final quiz elsevier adaptive quizzing

which priority treatment would the nurse help implement for a newly admitted client with anorexia nervosa?

correction of electrolyte imbalances

which is the priority intervention for a dependent client with PUD who is vomiting bright red blood?

place the client in side lying position

an adolescent with a hx of asthma arrives to the ed in respiratory distress the pcp admits the adolescent. implementing which prescription is the nurses priority?

administer nebulizer tx to facilitate breathing

which is the priority nursing action immediately after the insertion of a subclavian central venous access catheter for a client who is to begin TPN?

auscultate the lungs to evaluate breath sounds

which color tag is assigned the lowest priority for care in a mass casualty event?

black

when providing care for a client during the first few hours after admission to the burn unit with full thickness burns of the trunk and head, which goal is the nurse's priority during the emergent phase of this injury?

managing fluid loss

based on the info in the chart of a client with emphysema and recovering from an acute MI, which prescribed medication would the nurse consider priority at this time?

metoprolol

which client in the post op unit would be a safety priority for the nurse to monitor for fluid volume overload?

client A with lymph node dissection

which client would the triage nurse classify as requiring the least priority of care?

client D, foreign body aspiration/pneumonia

which assessment is a nursing priority to prevent complications in clients with respiratory acidosis?

monitoring breathing status

which statement made by the nurse indicated a need for further teaching when educating staff about integrating the joint commission's NPSG into the behavioral health unit?

we should use one client ID before giving meds

during the immediate postinjury period, which action is priority focus of nursing care for a client with a spinal cord injurt?

avoiding flexion of hyperextension of the spine

for a client admitted to the hospital with partial and full thickness burns of the chest and face, which concern would the nurse establish as a priority?

inadequate gas exchange caused by smoke inhalation

which intervention would be a priority for the nurse to include in the plan of care for a pt with a gunshot wound who has severe hemiplegia associated with abn body posturing and fixed/dilated pupils?

monitoring respiratory rate

a client with hyperemesis gravidarum is receiving hydration infusion therapy at home. What is the priority nursing activity for the home health nurse?

monitoring the client for signs of electrolyte imbalance

a post menopausal client with cancer of the breast decided to have a lumpectomy followed by chemotherapy. After receiving chemotherapy for several weeks, she is not feeling well. The nurse reviews the medical record data presented in the image. After analysis of the available history, lab tests, and clinical manifestations, which goal has the highest priority for this client?

prevent infection

which nursing goal would be priority for an adolescent who has a history of fighting, stealing, vandalizing property, running away from home, and has been suspended from school repeatedly?

preventing violence

which intervention is the primary priority for decreasing a client's risk for morbidity and mortality?

prevention

which nursing intervention would be the priority for an older client with depression who is prescribed a tricyclic antidepressant?

requesting that the health care provider change the medication

which priority concern would the nurse monitor for while working with clients withdrawing from cocaine?

risk for self injurt

A client who underwent open heart surgery died 2 days after the surgery bc of septcemia. which tool will the nurse use to determine the cause of the client's death?

root cause analysis (RCA)

which priority parameter would the nurse assess when caring for an older adult client with neurocognitive disorder who demontrates disorientation and numerous unmanageable behaviors?

stressors that appear to precipitate the client's disruptive behavior

which intervention would the nurse classify as the highest priority for an older client with lower extremity ulcerations due to chronic venous insufficiency?

teaching how to transfer from a bed to chair in the least painful manner

which task would classify as low priority when planning client care for the day?

teaching self-administration of insulin injections before discharge

which priority nursing intervention would the nurse implement for a client on diuretic therapy who has developed metabolic acidosis?

fall prevention measures