- A nurse is planning care for an adolescent who is postoperative. Allow the drainage to collect on a sterile gauze dressing. Which of the following interventions should the nurse include in the plan of care? Limit the adolescent's visitors. Aug 6, 2024 · Study with Quizlet and memorize flashcards containing terms like a nurse is planning care for an infant who has spina bifida and is to undergo surgical closure of the myelomengiocele sac. Blood pressure, A nurse is planning care for a client who has acute glomerulonephritis. Which of the following tasks A nurse is planning postoperative care for an adolescent following scoliosis repair with spinal instrumentation. C. - the nurse should plan to change the urinary collection pouch in the early morning when urine output is reduced - the nurse should empty the collection pouch when it is 1/3 full to half full to prevent the excess weight of the urine causing the pouch to separate from the skin - the nurse should expect no delay in urinary output following surgery. , A nurse is caring for a school age child who is receiving cefazolin via Bring a second nurse into the examination room 4. Which of the following actions should the nurse take, A nurse is evaluating the safe use of electrical equipment by a newly hired assistive personnel (AP). B. Which of the following interventions should the nurse include in the plan? Maintain the child on bed rest. Reposition the client by log rolling every 4 hours. c. Which of the following tasks should the nurse plan to assign to an assistive personnel (AP)? (Select all that apply. Which 6. Pain level D. WHich of the following actions should the nurse take?, A nurse is assessing a 10-day-old client. Includes our easy-to-follow guide on how to create nursing care plans from scratch. Study with Quizlet and memorize flashcards containing terms like A nurse is planning care for a newly admitted school age child who has generalized seizure disorder. Which of the following should the nurse include as an example of the functional nursing model of care? One nurse is assigned to complete care for one client. Study with Quizlet and memorize flashcards containing terms like A nurse is planning care for a client who is postoperative following a nephrectomy. Because you’re amazing, and you can handle anything. Document the degree of curvature and related impairments. Postoperative care is the management of a client’s health during the postoperative period. The client received an opioid analgesic 1 hr prior. Which of the following interventions should the nurse include in the plan of care?, A nurse is collecting data from a client with rheumatoid arthritis was been taking high-doses of prescribed hydroxychloroquine. Which of the following findings should the nurse report to Study with Quizlet and memorize flashcards containing terms like Complete the diagram by dragging from the choices below to specify what condition the client is most likely experiencing, 2 actions the nurse should take to address that condition, and 2 parameters the nurse should monitor to assess the client's progress. b) select the adolescent's food choices. Which of the following assessment scales should the nurse use? a. The skin is usually reddened and may be sensitive to touch. Ok, here goes. Supine. A nurse is planning care for a client who is receiving chemotherapy and has a protein deficiency. Patients in PACU are evaluated to determine the client’s discharge from the unit. Which of the following assessments is the priority for the nurse to evaluate? A. Perform a neurovascular assessment. Access the site using a noncoring angled needle. FACES b. 3. Which intervention should the nurse include in . Post-Operative (Post-Op) Nursing Care starts when the patient is transferred out of the operating room. Which of the following client statements requires further teaching by the nurse?, A nurse is planning care for a client who has a peptic ulcer and a new prescription for sucralfate 2 gm administered A nurse is planning care for an adolescent who is postoperative following scoliosis repair with Harrington rod instrumentation. Explain the discharge instructions to the client and parents. A nurse is planning postoperative care for an adolescent following scoliosis repair with spinal instrumentation. Study with Quizlet and memorize flashcards containing terms like A nurse is administering 1 L of 0. THING. A nurse is planning care for a client who is postoperative. Which of the following interventions should the nurse include? Use a log-rolling technique to reposition the adolescent. allow the child to play video games on a tablet computer c. ) A nurse is planning care for an adolescent who is postoperative following scoliosis repair with Harrington rod instrumentation. Which of the following actions should the nurse identify as the priority? A. Includes detailed nursing care plan guides for Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who is postoperative following a total hip arthroplasty. Which of the following changes should the nurse identify as an indication that the treatment was successful?, A nurse is caring for a client who is scheduled to be transferred to a long-term care facility. Place the adolescent in supine position. Provide reassurance to the client and parents. A. Order sheet C. 2. Medication administration record D a nurse is planning care for a preschooler who is immediately post op following a placement of a ventriculoperitoneal shunt. The nurse should assess the apical pulse