ATI virtual NCLEX review
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gec Practice questions for this set Learn1 / 7Study using Learn Drowsiness, Lightheadedness, Depression, Risk of physical dependenc Braden scalepressure ulcer review s/s of sepsis when you havepressure ulcer tachy hypotension increase WBC fever Choose an answer 1ginseng2/side laying /prone 3goldenseal4valarian Don't know?
encourage what vitamins for wound healingA, C, zinc, copper TPNused when GI tract is not functioning very high caloric solution IV in a hypertonic solution administer hypotonic fluids administer hypotonic fluids high sodium low na administer diuretics what nahigh na implement seziure precautionsboth na observe for shallow ineffective respiration what k low facial flushinghigh mg monitor constipation what cahigh ca administer 0.9 sodium chloride what cahigh ca ECG monitor display what actionintra established IV accesspre paper, wood rags flammable liquid gases electrical fires A B C
client is admitted to the hospital following a seizure that occurred in her home. The client has no previous history of seizuresIn planning the client's nursing care, which of the following measures is most essential at the time of admission? Select all that apply.
- Place a padded tongue depressor at the head of the
- Pad the side rails.
- Inform the client about the importance of wearing a
- Teach the client about epilepsy.
- Test oral suction
bed.
medical identification tag.
equipment.NCLEX Challenge 1.Incorrect. Attempting to insert something into the client's mouth during a seizure is likely to cause more injury.
2.Correct. Padding the side rails will help keep the client safe if another seizure occurs.
3.Incorrect. This step would be taken if it is likely that a seizure would reoccur . Since this is the client's first seizure, more assessment is needed before this measure is deemed necessary.
4.Incorrect. This step would be taken if it is likely that a seizure would reoccur . Since this is the client's first seizure, more assessment is needed before this measure is deemed necessary.
5.Correct . Maintaining oral - suction equipment is appropriate and will keep the client safe in the event of another seizure overwhelm the resources of individual hospitals and resources of entire health system mass casualties who establishes emergency preparedness management JC who triages of incoming clientsJC how many emergency preparedness drills each year 2 missing adult what code tornado code bomb purple black yellow how do you reduce friction and shearshaving client bend the knees and cross arms across chest as you reposition
Principles of Body Mechanics • Wide base of support .• Low center of gravity.• Line of gravity must pass through the base of support.• Face the direction of movement.Avoid twisting.• Divide load bearing between arms and legs . Use strong muscles like upper arms, thighs, upper back, and shoulders. (Do not use lower back.) trendelenburg used forpostural drainage or if umbilical cord relieved reverse trendelenburgGERD modified trendelenburghypovolemia - shock NG tube clean or surgicalclean urinary catheter clean or surgicalsurgical aseptic Consider any object below the waist or above the chest contaminated true 1- inch border of sterile drapes and packages is considered contaminated tier one tier 2 standard precautions contact, droplet and airborne