nursing re-119

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School

Chamberlain College of Nursing *

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Subject

Nursing

Date

Nov 24, 2024

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pdf

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3Yellow 4Black - 2 The nurse in a long-term care facility is caring for an 89-year-old client with atrial fibrillation and a history of multiple falls. The client's medications include amiodarone, atorvastatin, baby aspirin and metoprolol. Which new finding should be of greatest concern to the nurse? 1Heart rate of 106 2Bibasilar crackles 3Right-sided facial droop 4SpO2 of 89% on room air - 3 A postoperative client following a thyroidectomy suddenly develops difficulty breathing, stridor and an increase in swelling of the anterior neck area. What should the nurse do first? 1Activate the hospital's emergency or rapid response system. 2Check the client's blood pressure and heart rate. 3Ask the charge nurse to come see the client immediately. 4Place a heart monitor on the client and observe for dysrhythmias. - 1 The nurse is reviewing discharge instructions with a client who has been prescribed ciprofloxacin following a minor burn injury. Which statement by the client requires additional teaching? 1"I can take ibuprofen for the pain related to this burn." 2"After healing, I should have no scarring from this burn." 3"I will not take ciprofloxacin prior to sun exposure." 4"I will protect my skin from the sun with sunscreen and clothing." - 3 The nurse in the primary care office is speaking with a client who has contact dermatitis on both hands. The client wants to know how to manage the condition. Which interventions should the nurse recommend to the client? (Select all that apply.) Rubbing the area can alleviate symptoms. Applying a cold pack to the area can help. Avoid heat that can exacerbate symptoms. Corticosteroid cream is acceptable to use. Frequent handwashing is important. Using soap without fragrance is recommended. - avoid heat corticosteroid acceptable to use use soap without fragrance Exposure to heat or cold may cause or exacerbate contact dermatitis. Rubbing the area may also exacerbate or spread symptoms. While washing hands after exposure to possible irritants is recommended, frequent handwashing is not. Soap with fragrance is an external irritant and may exacerbate symptoms, so fragrance-free soap is recommended. A barrier cream containing a corticosteroid is the most frequently prescribed topical ointment.

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