1. a nurse is planning care for a client who has Meniere’s disease and his experiencing episodes of vertical. which of Following intervention should the nurse include in the plan of care?

a. Maintain strict bed rest—- pg 75

b. Restrict fluid intake to the morning hours.

c. Administer aspirin.

d. Provide a low-sodium diet.

2. a nurse is assessing a client of possible exposure of HIV . Which of the following findings should the nurse identify as an early manifestation of HIV infection?

a. Stomatitis b. Fatigue

c. Wasting syndrome

d. Lipodystroph

3. Play nurse is teaching a client about using continuous positive airway pressure (CPAP) device to treat obstructive sleep apnea . Which of the following information should the client include in the teaching?

a. It delivers a preset amount of inspiratory pressure at the beginning of each breath———— pg 119??????

b. it has continuous adjustment feature that changes the airway pressure throughout

thecycle

c. it delivers a preset amount of airway pressure throughout the breathing cycle

d. it delivers positive pressure at the end of each breath

4. A nurse is teaching a client about fecal cult blood testing (FOBT) for the screening of colorectal cancer. Which of the following statements should the nurse include in the teaching?

a. “Your provider will use stool from your digital rectal examination to perform the test.”

b. “Your provider will prescribe a stimulant laxative prior to the procedure to evacuate the bowel.”

c. “You should begin annual fecal occult blood testing for colorectal cancer screening at 40 years old.”

d. “You should avoid taking corticosteroids prior to testing.”

5. A nurse is preparing a client for a colonoscopy. Which of the following medication should the nurse anticipate the provider to prescribe as an anesthetic for the procedure?

a. Propofol——– pg 303

b. Pancuronium

c. Promethazine

d. Pentoxifylline

6. A nurse is teaching a client who has hypertension about dietary modifications to help control blood pressure. Which of the following food choices should the nurse recommend as a best choice for the client to include in their diet?

a. 1 packet of reconstituted dry onion soup

b. 3 oz of lean cured ham c. 3 oz of chicken breast

d. ½ cup of canned baked beans

7. A nurse is caring for a client who has rheumatoid arthritis and has been taking Prednisone.

Which     of the following findi

a. Weight loss

b. hypoglycemia

ng should the nurse identify as an adverse effect of this medication?

d.

8. A nurse is who has increased intracranial pressure (ICP ). Which of the

following intervention should the nurse implement?

a. Place several pillows behind the client’s head

b. place the client in a Sims position – per p. 83 of 2019 version, first intervention to decrease ICP is to elevate head to at least 30o

c. keep the client’s neck in a midline position

d. maintain flexion of the client’s hips at a 90 degree angle

9. A home health nurse is providing teaching to the family of a client who has a seizure disorder. Which of the following intervention should the nurse include in the teaching?

a. Keep a padded tongue blade near the bedside.

b. Place a pillow under the client’s head while in bed during a seizure.

c. Administer diazepam orally at the onset of seizures.

d. Position the client on their side during a seizure— pg 36

10. A nurse is assessing a client who has meningitis the nurse should identify which of the following findings as a positive kernig’s sign?

a. After stroking the lateral area of the foot, the client’s toes contract and draw together. b. After hip flexion, the client is unable to extend their leg completely without pain— pg

31

c. The client’s voluntary movement is not coordinated.

d. The client reports pain and stiffness when flexing their neck.

11. A nurse is providing discharge teaching to a client who has heart failure and a prescription for furosemide 20 mg PO two times daily. Which of the following instruction should the nurse include in the teaching?

a. Monitor for increased blood pressure.

b. Increase intake of high-potassium foods——– pg 207

c. Expect an increase in swelling in the hands and feet.

d. Take the second dose at bedtime.

