After working with your preceptor to assess organizational policies, create a list of measurable outcomes for your capstone project intervention. Write a list of three to five outcomes for your proposed intervention. Below each outcome, provide a one or two sentence rationale.
The assignment will be used to develop a written implementation plan.
APA style is not required, but solid academic writing is expected.
You are not required to submit this assignment to LopesWrite.
APA FORMAT
2. CITE ALL REFERENCES
3. PLEASE COMPLETE ALL QUESTIONS. Late assignments will not be accepted!!!
Case Study: Urinary Tract Infection
You are working in an extended care facility when M.Z.’s daughter brings her mother in for a week’s stay while she goes on a planned vacation. M.Z. is an 89-year-old widow with a 4-day history of non- localized abdominal pain, incontinence, new-onset mental confusion, and loose stools. Her most current vital signs are 118/60, 88, 18, 98.4° F (37.4° C). The medical director ordered a post void catheterization, which yielded 100mL of cloudy urine that had a strong odor, and several lab tests on admission. Urine culture and sensitivity results are pending; the other results are shown in the chart.
Chart View Laboratory Test Results:
Complete metabolic panel: Within normal limits except for the following results:
BUN 25mg/dL Sodium 131mEq/L
Potassium 3.2mEq/L
White blood cell count 11,000/mm3
Urinalysis Appearance Cloudy Odor Foul
pH 6.9
Protein Negative
Nitrites Positive
Crystals Negative
WBCs 6 per low-power field
RBCs 3
4.The medical director makes rounds and writes orders to start an IV of D5 ½NS at 75mL/hr. and insert a Foley catheter to gravity drainage. Because M.Z. is unable to take oral medications, the medical director orders ciprofloxacin (Cipro) 400mg q12h IV piggyback (IVPB). Are the type of fluid and rate appropriate for M.Z.’s age and condition? Explain.
Case Study Progress:
The next day, you are the nurse assigned to M.Z.’s care. You notice that the NAP emptying the gravity drain is not wearing personal protection devices. You also observe that the drainage port of the drainage bag was contaminated during the process because the NAP allowed it to touch the floor.
American Nurses Association. (2014). Psychiatric-mental health nursing: Scope and standards of practice (2nd ed.). Washington, DC: Author.
Standard 5C “Consultation” (page 57)Note: Throughout the program you will be reading excerpts from the ANA’s Scope & Standards of Practice for Psychiatric-Mental Health Nursing. It is essential to your success on the ANCC board certification exam for Psychiatric/Mental Health Nurse Practitioners that you know the scope of practice of the advanced practice psychiatric/mental health nurse. You should also be able to differentiate between the generalist RN role in psychiatric/mental health nursing and the advanced practice nurse role.
“Cautionary Statement for Forensic Use of DSM-5”
“Assessment Measures”
“Cultural Formulation”
“Glossary of Technical Terms”
“Glossary of Cultural Concepts of Distress”
Sadock, B. J., Sadock, V. A., & Ruiz, P. (2014). Kaplan & Sadock’s synopsis of psychiatry: Behavioral sciences/clinical psychiatry (11th ed.). Philadelphia, PA: Wolters Kluwer.
Section 5.1, “Psychiatric Interview, Mental Status Examination” (pp. 192–211)
Section 5.2, “The Psychiatric Report and Medical Record” (pp. 211–217)
Section 5.3, “Psychiatric Rating Scales” (pp. 217–236)
Section 5.5, “Personality Assessment: Adults and Children” (pp. 246–257)
Section 5.7, “Medical Assessment and Laboratory Testing in Psychiatry” (pp. 266–275)
Chapter 6, “Classification in Psychiatry” (pp. 290–308)
To prepare for this Discussion:
Post:
Note: Support your rationale with a minimum of three academic resources less than five years
Nursing is a very highly regulated profession. There are over 100 boards of nursing and national nursing associations throughout the United States and its territories. Their existence helps regulate, inform, and promote the nursing profession. With such numbers, it can be difficult to distinguish between BONs and nursing associations, and overwhelming to consider various benefits and options offered by each.