for 1 full min and assess the rhythm strip for a prolonged P-R interval because the infant is most likely experiencing digoxin toxicity. ) Select the food choices for the adolescent. Nursing Assessment. nonrebreather mask C. Which of the following interventions should the nurse plan to include? a. Offer opioid medication C. Which of the following interventions should the nurse include in the plan? Use a semipermeable transparent dressing to cover the site. Which of the following should the nurse understand is a clinical manifestation of pyloric stenosis?, A nurse is planning care for an adolescent a nurse is planning care for an adolescent who is postoperative following scoliosis repair with harrington rod instrumentation. Crushed ice b. Offer sips of water 4 hr following surgery. Bowel sounds B. Study with Quizlet and memorize flashcards containing terms like A nurse is reinforcing teaching with a client who has cancer and is receiving external radiation therapy. ANY. A nurse is planning care for a school-age child who has tunneled central venous access device. Select the food choices for the adolescent. Irrigate each lumen weekly with 10 mL of 0. Degree of curvature. The nurse should plan to provide May 10, 2024 · Provide extensive discharge planning to coordinate both professional and family care providers; the nurse, social worker, or nurse case manager may institute the plan for continuing care. D. Which of the following interventions should the nurse include in the plan of care? Allow the adolescent to make decisions regarding his daily routine. bag valve mask D. , A nurse in a long -term care facility is caring for a client who has Alzhemier's disease and suddenly becomes aggressive. limit the adolescent's visitors B. Aug 1, 2022 · 11 min read. A nurse is planning care for an adolescent who has scoliosis and requires surgical intervention. D Study with Quizlet and memorize flashcards containing terms like A nurse is preparing to administer a unit of red blood cells. Which of the following assessment data indicates the client is at an increased risk for infection?, A nurse is assessing a client who is 2 hr postoperative following an appendectomy. Nurses play an important role in the management of a child with scoliosis, especially for postoperative care. During the first few hours, the patient is kept at the PACU, where they receive intensive nursing care. Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a toiler who is 24hr postoperative following a cleft palate repair. monitor the preschooler's pupils for 8 hours b. A nurse is planning care of an adolescent who is postoperative following a lumbar laminectomy. Which of the following interventions should the nurse include in the plan of care? A. Evaluation. Keep the head of the bed at a 30 degree angle. ensure that a padded tongue blade is at the child's bedside b. CRIES d. simple face mask B. A nurse is planning care for an adolescent who is postoperative following scoliosis repair with Harrington rod instrumentation. Press the adolescent the implicate the guardian as the perpetrator of the maltreatment. The parents of the child ask the nurse how the diagnosis is made. The Which of the following findings should the nurse identify as an indication of fluid volume excess?, A nurse is planning care of an adolescent who is postoperative following a lumbar laminectomy. Which of the following is the priority action for the nurse to take? A. Which of the following interventions should the nurse include in the plan of care? Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a child who has a possible intussusception. Choice A is not the answer because a partial-thickness burn affects both the outer layer of skin (epidermis) and the layer beneath it (dermis), so the epidermis would not be intact. Orange juice c. The recovery period after surgery (AKA the PACU). Study with Quizlet and memorize flashcards containing terms like A nurse is caring for an older adult client who is 5 day postoperative following a total hip arthroplasty and is receiving meperidine for pain. Which of the following actions should the nurse take to manage the drain? Set the wall suction to 80 to 100 mm Hg. Provide privacy. Which of the following is the nurse's priority action? Determine the reasons why the client is refusing to use the incentive spirometer. Each client's expression of pain may be different and individualized. Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who is 12 hr postoperative following a total hip arthroplasty. Which of the following responses should the nurse make?, A nurse is creating a plan of care for a child who has leukopenia secondary to chemotherapy. Which of the following oxygen-delivery methods should the nurse plan to use for this client? A. Use pillows to support the client's head and neck B. The semi-Fowler's position. Which of the following isolation precautions should the Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who is postoperative following an above-the-knee amputation of the right leg and reports pain in the absent portion of the limb. keep the head of bed elevated to 30 degrees. Which of the following resources should the nurse recommend as the best resource for this client?, A charge nurse is making client care assignments. Aug 4, 2023 · As the rockstar nurse taking care of a post-surgical patient, you’re going to know exactly what to watch for, what to assess, and what to do should something go wrong. Administer symptomatic treatment, such as nausea and vomiting antiemetic drugs. Which of the following fluid items should the nurse offer the child at this time? a. ) Limit the adolescent's visitors. The areas of post-operative nursing care that nurses should always consider include maintaining enough nutrition and preventing any GI problems. Which of the following behaviors by the adolescent should the nurse anticipate because it is most common reaction? Body image changes A nursing is planning care for an adolescent who is postoperative following scoliosis repair with A nurse is planning care for an infant who has heart failure. 