12. A nurse is teaching a client who has type 1 diabetes mellitus about hypoglycemia. Which of the following statements by the client indicates an understanding of the teaching?

a. exercise reduces the risk for hypoglycemia

b. I can skip my insulin when I don’t eat

c. I can drink 4 ounces of soda if my blood sugar is low

d. diabetic pills don’t cause hypoglycemia; Only insulin does

13.  A nurse in a rural community center is providing education to a group of clients about first aid interventions for snake bites to prevent further injury. Which of the following instructions should the nurse include in the teaching?

a. Apply an ice pack directly to the affected area

b. Immobilize the affected extremity with a splint – p. 9, 2019

c. Place tourniquet above and below the affected area

d. Elevate the affected extremity

14. A nurse is teaching a group of clients about the risk factors for osteoporosis. Which of the following should the nurse include as a risk factor for osteoporosis?

a. Early menopause

b. history of falls

c. African American race

d. obesity

15. A nurse is reviewing the medical record of a client who has unstable angina. Which of the following findings should the nurse report to the provider? (Click on the “Exhibit” button for additional information about the client. There are three tabs that contain separate categories of data).

a. Breath sounds

b. Temperature

c. Blood pressure

d. Creatine kinase

16. A nurse is providing discharge teaching to a client who is starting to take carbidopa /levodopa to treat Parkinson’s disease. Which of the following instructions should the nurse include in the teaching?

a. “This medication can cause your urine to turn a dark color.”

b. “Expect immediate relief after taking this medication.”

c. “Take the medication with a high-protein food.”

d. “Skip a dose of the medication if you experience dizziness.”— pg 42

17. A nurse is providing dietary teaching for a client who has chronic cholecystitis. Which of the following day each of the nurse recommend?

a. Low-potassium diet

b. High-fiber diet

c. Low-fat diet— pg 356

d. Low-sodium diet

18.  A nurse is providing teaching to a client who is scheduled for an electroencephalogram (EEG). which of the following statements by the client indicates an understanding of the teaching?

a. I should not wash my hair prior to the procedure

b. I will receive a sedated 1 hour before the procedure

c. I should avoid eating prior to the procedure

VERSION

19.  A nurse is providing discharge teaching to a client following a heart transplant. Which of the following information should the nurse include in the teaching?

a. Immunosuppressant medication needs to be taken for up to 1 year

b. Shortness of breath might be an indication of transplant rejection—– pg 209

c. the surgical site will heal in 3 to 4 weeks after surgery

d. begin 45 min of moderate aerobic exercise per day following discharge

20. A nurse is caring for a client who has been experiencing repeated tonic clonic seizures over the course of 30 minutes. After maintaining the client’s airway and turning the client on their side, which of the following medication should the nurse administer?

a. Diazepam IV– pg 38

b. Lorazepam P0

c. Diltiazem IV

d. Clonazepam PO

21.  The nurse is providing discharge instructions to a client who has GERD. Which of the following statements by the client demonstrates an understanding of the teaching?

a. I should take my medicine with orange juice

b. a bedtime snack will prevent heartburn

c. I will lie down after meals

d. I will limit activities that require bending at the waist

22.  A nurse is caring for a client who is at high risk for iron deficiency anemia. Which of the following foods should the nurse instruct the client to increase in their diet?

a. Yogurt

b. apples

c. raisins———————– PER NUTRITION BOOK

d. cheddar cheese

23.  A nurse is caring for a client who has rights sided pneumothorax. Following chest tube insertion, which of the following findings indicates that the chest drainage system is functioning correctly?

a. Gentle bubbling in the suction chamber——- PG 108 2019 VERSION

b. crepitus around the insertion site

osteoc. constant bubbling in the water seal chamber

d. absence of breath sounds on the right side

24.  A nurse is planning care for a client who has acute post streptococcal glomerulonephritis . Which of the following intervention should the nurse include in the client’s plan?

a. Encourage a high-protein diet for the client

b. increase the client’s fluid intake

c. administer diuretics to the client – glomerulnophritis results in fluid retention (because kidneys can’t filter out well) (p. 402-403, 2019)

d. Weigh client twice a week – wrong, should weigh daily

25. A nurse is caring for a client who has a peripheral inserted central catheter (PICC). For which of the following findings should the nurse notify the provider?

a. The dressing was changed 7 days ago.

b. The circumference of the client’s upper arm has increased by 10% PG 175

c. The catheter has not been used in 8 hr.

d. The catheter has been flushed with 10 mL of sterile saline after medication use.

