The nurse is caring for a client on the first day of postoperative for a descending aortic aneurysm repair. Which assessment finding should the nurse prioritize reporting to the healthcare provider?

a.Serum potassium 4.8

b.Urine output 30ml/hr

c. Electrocardiogram ST Segment elevation

d.BP 130/80

21. A client who is admitted to the intensive care unit is manifesting signs of an acute Addisonian crisis. The nurse is observing the clients, a hemodynamic monitor, as the client becomes tachycardic and hypotensive. Which intervention is most important for the nurse to implement?

a.Access invasive lines using sterile gloves and sterile transport dressing

b.Administer all dietary supplements with meals

c. Perform passive exercises and ROM

d.Notify HCP of cardiac output less the 3.9

24. When assessing an adult client on a mechanical ventilator, the nurse notes that the client becomes restless has diminished to absent breath sounds on the right side and the right side of the clients chest is not expanding equally to the left side. Based on these assessment findings, which analysis should the nurse formulate?

a.The endotracheal tube has slipped into the esophagus

b.A tension pneumothorax has occurred.

c. The ventilator is malfunctioning

d.The client developed pneumonia

25. An adult client is transported via ambulance to the emergency department following a motorvehicle accident . On arrival the client complains of severe upper back pain. The vital signs are: Temp 98.6, HR 145 bpm, resp 26 and BP 70/40. Which change in assessment findings indicate the clients condition is deteriorating?

a.Oxygen sat 90%

b.Glascow coma score 15

c. HR 40 bpm

d.Resp 34 breaths/min

27. Following a CABG, an older client with COPD is being maintained on mechanical ventilation. Which action should the nurse implement to prevent ventilator-associated pneumonia?

a.Maintain the head of the bed at 45 degree elevation

b.Instill sterile saline in endotracheal tube before suctioning

c. Schedule q4 hour bronchodilator nebulizer treatment

d.Set FIO2 to deliver 100% oxygen concentration

28. The nurse assess a male client postoperatively who has an arterial line in the radial artery. Assessment findings include pallor, paresthesia, and slow capillary refill in the client’s right-hand fingers. What action should the nurse plan?

a.Elevate the clients right arm

b.Perform allen test

c. Flush the line with heparinized saline

d.Notify HCP

Note:- Please give short explanation/rational why the answer is correct

A 30-year-old woman is in the clinic for her yearly gynecologic checkup. She is not pregnant but would like to have children soon and states that she and her husband are trying to conceive. She says that she is “very concerned” about her health, and watches her diet and exercises regularly to stay in shape.

She has a family history of heart disease but no other health concerns. Her physical assessment reveals no abnormalities or health problems.

She is taking:

• Echinacea, from September to March, to prevent the flu
• Adult aspirin, one tablet every day, to prevent heart attacks
• Garlic tablets twice a day for her heart
• Kava tea, as needed for relaxation
• One glass of red wine with dinner
• Valerian capsules for sleep, prn (3-4 times a week)

1. Does the patient’s regimen of drugs and herbal products pose any risk for drug or herbal interactions? (Explain)
2. Do any of these products have the potential for problems if used long-term?
3. She tells you that she thinks that herbal products are “safe” because the government would not allow them to be sold if they were not. Is this true? (Explain your answer)
4. What would you emphasize when teaching her about the use of herbal products and OTC drugs?

Explain the role of health education in health promotion. How is the nursing process used in developing health education? Describe a contemporary issue, local or global, that a family may experience today. What steps would the nurse take to address these as part of a health education plan?

Research healthcare issues of Teenage Suicide that have been identified in Atlanta Georgia. Develop a PowerPoint presentation with speaker notes. You will then use the power point during your Kaltura recording. Structure a health policy analysis presentation that addresses the following topics particular to your health problem.

• • Problem Statement:

• What are the best questions to ask a teen that would likely enable patients to screen for possible depression and suicidal ideation?

• Background:

•

Background—Informs the reader why a problem has been

chosen for analysis

•

Provides much of the facts and information necessary to

understand the problem being addressed

• Landscape:

•

The policy analysis should provide three to five options for a client

to consider.

•

All options must:

•

Be within the power of the client to do

•

Be consistent with the client’s values

•

Address the issue identified in the problem statement

•

Identify criteria that will be used to evaluate the option.

• Options:

•

The policy analysis should provide three to five options for a client

to consider.

•

All options must:

•

Be within the power of the client to do

•

Be consistent with the client’s values

•

Address the issue identified in the problem statement

•

Identify criteria that will be used to evaluate the option.

• Recommendations:

Choose the recommended course of action based upon your data and the

needs of the local community

•

Multiple recommendations are appropriate depending upon the healthcare

issue identified

•

Consider a Pro and Con list

•

Consider a priority list