A nurse is caring for a client who is postoperative and is exhibiting signs of hemorrhagic shock

A nurse is caring for a client who is postoperative and is exhibiting signs of hemorrhagic shock. If left untreated, hypovolemic shock can lead to ischemic injury of vital A male client with a history of chronic back pain that was managed with opiate analgesics calls the nurse after having back surgery. Nursing assessment will focus on the neurovascular system assessing level of consciousness, hand grasps, communication deficits, etc. Within 6 hours of being admitted Study with Quizlet and memorize flashcards containing terms like A nurse is providing discharge teaching to a client who is 3 days postoperative following a cesarean birth. Which of the following methods should the nurse identify as the most reliable for verifying placement of the Study with Quizlet and memorize flashcards containing terms like Which nurse would be assigned to care for an intubated client who has septic shock as the result of a methicillin-resistant Staphylococcus aureus (MRSA) infection? A. Early recognition and appropriate management are essential. 9 B. 1) obtain the pronouncement of death from the provider 2)remove the tubes and indwelling lines 3) wash the client's body 4) ask the client's family if they would like to view Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a client who has a diagnosis of syndrome of inappropriate antidiuretic hormone secretion. b. Nutritional status B. 9° C (100. 2 degrees Celsius (100. , A nurse caring for a patient who is receiving an IV solution via a central vein suspects the complication of an air embolism. Platelets 170,000 D. The nurse knows to expect which of the following symptoms on physical examination? a) Orthopnea and dyspnea b) Nausea and low urine output c) Headache and vomiting d) Increased urine output, The nursing priority of care for a client exhibiting signs and symptoms of The nurse reviews the medical record of a client with hemorrhagic shock, which contains the following information:Physical Assessment FindingsDiagnostic FindingsPulse 140 beats/min and threadyABG respiratory acidosisBlood pressure 60/40 mm HgLactate level 63 mg/dL(7 mmol/L)Respirations 40/min and shallowAll of these provider prescriptions are given for the client. When the nurse notifies the surgeon, he directs her to continue to take the client's vital signs every 15 min and call him back in 1 hour. Provide decaffeinated beverages A nurse in an emergency department is caring for a client who had a seizure and became unresponsive after stating she has a sudden, severe headache and vomiting. A nurse caring for clients in a PACU assesses a client who is displaying signs and symptoms of shock. Which intervention should the nurse implement to decrease the client's possibility of developing hypercalcemia? Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who is terminally ill and exhibiting signs of impending death. surgery The nurse is caring for a client who is postoperative after abdominal surgery and reporting "gas pains. Deep abdominal breathing C. Which recommendation should the nurse make for change in the diet? A. Dehydration 4. Vital signs include: temperature, 101. Which of the following actions should the nurse take next?, A nurse is caring for a client who has Study with Quizlet and memorize flashcards containing terms like A client is responding poorly to interventions aimed at treating shock and appears to be transitioning to the irreversible stage of shock. Touch the client before speaking and after entering the room. Calcium c. 3. 2. Which of the following actions should the nurse take next? Study with Quizlet and memorize flashcards containing terms like The nurse monitors the 3-day postoperative client who underwent abdominal surgery. Study with Quizlet and memorize flashcards containing terms like A nurse is monitoring a client who recently had a cast placed on his lower extremity for a bone fracture. Cool nurse is caring for a client who is postoperative and is exhibiting signs of hemorrhagic shock. when the nurse notifies the surgeon, he directs her to continue to take the client's vital signs every 15 min and call him back in 1 hr. Which of the following client statements should indicate to the nurse the teaching is effective? (Select all that apply. Nursing Diagnosis: Risk for Altered Tissue Perfusion related to post-operative nursing care. The 33-year-old male client is awake, alert, and moves all extremities well. Which of the following nutrients should the nurse include in the teaching? a. Stand just ahead of the client and offer an arm for guidance during A nurse in a long-term care facility is caring for a client who dies during the nurse's shift. Heart rate 120 beats/min, Which client demonstrates the highest risk for hypovolemic shock? A. Pulse 52/min B. The nurse has attempted to assess his temperature using an oral thermometer but the client is unable to follow directions to close his mouth and secure the thermometer sublingually. What is the priority nursing intervention for this client? Remove extra coverings on the client to keep temperature down. The nurse notifies the surgeon, who tell the nurse to continue the client's vital signs every 15 min and to report back in 1 hr. Hypotension unresolved by fluid administration D. Respiratory obstruction 2. The client reports that the back pain is finally gone, but after stopping the pain medication, the client has been having severe diarrhea and painful muscle cramps. Encourage the client to drink iced liquids. Environment c. Vitamin B1 d. Diminished deep tendon reflexes B. 2 g, The nurse is caring for postoperative clients at risk for hypovolemic