Both boards of nursing and national nursing associations have significant impacts on the nurse practitioner profession and scope of practice. Understanding these differences helps lend credence to your expertise as a professional. In this Assignment, you will practice the application of such expertise by communicating a comparison of boards of nursing and professional nurse associations. You will also share an analysis of your state board of nursing.
To Prepare:
The Assignment: (8- to 9-slide PowerPoint presentation)
Develop a 8- to 9-slide PowerPoint Presentation that addresses the following:
Submit your Regulation for Nursing Practice Staff Development Meeting Presentation.
POST 1
L. Thorpe
Discussion 1 Learning Online
Strategy for Success Academic
Academic engagement is a multidimensional effort that encompasses the cognitive desire to excel by investing time and effort into time management (Aparicio et al., 2017). As a nursing health care professional, the demands and skills needed to manage a busy schedule require careful planning. The single most useful tool that has contributed to my overall success thus far is time management. Arguedas et al. (2016) point out there is a need to integrate good time management skills in preparing for academic success. Academic success requires focus and educational planning as procrastination reduces academic success. Procrastination is a prevailing phenomenon in the academic settings with a wide range of negative consequences. Procrastination can negatively influence a student’s well-being and performance. Another common barrier to being successful is inadequate time management and procrastination (Arguedas et al., 2016). Often individuals put off things to the very last moment even after knowing that it will put them in turmoil. Personally, my success stems from always working ahead. Delaying things to the last-minute always results in anxiety and distress. Time and planning ahead can be a kind resource that can increase productivity. Time management is all about how we manage ourselves. It is about finding the smartest and most rewarding way to use every spare time, which includes every waking hour, minute, and second of each day.
Beneficial Strategy
Good time management skills are essential for students as no one knows the unexpected emergencies that may arise each day. Students need to have practical time management skills daily and weekly for optimal academic success (Cohen & Baruth, 2017). Increasing the quality of activities performed in a limited period of time is the main aim of time management. Prioritizing daily tasks is essential for managing a student’s time effectively (McDaniel et al., 2016). Deciding on how individuals spend their time is critical in making ourselves productive and more organized. This requires setting goals, prioritizing, planning, and organizing minimizing time-wasting. While time management is beneficial, success utilizing technology is crucial. Learning how to navigate technology will boost and empower students as current technologies are effective in advanced education. Learning how to navigate an online research platform will only accelerate one skill in becoming more proficient.
References
Aparicio, M., Bacao, F., & Oliveira, T. (2017). Grit in the path to e-learning success. Computers in Human Behavior, 66, 388-399. https://doi.org/10.1016/j.chb.2016.10.009
Arguedas, M., Daradoumis, T., & Xhafa, F. (2016). Analyzing the effects of emotion management on time and self-management in computer-based learning. Computers in Human Behavior, 63, 517-529. https://doi.org/10.1016/j.chb.2016.05.068
Cohen, A., & Baruth, O. (2017). Personality, learning, and satisfaction in fully online academic courses. Computers in Human Behavior, 72, 1-12. https://doi.org/10.1016/j.chb.2017.0 2.030
McDaniel, S. C., Houchins, D. E., & Robinson, C. (2016). The effects of check, connect, and expect on behavioral and academic growth. Journal of Emotional & Behavioral Disorders, 24(1), 42–53. https://doi.org/10.1177/1063426615573262
POST 2
P. Mediros
Walden University and AACN: Social Change
On evaluating the similarities in the focus of social change amongst Walden University and the AACN’s competencies, I discovered that both concepts are outlined on the advancement of both human and social outcomes. Walden University (2020) social change message is defined as “a deliberate process of creating and applying ideas, strategies, and actions to promote the worth, dignity, and development of individuals, communities, organizations, institutions, cultures, and societies”. On the contrary, the AACN (2006) envisions the DNP graduate to identify potential systemic changes, implement improvements in the care of the particular patient population to improve the overall outcome of patient care. Meanwhile also “demonstrating practice expertise, specialized knowledge, and expanding the responsibility and accountability in the care and management of individuals and families” (AACN, 2006).
