A nurse is completing an admission assessment for a client who reports vomiting. neck vein distention b. Study with Quizlet and memorize flashcards containing terms like A client is diagnosed with narcolepsy. Which of the following findings should the nurse expect? a. Fill in quiet spaces and pauses. Ability to follow Study with Quizlet and memorize flashcards containing terms like The nurse enters an examination room to conduct a routine health assessment on an adolescent female client, who is accompanied by her mother. 025 Study with Quizlet and memorize flashcards containing terms like A nurse is completing the admission assessment of a client who has acute pancreatitis. 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 nurse is completing an admission A nurse is completing an admission assessment. " 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. Which assessment finding is evidence that the child is experiencing increased intracranial pressure (ICP)? A. Extinguish the fire C. Previous question Next question. Study with Quizlet and memorize flashcards containing terms like A nurse is admitting a client who reports nausea, vomiting, and weakness. 0 mEq/L E A. Tachycardia D. 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 nurse is completing an admission Study with Quizlet and memorize flashcards containing terms like 1. Concentrated urine C. 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 diarrhea for the past 3 days. 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 findings should the nurse identify as manifestations of fluid volume deficit? (select all that apply) A. Prepare for A nurse is completing an admission assessment for a client who reports vomiting and diarrhea for the past 3 days. rapid heart rate D. Request foods that have a high fat content to increase the client's interest in A nurse in an emergency department is caring for a client who reports vomiting and diarrhea for the past 3 days. What 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. Attention to details. Rapid heart rate d. Which is the appropriate action of the nurse?, A 33-year-old male client Study with Quizlet and memorize flashcards containing terms like A nurse is completing the admission assessment of a client who has acute pancreatitis. During a 24-hour diet recall, the client reports eating spinach, asparagus, and green beans for lunch and dinner. Toxicity, A nurse is caring for a psychiatric client age 70 years Study with Quizlet and memorize flashcards containing terms like A nurse is completing the admission assessment of a client who has acute pancreatitis. The client was diagnosed with chronic pancreatitis 2 years ago and this is the fourth admission for an acute exacerbation of pancreatitis. The client tells the nurse that she feels like she needs to vomit. Share Share. Exhibit 1: Nurses' Notes 1200:Client arrives to ED and reports abdominal pain and no bowel movement for the past 7 days. 010 C) Rapid heart rate D) Blood pressure 144/82 Aug 31, 2023 · Discover the key elements and procedures involved in nursing admission assessment and examination for comprehensive patient evaluation. 4. Hyperthermia C. c. Bradycardia D. Sluggish and unequal pupillary responses C. 010 C. which of the following findings should the nurse expect? rapid heart rate A nurse is admitting a client who has an abdominal wound a large amount of purulent drainage. A client who is at 14 weeks gestation and reports nausea and vomiting D. Client was admitted at 38 weeks with Dx of preeclampsia. Provide the client with foods that are at room temperature. 99 (1. Blood potassium 3. The client vomits into the emesis basin and then remains sitting on the side of the bed, stating that she may need to throw up again. Serum potassium 3. A client who has missed a period and reports vaginal spotting C. The registered nurse (RN) uses the mini-mental state examination (MMSE) when assessing a client for admission to an assisted living facility. 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. The nurse knows that these cancers are most likely associated with what etiology? 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. The client reports taking larger and larger amounts of medication to get the desired effect. Which of the following findings should the nurse expect? and more. Based on this information, the nurse interprets this as suggesting what possible outcome? A) Desensitization B) Tolerance C) Decreased therapeutic index D) Toxicity, An older adult reports 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. infection C. A nurse is completing an admission assessment for a client who has a small bowel obstruction. ) A. blood pressure 144/82 mmHg After the nurse confirms the fire, which of the following actions should the nurse take next?, 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 inconsistent with preeclampsia. 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. Subjective and objective data collection are an integral part of this process. Which of the following pieces of The nurse completes an admission assessment. The client reports taking larger and larger doses of medication to get the desired effect. Which of the following findings should the nurse expect? A. Powered by Chegg AI. B. The nurse begins the client interview, focusing on the gastrointestinal system. Symmetrical Convex shape sphere B. Syncope E. In the last two weeks more than half the clients on your unit have been diagnosed with gastroenteritis. Which listening behavior should the nurse implement to have a successful interview? Focus mainly on verbal comments. , A nurse is preparing to auscultate a client's abdomen for the presence of bowel sounds. Profuse emesis prior to insertion of the nasogastric tube B. Hematocrit 60% D Serum K+ 3. Urine specific gravity 1. Ecchymosis, A nurse is admitting an older client who has 3. -Request that the mother A nurse is caring for a male client who reports nausea and vomiting and is receiving IV fluid therapy. Hydramnios A nurse is creating a plan of care for a client who has chemotherapy-induced nausea and vomiting. A nurse is completing an admission assessment of a client who has pancreatitis. 