PRIORITIZATION AND DELEGATION Question 1 What is the priority nursing measure for a client with von Willebrand’s disease who is having epistaxis? Question 2 See full question 1m 12s Which nur... sing intervention is a priority for a child with hemophilia, who has fallen, and has an acutely bruised leg? Question 3 See full question 8m 24s The nurse is preparing to administer digoxin to an infant. What is the most important intervention by the nurse? Question 4 See full question 1h 29m 37s A two-year-old child comes to the emergency department with inspiratory stridor and a barking cough. A preliminary diagnosis of croup has been made. What is the nurse’s most important intervention? Question 5 See full question 16s A three-year-old child is given a preliminary diagnosis of acute epiglottitis. Which initial nursing intervention is most appropriate? Question 6 See full question 17s A client with an uncomplicated, term pregnancy arrives at the labor-and-delivery unit in early labor saying that she thinks her water has broken. What is the nurse’s best action? Question 7 See full question 27s At the beginning of a shift, the team leader notices that all of the IV antibiotics for a client are still in the medication room. What is the team leader’s first action? Question 8 See full question 24s A client with a panic disorder is having difficulty falling asleep. Which nursing intervention should be performed first? Question 9 See full question 27s The nurse is caring for a three-year-old with acute lymphocytic leukemia and notes that the child has a decreased appetite. What is the priority nursing intervention? Question 10 See full question 18s Two hours after starting total enteral nutrition (TEN) through a nasogastric tube, a client starts to have abdominal distention. Which action should the nurse take first? Question 1 See full question 3m 23s The nurse has just admitted a client with sickle cell crisis. What is the nurse’s priority intervention? Question 2 See full question 7m 15s Which client would be considered to be at the highest risk for respiratory failure? Question 3 See full question 14h 26m 44s Which nursing intervention is the most appropriate for a client diagnosed with functional neurologic symptom disorder who has experienced pseudoseizures? Question 4 See full question 50s What is the priority nursing action for a client with generalized anxiety disorder who is working to develop coping skills? Question 5 See full question 20s The nurse is caring for three-year-old client who has polycythemia. What is the most important intervention for the nurse to include in this child’s plan of care? Question 6 See full question 25s A nurse is caring for a three-year-old child following the removal of a Wilms’ tumor. The mother states that her child is in pain, and requests pain medication. What is the nurse’s priority in regards to this mother’s request? Question 7 See full question 21s The nurse in the emergency department is caring for a 12-year-old child with full- thickness, circumferential burns to the chest, and has difficulty breathing. What is the priority intervention? Question 8 See full question 21s A nurse, working in the triage area of an emergency department, sees several pediatric clients arrive simultaneously. Which client should be treated first? Question 9 See full question 15s The nurse is assessing a laboring client. The client suddenly screams and exclaims, “My baby is coming.” What is the priority action by the nurse? Question 10 See full question 32s A charge nurse is developing the client care assignments for the shift. Which client is mostappropriately assigned to a licensed practical nurse (LPN)? ..............................................CONTINUED....................................... [Show More]
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TISSUE INTEGRITY|COMMUNICATION|PRIORITIZATION AND DELEGATION|ELIMINATION|OXYGENATION|NUTRITION|METABOLISM| BASIC PSYCHOSOCIAL NEEDS|FLUID AND ELECTROLYTES|CLINICAL DECISION MAKING/CLINICAL JUDGEMENT|H...
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