Relates to my Professional/Academic Goal
Walden University and AACN efforts of social change relates heavily on my professional and academic goals. As I have mentioned in prior postings, I am a practitioner in a critical care setting, a high-stressed environment, critically ill patients with a variety of disease processes, and constant change occurring. It is exceptionally important to continuously allow for change to occur and to adapt to it. When one becomes resistant to change, it can only result in growth restrictions. I personally believe that if you do not get out of your comfort zone, then you cannot allow for growth to occur. As timid and uncertain my path may direct me, I strongly believe that the change is the ultimate growth process to succeed both professionally and academically. For example, deciding to advance my career path by enrolling the DNP program was frightful for me; especially committing to a long hall of educational demands.
Two Goals for Incorporating Social Change within my Professional/Academic
My ultimate goals are to become a scholarly practitioner and practice at the highest level of nursing. Brown (2005), describes the direct practice of APN is characterized by the use of holistic perspective, therapeutic partnerships to facilitate informed decision making, positive lifestyle change, use of diverse, evidence-based interventions in health and illness management. I plan on utilizing scientific knowledge and practice expertise to deploy social change and promote high quality patient outcomes.
References
American Association of Colleges of Nursing (AACN). (2006). The Essentials of Doctoral Education for Advanced Nursing Practice. Washington, DC: Author. Retrieved from http://www.aacnnursing.org/DNP/DNP-Essentials
Brown, S.J. (2005). Advanced practice nursing: An integrative Approach (3rd ed.), 134-185. Philadelphia, PA: Elsevier Saunders
Walden University. (2020). Social Change. Retrieved on Dec. 6, 2020 from https://catalog.waldenu.edu/content.php?catoid=176&navoid=62600
AN EXAMPLE OF HOW THE REPLY COMMENT LOOKS.
The management of time and self-regulation is critical to academic success (Oettingen et al., 2015). Managing a calendar and organizing time is not a strong attribute many individual processes. Time management is about how one manages self. Individuals cannot manage time at the last minute. Time management works well by organizing and prioritizing the activities, which are of prime importance for providing quality care and maintaining a personal and professional balance (Arguedas et al., 2016). Effective time management has been found to lead to a host of positive consequences reaching from high academic achievement. Deciding on how one spends time is very important in making oneself productive and organized. Time management is setting and achieving one’s goals and reducing the stress that results from poor time management. As a student, whenever time management is limited, one is unable to think critically to prioritize tasks, which tends to result in missing assignments.
References
Arguedas, M., Daradoumis, T., & Xhafa, F. (2016). Analyzing the effects of emotion management on time and self-management in computer-based learning. Computers in Human Behavior, 63, 517-529. https://doi.org/10.1016/j.chb.2016.05.068
Oettingen, G., Kappes, H. B., Guttenberg, K. B., & Gollwitzer, P. M. (2015). Self-regulation of time management: Mental contrasting with implementation intentions. European Journal of Social Psychology, 45, 218-229. https://doi.org/10.1002/ejsp.2090
Complete only the History, Physical Exam, and Assessment sections of the Aquifer virtual case: Family Medicine 27: 17-year-old male with groin pain.
Each week you are required to enter your patient encounters into CORE. Your faculty will be checking to ensure you are seeing the right number and mix of patients for a good learning experience. Beginning in Week 5, you will need to include one complete SOAP note each week through Week 9 for a total of 5 complete SOAP notes for this course using this SOAP note template. The SOAP note should be related to the content covered in this week, and the completed SOAP note should be submitted to the Submissions Area. When submitting your note, be sure to include the reference number from CORE where you entered this specific patient’s case entry.
Select two clients you observed or counseled this week during a family therapy session. Note: The two clients you select must have attended the same family session.
