The nurse notes that the client's indwelling urinary catheter has not drained in the past hour. Which of the following client actions indicates that he us using the MDI correctly? Select all that apply. Which critical thinking skill involves identification of patient problems indicated by data?. Which of the following client statements should indicate to the nurse the teaching is effective? (Select all that apply. ; Eaton, John K. What is an inferior vena cava (IVC) filter and for which clients is this filter indicated? 11. If you smoke before your injury, stop after your surgery. The nurse will discuss your discharge plan. The client has developed hyperosmolar. (6) Encourage food and fluid intake when the patient in no longer NPO. The client is receiving morphine through a client-controlled analgesia pump. The following nursing interventions are used when working with a client taking an angiotensin receptor blocker agents:. Assess risk factors for the arterial disease process. Tool 4, "How To Deliver the Re-Engineered Discharge to Diverse Populations," provides guidance on working effectively with culturally and linguistically diverse patients. Which of the following instructions should the nurse include in the teaching? A: "Notify your provider if you notice small pieces of tissue in your urine. Purpose of Surgery. for comparison of postoperative results and values. At the follow-up appointment about one week after surgery, our staff will provide more specific directions as to when it is safe to return to activities. A nurse is caring for a client who has hepatic encephalopathy that is being treated with lactulose. "I will inspect the T-tube drainage site daily for signs of infection. -----Inner maxillary fixation involves wiring of the teeth to support the fractured jaw by holding the jawbones together. –Patient’s condition MUST be charted at the end of each shift to provide continuity of care from shift to shift. Which of the following should the nurse recommend the client increase in her diet during lactation?. Introductory medical-surgical nursing (10th ed. A client who is 12 hr postoperative following a total hip arthroplasty. Which of the following pt statements indicates an understanding of the teaching? Answers available at https. Which statement by the client indicates the need for additional teaching? a. When the client asks the nurse about the rationale for this action, the nurse explains that the primary benefit is to have which effect? 1. (7) Ambulate the patient to assist peristalsis and help relieve gas pain, which is a common postoperative discomfort. Call the doctor if there is ear drainage (pus) for more than one day. The nurse should also ask the UAP to report client concerns after completing the task but the UAP cannot assess the client; only nurses can assess, plan and evaluate client care. RN Adult Medical Surgical Online Practice 2019 A 1. A nurse providing instructions to a client using an incentive spirometer tells the client to sustain the inhaled breath for 3 seconds. A nurse is providing discharge teaching to a client about self-administering heparin. While the work sometimes involves difficult decisions, UR nursing ensures that health care facilities can provide appropriate care for the greatest number of people. Check the client’s peripheral pulse rate every 30 min C. Which postoperative intervention should the nurse implement? 1. Protein intake of 20% to 25% of the clients daily calorie intake. The role of the professional nurse in the perioperative care of the patient undergoing open heart surgery is beneficial for obtaining a positive outcome for the patient. Which of the following instructions should the nurse include in the teaching?. A home health nurse is assigned to a client who was recently discharged from a rehabilitation center after experiencing a right-hemispheric stroke. Which of the following instructions should the nurse include in the client's discharge teaching plan? A) "Avoid the use of any nonsteroidal anti-inflammatory drugs (NSAIDs). Which of the following clients is at greatest risk for a pulmonary embolism. Monitor electrolytes. A nurse is providing instructions to a client and family regarding home care following cataract removal from the left eye. The client is experiencing excessive stools. This 60-item NCLEX practice quiz covers problems of the urinary system and its nursing management. A nurse is teaching a client who has a family history of colorectal cancer. Understanding Terminology. In a medical setting, the Patient Care Technician Resume mentions these duties and tasks to be carried out on daily basis – providing quality care to patients, measuring vital signs like temperature, body weight and height for recording purpose; maintaining patient information, providing patient. the pacu nurse is reviewing discharge instructions with the patient and his or her spouse. Which of the following neurologic deficits should the nurse. Dilate the major bronchi. Luke’s plan of care when he returns to the rehabilitation unit. On the other. providing post-procedure care at home and report any