26. The nurse is developing a plan of care for a client who will be placed in a Halo surgical repair cervical spine. Which of the following intervention should the nurse include in the plan?

a. Inspect the pin site every 48 hr.

b. Monitor the client’s skin under the halo vest—- pg 474

c. Ensure two personnel hold the halo device when repositioning the client.

d. Apply powder frequently to the client’s skin under the vest to decrease itching.

27. A nurse is caring for a client who has syndrome of inappropriate anti diuretic hormone (SIADH) and is receiving 3% sodium chloride via continuous IV. which of the following laboratory findings should the nurse identify as an indication that the SIADH is resolving?

a. Urine specific gravity 1.020- pg 284 says “Urine specific gravity: Decreased (1.002 to

1.004 in sodium loss; greater than 1.012 in SIADH)” so 1.020 means not resolving

b. Sodium 119 mEq/L——- wrong bc when have SIADH will have hyponatrmia

c. BUN 8 mg/dL

d. Calcium 8.7 mg/dL – pg 85; I think bc its an electrolyte that is norm range-I PUT

THIS

28.  A nurse is caring for a client who is receiving total parenteral nutrition (TPN ). which of the following findings should the nurse identify as a possible complication of TPN administration?

a. Pitting edema of bilateral lower extremities

b. hypoactive bowel sounds in all four quadrants

c. weight is the same as the day before

d. bilateral posterior lung sounds are diminished – I think it is this. TPN can result in fluid

imbalance/hypervolemia (p. 311)

29. A nurse is assessing a client who has a heart rate of 40 /min. the client is diaphoretic and as chest pain period which of the following medication should the nurse plan to administer?

a. Lidocaine– for tachycard

b. Adenosine

c. Atropine————pg 181 chart atropine, dopamine, and epi for bradycard less 60/min

d. Verapamil

30. The nurse is teaching a group of assistive personnel (AP) about caring for clients who have Alzheimer’s disease. Which of the following information should the nurse include in the teaching?

a. Explain procedures in full detail to a client before initiating care b.  limit a client’s activities to minimize emotional outburst

c. speak clearly and loudly to a client who is unable to form words or sentences

d. provide supervision to prevent a client from becoming injured or lost

31.  A nurse at a provider’s office is interviewing a client who has multiple sclerosis and has been taking dantrolene for several months. Which of the following client statements should the nurse identify as an indication that the medication is effective?

a. I don’t have muscle spasms as frequently——— PG 46 2016 VERSION

b. I haven’t gotten any colds, even though it is flu season

c. I feel like my nerve pain has improved

d. it is easier to urinate now

32. A nurse is preparing to discharge a client who has a new diagnosis of chronic kidney disease (CKD). which of the following referral should the nurse plan to initiate?

a. Respiratory therapy

b. Hospice care

c. Occupational therapy

d. Dietary services—– pg 394

14. A nurse is caring for a client who has burn injuries covering their upper body and is concern about their altered appearance. Which of the following statements should the nurse make?

a. It is okay to not want to touch the burned areas of your body

b. cosmetic surgery should be performed within the next year to be effective

c. reconstructive surgery can completely restore your previous appearance

d. injuries

it could be helpful for you to attend a support group for people who have burn

4. A nurse is providing teaching to a client who was newly diagnosed with nephrotic syndrome. Which of the following statements should indicate to the nurse that the client understands the teaching?

a. I can expect swelling in my hands an on my face—- PER ATI PRE-ASSESS

STUDY GUIDE

b. the amount of protein in my blood is high

c. I might have some pain and gas in my stomach from this condition

d. I will use a soft bristle toothbrush so my gums don’t bleed

10. A nurse is caring for a client who has dehydration. The client has a peripheral IV and has a prescription for an infusion of 0.9% sodium chloride 1000 mL with 40 mEq potassium chloride to infuse over 1 hr. Which of the following action should the nurse take first?