Then, address in your Practicum Journal the following:
ATI RN Fundamentals Proctored Focus Can an RN delegate to the LPN to provide tracheostomy care to a client with pneumonia? A nurse on a med-surg unit has received change-of-shift report & will care for 4 clients. Which of the following client’s needs may the nurse assign to a assistive personnel (AP)? A nurse is delegating the ambulation of a client who had knee arthroplasty 5 days ago to an AP. Which of the following information should the nurse share with the AP? Select All. An RN is making assignments for client care to a LPN at the beginning of the shift. Which of the following assignments should the LPN question? A nurse is preparing an in-service program about delegation. Which of the following elements should she identify when presenting the 5 rights of delegation? Select all. A nurse manager of a med-surg unit is assigning care responsibilities for the oncoming shift. A client is awaiting transfer back to the unit from the PACU following thoracic surgery. To which staff member should the nurse assign to this client? A nurse observes an AP reprimanding a client for not using the urinal properly. The AP tells him she will put a diaper on him if he does not use the urinal more carefully next time. Which of the following torts is the AP committing? An adult client who is competent tells the nurse that he is thinking about leaving the hospital against medical advice. The nurse believes that this is not in the client’s best interest, so she administers a PRN sedative med that the client has not requested along w/his usual meds. Which of the following tort has the nurse committed? A client who will undergo neurosurgery the following week tells the nurse in the surgeon’s office that he will prepare his advance directives before he goes to the hospital. Which of the following statements by the client indicates to the nurse that he understands advance directives? A client is about to undergo an elective surgical procedure. Which of the following actions are appropriate for the nurse who is providing pre-op care regarding informed consent? Select all. A nurse has noticed several occasions in the past week when another nurse on the unit seemed drowsy & unable to focus on the issue at hand. Today, she found the nurse asleep in a chair in the break room when she was not on break. Which of the following actions should the nurse take? A nurse is preparing info for a change-of-shift report. Which of the following info should the nurse include in the report? A nurse enters a client’s room & finds him sitting in his chair. He states, “I fell in the shower, but I got myself back up & into my chair.” How should the nurse document this in the client’s chart? A nursing instructor is reviewing documentation w/a group of nursing students. Which of the following legal guidelines should they follow when documenting a client’s record? Select all that apply The skin barrier covering a client’s intestinal fistula keeps falling off when she stands up to ambulate. The nurse has reapplied it twice during the shift, but it remains intact only when the client is supine in bed. The nurse telephoned the physical therapist about the difficulties containing the drainage from the fistula, so the therapist didn’t ambulate the client today. The client sat in a chair during lunch w/an absorbent pad over the fistula. The client ate all the food on her tray. The wound care nurse confirmed that she will see the client later today. The client states she feels frustrated at not having physical therapy, but the nurse thinks the client welcomed having a day to rest. Which of the following information should the nurse include in the change-of-shift report? Select all that apply. A nurse is receiving a provider’s prescription by telephone for morphine for a client who is reporting moderate to severe pain. Which of the following nursing actions are appropriate? Select all that apply A nurse is caring for an older adult client who lives alone & is to be discharged in 3 days. He states that it is difficult to prepare adequate nutritious meals at home for just 1 person. To which of the following members of the health care team should the nurse refer him? A goal for a client who has difficulty w/self-feeding due to rheumatoid arthritis is to use adaptive devices. The nurse caring for the client should initiate a referral w/which of the following members of the inter-professional care team? A client who is postop following a knee arthroplasty is concerned about the adverse effects of the medication he is receiving for pain management. Which of the following members of the inter-professional care team may assist the client in understanding the medication’s effects? Select all that apply. A client who has had a cerebrovascular accident has persistent problems w/dysphagia. The nurse caring for the client should initiate a referral w/which of the following members of the inter-professional care team? A nursing instructor is acquainting a group of nursing students w/the roles of the various members of the health care team they will encounter on a medical-surgical unit. When she gives examples of the types of tasks CNAs may perform, which of the following client activities should she include? Select all. A nurse in a provider’s office is preparing to assess