post-procedure or post-anesthesia complications may be considered for inclusion in a facility’ s discharge policies and procedures. The nurse determines that teaching about the wound was effective when the client states: "I will regain tensile strength of unwounded skin at the end of 3 months. Alterations in the Surgical Patient. Insight (American Society of Ophthalmic Registered Nurses), 19(2), 8 - 13. I will avoid crushing this medication A nurse is assessing a client who is receiving enteral feeding via an NG tube. "I will inspect the T-tube drainage site daily for signs of infection. Which of the following neurologic deficits. A Penrose drain is a latex tube that is placed into a wound with one or two ends exiting the skin, allowing fluids to drain from the wound. This is not al-ways the case. A nurse measures the risk and benefits of various health situations while factoring in cost. Providing Post-Partum Care and Education Including Discharge Instructions As previously detailed with the section entitled "Assessing the Client For the Symptoms of Postpartum Complications", postpartum care and monitoring focuses on BUBBLE, and for the signs of infection and/or hemorrhage, which are the two most frequently occurring postpartum. What is an inferior vena cava (IVC) filter and for which clients is this filter indicated? 11. –If the note is not written by the end of the. Which of the following findings is an adverse effect of this medication? A nurse is caring for a client who has emphysema and is receiving mechanical ventilation. Also remember to state the exact time the writer should take to do your revision. During the teaching session, the client continuously turns away from the. NASA Technical Reports Server (NTRS) Squires, Kyle D. A nurse is providing discharge instructions for a client following a temporary tracheostomy. Discussing the clients transfer to a long-term care facility with a nurse from another unit. Stitches are often placed under the skin and dissolve on their own. Discharge Instructions for Total Hip Replacement Surgery. "You will need to be monitored for 15 minutes after receiving each medication dose. RN ADULT MEDICAL SURGICAL ONLINE PRACTICE 2019A A nurse is preparing to admit a client who has dysphasia. A nurse is providing discharge teaching to a client who is postoperative following surgery for carpal tunnel syndrome. prevent cavities Take antibiotics until the chest pain is fully. If an adenoidectomy has been performed in addition to placement of tubes then your child may have some bloody discharge from the nose for one to two days after the procedure. Require the parents to leave the room during. Which of the following information should the nurse include in the teaching? Try to walk at least 3x per week for exercise. Check incision twice a day for the following: Green/yellow discharge. These discharge instructions are printed with permission from Todd J. Tool 4, "How To Deliver the Re-Engineered Discharge to Diverse Populations," provides guidance on working effectively with culturally and linguistically diverse patients. The studies included in this analysis highlighted the importance of nursing guidelines providing answers to questions from patients and partners/caregivers and information about postoperative care. You may eat your normal foods when you get home. Which postoperative prescription should the nurse question and verify? Irrigating the nasogastric tube The nurse is providing discharge instructions to a client following gastrectomy and should instruct the client to take which measure to assist in preventing dumping syndrome? Limit the fluids taken with meals. On the other. Keep the leg in a dependent position. Which of the following instructions should the nurse include in her teaching: 3) Drink 8 to 10 glasses of water daily. See full list on psnet. Assess the surgical site for delayed healing. Which of the following instructions about maintaining skin integrity should the nurse include? A. The intake of salt. Which of the following statements by the client indicated an understanding of the teaching? a. You are too weak to stand up. Which of the following findings in the clients history should the nurse recognize as consistent. Tell the child they will feel discomfort during the catheter insertion. A nurse is reviewing the health record of a client who is scheduled. Request that an assistive personnel interpret instructions for the client. Call your doctor if: You have a fever. Discuss the symptoms the nurse at the. Which of the following interventions is the nurse’s priority? A nurse is providing teaching to a client who was hypothyroidism and is receiving. Providing immediate postprocedure instructions and advice 10. Practical advice on ileostomy care and patient. Practice Mode – Questions and choices are randomly arranged, the answer is revealed instantly after each question, and there is no time limit for the exam. Monitor client’s response to the activities in order to reduce discomforts. The nurse has entered the room of a client who is postoperative day 1 and finds the client grimacing and guarding her incision. Kernig's sign 16. Provide care for a client receiving an autogenous saphenous vein or a synthetic bypass graft. The nurse should expect to find an elevation of which of following values? 