Please review PICC line: http://www.youtube.com/watch? v=jKGf !v"h#$%list=P&f'()vGh"Ko**o+h,-$b !./0m1vnv234 5 !

year ol4 chil4 with hypospa4ias is sche4ule4 for sur6ery nursing care plan for this child -5t the a6e of ! year7 a chil48s fears of separation are 6reat because the chil4 is facin6 the 4evelopmental tas9 of trustin6 others. +urse is assessin6 the motor function of an unconscious client :plan to use which of the followin6 to test the client8s peripheral response to pain? a client who ha4 an above the 9nee amputation ; 4ays a6o :<he resi4ual limb was wrappe4 with an elastic compression ban4a6e7 which has come off : =ewraps the stump with an elastic compression ban4a6e therapy with theophylline ><heo ;$? limit inta9e of : Coffee, cola, and chocolate. Theophylline

contain xanthine and should be avoided by the client taking a xanthine bronchodilator. This could lead to an increased incidence of cardiovascular and central nervous system side effects that can occur with the use of these types of bronchodilators. A client diagnosed with polycystic kidney disease the nurse 4etermines that the client nee4s a44itional teachin6 if the client states that the treatment plan inclu4es 5.Genetic counselin6 /.@o4ium restriction C.Increase4 water inta9e A.5ntihypertensive me4ications <he nurse i s carin6 for a client followin6 craniotomy for removal of an acoustic neuroma. 5ssessment of which of the followin6 cranial nerves woul4 i4entify a complication specifically associate4 with this sur6ery? 5.Cranial nerve I7 olfactory /.Cranial nerve IB7 trochlear C.Cranial nerve III7 oculomotor A.Cranial nerve BII7 facial nerve
5 nurse is preparin6 to care for a client who has returne4 to the nursin6 unit followin6 car4iac catheteri ation performe4 throu6h the femoral artery. <he nurse plans to allow which client position or activity followin6 the proce4ure? 5./e4 rest in hi6h ,owler8s position /./e4 rest with bathroom privile6es only C./e4 rest with hea4 elevation at "- 4e6rees A./e4 rest with hea4 elevation no 6reater than .- 4e6rees / 5fter car4iac catheteri ation7 the e3tremity into which the catheter was inserte4 is 9ept strai6ht for $ to " hours. If the femoral artery was use47 be4 rest is enforce4 for . to $ hours >or as prescribe4 by the physician?. <he client may turn from si4e to si4e. <he affecte4 le6 is 9ept strai6ht an4 the hea4 is elevate4 no more than .- 4e6rees until hemostasis is a4eCuately achieve4. 5 nurse is monitorin6 a client in labor. <he nurse suspects umbilical cor4 compression if which of the followin6 is note4 on the e3ternal monitor tracin6 4urin6 a contraction? 5.&ate 4ecelerations /.Darly 4ecelerations C.@hort:term variability

A.Bariable 4ecelerations A Bariable 4ecelerations occur if the umbilical cor4 becomes compresse47 thus re4ucin6 bloo4 flow between the placenta an4 the fetus. Darly 4ecelerations result from pressure on the fetal hea4 4urin6 a contraction. &ate 4ecelerations are an ominous pattern in labor because they su66est uteroplacental insufficiency 4urin6 a contraction. @hort term variability refers to the beat tobeat ran6e in the fetal heart rate <he nurse is assessin6 the motor function of an unconscious client. <he nurse woul4 plan to use which of the followin6 to test the client8s peripheral response to pain? 5.@ternal rub /.+ail be4 pressure C.Pressure on the orbital rim A.@Cuee in6 of the sternoclei4omastoi4 muscle /. 2otor testin6 in the unconscious client can be 4one only by testin6 response to painful stimuli. Nail bed pressure tests a basic peripheral response. Cerebral responses to pain are teste4 usin6 sternal rub7 placin6 upwar4 pressure on the orbital rim7 or sCuee in6 the clavicle or sternoclei4omastoi4 muscle. <he nurse is carin6 for a client who ha4 an above:9nee amputation ; 4ays a6o. <he resi4ual limb was wrappe4 with an elastic compression ban4a6e7 which has come off. <he nurse imme4iately: 5.Calls the physician /.5pplies ice to the site C.=ewraps the stumpwith an elastic compression ban4a6e A.5pplies a 4ry sterile 4ressin6 an4 elevates it on one pillow C : If the client with an amputation has a cast or elastic compression ban4a6e that slips off7 the nurse must wrap the stump imme4iately with another elastic compression ban4a6e. Etherwise7 e3cessive e4ema will form rapi4ly7 which coul4 cause a si6nificant 4elayin rehabilitation. If the client hasa cast that slippe4 off7 the nurse woul4 have to call the physician so that a new one coul4 be applie4. Dlevation on one pillow is not 6oin6 to impe4e the 4evelopment of e4ema 6reatly once compression is release4. Ice woul4 be of limite4 value in controllin6 e4ema from this cause. If the physician were calle47 the or4er li9ely woul4 be to reapply the compression 4ressin6 5 nurse is evaluatin6 the con4ition of a client after pericar4iocentesisis performe4 to treat car4iac tampona4e. )hich of the followin6 observations woul4 in4icate that the proce4ure was unsuccessful? 5.=isin6 bloo4 pressure /.Clearly au4ible heart soun4s C.Client e3pressions of relief A.=isin6 central venous pressure A.,ollowin6 pericar4iocentesis7 a rise in bloo4 pressure an4 a fall in central venous pressure are e3pecte4. <he client usually e3presses imme4iate relief. 0eart soun4s are no lon6er muffle4 or 4istant 5 client with a 4ia6nosis of 4iabetic 9etoaci4osis >AK5? is bein6 treate4 in a emer6ency room.)hich fin4in6 woul4 a nurse e3pect to note as confirmin6 this 4ia6nosis?

