Cilveducation

Psychosocial Integrity

After total hip replacement, a client is receiving epidural analgesia to relieve pain.. Assessing for sensation in the legs

After total hip replacement, a client is receiving epidural analgesia to relieve pain.…

Psychosocial Integrity

Nurse Tony is developing a plan of care for a client with anorexia nervosa.. Set up a strict eating plan for the client

Nurse Tony is developing a plan of care for a client with anorexia nervosa. Which acti…

Psychosocial Integrity

An attorney who throws books and furniture around the office after losing a case is referred to the psychiatric nurse in the law firm’s employee assistance program.. Regression

An attorney who throws books and furniture around the office after losing a case is re…

Psychosocial Integrity

A child is admitted to the pediatric unit with a serum sodium level of 118 mEq/L.. Instituting seizure precautions

A child is admitted to the pediatric unit with a serum sodium level of 118 mEq/L. Whic…

Psychosocial Integrity

A child, age 4, is admitted with a tentative diagnosis of congenital heart disease. When assessment reveals a bounding radial pulse coupled with a weak femoral pulse

A child, age 4, is admitted with a tentative diagnosis of congenital heart disease. Wh…

Psychosocial Integrity

A client with heart failure has been receiving an I.V. infusion at 125 ml/hour. Now the client is short of breath and the nurse notes bilateral crackles, neck vein distention, and tachycardia.. Slow the infusion and notify the physician

A client with heart failure has been receiving an I.V. infusion at 125 ml/hour. Now th…

Psychosocial Integrity

A client with a history of substance abuse has been attending Alcoholics Anonymous meetings regularly in the psychiatric unit.. You seem upset about the meetings

A client with a history of substance abuse has been attending Alcoholics Anonymous mee…

Psychosocial Integrity

A client is admitted for an overdose of amphetamines. When assessing this client, nurse Pauleen should expect to see.. Tension and irritability

A client is admitted for an overdose of amphetamines. When assessing this client, n…

Psychosocial Integrity

A client begins to experience alcoholic hallucinosis. What is the best nursing intervention at this time.. Providing a quiet environment and administering medication as needed and prescribed

A client begins to experience alcoholic hallucinosis. What is the best nursing interve…

Psychosocial Integrity

A client has a nursing diagnosis of Ineffective airway clearance related to poor coughing. When planning this client’s care.. Teaching the client how to deep-breathe and cough

A client has a nursing diagnosis of Ineffective airway clearance related to poor cough…

Psychosocial Integrity

An adolescent with well-controlled insulin-dependent diabetes mellitus has assumed complete management of the disease and wants to participate in gymnastics after school

An adolescent with well-controlled insulin-dependent diabetes mellitus has assumed com…

Psychosocial Integrity

Nurse Cecile is caring for a client who underwent a subtotal gastrectomy. To manage dumping syndrome.. drink liquids only between meals

Nurse Cecile is caring for a client who underwent a subtotal gastrectomy. To manage du…

Psychosocial Integrity

Nurse Abby is caring for a client with a brain tumor and increased intracranial pressure (ICP).. Administer stool softeners

Nurse Abby is caring for a client with a brain tumor and increased intracranial pressu…

Psychosocial Integrity

A client is being admitted to the substance abuse unit for alcohol detoxification.. Begin anytime within the next 1 to 2 days

A client is being admitted to the substance abuse unit for alcohol detoxification. As …

Psychosocial Integrity

Clients with anorexia can refuse food to the point of cardiac damage. Tube feedings and I.V. infusions are ordered to prevent such damage

Jannah, a 15-year-old girl with anorexia has been admitted to a mental health unit. Sh…

Psychosocial Integrity

Which nursing action is most appropriate for a client hospitalized with acute pancreatitis.. Withholding all oral intake, as ordered, to decrease pancreatic secretions

Which nursing action is most appropriate for a client hospitalized with acute pancreat…

Psychosocial Integrity

A client with burns on his groin has developed blisters. As the client is bathing, a few blisters break.. clean the area with normal saline solution and cover it with a gauze dressing

A client with burns on his groin has developed blisters. As the client is bathing, a f…

Psychosocial Integrity

A preschool-age child underwent a tonsillectomy 4 hours ago. assessment finding would make nurse suspect postoperative hemorrhage

A preschool-age child underwent a tonsillectomy 4 hours ago. Which assessment finding …

Psychosocial Integrity

Which nursing diagnosis takes highest priority for a client with Parkinson’s crisis.. Ineffective airway clearance

Which nursing diagnosis takes highest priority for a client with Parkinson’s crisis? …

Psychosocial Integrity

Which nursing diagnosis takes highest priority for a client with hyperthyroidism.. Imbalanced nutrition: Less than body requirements related to thyroid hormone excess

Which nursing diagnosis takes highest priority for a client with hyperthyroidism? a. …