2…. To help mitigate this risk which of the following dietary alterations should the nurse recommend? - 2. A nurse is providing discharge instructions for a client who is postoperative following inner maxillary fixation with wiring. On the other. A nurse is providing discharge teaching to a client who is postoperative following a transurethral resection of the prostate (TURP) for treatment of benign prostatic hyperplasia. which of Following intervention should the nurse include in the plan of care? a. Nursing documentation is completed, inclusive of a PAS score, initial nursing assessment and discharge summary. Complications vary depending on the surgery being performed, however, many are common across a variety of different procedures. You just underwent a procedure that required a colostomy. On data collection, the nurse notes staining and bleeding on the dressing. BP 80/40 mm Hg 38. ATI Predictor Comprehensive Assessment 2019 A A nurse is teaching a client who has a new prescription for metformin extended release tablets. Instructions may include:. What would the nurse do to ensure the client's safety specific to this impairment if a male client has an impairment of cranial nerve II? Which nursing intervention promotes comfort for a client with Graves disease? When is the best time to provide the preoperative teachings? Which acid-base disorder would be ordered by the nurse to monitor?. The client should be told to avoid: Using oil- or cream-based soaps. "I will resume taking my prenatal vitamins. The nurse is providing discharge teaching for a patient who developed a pulmonary embolism after total knee surgery. a nurse is teaching a client how to self-administer daily low dose heparin injections. What five (5) nursing interventions should the nurse provide to this client during this period? Suggested Nursing Care of Children Learning Activity: Cleft Lip and Palate. A nurse is providing discharge teaching for a client who is postoperative following a rhinoplasty using general anesthesia. Before discharge assess for the return of gag reflex. The client is to begin outpatient radiation therapy the next day. Which of the following statements by the client indicates an understanding of the teaching?. A nurse has the moral obligation to prevent harm and do well for clients. The following are some things that you can do to decrease pain in your perineum. Which of the following instructions should the nurse provide to the client and his family? Select all that apply a) check the cord routinely for frays or tears b) keep the unit at least 4 feet away from a gas stove. A nurse is teaching a client who has a family history of colorectal cancer. When the client asks the nurse about the rationale for this action, the nurse explains that the primary benefit is to have which effect? 1. Which of the following interventions is the nurse’s priority? A nurse is providing teaching to a client who was hypothyroidism and is receiving. Correct answer! 43. Postoperative fevers are fevers that occur after you’ve had surgery. “I will take my pills every day at the same time. I will avoid crushing this medication A nurse is assessing a client who is receiving enteral feeding via an NG tube. what action by the nurse is appropriate? select all that apply. Check the client’s peripheral pulse rate every 30 min C. This usually takes place 7 to 10 days after surgery. Inform the client that he may pass small clots and tissue debris for several days. If you smoke before your injury, stop after your surgery. The nurse is caring for a client following enucleation. Which postoperative prescription should the nurse question and verify? Irrigating the nasogastric tube The nurse is providing discharge instructions to a client following gastrectomy and should instruct the client to take which measure to assist in preventing dumping syndrome? Limit the fluids taken with meals. A nurse is providing discharge teaching to a client who is 3 days postoperative following a cesarean birth. Which measure will the nurse instruct the client to follow to assist in preventing dumping syndrome? Eat high-carbohydrate foods; Limit the fluids taken with meals; Ambulate following a meal; Sit in a high-Fowlers position during meals. Administer oxygen to the client at 4 L/min. The nurse is providing discharge instructions to a client following a keratoplasty. You have severe abdominal pain. Correct answer! 43. prevent cavities Take antibiotics until the chest pain is fully. Which statement by the client indicates the need for further teaching? 149. Discharge instructions and recommendations may vary per institution, be sure to ask your doctor. The nurse is providing discharge instructions to a client following gastrectomy and should instruct the client to take which measure to assist in preventing dumping syndrome? 