a. Teach the client to report findings of IV extravasation

b. evaluate the patency of the IV

c. consult with the pharmacist about the prescription

d. verify the prescription with the provider – can’t find in ATI, but google says KCl can cause vomiting/diarrhea, which you wouldn’t want if pt is already dehydrated

13. A nurse is admitting a client who has suspected appendicitis. Which of the following findings should the nurse report to the provider immediately?

a. Distended, board-like abdomen

b. WBC count 15,000 /mm3

c. rebound tenderness over McBurney’s point – concur, but can’t find it in ATI on

Children ATI book pg 145 2019 e

d. temperature 37.3 C (99.1 F )—– expected

2. A nurse in an Emergency Department is caring for a client who sustained multiple injuries. The nurse observes client’s thorax moving inward during inspiration and outward during expiration. The nurse should suspect which of the following injuries?

a. Flail chest———— PER PG 157 2019 VERSION

b. Hemothorax

c. Pulmonary contusion

d. Pneumothorax

20. A nurse is assessing a client who has a sodium level of 122 mEq/L. which of the following findings should the nurse expect?

a. Decrease deep-tendon reflexes

b. positive Trousseau’s sign

c. hypoactive bowel sounds

d. sticky mucus membranes

 A nurse is providing teaching to a client who is scheduled for electromyography (EMG). the nurse should include which of the following information in the teaching?

a. “You will receive a fixed dose of radioisotope 2 hours before the procedure.”

b. “Momentary flushing will occur at the beginning of the procedure.”

c. “You should inform your provider if you are claustrophobic.”

d. “You should expect insertion of small needle electrodes into the muscles.” pg 448

12. The nurse is providing discharge teaching for a client who has COPD about nutrition. Which of the following instruction should the nurse include?

a. Eat three large meals daily

b. consume high calorie foods

c. limit caffeinated drinks to two per day

d. drink fluids during meal time

· A nurse is administering a blood transfusion to a client and suspects that the client is having an adverse reaction to the blood. Which of the following action should the nurse take first?

a. Maintain IV access.

b. Obtain the client’s vital signs.

c. Contact the provider. d. Stop the transfusion.

· A nurse is providing discharge teaching to a client who has acute leukemia and received chemotherapy 12 hours ago. Which of the following instruction should the nurse include in the teaching (select all that apply )

a. Use an electric shaver- pg 615

b. Avoid crowds.

c. Take temperature weekly—– weekly didn’t sound right

d. Consume a low-residue diet- pg 615; not true (low residue is veg and fiber; but in

leukemia- need to restrict)

e. Monitor for bruising——- pg 616

· A nurse is caring for a client who has a new diagnosis of tuberculosis. Which of the following precautions should the nurse initiate to prevent transmission of the disease?

o Contact precautions

o Airborne precautions

o Droplet precautions

o Protective environment

· A nurse is caring for a client who is hyperventilating and has the following abgs results PH 7.50, PACO2—29, HCO3—25. The nurse should recognize that the client has which of the following acid base imbalance?

o Respiratory acidosis

o Respiratory alkalosis

o Metabolic acidosis

o Metabolic alkalosis

5. A nurse is planning for a group of postoperative clients. Which of the following interventions should the nurse identify as the priority?

a. Administer IV pain medication to a client who reports pain as a 6 on a scale of 0 to 10

b. administer oxygen to a client who has an oxygen saturation of 91%

c. instructor client who is 1 hour postoperative about coughing and deep breathing exercises

d. initiate an infusion of 0.9% sodium chloride for a client who has just had abdominal surgery

23. A nurse is planning care for a client who has acute pancreatitis. Which of the following intervention should the nurse include in the clients plan? (Select all that apply )

a. initiate insulin drip—————— ??????????? Says “provide insulin as needs”

b. monitor blood glucose levels——– pg 360

c. continue regular diet as tolerated

d. maintain NPO status until pain-free

e. manage acute pain

7. A nurse is caring for a client who is to undergo in liver biopsy. Which of the following instruction should the nurse provide to the client following the procedure?

a. Lie on your left side

b. lie on your right side—————– PG 366 2019 VERSION

c. increase your fluid intake

d. decrease your fluid intake

A nurse is assessing a client who has permanent spinal cord injury and is scheduled for discharge. which

following client statement indicates the client is cop

“I would like     to play wheelchair basketball. When

of the ing efficiently?

