2022 exit V2 answered; attempt score 100% distinction level verified.

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2022 exit V2 answered; attempt score 100% distinction level verified. The nurse knows that which statement by the mother indicates that the mother understands safety precautions with her four mont... h-old infant and her 4 year-old child? >>> "I have the 4 year-old hold and help feed the four month-old a bottle in the kitchen while I make supper." Upon completing the admission documents, the nurse learns that the 87 year-old client does not have an advance directive. What action should the nurse take? >>> Give information about advance directives A nurse administers the influenza vaccine to a client in a clinic. Within 15 minutes after the immunization was given, the client complains of itchy and watery eyes, increased anxiety, and difficulty breathing. The nurse expects that the first action in the sequence of care for this client will be to >>> Administer epinephrine 1:1000 as ordered Which of these children at the site of a disaster at a child day care center would the triage nurse put in the "treat last" category? >>> A toddler with severe deep abrasions over 98% of the body When admitting a client to an acute care facility, an identification bracelet is sent up with the admission form. In the event these do not match, the nurse's best action is to >>> Notify the admissions office and wait to apply the bracelet The nurse is having difficulty reading the health care provider's written order that was written right before the shift change. What action should be taken? >>> Call the provider for clarification An adult client is found to be unresponsive on morning rounds. After checking for responsiveness and calling for help, the next action that should be taken by the nurse is to: >>> open the client's airway A client has an order for 1000 ml of D5W over an 8 hour period. The nurse discovers that 800 ml has been infused after 4 hours. What is the priority nursing action? >>> Auscultate the lungs Following change-of-shift report on an orthopedic unit, which client should the nurse see first? >>> 72 year-old recovering from surgery after a hip replacement 2 hours ago A nurse observes a family member administer a rectal suppository by having the client lie on the left side for the administration. The family member pushed the suppository until the finger went up to the second knuckle. After 10 minutes the client was told by the family member to turn to the right side and the client did this. What is the appropriate comment for the nurse to make? >>> That was done correctly. Did you have any problems with the insertion? A client with a diagnosis of Methicillin resistant Staphylococcus aureus (MRSA) has died. Which type of precautions is the appropriate type to use when performing postmortem care? >>> contact precautions The nurse is reviewing with a client how to collect a clean catch urine specimen. Which sequence is appropriate teaching? >>> clean the meatus, begin voiding, then catch urine stream The provider orders Lanoxin (digoxin) 0.125 mg PO and furosemide 40 mg every day. Which of these foods would the nurse reinforce for the client to eat at least daily? >>> watermelon A nurse is stuck in the hand by an exposed needle. What immediate action should the nurse take? >>> Immediately wash the hands with vigor As the nurse observes the student nurse during the administration of a narcotic analgesic IM injection, the nurse notes that the student begins to give the medication without first aspirating. What should the nurse do? >>> Walk up and whisper in the student's ear "Stop. Aspirate. Then inject." [Show More]

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