1. To help mitigate this risk, which of the following dietary alterations should the nurse recommend? - 2. Which of the following is the priority assessment for a nurse caring for a client with a Patient Controlled Analgesia (PCA) pump? Respiratory. The nurse has entered the room of a client who is postoperative day 1 and finds the client grimacing and guarding her incision. Question 2: A nurse provides care for a client who is 1-day post-partum following a vaginal delivery. B- Adjust the rate of the bladder irrigant. Which of the following actions should the nurse take? A. " am likely to have a fever during the first week I am home. " am likely to have a fever during the first week I am home. The nurse then informs the physician and the nursing supervisor about this incident and also completes an incident report. Which of the following neurologic deficits. A nurse is providing discharge instructions for a client following a temporary tracheostomy. Here’s what you can expect after surgery, and some tips for a healthy recovery. A nurse is teaching a client who has a family history of colorectal cancer. "I will resume taking my prenatal vitamins. 309 Likes, 64 Comments - Dr. Use a mummy restraint to hold the child during the catheter insertion. We offer free revision as long as the client does not change the instructions that had been previously given. The nurse should identify the effectiveness of the treatment A. Exam Mode – Questions and choices are randomly arranged, time limit of 1min per question, answers and grade will be revealed after finishing the exam. the client has had several exacerbations over the past 3 years. (Unable to read) B. If your large intestine was diseased, your healthcare provider may have removed it. Nurses provide care to clients by combining scientific problem-solving methods with critical thinking skills to provide care through the nursing process. A nurse is providing discharge teaching to a client about self-administering heparin. Which of the following actions should the nurse take? A. Following these guidelines can help patients recover from surgery as quickly as possible and may help reduce the risk of complications. Our Nurse Co-ordinators work closely with families, GPs, District Nurses and other healthcare professionals to provide a coordinated, holistic package of care for clients. I will avoid crushing this medication A nurse is assessing a client who is receiving enteral feeding via an NG tube. In a medical setting, the Patient Care Technician Resume mentions these duties and tasks to be carried out on daily basis – providing quality care to patients, measuring vital signs like temperature, body weight and height for recording purpose; maintaining patient information, providing patient. The nurse makes the client comfortable on the bed and completes an assessment. Apply ice to the affected area. A nurse is caring for a client who is postoperative following a total knee arthroplasty and is prescribed a continuous passive motion (CPM) machine and PCA. To help mitigate this risk, which of the following dietary alterations should the nurse recommend? - 2. Which of the following should the nurse recommend the client increase in her diet during lactation?. A nurse is caring for a client who is 2 days postoperative following a cholecystectomy. Complications vary depending on the surgery being performed, however, many are common across a variety of different procedures. A client with benign prostatic hyperplasia (BPH) doesn’t respond to medical treatment and is admitted to the hospital for a prostatectomy. The nurse should provide relief for the report of itching by blowing cool air into the cast using a hair dryer on a cool setting or an empty 60-mL plunger syringe. c)Testing the client’s stool for occult blood. The nurse knows that all except which of the following assessment findings would indicate it is safe for discharge the client?. the pacu nurse is reviewing discharge instructions with the patient and his or her spouse. The client refuses the nurse's offer of p. Immediate postoperative care Immediate postoperative dressings should be absorbent, easy to remove or non-stick, conformable, relatively cheap and available in both the hospital and the community. A nurse is caring for a client who complains of an aching pain in the abdomen. a nurse is teaching a client how to self-administer daily low dose heparin injections. I will avoid crushing this medication A nurse is assessing a client who is receiving enteral feeding via an NG tube. A client is receiving a heparin infusion for deep vein thrombosis. Lagrangian and Eulerian statistics obtained from direct numerical simulations of homogeneous turbulence. The nurse is providing discharge instructions to a client following gastrectomy and should instruct the client to take which measure to assist inpreventing dumping syndrome? 