ICU – NCLEX.ME Nurse

Physiological Integrity—Physiological Adaptation

The nurse is caring for a client in ICU diagnosed with rabies following a bite from an infected raccoon. The nurse understands which to be true regarding rabies?

Posted on April 20, 2022 by NCLEX.ME Nurse

The client should not be bathed, and no running water should be present within hearing of the client. Current treatment includes two doses of immunoglobulin and...

Physiological Integrity—Physiological Adaptation

The nurse is caring for a client in the ICU who has an arterial line for hemodynamic monitoring. Which action will the nurse take in caring for this client?

Posted on April 20, 2022 by NCLEX.ME Nurse

position the client with the transducer at the level of the right atrium position the client with the transducer at the level of the left ventricle position the...

Safe and Effective Care Environment—Management of Care

The RN is precepting a nursing student in the surgical ICU. The client is diabetic and asks the student nurse about insulin. Which response by the RN is best ?

Posted on March 15, 2022 by NCLEX.ME Nurse

ask the family to step out of the room to ensure client privacy tell the client that he should ask the health care provider when she rounds inform the client th...

Safe and Effective Care Environment—Management of Care

Nurses are expected to understand the principles of triage when caring for multiple clients. The ICU charge nurse is reviewing assignments. Based on the principles of triage, to which client would the charge nurse give priority for treatment?

Posted on March 15, 2022 by NCLEX.ME Nurse

a client on a ventilator who has an alarm sounding a client who has just returned from an open appendectomy a client ready to transfer to the floor after the nu...

Safe and Effective Care Environment—Management of Care

A toddler in gastric distress is admitted to the pediatric intensive care unit. The toddler becomes anxious and tries to remove the IV. The mother offers to help calm the child. Which action by the nurse is most appropriate?

Posted on March 15, 2022 by NCLEX.ME Nurse

paint a smiley face on the dressing covering the IV site give the child a puzzle to complete ask the mother to read the child’s favorite book administer a sedat...

Basic Care and Comfort

5The nurse is caring for a client who is sedated and on the ventilator in ICU. The family expresses concern about controlling the client’s pain when he cannot speak. The nurse explains that assessing pain in a nonverbal client involves watching for which of the following signs? Select all that apply.

Posted on March 4, 2022 by NCLEX.ME Nurse

grabbing at the bed rails biting the ventilator tubing facial grimacing stiffness or rigidity of the body decreased urinary output increased blood pressure and ...

Management of Care

The nurse is preparing to transfer a client from the ICU to the floor. Which of the following ensures continuity of care for the client? Select all that apply.

Posted on March 3, 2022 by NCLEX.ME Nurse

using approved abbreviations in documenting care providing report on the client using standard hand-off reports informing the receiving nurse of pending lab res...