· I get stronger, I think I’ll look for a league.”

· “I’m glad I’ll only be in this wheelchair temporarily. I can’t wait to get back to running.”

· “I’m so upset that this happened to me. What did I do to deserve this, and why am I not getting better?”

· “I feel like I’ll never be able to do anything that I want to again. All I am is a burden to my family.”

· The nurse is caring for a client who has chronic kidney disease. Which of the following diet should the nurse anticipate the provider to prescribe?

o 4 g sodium diet

o Potassium-restricted diet

o High-phosphorous diet

o High-protein diet

the nurse is caring for a client who is traumatic brain injury period which of the following binding should indicate to the nurse the need for Immediate intervention?

Axillary temperature 37.2° C (99° F)

Apical pulse 100/min

Respiratory rate 30/min

Blood pressure 140/84 mm Hg

Scenario

You are working in a large urban pediatric clinic after-hours.

A mother brings her 6-month-old daughter, Vivi Mitchell, to the clinic for rhinorrhea, congestion, fever, and cough. Upon assessment, you identify the child has wheezing upon auscultation and on inspection, you identify retractions.

• The child is in less than 10th percentile of weight and has a cardiac history of Patent Ductus Arteriosus (PDA).
• Born at 36 weeks gestation.
• Mother states this child doesn’t go to day care but her two other children ages 2 and 3 do attend daycare.
• T- 102.1 HR 140 RR 40 BP 83/58 Pulse ox 96%
• A swab for respiratory syncytial virus (RSV) is positive.

Doctor orders – Nasal bulb suction and saline drops PRN, Tylenol 15mg/kg Q4 PRN for fever, Albuterol nebulizer in office and push po fluids as tolerated.

After the albuterol neb treatment, respirations are 36 and oxygen saturation is 100%. Wheezing has diminished. Mom is an ER nurse and the doctor feels comfortable that she has a nebulizer at home and can return to pediatric afterhours or ER if needed.

Client is discharged with these orders:

• methylprednisolone 0.4 mg/kg oral BID for 3
• Albuterol Q4 hours for 24 hours, then Q 6 hours for 24 hours, and Q6 as needed.
• Call if needed prior to the Q4 dose.
• Manage fever with Tylenol and continue hydration and nasal bulb suction Q6 while awake.
• Return for re-evaluation in 3 days

Instructions:

Criteria:

1. Describe the pathophysiology of bronchiolitis and identify the most common organism causing this infection. What laboratory testing can confirm your suspicion?
2. Describe the pathophysiology of PDA and why the history of PDA is significant in this scenario.
3. What risk factors place Vivi Mitchell at a greater risk for the development of bronchiolitis?
4. What are the characteristic signs/symptoms of bronchiolitis?
5. Vivi Mitchell been prescribed the following medications; acetaminophen, albuterol nebulizer, corticosteroids. Provide the rationale for why each medication has been included as part of her medical management and explain any potential contraindications related to these medications.
6. You are designing Vivi Mitchell’s plan of care. Identify two priority nursing diagnoses to include in your plan. For each nursing diagnosis, identify two SMART goals, and two interventions for each goal.
7. What short and long-term possible complications should the nurse anticipate?
8. What client education is appropriate for Vivi Mitchell as she is discharged from the after-care clinic?

Format

• Standard American English (correct grammar, punctuation, etc.)
• Logical, original and insightful
• Professional organization, style, and mechanics in APA format
• Submit document through Grammarly to correct errors before submission

AGENDA COMPARISON GRID AND FACT SHEET

It may seem to you that healthcare has been a national topic of debate among political leaders for as long as you can remember.