1. If your surgeon used clips, you will go back to the doctor to have them removed. Visit your NF/SGVHS Internet site at:. This question is part of NCLEX Select All That Apply Practice Exam 8 (10 Questions) Asked by Santepro , Last updated: Mar 06, 2021. A nurse is caring for a client who has bipolar disorder and is experiencing acute mania. A nurse is completing discharge teaching with a client following arthroscopic knee surgery. A surgeon removed the cloudy lens in your eye and replaced it with a clear manmade lens. It is a specialized nursing area wherein a registered nurse works as a team member of other surgical health care professionals. After conventional surgery and after device removal, provide the client instructions for wound care. See full list on psnet. Assists nurses and physicians with discharge planning and arranges supplies and equipment for home setting. To help mitigate this risk which of the following dietary alterations should the nurse recommend? - 2. Which of the following instructions should the nurse include in the teaching?. Postoperative patient care begins with the unit nurse assisting recovery room personnel in transferring the patient to the bed in his room. A nurse in a pediatric unit is preparing to insert an IV catheter for 7-year-old. Which of the following client statements indicates the teaching is effective? A. A nurse is reviewing the health record of a client who is scheduled. The nurse ?provides the client with which discharge instructions :Options Take acetaminophen (Tylenol) if the chest pain. A nurse is providing discharge teaching for a client who is postoperative following a simple mastectomy. EXAM TIP: Choose the least invasive choice first. Limit the fluids taken with meals. ; Eaton, John K. Which of the following medication should the nurse administer? Flumazenil A nurse is caring for a client who is febrile. Your provider may give you medicines for your pain. The role of the professional nurse in the perioperative care of the patient undergoing open heart surgery is beneficial for obtaining a positive outcome for the patient. (Unable to read) B. Give the following instructions for care of skin in the external radiation field: 9. 25) A nurse is providing discharge instructions to a pt who will be using a walker. During the working phase, the nurse and client evaluate and refine the goals established during the orientation phase. which of the following instructions should the nurse include in the plan of care to minimize the risk of further exacerbations? select all that apply. Administer. The patient has been converted from heparin to sodium warfarin (Coumadin) anticoagulant therapy. RN Adult Medical Surgical Online Practice 2019 A 1. Which of the following actions should the nurse take? A. Before providing preoperative and postoperative instructions to the client, the nurse asks the surgeon which prostatectomy procedure will be done. RN ADULT MEDICAL SURGICAL ONLINE PRACTICE 2019A A nurse is preparing to admit a client who has dysphasia. To reduce the client’s fever, the nurse applies a cooling blanket. Have the patient turn, cough, and breathe deeply every shift. ATI Med-Surg part B – Chamberlain College of Nursing MED-SURG PART B 1. This will improve hearing and prevent recurrent infections. A nurse is evaluating a client who has a new diagnosis of type 1 diabetes mellitius. Cardiac output c. Introductory medical-surgical nursing (10th ed. A home health nurse is assigned to a client who was recently discharged from a rehabilitation center after experiencing a right-hemispheric stroke. This article reviews the anatomy and physiology of the gastrointestinal tract, indications for the creation of an ileostomy, and prevention and treatment of early and late complications. A nurse is caring for a client who is 2 days postoperative following a cholecystectomy. The nurse is caring for a client with Hepatitis A. the client has had several exacerbations over the past 3 years. The client has developed hyperosmolar. In which position will the nurse place the head of the bed when the client is fully awake? A) Flat with the head elevated on a pillow. 9 Patients should not be permitted to drive themselves home after the procedure or surgery,. Ambulate following a meal. Instructions may include:. In addition to the extensive client and family education components described immediately above in the section entitled "Providing Preoperative and Postoperative Education", the following roles and responsibilities are done by the registered nurse during the preoperative period of time. Which of the following signs might lead the nurse to place a diagnosis related to poor nutrition on this client’s chart?. This is not an ear infection. which of the following instructions should the nurse include in the plan of care to minimize the risk of further exacerbations? select all that apply. I will avoid crushing this medication A nurse is assessing a client who is receiving enteral feeding via an NG tube. The inability to urinate following the procedure is uncommon. Have the patient turn, cough, and breathe deeply every shift. Which of the following medication should the nurse administer? Flumazenil A nurse is caring for a client who is febrile. A nurse is reinforcing teaching with an older adult client who has osteoporosis. The discharge nurse observes a 5-foot 9-inch 18-year-old female following surgery. Which of the following findings is an adverse effect of this medication? A nurse is caring for a client who has emphysema and is receiving mechanical ventilation. The nurse is providing discharge teaching for a client who will be going home with a T-tube following cholecystectomy surgery. o Add vitamin D supplement to his diet to promote calcium absorption. During the teaching session, the client continuously turns away from the. A nurse is caring for a client who complains of an aching pain in the abdomen. b Supplement your diet with vitamin E. The nurse is providing discharge instructions to a client following gastrectomy and should instruct the client to take which measure to assist inpreventing dumping syndrome? 