Injured Brain Area Nursing Intervention 1. frontal lobe assist with ADL due to visual disturbances 2. temporal lobe assist with walking 3. occipital lobe monitor vital signs 4. brain stem give simple instructions; reorient as needed 5. parietal lobe provide simple, one-step instructions 6. cerebellum speak clearly due to impaired hearing
Mix and Match: Match the nursing intervention to the endocrine disorder.
Endocrine Disorder Nursing Intervention 1. tumor posterior pituitary gland measure urine specific gravity 2. hypoparathyroidism monitor airway 3. Addison’s disease instruct on high-sodium, low-potassium diet 4. Cushing’s disease instruct on low-sodium, high-potassium diet
Mix and Match: Match the nursing intervention to the pulmonary disorder.
Pulmonary Disorder Nursing Intervention 1. emphysema hydration of at least 2L/day to thin and loosen pulmonary secretions 2. asthma teach controlled coughing 3. cystic fibrosis prevent spread of infection to others 4. chronic bronchitis identify and minimize pulmonary irritants 5. pneumonia teach diaphragmatic, pursed-lip breathing 6. influenza provide frequent mouth care to reduce chances of…
A client has just returned from a cardiac catheterization with access via the femoral artery. Which position or activity should the nurse anticipate the health care provider will order for this client?
bed rest with bathroom privileges bed rest with head of bed at 45 degrees ambulation to prevent blood clot formation bed rest with head of bed at 30 degrees or less up to chair with assistance if the client is steady on his feet
The nurse is caring for a client with fluid overload who is on strict I’s and O’s. The nurse understands that which is the best way to ensure accurate I’s and O’s?
clear any IV pumps and reset to zero for accurate IV fluid intake ask the client to keep up with how many cups of fluid he drinks at meals ask the client to report how much urine is in the urinal each time he uses it tell the client not to ask for any extra…
The nurse is caring for a client who just had a laparoscopic appendectomy. The client tells the nurse that she does not want “drugs” for pain management, but prefers alternative therapy and/or complementary therapy. Which is the best response by the nurse?
“I know of some herbs and supplements that you can take to manage the pain.” “Tell me what works for you, and I will see what we can provide for your comfort.” “We use real medicine here in the hospital, so I will bring you hydrocodone for pain when you need it.” “Yoga always relaxes…
The unit nurse is precepting a nursing student who is assisting a client with a femur fracture onto a fracture bedpan. Which action by the student nurse requires intervention by the unit nurse?
The student nurse tries to lift the client onto the bedpan. The student nurse positions the head of the bed between 30 and 45 degrees. The student nurse places the call light within reach and tells the client she will return shortly. The student nurse places the bedpan with the shallow end under the buttocks…
The nurse is assisting the health care provider performing a liver biopsy on a client. How should the nurse position this client?
position the client supine with the left upper abdomen exposed position the client supine with the right upper abdomen exposed position the client in a low Fowler’s with the right upper abdomen exposed raise the client’s right arm and extend it behind the head, over the left shoulder raise the client’s right arm and extend…
A client has orders for placing a nasogastric tube. In which position should the nurse place the client for insertion?
low Fowler’s high Fowler’s reverse Trendelenburg’s on the side opposite of the nare used for insertion
The nurse is caring for a client who just returned from an above-the-knee amputation of the left leg. Which position should the nurse place the client in?
supine, with the affected limb flat on the bed supine, with a wedge pillow between the thighs supine, with the affected limb elevated on a pillow on the left side with the head of the bed at 30 degrees