Which is the priority assessment in the client experiencing regurgitation?
A. Auscultation for crackles
B. Inspection of the oral cavity
C. Palpation of the cervical lymph nodes
D. Culture of the throat for bacterial infection
A
The client with regurgitation is at risk of aspiration, pneumonia, and bronchitis. The nurse should auscultate the lungs for crackles, an indication of aspiration.
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The older patient who sustained a fractured hip and femur in a motor vehicle accident is to be in Russell's traction for several weeks, so the nurse will focus care on:
1. offering frequent distractions. 2. encouraging nutrition. 3. pain relief. 4. prevention of DVT.
Some factors that affect the success of an educational session for patients are listed here. Which does not necessarily belong?
a. Environment c. Nurse's education b. Patient condition d. Topic to be learned
The new graduate is learning about advanced practice nursing. Which of the following situations best illustrates an advanced practice nursing role? (Select all that apply.)
A. An experienced registered nurse who is the manager of a large obstetrical unit B. A registered nurse who is the circulating nurse at surgical (cesarean) deliveries C. A clinical nurse specialist who is working as a staff nurse on a mother-baby unit D. A nurse practitioner who is consulting with a physician in the newborn nursery E. A nurse-midwife attending vaginal deliveries of uncomplicated pregnancies.
Having misplaced a stethoscope, a nurse borrows a colleague's stethoscope. The nurse next enters the patient's room and identifies self, washes hands with soap, and states the purpose of the visit
The nurse performs proper identification of the patient before auscultating the patient's lungs. Which critical health assessment step should the nurse have performed? a. Running warm water over stethoscope b. Draping stethoscope around the neck c. Rubbing stethoscope with betadine d. Cleaning stethoscope with alcohol