1. To help mitigate this risk which of the following dietary alterations should the nurse recommend? - 2. (8) Instruct the patient to tell you of his first bowel movement following. These patients have duce length of stay, and reduce cost in this Because bariatric surgery is performed a higher risk of the following postoperative patient population. B) Slightly raised at a 15° angle. I will avoid crushing this medication A nurse is assessing a client who is receiving enteral feeding via an NG tube. The nurse knows that all except which of the following assessment findings would indicate it is safe for discharge the client?. B) Slightly raised at a 15° angle. Question the client regarding the sensation of palpation in the abdomen. A nurse is helping to prepare a client with systemic lupus erythematosus (SLE) for discharge. Secretions normally are blood tinged for several hours following bronchoscopy, especially if biopsy has been obtained. the client has had several exacerbations over the past 3 years. Administer. Babinski's sign C. I will expect to have moderately severe pain for 1-2 days C. Provide unleavened bread. RN ADULT MEDICAL SURGICAL ONLINE PRACTICE 2019A A nurse is preparing to admit a client who has dysphasia. Despite the fact that the presence of a liaison nurse reduces the workload for hospital nurses at discharge, it also increases the communication gap with caregivers in the community. A nurse is using an IV pump for a newly admitted client. Venous pressure d. Which of the following actions should the nurse take first? A- Notify the provider. Increase surfactant production. A home health nurse is assigned to a client who was recently discharged from a rehabilitation center after experiencing a right-hemispheric stroke. "I will resume taking my prenatal vitamins. The extended healing period required after lumbar spinal fusion surgery makes postoperative care especially important. Use a mummy restraint to hold the child during the catheter insertion. Nursing Intervention. •Provide specific client and family teaching related to proce-dure and postoperative care. Monitor color and character of respiratory secretions. The client appears anxious and restless and the high-pressure alarm is sounding. Postoperative instructions include information on diet, wound care, medications, physical activity, and other issues that may come up during hernia repair surgery recovery. A postoperative patient is being discharged home following minor surgery. Which statement by the client indicates the need for further teaching? 149. The client tells the nurse that she is very concerned because she has numbness in the area of the surgery and along the inner side of the arm from the armpit to the elbow. Providing discharge education to patients with limited English proficiency, limited health literacy, or non-Western health beliefs and practices presents unique challenges. Program within @mayoclinicgradschool is currently accepting applications! As a student,…”. The nurse is providing discharge instructions to a client following gastrectomy. The client reports he has a history of "heart trouble," but has no problems at present. Limit the fluids taken with meals. The Agency for Healthcare Research and Quality's (AHRQ) mission is to produce evidence to make health care safer, higher quality, more accessible, equitable, and affordable, and to work within the U. During the teaching session, the client continuously turns away from the. bal instructions by the physicians and nurses during brief meetings on the day of surgery, lead-ing to the perioperative nurse’s expectations that patients are prepared for their surgical experience and for self-care after discharge. A nurse is providing instructions to a client who has primary syphilis. nurse caring for a client with cholecystitis. A Patient Care Technician will provide clinical and non-clinical services to the patients. b)Suctioning the client. (Unable to read) B. On discharge to home, patients should be provided with diabetes education, specific instructions on their medications and insulin doses, and follow-up with their outpatient providers. The nurse should instruct the client to use disposable utensils, plates, and cups during this time period to decrease the risk for radiation exposure to other members of the household. Ambulate following a meal. ing the surgery to the client and family; the nurse, for determining their level of