01-1. Which finding should the nurse expect?, A nurse is administering 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. 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 pneumonia. Epigastric pain radiating to left shoulder A. Which of the following nursing interventions is appropriate? Study with Quizlet and memorize flashcards containing terms like Meet the Client, The nurse completes an admission assessment. use of clang associations d. Which action by the nurse is likely to facilitate accurate responses to personal and social history questions? -Include the mother in the interviewing process. Which of the following assessment findings should the nurse expect?, A nurse is administering IV fluid to an older adult client Study with Quizlet and memorize flashcards containing terms like A nurse in the emergency department (ED) is caring for a client who reports abdominal pain. A nurse is completing an admission assessment for a client who reports vomiting and diarrhea for the past 3 days. flat affect Study with Quizlet and memorize flashcards containing terms like A nurse is completing an admission assessment for a client who reports vomiting and diarrhea for the past 3 days. Study with Quizlet and memorize flashcards containing terms like Which statement reflects what is known about the Ebola and Marburg viruses?, You work on a long-term care unit. A client who is at 38 weeks gestation and reports a cough and fever B. 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. lack of motivation c. 040 C. Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who has tuberculosis. Orientation to surroundings. Tolerance B. Potassium 3. Evacuate the client D. 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 useless now that my children do not need me anymore. Increased head 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. 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 useless now The nurse is completing an admission assessment for a client with suspected esophageal cancer. blood pressure 144/82 mm Hg. delusion of persecution e. The nurse notes the client is having slowed speech and focus, irritability, yawning, and that he reports severe lumbar and right After the nurse confirms the presence of the fire, which of the following actions should the nurse take next? 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. " Question: FLAGA nurse is completing an admission assessment for a client who reports vomiting and diarrhea for the past 3 days. 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. 025 Study with Quizlet and memorize flashcards containing terms like The nurse is performing an initial admission assessment from a client. She states that she is comfortable enough for the nurse to begin the admission assessment and asks that the nurse call her Claudine. Avoid the impulse to interrupt. The client vomits into the emesis basin and then remains sitting on the side of the bed, stating that she may need to Study with Quizlet and memorize flashcards containing terms like A nurse is completing an admission assessment for a client who has a small bowel obstruction. His BUN is 32 mg/dL, creatinine 1. Study with Quizlet and memorize flashcards containing terms like A nurse is completing a client assessment for admission to the medical unit. The client states he smokes 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. Desensitization D. ), A nurse in an emergency department is caring for an infant who Sep 27, 2022 · 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. 0mEq/L E Nov 26, 2023 · 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? Rapid heart rate a nurse is completing an admission assessment for a client who reports vomiting and diarrhea for the past 3 days. Here’s the best way to solve it. neck vein distension B. Have client ambulate back to bed. Patients with who experience vomiting can easily become dehydrated and experience abdominal pain. The nurse should assess the client's vital signs, including blood pressure, heart rate, and temperat View the full answer. Study with Quizlet and memorize flashcards containing terms like The nurse is conducting an interview with a newly admitted client. What would be an expected finding. Which of the following assessment findings should the nurse expect? Answer choices: A) Neck vein distention B) Urine specific gravity 1. urine specific gravity 0. A Study with Quizlet and memorize flashcards containing terms like 1. Fill in the words for the client. constantly waving arms f. To support the admitting diagnosis of acute pancreatitis, what information should the nurse obtain from the client? When completing admission assessment, the client reports a family history of ovarian cancer among a maternal grandmother, aunt and sister. urine specific gravity 1. What are the correct steps?, A nurse is completing an admission assessment for a pt. Which statement made by the client indicates the presence of a risk factor for esophageal cancer? "I've been smoking for 20 years now. Initiate 100% oxygen per nonrebreather mask. WBC 10,000, A nurse is planning care Fifteen minutes after receiving the antiemetic, Mrs. 2. The client vomits into the emesis basin and then remains sitting on the side of the bed, stating that Study with Quizlet and memorize flashcards containing terms like a nurse is completing an admission assessment of a client who is 38 weeks and has severe preeclampsia. Concave umbilicus C. Study with Quizlet and memorize flashcards containing terms like A client reports dizziness and weakness while walking down the hall. The nurse should identify which of the following findings as the priority? a. which of the following types of transmission precaution should 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 Study with Quizlet and memorize flashcards containing terms like A nurse is performing an admission assessment. Pain relieved with defecation D. Which of the following findings should the nurse report to the provider? (Select all that apply. 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. 