4. The nurse should document the findings as which of the following? A nurse planning care of an adolescent who is postoperative following a lumbar laminectomy. Hemorrhage Rationale: Using the airway breathing circulation (ABC) approach to client care the nurse determines that the priority complication to monitor for is the client hemorrhaging; therefore, the nurse should monitor the client's urinary output for blood clots and bright red blood tinged urine following surgery. allow the child to take a tub A nurse is planning care for a client who is postoperative following a laparotomy and has a closed-suction drain. A nurse is planning care for an adolescent who is postoperative following scoliosis repair with Harrington rod instrumentation which of the following intervention should the nurse include in the plan of care? A) Keep the head of the bed at a 30° angle. Post-Op Nursing Care Plans. The following are the expected outcomes in PACU: Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a 75-year-old client whose family is requesting assistance with arranging transportation for outpatient mental health services. Nursing Diagnosis Guide and List: All You Need to Know to Master Diagnosing Our comprehensive guide on how to create and write diagnostic labels. Which of the following interventions should the nurse include in the plan of care. Prepare for chest tube insertion Study with Quizlet and memorize flashcards containing terms like A nurse in a pediatric emergency department is planning care for an adolescent. ) a nurse is planning care of an adolescent who is postoperative following a lumbar laminestomy. which of the following interventions should the nurse include in the plan of care A nurse is planning care for an adolescent who is postoperative following scoliosis repair with Harrington rod instrumentation. which of the following interventions should the nurse include in the plan of care?, which of the following is an example of a neural tube defect?, A child with the spina bifida is placed on a bowel program at Study with Quizlet and memorize flashcards containing terms like A nurse is caring for an adolescent client who has a newly applied fiberglass cast for a fractured tibia. Chart B. rationale: the nurse should plan to begin exercises that do not stress the incision on the first The adolescent tells the nurse that they do not liking being obese and that the kids at school make fun of them. Use of analgesics will eventually lead to addiction. A group of nurses work together to care for a group of clients. A child with scoliosis must be reassessed every 4 to 6 months. Cranberry juice, A nurse in an emergency department is caring for an adolescent following a suicide attempt Study with Quizlet and memorize flashcards containing terms like A nurse is assessing the pain level of a 3 year old toddler. A nurse is caring for a 6-week-old infant who has a ventricular septal defect (VSD). ) Ambulate an older adult client who has hypertension. While the nurse is taking morning vital signs, the client begins to experience a seizure. c) allow the adolescent to make decisions regarding the daily routine Study with Quizlet and memorize flashcards containing terms like A nurse is planning care for a client who is postoperative following a urinary diversion to treat bladder cancer. Place a tracheostomy tray at the bedside D. A nurse is planning care for a client who is postoperative following a hip arthroplasty. Which of the following should the nurse recognize as the possible cause for this seizure? A Partial-thickness burns can be described by redness, swelling, and blisters. Which of the following statements about pain management should the nurse consider when implementing client care? (Select all that apply. Vanilla milkshake d. Which of the following actions should the nurse take?, A nurse is reinforcing teaching with a client who has a new A nurse is assisting with planning of care for a client who is postoperative following a radical mastectomy. Provide discharge instructions for a client who has a new skin graft. The nurse should use which of the following is a priority source of verification? A. Provide privacy and protect the child When developing the postoperative plan of care for an adolescent who has undergone an appendectomy for a ruptured appendix, in which of the following positions should the nurse expect to place the client during the early postoperative period? 1. Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a child who is 2 hr postoperative following a tonsillectomy. Allow the adolescent to make decisions regarding their daily routine. Prone. Which of the following interventions should the nurse include in the plan of care? Study with Quizlet and memorize flashcards containing terms like A nurse is reinforcing discharge teaching with a client who is receiving intermittent enteral feedings through a gastrostomy tube. Which of the following interventions should the nurse include in the plan? a. Compress the drain reservoir after emptying. Lithotomy position. allow the adolescent to make decision regarding their daily routine D. A nurse is discussing delivery models of care with a group of newly licensed nurses. Which of the following children should the nurse report to the provider?, A nurse is planning care for a child who has meningococcal meningitis. Which of the following actions should the nurse include in the plan of care? A. lay the preschooler on the nonoperative side. Which of the following actions by the AP demonstrates an understanding of the A nurse is planning care for an adolescent who has sickle cell anemia and is experiencing a vaso-occlusive crisis. The nurses responsibility is to compare and verify the information on the blood label with the clients information. This begins right after the surgical procedure is complete, and lasts until the client is discharged from the healthcare facility. Capstone Nursing Care of Children Quizzes. ) A. Which of change the collection pouch in the early morning. Which of the following statement made by the client indicates an understanding of the teaching?, A charge nurse is observing a newly licensed nurse produce care for a client. Apr 30, 2024 · Over 150+ nursing care plans for different diseases and conditions. In the client's medical record, the nurse notes a history of COPD. nasal cannula Study with Quizlet and memorize flashcards containing terms like A nurse is planning to assign tasks for a group of clients. select the food choices for the adolescent C. B) Reposition the client by logrolling every four hours. encourage the Study with Quizlet and memorize flashcards containing terms like A nurse in a pediatric emergency department is planning care for an adolescent. Place the client in semi-Fowler's position. Visual analog, A nurse is planning an educational program to teach parents about protecting their children from sunburns. d. Which of the following instructions should the nurse A nurse is planning care of an adolescent who is postoperative following a lumbar laminectomy. A nurse is caring for a postoperative adult who refuses to use an incentive spirometer following major abdominal surgery. b. Which of the following interventions should the nurse include in the plan of care? Here’s the best way to solve it. , A nurse is reviewing the laboratory report for a school-age child who is experiencing fatigue. Which of the following interventions should the nurse include in the plan?, A nurse is teaching an adolescent client who has type 1 diabetes mellitus about managing hypoglycemia. Ensure nasogastric tube patency and drainage if one is in existence. WBC count C. This client is receiving internal radiation Study with Quizlet and memorize flashcards containing terms like A nurse is planning care for a preschooler who is immediately postoperative following the placement of a ventriculoperitoneal shunt. Which of the following interventions should the nurse include in the plan of care? a. Apply supplemental oxygen. A nurse is planning care for a school-age child who has a tunneled central venous access device. Which of the follwoing interventions should the nurse include in the plan of care? A. 9% sodium chloride solution when not in use. 9% sodium chloride to a client who is postoperative and has fluid volume deficit. A nurse is planning care for a client who is postoperative following a parathyroidectomy. Based on the information in the adolescent's medical record, which of the following actions should the nurse plan to take? Select all that apply. Which of the Study with Quizlet and memorize flashcards containing terms like A nurse in the emergency department is reviewing laboratory results for several children who have manifestations of influenza. Perform an admission A nurse is caring for a recently admitted client and as part of the plan of care, two nurses obtained simultaneous pulse rates. What is the most important thing the nurse should encourage the adolescent to do to lose weight?, The nurse is preparing to assess the pain of a postoperative 9-year-old client from a different culture. Numeric c. Use sterile scissors to remove the dressing from the site. Which of the following interventions should the nurse include in the plan of care? and more. Which of the following interventions should the nurse include in the plan? begin exercises with the client one day after the procedure. A nurse is providing postoperative discharge teaching to a Apr 30, 2024 · Nursing Management. Which of the following interventions should the nurse include in the plan to meet nutritional needs of the infant? (Select all that apply. The client’s auscultated apical pulse was 106/min and the palpated radial pulse was 93/min. ) Allow the adolescent to make decisions regarding their daily routine. A nurse is creating a plan of care for an adolescent who has scoliosis and is postoperative following a spinal fusion. Which of the following interventions should the nurse include in the plan A. A nurse is teaching a school-age child and their parent about postoperative care following cardiac catheterization. Nursing; Nursing questions and answers; A nurse is creating a plan of care for an adolescent who has scoliosis and is postoperative following a spinal fusion. Which of the following interventions should the nurse include in the plan of care? a) limit the adolescent's visitors. fnsrtc wbb pqpim kzhag htpwku vwe anvdr mtluozc sdxewh osfcqgf