a young adult male client’s musculoskeletal system as part of a comprehensive physical examination. Which of the following findings should the nurse expect? Select all. A nurse is evaluating a client’s neurosensory system. To evaluate stereo-gnosis, she would ask the client to close his eyes & identify which of the following items? A nurse is assessing a client who reports pain when the nurse evaluates the internal rotation of her right shoulder. Which of the following activities is this problem likely to affect? A nurse is preforming a neurosensory examination for a client. Which of the following tests should the nurse preform to test the client’s balance? Select all. A nurse is collecting data from an older adult client as part of a neurosensory examination. Which of the following findings should the nurse expect as changes associated w/aging? Select all. A nurse is providing discharge instructions to a client who has a prescription for the use of oxygen in his home. Which of the following should the nurse teach the client about using oxygen safely in his home? Select all. A nurse educator is conducting a parenting class for new parents. Which of the following statements made by a participant indicates a need for further clarification & instruction? A home health nurse is discussing the dangers of carbon monoxide poisoning w/a client. Which of the following information should the nurse include in her counseling? A nurse educator is presenting a module on basic first aid for newly licensed home health nurses. The nurse educator evaluates the teaching as effective when the newly licensed nurse states the client who has heat stroke will have which of the following? A home health nurse is discussing the dangers of food poisoning w/a client. Which of the following info should the nurse include in her counseling? Select all. A nurse is caring for a client diagnosed w/severe acute respiratory syndrome (SARS). The nurse is aware that health care professionals are required to report communicable & infectious diseases. Which of the following illustrate the rationale for reporting? Select all. A nurse is contributing to the plan of care for a client who is being admitted to the facility w/a suspected diagnosis of pertussis. Which of the following should the nurse include in the plan of care? Select all. A nurse is caring for a client who presents w/linear clusters of fluid-containing vesicles w/some crustings. Which of the following should the nurse suspect? A nurse is caring for a client who reports severe sore throat, pain when swallowing, & swollen lymph nodes. The client is experiencing which of the following stages of infection? A nurse educator is reviewing w/a newly hired nurse the difference in clinical manifestations of a localized vs. a systemic infection. The nurse indicates understanding when she states that which of the following are clinical manifestations of a systemic infection? Select all. A nurse is teaching a young adult client about health promotion & illness prevention. Which of the following statements by the client indicates an understanding of the teaching? A nursing instructor is explaining the various stages of the lifespan to a group of nursing students. The nurse should offer which of the following behaviors by a young adult as an example of appropriate psychosocial development? A nurse is counseling a young adult who describes having difficulty dealing w/several issues. Which of the following problems the client verbalized should the nurse identify as the priority for further assessment & intervention? A nurse is reviewing safety precautions w/a group of young adults at a community health fair. Which of the following recommendations should the nurse include specifically for this age group? Select all. A nurse is reviewing the CDC’s immunization recommendations w/a young adult client. Which of the following recommendations should the nurse include in this discussion? Select all. A nurse is caring for an 82-yr-old client in the ER who has an oral body temp of 38.3 C (101 F), a pulse rate of 114/min, & a RR of 22/min. He is restless & his skin is warm. Which of the following are appropriate nursing interventions for this client? Select all. A nurse is instructing an AP in caring for a client who has a low platelet count as a result of chemo. Which of the following is the nurse’s priority instruction for measuring vital signs for this client? A nurse is instructing a group of nursing students in measuring a client’s RR. Which of the following guidelines should the nurse include? Select all. A nurse who is admitting a client who has a fractured femur obtains a BP reading of 140/94 mmHg. The client denies any history of HTN. Which of the following actions should the nurse take next? A nurse is performing an admission assessment on a client. When measuring her vital signs, the nurse finds that her radial pulse rate 68/min & her simultaneous apical pulse rate is 84/min. What is the client’s pulse deficit? A nurse is caring for a client who will perform fecal occult blood testing at home. Which of the following info should the nurse include when explaining the procedure to the client? A nurse is talking w/a client who reports constipation. When the nurse discusses dietary changes that can help prevent constipation, which of the following foods