Healthcare has been a policy item and a topic of debate not only in recent times but as far back as the administration of the second U.S. president, John Adams. In 1798, Adams signed legislation requiring that 20 cents per month of a sailor’s paycheck be set aside for covering their medical bills. This represented the first major piece of U.S. healthcare legislation, and the topic of healthcare has been woven into presidential agendas and political debate ever since.

As a healthcare professional, you may be called upon to provide expertise, guidance and/or opinions on healthcare matters as they are debated for inclusion into new policy. You may also be involved in planning new organizational policy and responses to changes in legislation. For all of these reasons you should be prepared to speak to national healthcare issues making the news.

In this Assignment, you will analyze recent presidential healthcare agendas. You also will prepare a fact sheet to communicate the importance of a healthcare issue and the impact on this issue of recent or proposed policy.

RESOURCES

Parents of children with severe psychological disorders may benefit from professional and nurse-provided social care as well as the augmentation of social support offered by close friendships and social networks. According to the American Psychiatric Association (2022), a mental, behavioral, or emotional disorder that has continued unabated or is anticipated to persist for at least 12 months qualifies as a chronic psychological disorder if it significantly impedes an individual’s cognitive, sensory, emotional, or social functioning. However, developmental and substance use disorders are not included in this definition (American Psychiatric Association, 2022).  Anxiety disorders, ADHD, depression, obsessive compulsive disorder, and schizophrenia are some of the serious psychological disorders that affect youngsters. Children who have a persistent mental disorder are more likely to be socially isolated, use drugs excessively, commit suicide, struggle in school, and end up in the juvenile prison system (American Psychiatric Association, 2022). Parents of children with chronic psychological disorders have been found to greatly benefit from social assistance. Social support is the perception of or receipt of aid from others (American Psychiatric Association, 2022). These services can include informational support, material support, emotional support, and appraisal support, among others. Positive effects like higher psychological well-being, increased self-esteem, increased self-efficacy, and decreased depression have all been associated with social support.

The complicated environment in which nurses work, require a variety of competencies, and puts a lot of stress on them. Physical demands for direct patient care and psychosocial demands that develop as a result of giving nursing care to patients are typical for nurses. The workload of nurses is based on a combination of these demands (Chang & Cho, 2021). Social support supplied by mental health experts or nurses is referred to as professional or nurse-provided social support. This kind of assistance can be provided in a variety of ways, including case management services, individual counseling, group therapy, and administration of psychiatric medications (Incledon et al., 2013). It has been demonstrated that professional or nurse-provided social support is useful in lowering anxiety and depressive symptoms in parents of children with chronic psychological disorders (Incledon et al., 2013). Improvements in the social support received by parents of children with severe psychological disorders through their personal relationships and social networks are referred to as enhancement of social support offered by personal relationships and social networks (Incledon et al., 2013). Typically, this kind of intervention includes educating and instructing parents on how to clearly express their demands to their social and personal networks.

The feelings of anxiety and depression among parents of children with persistent psychological disorders may be reduced by expert or nurse-provided social care. Professional or nurse-provided social support, on the other hand, may be more effective than enhancing social support provided by personal relationships and social networks in reducing anxiety and depression symptoms among parents of children with chronic mental illness (Incledon et al., 2013). Overall, children’s mental disorders can manifest as obstructive, agitated, or overactive behavior, as well as withdrawal, worry, and emotional responses. Recognizing that your child has a psychological issue and seeking professional assistance are critical first steps (Incledon et al., 2013). Maintain a journal that characterizes the baby’s behavior, as well as when and where it occurs, before seeking medical advice. The doctor is an excellent first point of contact for expert assistance. It is critical to look after oneself so that individuals can provide the best possible care for their family.

Analyze the potential effectiveness resulting from professional or nurse-provided social support versus enhancement of social support provided by personal relationships and social networks for parents of children with chronic mental illness.