5.Comatose state /.Aecrease4 urine output C.Increase4 respirations an4 an increase in p0 A.Dlevate4 bloo4 6lucose level an4 low plasma bicarbonate leve A In AK57 the arterial p0 is lower than '..17 plasma bicarbonate is lower than !1 mDC/&7 the bloo4 6lucose level is hi6her than ;1- m6/4&7 an4 9etones are present in the bloo4 an4 urine. <he client woul4 be e3periencin6 polyuria7 an4 Kussmaul8s respirations woul4 be present. 5 comatose state may occur if AK5 is not treate47 but coma woul4 not confirm the 4ia6nosis 5 client 4ia6nose4 with polycystic 9i4ney 4isease has been tau6ht about the treatment plan for this 4isease. <he nurse 4etermines that the client nee4s a44itional teachin6 if the client states that the treatment plan inclu4es: 5.Genetic counselin6 /.@o4ium restriction C.Increase4 water inta9e A.5ntihypertensive me4ications /:In4ivi4uals with polycystic 9i4ney 4isease seem to waste rather than retain so4ium. <hus7 theynee4 increase4 so4ium an4 water inta9e. 566ressive control of hypertension is essential.Genetic counselin6 is a4visable because of the here4itary nature of the 4isease. Polycystic 9i4ney 4isease is an inherite4 renal 4isor4er. In this 4isor4er7 some normal 9i4ney tissue is replace4 by flui4:fille4 cysts of various si es in both 9i4neys. 5s the 4isease pro6resses7 the cysts become lar6er an4 the functional 9i4ney tissue 4ecreases. Ether or6ans li9e the lun6s may also be affecte4 by this 4isease. 0emo4ialysis is not the only treatment for 9i4ney failure. 0owever7 hemo4ialysis is usually 4one before the other two options are trie4. <he other two options are peritoneal 4ialysis an4 9i4ney transplantationF however7 not every patient with 9i4ney failure may be a can4i4ate for all of these options. Grolo6ists are me4ical 4octors who speciali e in the 4ia6nosis an4 treatment of 4iseases of the urinary system in men an4 women an4 4isor4ers of the male repro4uctive system. Grolo6ists can prescribe me4ications7 perform sur6ery7 an4 treat urination problems7 such as 4ifficulty hol4in6 urine >incontinence? an4 tumors or stones in the urinary system. <hey treat problems of the male repro4uctive system such as impotence >erectile 4ysfunction?. Gro6ynecolo6ists speciali e in treatin6 urinary problems involvin6 the female repro4uctive system7 an4 pe4iatric urolo6ists speciali e in 4ia6nosin6 an4 treatin6 urinary problems in chil4ren. +ephrolo6ists are me4ical 4octors who speciali e in the 4ia6nosis an4 treatment of 4iseases of the 9i4ney an4 urinary system7 such as inflammation of the 9i4neys7 chronic 9i4ney 4isease7 or cancer. +ephrolo6ists may further speciali e in treatin6 certain a6e 6roups7 such as pe4iatric nephrolo6ists7 who only treat chil4ren. +ephrolo6ists may consult with people for short:term illnesses or proce4ures7 such as for a 9i4ney biopsy7 or they may serve as a primary 4octor for people who have lon6:term >chronic? 9i4ney problems or who are on 4ialysis. <here are five sta6es of chronic 9i4ney 4isease. <hese sta6es in4icate increase4 severity from mil4 sta6e I >one? to sta6e B >five? when the 9i4neys fail. @ta6e I in4icates sli6ht 9i4ney 4ama6e while sta6e II >two? in4icates a mil4 4ecrease in 9i4ney function. @ta6e III >three? represents a mo4erate 4ecrease in 9i4ney function an4 sta6e IB >four? is a severe 4ecrease in 9i4ney function. @ta6e B in4icates 9i4ney failure. People on 4ialysis have 4ifficulty sometimes because their mineral inta9e is not as easily mana6e4. ,or e3ample7 eatin6 foo4s that contain potassium can be 4an6erous to a patientHs heart. 0i6h

potassium levels may cause 4eath from heart arrhythmias. ,oo4s li9e avoca4os7 bananas7 4rie4 fruit7 an4 9iwi shoul4 be avoi4e4 because of their hi6h potassium content. 5nother common problem associate4 with 9i4ney 4isease is itchy s9in. <his may occur because the patients are retainin6 too much phosphorus. In a44ition7 the phosphorus may 4eplete calcium from bones that7 in turn7 can lea4 to bone fractures. http://www.me4icinenet.com/9i4neyIstoneIpicturesIsli4eshow/article.htm http://www.nursin6times.net/central:venous:catheters:some:common:clinical: Cuestions/;--J$1.article http://www.rnpe4ia.com/home/e3ams/ncle3:e3am/ncle3:sample:Cuestions:for:pharmacolo6y: ./answer:an4:rationale:::ncle3:sample:Cuestions:for:pharmacolo6y:. https://www.6oo6le.com/search?C=3antineKcontainin6Kfoo4sKncle3%ie=utf:L%oe=utf: L%aC=t%rls=or6.mo illa:en:G@:official%client=firefo3:a%channel=sb