A client sustained a crushing injury to his right arm during a car accident. He arrives to the emergency room complaining of numbness in his right hand. He has no other injuries. What should the nurse do first? Assess the right pedal pulse Administer pain medication Call the provider D. Assess the right radial pulse
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A client sustained a crushing injury to his right arm during a car accident. He arrives to the emergency room complaining of numbness in his right hand. He has no other injuries. What should the nurse do first?
- Assess the right pedal pulse
- Administer pain medication
- Call the provider
D. Assess the right radial pulse
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- A nurse is preparing to administer digoxin orally to a client. Identify the sequence of steps the nurse should take. (Move the steps into the box on the right, placing them in the order of performance. Use all the steps.) Obtain the client’s apical heart rate Remove the medication from the dispensing system Open the medication package Compare the client’s wristband to the medication administration record e. Document administration of the medicationThis patient is in surgery pre-op for joint replacement surgery and has this cardiac rhythm. What would be the appropriate action for the nurse to take? Notify the physician and monitor the patient for changes in heart rhythm Assess the patient’s pain level and request an order for pain medication Notify the physician and prepare the patient for cardioversion Document the findings in the patient's chart and continue preparing for surgeryThe practical nurse (PN) observes a newly hired PN who is preparing to open an ampule as seen in the picture. Which action should the PN take? Call the charge nurse to the medication room to assist the newly hired PN with the ampule. Take the ampule from the newly hired PN and demonstrate how to safely open the ampule. Advice the newly hired PN to continue with by gently snapping the ampule open Advise the newly hired PN to reposition the alcohol pad around the neck of the ampule.
- The nurse is caring for a client who has suffered a femur fracture (lower extremity). To assess the neurovascular/circulation and status of the affected extremity, which pulse would the nurse palpate ? Dorsalis Pedis Temporal Brachial CarotidYou are helping a nursing assistant give perineal care. The nursing assistant does not wear gloves and does not use a clean part of the washcloth for each stroke. How can you correct the situation?You are a nursing student who is assigned to a busy medical-surgical unit that specializes in the care of patients with various cardiac related disorders. One of your patients for the day is Mr. Stein, a 66 year old male with a primary diagnosis of a myocardial infarction. You enter the room to conduct your morning assessment and you find that Mr. Stein does not appear to be in a positive mood. As you begin your assessment, Mr. Stein criticizes your technique and berates you for anything you seem to do. Should you continue with your assessment? If so, could you say or do anything different to help improve the situation? How do you think receiving criticism and negative feedback may affect your job performance, if at all? Prior to beginning your assessment, could you have said or done anything that may have prevented or reduced Mr. Stein's hostility towards you?
- Sally asks the nurse if she can have her next dosage of pain medication. The best next action by the nurse is to: Sally Smith has her surgery to place stents without complications and returns to her room after a brief observation in the post-anesthesia care unit and continues to receive morphine 5 mg q6h for pain. Her last dose was at 2200. At 0400, the nurse takes the following vital signs and documents them in the electronic medical record (EMR): VITAL SIGNS Normal Range 0905 0400 Temperature 97.8°F - 99.1°F (36.5°C - 37.3°C) 37°C (98.6°F) 37°C (98.6°F) Heart Rate 60-100 beats per minute 96 beats per minute 92 beats per minute Respiratory Rate 12 to 20 breaths per minute 16 breaths per minute 11 breaths per minute (Low) Blood Pressure 90/60 mm Hg to 120/80 mm Hg 120/72 mmHg 108/62 mmHg Oxygenation 95%-100 % 98% on room air 98% on room air Pain 0/10 7/10 (High) 6/10 (High) Sally asks the nurse…In the Emergency room a 50 year-old male is rushed due to hypertension. After a few minutes of intervention, his blood pressure stabilizes and is back to normal. At present he has a complaint of pain in his right big toe. Upon assessment, the nurse documents the following presentations: When the right toe is touched the patient winces in pain. The site is red and warm when touched. According to the patient, movement of the toe hurts a lot. Pain also becomes severe at night. He rates his pain at 8 from a pain scale of 0 – 10. A medical diagnosis of gout was considered. Formulate a Nursing Care Plan using an Actual Nursing Diagnosis. NURSING DIAGNOSIS NURSING GOAL NURSING INTERVENTIONS (with rationale) NURSING EVALUATIONThe nurse is having difficulty palpating the popliteal pulse. What should the nurse do next? O A. Ask the person to bend their knees to the side in a froglike position O B. Flex the person's knee and then gently compress the length of the calf muscle anteriorly DC. Turn the person prone and lift up the lower leg O D. Curve the fingers around the medial malleolus
- In the Emergency room a 50 year-old male is rushed due to hypertension. After a few minutes of intervention, his blood pressure stabilizes and is back to normal. At present he has a complaint of pain in his right big toe. Upon assessment, the nurse documents the following presentations: When the right toe is touched the patient winces in pain. The site is red and warm when touched. According to the patient, movement of the toe hurts a lot. Pain also becomes severe at night. He rates his pain at 8 from a pain scale of 0 – 10. A medical diagnosis of gout was considered. Formulate a Nursing Care Plan using an Actual Nursing Diagnosis. NURSING EVALUATIONThe nurse is assigned to care for a male patient with complete right-sided hemiparesis. The nurse plans care knowing that this condition: The patient has weakness on the right side of the body, including the face and tongue. The patient has lost the ability to move the right arm but is able to walk independently The patient has lost the ability to move the right arm but is able to walk independently. O The patient has complete bilateral paralysis of the arms and legs.The nurse is taking the blood pressure measurement of a client with Parkinson's disease. Which information in the client's admission assessment is relevant to the nurse's plan for taking the blood pressure reading? (Select all that apply). Frequent syncope Occasional nocturia Flat affect Blurred vision Frequent drooling