The nurse is caring for a client with a cerebrovascular accident (CVA) who is receiving
enteral tube feedings. Which task performed by the UAP requires immediate
intervention by the nurse?
When caring for a postsurg
...
The nurse is caring for a client with a cerebrovascular accident (CVA) who is receiving
enteral tube feedings. Which task performed by the UAP requires immediate
intervention by the nurse?
When caring for a postsurgical client who has undergone multiple blood transfusions,
which serum laboratory finding is of most concern to the nurse?
Which vaccination should the nurse administer to a newborn?
The nurse is caring for a client on the medical unit. Which task can be delegated to
unlicensed assistive personnel (UAP)?
The nurse is caring for a client with an ischemic stroke who has a prescription for tissue
plasminogen activator (t-PA) IV. Which action(s) should the nurse expect to implement?
(Select all that apply.)
This includes close monitoring for bleeding during and after the infusion; if bleeding or
other signs of neurologic impairment occur, the infusion should be stopped (B, C, and
E). Aspirin is contraindicated with t-PA because it increases the risk for bleeding (A).
The administration of t-PA within 6 hours of symptoms is concurrent with a diagnosis of
a myocardial infarction and within 4.5 hours of symptoms is concurrent for a stroke (D).
When caring for a client in labor, which finding is most important to report to the primary
health care provider?
.
The nurse is caring for a client with heart failure who develops respiratory distress and
coughs up pink frothy sputum. Which action should the nurse take first?
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