understanding and then notifying the physician of the need to provide more information. This usually takes place 7 to 10 days after surgery. Overview Discharge teaching after surgery Promotes safety Decrease complications Increases healing Surgeon specific instructions Planning should begin early Involve family Add support Increase understanding Provide to patient Written discharge materials Nursing Points Assessment Assess Patient specific learning needs Vary Age Disabilities Level of education Readiness Anesthesia Ability to. Direct verbal discharge instructions to the interpreter. Stitches are often placed under the skin and dissolve on their own. Providing discharge education to patients with limited English proficiency, limited health literacy, or non-Western health beliefs and practices presents unique challenges. nurse caring for a client with cholecystitis. Dietitian evaluates and makes recommendations to optimize patient's nutritional status postoperatively. Assist the patient in early ambulation. Discussing the clients transfer to a long-term care facility with a nurse from another unit. A client with benign prostatic hyperplasia (BPH) doesn’t respond to medical treatment and is admitted to the hospital for a prostatectomy. The nurse is caring for a client following enucleation. Brudzinski's sign D. A nurse is providing instructions to a client who has primary syphilis. While spinal fusion surgery has a high success rate for stabilizing 2 or more adjacent vertebrae and enabling a return to previous normal activity levels, the recovery time can vary based on many factors. ATI Predictor Comprehensive Assessment 2019 A A nurse is teaching a client who has a new prescription for metformin extended release tablets. The nurse is providing discharge instructions to a client following gastrectomy. RN ADULT MEDICAL SURGICAL ONLINE PRACTICE 2019A A nurse is preparing to admit a client who has dysphasia. Which of the following instructions should the nurse include in the teaching? 1 Take temperature once a day. This means your natural hip was replaced with an artificial joint (prosthesis). Using an electric razor. This 60-item NCLEX practice quiz covers problems of the urinary system and its nursing management. Which of the following findings is an adverse effect of this medication? A nurse is caring for a client who has emphysema and is receiving mechanical ventilation. If your large intestine was diseased, your healthcare provider may have removed it. A nurse is caring for a client who has hepatic encephalopathy that is being treated with lactulose. Visit your NF/SGVHS Internet site at:. The client is receiving morphine through a client-controlled analgesia pump. Call the doctor if there is ear drainage (pus) for more than one day. Which critical thinking skill involves identification of patient problems indicated by data?. The dressing should not require tape to secure it. Which of the following clients is at greatest risk for a pulmonary embolism. 6) A nurse is evaluating discharge instructions for a client following a right cataract extraction. •Provide specific client and family teaching related to proce-dure and postoperative care. A nurse is providing discharge teaching to a client about self-administering heparin. Which of the following statements by the client indicates an understanding of the teaching?. , change of position, therapeutic communication with the patient). Which of the following neurologic deficits should the nurse expect to find when assessing the client? ( select all that apply) 2. A study investigating primary nursing, discharge teaching, and patient satisfaction of ambulatory cataract patients. The nurse is providing discharge instructions to a client following gastrectomy and should instruct the client to take which measure to assist inpreventing dumping syndrome? 1. Which of the following actions should the nurse take? A. Which of the following medications would the nurse expect the physician to order? 1. The nurse teaches the client that the catheter will be inserted to provide information about: a. pamelamehta started this campaign to empower…”. On which nursing diagnosis should the nurse focus her teaching? Risk for infection: What is the most common cause of mitral stenosis? Rheumatic endocarditis: What is the most significant risk factor for mitral stenosis? Rheumatic fever. This article provides a review of the typical considerations and instructions for ACDF postoperative care and rehabilitation. The safest method of changing the tracheotomy ties is to:. A nurse is caring for a client who is experiencing a diazepam overdose. A nurse in a pediatric unit is preparing to insert an IV catheter for 7-year-old. Ambulate following a meal. A home health nurse is assigned to a client who was recently discharged from a rehabilitation center after experiencing a right-hemispheric stroke. Exactly how much pressure the new hip can bear will depend on factors such as:. Postoperative patient care begins with the unit nurse assisting recovery room personnel in transferring the patient to the bed in his room. The nurse is providing