010 C) Rapid heart rate D) Blood pressure 144/82 The caregiver is the client's financial power of attorney The client is in a wheelchair with the wheels locked The client reports receiving a full bath twice each week The caregiver insists on remaining in the room (A caregiver who refuses to leave the room during an admission assessment can be an indication of potential mistreatment of the client who is receiving care. Decreased skin turgor B. Decreased skin turgor, A nurse on a medical‑surgical unit is caring After the nurse confirms the presence of the fire, which of the following actions should the nurse take next? 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 client is confrontational with his parents b. 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. The client is getting Ds in his classes because he frequently skips school. A nurse is completing an admission assessment for a client who reports vomiting and diarrhea for the past 3 days. 0 E. Which vitamin is the client most likely consuming? 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. A nurse is completing an admission assessment for an adolescent client who has depression. who reports vomiting and diarrhea for the past 3 days. Hematocrit 60% D. 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 nurse is completing an admission A nurse is completing an admission assessment for a client who has schizophrenia. Low-grade fever E Study with Quizlet and memorize flashcards containing terms like The nurse completes an admission assessment. Pain in right upper quadrant radiating to right shoulder B. which of the following findings should the nurse expect? A. Bilateral bowel sounds in lower quadrants D. What subjective data gathered from the client will the nurse document? Select all that apply. Which of the following abdominal assessment findings require further investigation by the nurse? A. 0 E WBC 10,000 Study with Quizlet and memorize flashcards containing terms like A nurse is performing an admission assessment. Distended neck veins B. What actions should the nurse take? Exhibit 1. Which of the following findings should the nurse expect?Neck vein distentionUrine specific gravity to 1. What actions should the nurse take, A nurse is completing an admission assessment for a client who reports vomiting and diarrhea for the past 3 days. Study with Quizlet and memorize flashcards containing terms like 1) Increased heart rate 2) Increase blood pressure 3) Increased respiratory rate 4) Increased hematocrit 5) Increased temperature A nurse is assessing a client who has fluid overload. auditory hallucination b. Which of the following findings should indicate to the nurse that the client is experiencing fluid volume deficit? Sep 27, 2023 · A nurse is completing an admission assessment for a client who reports vomiting and diarrhea for the past 3 days. Apr 30, 2024 · 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. 025) c. Tachycardia and tachypnea B. Confine the fire, A nurse is completing an admission assessment for a client who reports vomiting and diarrhea for the past 3 days. Which of the following assessment findings should the nurse expect? A. Which of the following assessment findings should the nurse expect? C. Client is undergoing chemotherapy for pancreatic cancer and has been taking 40 mg oxycodone extended-release tablets a nurse is completing an admission assessment for a client who reports vomiting and diarrhea for the past 3 days. Which statement made by the nurse is accurate? "The children and client should share a support person during the childbirth. D. The nurse should expect which of the following findings? (Select all that apply. 3. A nurse is completing an admission assessment for a client who is 39 weeks of gestation and reports fluid leaking from the vagina for 2 days. Report of pain being worse when sitting upright C. Which of the following dietary interventions should the nurse include to minimize the client's nausea? A. 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 document as positive symptoms? (select all that apply) a. postpartum hemorrhage D. What is the most likely reason?, The nurse is giving an educational talk to a local parent-teacher association. Which of the following conditions is the client at risk for developing? A. Learn how nurses can effectively gather information, identify patient needs, and develop individualized care plans for optimal health outcomes. AssessmentThe nurse is completing the client's Emergency Department (ED) admission assessment. McElroy stops vomiting, appears relaxed, and denies further nausea. Therapeutic Index C. Which of the following is an expected finding? A. C. 1 mg/dL, and hematocrit 50%. It is the first step in the successful evaluation of a patient. Emesis prior to insertion of NG tube B. Recall of information. Obtain client's blood pressure. A client who is at 28 weeks gestation and reports painless vaginal bleeding, A nurse in the antepartum unit is caring for a client who Study with Quizlet and memorize flashcards containing terms like a client who is nonambulatory notifies the nurse that his trash can is on fire. Which finding is the RN assessing when requesting the client to count by 7s? A. Based on this information, the nurse interprets this as suggesting: A. This nursing care plan for vomiting includes a diagnosis and care plan for nurses with nursing interventions and outcomes for the following conditions: Risk for Fluid Volume Deficient & Acute Pain. The client has dry oral mucous membranes. Aug 28, 2023 · The nursing assessment includes gathering information concerning the patient's individual physiological, psychological, sociological, and spiritual needs. , When is the best time for a nurse to take a a nurse is completing an admission assessment for a client who reports vomiting and diarrhea for the past 3 days. The nurse notes the client's cardiac rhythm displayed on the telemetry monitor. , ANIC4 adolescent client who is G1P1. Emesis prior to insertion of the nasogastric tube B. cord prolapse B. Activate the emergency fire alarm B. Which of the following findings should the nurse expect? (Select all that apply. dftv fqa dib bqr ticmbn curf oaje ttqim kbtrot majipkg