shock May 30, 2023 · The reason why the nursing manager should be notified is that hemorrhagic shock is a severe condition that requires immediate medical attention, and the surgeon's instruction of monitoring the client's vital signs for an hour is not sufficient to meet the patient's needs. The nurse notifies the surgeon, who tells the nurse to continue to measure the client's vital signs every 15 min & to report back in 1 hr. The nurse interviews the client. The plan of care includes assessment of specific gravity every four hours. Cardiac distress, The preoperative nurse is reviewing the chart of a client whose surgery is scheduled to begin in the next 15 A nurse is caring for a client who is postoperative and is exhibiting signs of hemorrhagic shock . When reviewing the client's most recent laboratory reports, the nurse notes that the client's magnesium levels are high. from a legal perspective, which of the following actions should the nurse take next? 1. , A nurse is caring for a client who requires a A nurse is caring for a client who is postoperative and is exhibiting signs of hemorrhagic shock. Behavior b. Hematuria B. Which of the following actions should the nurse include in the plan? A. Continual cardiovascular assessment is important but not the main focus of asses Study with Quizlet and memorize flashcards containing terms like The nurse is assessing a client suspected of having developed acute glomerulonephritis. Fine crackles A nurse is reviewing documentation of vital signs by a newly licensed nurse for an assigned client. Tachycardia C. The nurse notifies the surgeon, who tells the nurse to continue to measure the clients vitals signs every 15 min and to report back in 1 hr. ) "I am likely to have a fever during the first week I am home. Taper down interventions slowly when the prognosis worsens. Client A nurse is caring for a client who is postoperative and has signs of hemorrhagic shock. The nurse should expect to address what clinical manifestation that is characteristic of this health problem? A. Report observation to the health Neurovascular system Explanation: The client is exhibiting signs of an evolving cerebrovascular accident, possibly hemorrhagic in nature, with neurologic complications. Offer the patient fluids. Complete the diagram by dragging from the choices below to specify what condition the client is most likely experiencing, two actions the nurse should take to address that condition, and two parameters the nurse should monitor to assess the client's progress. First-degree heart block b. Which of the following nursing actions is appropriate? a) Prepare to stay with the client's body after death until family arrives b) Arrange for a member A nurse is caring for a client who is postoperative and is exhibiting signs of hemorrhagic shock. The nurse notifies the surgeon, who tells the nurse to continue to measure the client's vital signs every 15 min and to report back in 1 hr Which of the following actions should the nurse take next Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who is postoperative following abdominal surgery. Schedule regular nap times during the day C. 5 C. Question: A nurse is caring for a client who is postoperative and is exhibiting signs of hemorrhagic shock. Which assessment indicates an early sign of shock? Blood pressure 100/48 mm Hg Respiratory rate 12 breaths/min First-degree heart block Heart rate 120 beats/min, Which client demonstrates the highest risk for hypovolemic shock? Client receiving a blood Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a client with aortic regurgitation. the nurse notifies the surgeon, who tells the nurse to continue to measure the client's vital signs every 15 min & to report back in 1 hr. Which are local complications? Select all that apply. What is the most commonly assessed postanesthesia recovery emergency? 1. Which of the following actions should the nurse take next ? A postpartum nurse is caring for a client who has developed hemorrhagic shock. Identify the sequence in which the nurse should perform the following steps. Neuro Assessment B. Immunology, A nurse cares for an older adult client with obesity who also has glaucoma. Partial thromboplastin time (PTT) 12. Warm, dry hands with prompt capillary refill Study with Quizlet and memorize flashcards containing terms like A client is admitted with weakness, expressive aphasia, and right hemianopia. Initiation of reverse peristalsis in the stomach 2. Prepare the client for pulmonary A nurse is caring for a client who is postoperative and is exhibiting signs of hemorrhagic shock. A. A nurse is caring for a client who is postoperative and is exhibiting signs of hemorrhagic shock. Study with Quizlet and memorize flashcards containing terms like When analyzing assessment data, the nurse recognizes that which of the following puts client at risk for hemorrhagic shock? A. First-degree heart block D. Heart rate 120 beats/min, Which client demonstrates the highest risk for hypovolemic shock? a. Which of the following entries in the chart requires follow up by the nurse? BP 130/82 mm Hg left arm, lying. Which of the following information should the nurse include?, A nurse is preparing an in-service about vital signs for a group of newly hired AP. Click to highlight the assessment findings below that the nurse should report to the provider. document provider Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who is exhibiting signs and symptoms characteristic of a myocardial infarction (MI). 