discharge instructions to a client following gastrectomy. A nurse is providing discharge teaching for a client who is postoperative following a rhinoplasty using general anesthesia. RN ADULT MEDICAL SURGICAL ONLINE PRACTICE 2019A A nurse is preparing to admit a client who has dysphasia. See full list on psnet. Care for your wound as instructed. Which of the following neurologic deficits. Initially, a patient may be advised to put just a small percentage of weight on the affected leg, with incrementally more weight being applied over time. A nurse is reinforcing teaching with an older adult client who has osteoporosis. Which of the following medication should the nurse administer? Flumazenil A nurse is caring for a client who is febrile. Understanding Terminology. This article reviews the anatomy and physiology of the gastrointestinal tract, indications for the creation of an ileostomy, and prevention and treatment of early and late complications. Offer written instructions in the clients language. You just underwent a procedure that required a colostomy. The nurse will discuss your discharge plan. s of ostomy care. Once the drain and all the sutures have. While spinal fusion surgery has a high success rate for stabilizing 2 or more adjacent vertebrae and enabling a return to previous normal activity levels, the recovery time can vary based on many factors. The nurse is providing discharge instructions to a client following a keratoplasty. A nurse is reinforcing instructions to a client following a total laryngectomy about caring for the stoma. What should the nurse teach the client? A) Coumadin will continue to break up the clot over a period of weeks. Which of the following client actions indicates that he us using the MDI correctly? Select all that apply. Each part of IDEAL Discharge Planning has multiple components: hospital stay. Marie, a 51-year-old woman, is diagnosed with cholecystitis. a nurse is planning care for a client who has Menieres disease and his experiencing episodes of vertical. Care for your wound as instructed. Which of the following interventions is the nurse’s priority? A nurse is providing teaching to a client who was hypothyroidism and is receiving. A nurse is providing discharge teaching to a client who is postoperative following a transurethral resection of the prostate (TURP) for treatment of benign prostatic hyperplasia. RN Comprehensive Predictor 2019 Form A 1. DISCHARGE AND HOME HEALTH CARE GUIDELINES. The nurse obtained a verbal prescription for restraints. Call the doctor if there is ear drainage (pus) for more than one day. (Unable to read) B. Question the client regarding the sensation of palpation in the abdomen. If your surgeon used clips, you will go back to the doctor to have them removed. bal instructions by the physicians and nurses during brief meetings on the day of surgery, lead-ing to the perioperative nurse’s expectations that patients are prepared for their surgical experience and for self-care after discharge. The nurse makes the client comfortable on the bed and completes an assessment. A nurse is teaching a client who has a family history of colorectal cancer. Which of the following should the nurse recommend the client increase in her diet during lactation?. of the Rothman Institute at Thomas Jefferson University. A home health nurse is assigned to a client who was recently discharged from a rehabilitation center after experiencing a right-hemispheric stroke. Patients with ileostomies are particularly prone to peristomal skin problems, as well as fluid and electrolyte and nutritional imbalances. Which of the following information should the nurse include? Cut the wiring if emesis occurs. Giving a telephone report to a surgical nurse and sending the client to the surgical suite. Discharge Instructions for Total Hip Replacement Surgery. A nurse is preparing discharge planning for a client who has a newly placed from NR 226 at Chamberlain College of Nursing. This article provides a review of the typical considerations and instructions for ACDF postoperative care and rehabilitation. Which of the following actions should the nurse take first? A- Notify the provider. 27-33, 55-67, 648-673). High-fat, high-carbohydrate. Which of the following instructions should the nurse in the teaching? a Place throw rugs on wooden floors at home. A nurse is preparing to provide discharge teaching to a client who has an ileal conduit due to treatment for bladder cancer. A home health nurse is assigned to a client who was recently discharged from a rehabilitation center after experiencing a right-hemispheric stroke. " am likely to have a fever during the first week I am home. Ask your provider for help on how to quit. A nurse is providing discharge instructions for a client who is postoperative following inner maxillary fixation with wiring. \ The nurse assesses a patient in the postanesthesia recovery unit and finds a BP of 88/50, pulse 116, and respirations of 20. Which of the following instructions should the nurse include in the teaching? A: "Notify your provider if you notice small pieces of tissue in your urine.