Answer pink frothy sputum a client who has

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Answer: Pink, frothy sputum A client who has manifestations of pulmonary edema can have pink, frothy sputum due to fluid leaking across the pulmonary capillaries and into the lung tissue. A nurse administers an incorrect dose of medication to a client. The nurse recognizes the error immediately and completes an incident report. Which of the following facts related to the incident should the nurse document in the client’s medical record? Answer: Time the medication was given The nurse should document the time, the name of the med, the dose, and the route in which the med was given on the client’s MAR immediately after it was administered. The nurse should also document the time that the incorrect med was administered to the client in the incident report, as this is a fact directly related to the occurrence. A nurse is caring for a client who is post-op after receiving moderate (conscious) sedation. The client suddenly becomes restless and reports feeling lightheaded. Which of the following actions should the nurse take? Answer: Check the client’s oxygen saturation level.
Restlessness and lightheadedness are indications of hypoxia. The nurse should check the client’s oxygen saturation level. A nurse in an ED is assessing a school-aged child who was brought in by their parents and has scald burns to both hands and wrists. The nurse suspects physical abuse. Which of the following actions should the nurse take? Answer: Contact Child Protective Services The nurse has a legal responsibility to report suspected physical abuse to Child Protective Services. A nurse is caring for a 2-month-old infant who has Hirschsprung disease (HD). Which of the following areas should the nurse assess for manifestations of HD? Answer: The nurse should assess the infant’s abdomen for distention and visible peristalsis, which are manifestations of HD. A nurse is admitting a client to the psychiatric unit after attempting suicide. The client states, “My family does not care whether I live or die.” Which of the following responses should the nurse make? Answer: “How does this make you feel?” This response encourages the client to evaluate their feelings. A nurse is providing discharge teaching for the parents of a preschool-age child who has a new prescription for amoxicillin/clavulanate suspension. Which of the following instructions should the nurse include in the teaching? Answer: Shake the medication bottle well before each dose is given. Store the medication in the refrigerator Report diarrhea to the provider immediately
A nurse on a med surg unit is caring for a client who has a new diagnosis of terminal cancer. The client tells the nurse that they would like to go home to be with family and loved ones. Which of the following actions should the nurse take?

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