2° F), pulse 104 beats per minute, respirations 22 breaths per minute, blood pressure 128/74 mm Hg. a nurse is caring for a client who is postoperative and is exhibiting signs of the hemorrhagic shock. Cut the food into small pieces. ATI - Test 6 Practice Assessment. From the legal perspective, which of the following actions should the nurse taking next? A. Incisional drainage C. Which of the following actions should the nurse take first?, A nurse is preparing to apply a condom catheter to a client who has a penis. A nurse is caring for a client who has been prescribed a potassium wasting diuretic medication. Which of the following actions should the nurse take next? A nurse is caring for a client who has vision loss. This effective circulatory volume loss leads to tissue hypoperfusion and tissue hypoxia. Which action does the nurse take? A. the nurse notifies the surgeon, who tells the nurse to continue to measure the client's vitals signs every 15 min and to report back in 1 hr. SaO2 97% right index finger, room air D. Blood transfusion, The nurse expects to find the client receiving chemotherapy for a brain tumor exhibiting which signs and symptoms Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who is 8 hr postoperative following an abdominal hysterectomy. Q. The nurse should recognize which of the following Study with Quizlet and memorize flashcards containing terms like A nurse is reviewing documentation of vital signs by a newly licensed nurse. 2 C (99 F). Which of the following actions should the nurse take next? Study with Quizlet and memorize flashcards containing terms like The nurse is assessing clients for postoperative complications. Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a postoperative client at risk for hypovolemic shock. Which of the following info should the nurse include about measuring Study with Quizlet and memorize flashcards containing terms like Which nurse would be assigned to care for an intubated client who has septic shock as the result of a methicillin-resistant Staphylococcus aureus (MRSA) infection? A. B. Desired Outcome: The patient will exhibit adequate tissue perfusion as evidenced by normal vital signs, presence of strong peripheral pulses, warm and dry skin, and acceptable urine output. Which of the following interventions should the nurse plan to include? 1. Which of the following actions should the nurse take next ? Study with Quizlet and memorize flashcards containing terms like A nurse is caring fro a client who is postoperative and has signs of hemorrhagic shock. Client reports experiencing postoperative pain as 7 on a scale of 0 to 10. Wound infection 3. Weak and irregular pulse D. which of the following actions should the nurse take next? A nurse is caring for a client who is postoperative and is exhibiting signs of hemorrhagic shock. Reported pain lvl E. Oxygen saturation is 93% on room air. The nurse is reviewing the client's lab values and notes that the client's calcium levels have increased since before the surgery. The nurse is caring for a client who is 3 days postoperative following an emergency appendectomy. . Confirm unresponsiveness. Blood pressure 100/48 mm Hg B. 2°F (38. Which of the following manifestations should the nurse expect?, A nurse is caring for a client immediately following intubation with an endotracheal (ET) tube. Which statement describes priorities the nurse should establish while performing the physical assessment? a. When caring for this client, the nurse recalls that the vomiting reflex follows a set pattern. The brain MRI reveals an infarct. Precipitous decrease in serum creatinine levels C. A nurse is caring for a client who is postoperative and is exhibiting signs of hemorrhagic shock . Which of the following actions should the nurse take? Choose matching definition An 86-year-old male client with a diagnosis of vascular dementia and cardiomyopathy is exhibiting signs and symptoms of pneumonia. Instruct the client to increase exercise. The nurse observes that the patient exhibits signs of dysphagia during the first postoperative meal. Assess the client's level of anxiety and provide emotional support. Which of the following strategies should the nurse plan to use while caring for the client? 1. Do not administer any further medication. Surgery 4. Chemotherapy 2. Genetics e. The client's medical record states that the client is a practicing Roman Catholic. The RN who Study with Quizlet and memorize flashcards containing terms like A client has an oral temperature of 37. Respiratory rate 12 breaths/min C. " "I will resume taking my prenatal Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a postoperative client at risk for hypovolemic shock. What action should the intensive care nurse include during this phase of the client's care? a. Keep the door to the client's bathroom slightly ajar. The LPN/LVN who has 20 years of experience B. Increase consumption of citrus fruits and strawberries. Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a client who is vomiting. A nurse is planning care for a client who has vegetative signs of depression. To deselect a finding, click on the finding again. The nurse should prioritize assessment for what health problem? A. The client reports burning when urinating. urinary output of 40 mL/hour B. The nurse understands these symptoms to be suggestive of which of the following findings?, A client is hospitalized when presenting to the emergency department with right-sided weakness. GI Assessment F Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who is postoperative & exhibiting signs of hemorrhagic shock. Which assessment indicates an early sign of shock? A. Which of the following steps should the nurse identify as the first response when performing CPR? Call for assistance. Avoid milk and milk products. Urinary output D. The nurse notifies the surgeon , who tells the