should the nurse recommend? A nurse is caring for a client who has had diarrhea for the past 4 days. When assessing the client, the nurse should expect which of the following findings? Select all. A nurse is preparing to administer a cleansing enema to an adult client in preparation for a diagnostic procedure. Which of the following are appropriate steps for the nurse to take? Select all. While a nurse is administering a cleansing enema, the client reports abdominal cramping. Which of the following is the appropriate intervention? A nurse is caring for a client who has been sitting in a chair for 3 hrs. Which of the following problems is the client at risk for developing? A nurse is caring for a client who is on bed rest. Which of the following interventions should the nurse implement to maintain the patency of the client’s airway? A nurse is caring for a client who is postop. Which of the following nursing interventions reduce the risk of thrombus development? Select all. : A nurse is instructing a postop client about the sequential compression device the provider has prescribed. Which of the following statements should indicate to the nurse that the client understands the teaching? To promote the safe use of a cane for a client who is recovering from a minor musculoskeletal injury of the left lower extremity, which of the following instructions should the nurse provide? Select all that apply. A nurse is assessing the pain level of a client who has come to the ER reporting severe abd. pain. The nurse asks the client whether he has nausea & has been vomiting. The nurse is assessing which of the following? A nurse is assessing a client who is reporting severe pain despite analgesia. The nurse can best assess the intensity of the client’s pain by: A nurse is obtaining history from a client who has pain. The nurse’s guiding principle throughout this process should be that: A nurse is caring for a client who is receiving morphine via a PCA infusion device after abdominal surgery. Which of the following statements indicates that the client knows how to use the device? A nurse is monitoring a client who is receiving opioid analgesia for adv effects of the med. Which of the following effects should the nurse anticipate? Select all. A nurse is assessing a client who takes haloperidol (Haldol) for the tx of schizophrenia. Which of the following findings should the nurse document as extrapyramidal symptoms (EPS)? Select all. A nurse is providing teaching about managing anticholinergic effects for a client who has a new prescription for oxybutunin (Ditropan XL). Which of the following are appropriate to include in the teaching? Select all. A nurse is reviewing the reported meds of a client who was recently admitted. The meds include cimetidine (Tagamet) & imipramine hydrochloride (Tofranil). Knowing that cimetidine decreases the metabolism of imipramine hydrochloride, the nurse should identify that this combination is likely to result in which of the following effects? A nurse in an outpatient clinic is caring for a client who states she is trying to get pregnant. The client currently takes a Category D pregnancy risk med for the control of seizures. Which of the following statements by the nurse is appropriate? A nurse in an outpatient surgical center is admitting a client for a laparoscopic procedure. The client has a prescription for preoperative diazepam (Valium). Prior to administering the med, which of the following actions is the highest priority? A nurse is preparing to administer methylprednisolone acetate (Depo-Medrol) 10 mg by IV bolus. The amount available is 40 mg/mL. How many mL should the nurse administer? (round to nearest tenth) A nurse is preparing to administer lactated Ringer’s (LR) IV 100 mL over 15min. The nurse should set the infusion pump to deliver how many mL/hr? (round to nearest whole number) A nurse is preparing to administer 0.9% sodium chloride (0.9% NaCl) 250 mL IV to infuse over 30min. The drop factor of the manual IV tubing is 10 gtt/mL. The nurse should set the manual IV infusion to deliver how many gtt/min? (round to nearest whole number) A nurse is caring for a client who is at high risk for aspiration. Which of the following is an appropriate nursing intervention? A nurse is preparing a presentation about basic nutrients for a group of high school athletes. She should explain that which of the following is the body’s priority energy reserve? A nurse is caring for a client who is on a low-residue diet. The nurse should expect to see which of the following foods on the client’s meal tray? A nurse is caring for a client who weighs 80 kg (176 lb) and is 1.6 m (5 ft 3 in) tall. Calculate her BMI & determine whether this client is obese based on her BMI. . A nurse in a senior center is counseling a group of older adults about their nutritional needs & considerations. Which of the following info should the nurse include? Select all. A nurse is caring for a client who is 1 day postop following a total knee arthroplasty. The client states his pain level is a 10 on a scale of 0-10. After reviewing the client’s medication administration record, which of the following medications should the nurse administer? A nurse is teaching a client about taking multiple oral meds at home to include time-release capsules, liquid meds, enteric-coated