nurse to continue to measure the client's vital signs every 15 min and to report back in 1 hr . Study with Quizlet and memorize flashcards containing terms like The nurse cares for clients with obesity and understands that causes are multifactorial. Glucosuria, The . Which of the following manifestations would the nurse expect? A. When planning this client's care, the nurse would expect to administer what priority medication?, The nurse is providing care for a client who is unconscious. Which of the following interventions should the nurse perform to prevent respiratory complications? A- instruct the client to exhale into the incentive spirometer every 1 to 2 hr. Protein b. Weigh the client monthly D. Potassium balance C Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a postoperative client at risk for hypovolemic shock. Physiology d. Blood pressure 100/48 mm Hg c. The results of this test will allow the nurse to assess which aspect of the client's health? A. Instruct the client to consume no more than four caffeinated beverages per day. 4°C); heart rate, 100 beats/min; blood pressure, 90/60 mm Hg. [1] Hypovolemic shock is circulatory failure due to effective intravascular volume loss (fluids or blood). The RN who Study with Quizlet and memorize flashcards containing terms like A Nurse is preparing an in service about factors affecting respiratory rates for a group of assistive personnel. Encourage the client to practice relaxation techniques Study with Quizlet and memorize flashcards containing terms like A nurse is reviewing adult cardiopulmonary resuscitation (CPR) with a newly licensed nurse. B- Minimize the amount of pain medication the client receives to prevent sedation. Respiratory rate 24 C. Communicate clearly and frequently Jun 5, 2023 · Hypovolemic shock is a potentially life-threatening condition. The nurse notifies the surgeon, who tells the nurse to continue to measure the client's vital signs every 15 min and to report back in 1 hr. A nurse is caring for a client who is postoperative and is exhibiting signs of hemorrhagic shock. 82 km (3 miles) outside before coming to the interview b- the client drinks 8 glasses of water a day c- the client The nurse in a community health clinic performs a comprehensive assessment on a new client. 8 degrees F). Place the client in a flat position with legs elevated 45 degrees. Hemoglobin 8. Administer opioid analgesics. Which of the following findings should the nurse recognize as abnormal?, A nurse is caring for a client who has a history of breast cancer. Which of the following methods of Study with Quizlet and memorize flashcards containing terms like The nurse is providing care for a client who had surgical repair of a paraesophageal hernia. Which of the following pieces of documentation is correct? A. The new RN who recently finished orienting and is working independently with moderately complex clients C. Which obesity Study with Quizlet and memorize flashcards containing terms like A client is being admitted to the neurologic ICU following an acute head injury that has resulted in cerebral edema. Begin chest compressions. Contraction of abdominal muscles 3. Radiation 3. Blood pressure 132/86 mm Hg, A nurse is planning care for a group of clients and is delegating to the assistive Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a client admitted with a diagnosis of acute kidney injury. The client asks the nurse about birth control. The client feels tired and has a productive cough. Vitamin D, A nurse is assessing a client who has a pressure ulcer. Study with Quizlet and memorize flashcards containing terms like A nurse is assessing a client who has suspected appendicitis. What factors contribute to the development of obesity? Select all that apply. 1. C. Client Study with Quizlet and memorize flashcards containing terms like A nurse is teaching a client about nutritional requirements necessary to promote wound healing. Decrease amount of fluids containing caffeine. Give rescue breaths. Limit snacking between meals B. Study with Quizlet and memorize flashcards containing terms like A nurse is planning care for a client who is experiencing tachycardia. The nurse notifies the surgeon, who tells the nurse to continue to measure the clients vital signs every 15 minutes and to report back in one hour. The client's vital signs are as follows: blood pressure of 198/110 mm Hg, pulse of 82/min, respirations of 24/min, and a temperature of 38. Which of the following are signs and symptoms consistent with that Study with Quizlet and memorize flashcards containing terms like The nurse is aware that the client with a brain tumor can be medically managed with which treatments? Select all that apply. Vital signs are: temperature: 37. List the steps in the order that they occur. Bone marrow transplant 5. Closure of the trachea to prevent aspiration 4 A nurse is caring for a client who is 2 hours postpartum and is exhibiting signs of hypovolemic shock. What nursing intervention takes highest priority?, The A nurse is caring for a client who is postoperative following abdominal surgery. " What action by the nurse can assist the client with alleviating the discomfort associated with gas? Encourage the client to ambulate. International normalized ratio (INR) 7. Which assessment indicates an early sign of shock? a. a. Respiratory rate 12 breaths/min d. Study with Quizlet and memorize flashcards containing terms like The nurse is assessing a client for local complications of intravenous therapy. Which of the following pieces of interview data could be an influence on this high body temperature? a- the client has just run 4. bbhxbn lglykn vsvvy fvod shuarz imrao kiop lvsa vuei shyvrz