pills, & narcotics. Which of the following statements by the client indicates an understanding of the teaching? A nurse is teaching a client how to administer medication through a jejunostomy tube. Which of the following instructions should the nurse include in the teaching? A nurse educator is teaching a module on pharmacokinetics to a group of newly licensed nurses. Which of the following statements by a newly licensed nurse indicates an understanding of the 1st-pass effect? A nurse is teaching an adult client how to administer ear drops. Which of the following statements by the client indicates understanding of the proper technique? A nurse prepares to administer an injection of morphine (Duramorph) to a client who reports pain. Prior to administering, the nurse is called to another room to assist another client onto a bedpan. She asks a 2nd nurse to give the injection. Which of the following actions should the 2nd nurse take? A nurse is preparing to administer a med to a client. The med was scheduled for administration at 0900. Which of the following are acceptable administration times for this med? Select all. A nurse is working w/a newly hired nurse who is administering meds to clients. Which of the following actions by the newly hired nurse indicates an understanding of med error prevention? A nurse educator is teaching a module on safe med administration to newly hired nurses. Which of the following statements by the newly hired nurse indicate understanding of the nurse’s responsibility when implementing med therapy? Select all. A nurse is preparing to administer digoxin (Lanoxin) to a client who states, “I don’t want to take that med. I do not want one more pill.” Which of the following responses by the nurse is appropriate in this situation? A nurse is assessing a client who has an acute resp. infection that puts her at risk for hypoxemia. Which of the following findings are early indications that should alert the nurse that the client is developing hypoxemia? Select all. A nurse is caring for a client who is having difficulty breathing. The client is lying in bed & is already receiving oxygen therapy via nasal cannula. Which of the following interventions is the nurse’s priority? A nurse is preparing to preform endotracheal suctioning for a client. Which of the following are appropriate guidelines for the nurse to follow? Select all. A nurse is caring for a client who has a tracheostomy. Which of the following actions should the nurse take each time he provides tracheostomy care? Select all. A provider is discharging a client with a prescription from home oxygen therapy via nasal cannula. Client & family teaching by the nurse should include which of the following? Select all. A nurse is delivering an enteral feeding to a client who has an NG tube in place for intermittent feedings. When the nurse pours water into the syringe after the formula drains from the syringe, the client asks the nurse why the water is necessary. Which of the following is an appropriate response by the nurse? A nurse is preparing to instill an enteral feeding to a client who has an NG tube in place. Which of the following is the nurse’s highest assessment priority before performing this procedure? A nurse is caring for a client who is receiving continuous enteral feedings. Which of the following nursing interventions is the highest priority when the nurse suspects aspiration of the feeding? A nurse is caring for a client in a long-term care facility who is receiving enteral feedings via NG tube. Which of the following is an appropriate nursing action prior to administering the tube feeding? Select all that apply A nurse is preparing to insert an NG tube for a client who requires gastric decompression. Which of the following actions should the nurse perform prior to beginning the procedure? Select all. An adolescent who has diabetes mellitus is 2 days postop following an appendectomy. The client is tolerating a regular diet. He has ambulated successfully around the unit w/assistance. He requests pain meds Q 6-8 hr while reporting pain at a 2 on a scale of 1-10 after receiving the med. His incision is approximated & free of redness, w/scant serous drainage on the dressing. Which of the following risk factors for poor wound healing does this client have? Select all. A nurse is assessing a client who is 5 days post op following abd. surgery. The surgeon suspects an incisional wound infection & has prescribed antibiotic therapy for the nurse to initiate after collecting wound & blood specimens for culture & sensitivity. Which of the following assessment findings should the nurse expect? Select all. A nursing instructor is reviewing the wound healing process w/a group of nursing students. They should be able to identify which of the following alterations as a wound or injury that heals by secondary intention? Select all. A client who had abd. surgery 24 hr ago reports a pulling sensation & pain in his surgical incision. The nurse checks the client’s surgical wound & finds the wound separated w/viscera protruding. Which of the following interventions is appropriate? Select all. A nurse is caring for an older adult client who is at risk for developing pressure ulcers. Which of the following interventions should the nurse use to help maintain the integrity of the client’s skin? Select all.
