A nurse is caring for a client who has recently started using a behind the ear. Which of the following interventions involves proper skin care? (Select all that apply. The client begins to pull on the peripheral intravenous line in the hand and speaking in non-sensical terms. Rectal B. The nurse notes profuse diaphoresis of the client's forehead and scalp and suspects autonomic dysreflexia. "Having a positive attitude can help you. Client rates pain as 7 on a scale of 0 to 10. Study with Quizlet and memorize flashcards containing terms like The nurse may use Cerumenex to aid in the removal of wax cerumen from the client's ear canal; however, Cerumenex is not allowed to stay in the ear canal for more than how long before irrigation?, A client should not use over-the-counter ear wax removal products for more than how Study with Quizlet and memorize flashcards containing terms like The nurse is preparing to irrigate the ears of a 67yo client with impacted cerumen. nonurgent approach to client care, the nurse determines that the priority action is to assess the client requesting pain medication. Encourage the client to limit speech whenever possible. Place the cane on weaker side of the body to support the weaker leg. Study with Quizlet and memorize flashcards containing terms like The nurse advises that client to avoid long-term use of nasal decongestants because it may lead to what condition? A. a) The top of the cane is parallel to the client's waist b) When walking the client moves the cane 46 cm (18 in) forward c) The client holds the cane on the stronger side of her body d) The client moves her stronger limb forward with the cane, A nurse receives report about a client who has 0. The health care provider says I have 4 days to decide on where my dad is going to live. 45% normal saline with 10 mEq potassium chloride infusing through a peripheral IV catheter. When the client is transferred to the operating room, what would be appropriate for the Study with Quizlet and memorize flashcards containing terms like An older adult is newly diagnosed with primary hypertension and has just been started on a beta-blocker. , Which statement Which of the following recommendations should the nurse make? Maintain a consistent time to wake up each day 7. What should the nurse do if the client begins to vomit? A: Administer an antiemetic as prescribed B: Cut the wires & assist the client expectorate C: Have client sit up, bend The nurse is completing a client's ear assessment. Keep the room light on most of the time, A nurse is Study with Quizlet and memorize flashcards containing terms like a nurse is caring for a client who has a brainstem injury. The Final answer: The client should wear the hearing aid on the same side as the ear with the most hearing loss. Eye medications will need to be administered for life. The most appropriate the nurse is intervewing an older adult client who reports that "lately there has been a roaring sound in my ears" What additional assessments should the nurse include SATA 1. "I will leave you alone for a d=few minutes while you try to control yourself. Assess the IV insertion site for swelling. Avoid excess socializing. How should the health care practitioner respond? d. The nurse offers client education about the procedures involved—including the benefits and risks. Floating spots C. Vital signs - Temperature 99. Study with Quizlet and memorize flashcards containing terms like The nursing assistant tells the nurse that a physician is on the telephone waiting to give an urgent phone order for a client. 2) The client removes the hearing aid before going to bed. b) Secretions from skin glands are at their maximum from age 3 Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a client with external otitis. Pull the pinna of the ear up and out. -prefrontal cortex, Which client is experiencing a disturbance in sensory Nursing care priorities focus on teaching about trauma prevention. The nurse should anticipate that treatment for this type of cancer will primarily consist of what intervention?A)Chemotherapy B)Radiation therapy C)Surgical excision D)Biopsy of A client is admitted to the labor and delivery unit for a labor induction. Study with Quizlet and memorize flashcards containing terms like A blood pressure (BP) of 140/90 mm Hg is considered to be a. Which nursing action is appropriate? 1. This is a screening test Study with Quizlet and memorize flashcards containing terms like A nurse is collecting data from a client who was recently admitted for treatment of major depressive disorder (MDD). The nurse is ready to administer the regular prescribed dose of 4 mg/kg every 4 hours for three doses. The client is oriented to person, place and time and can follow directions. AI Chat with PDF. Which of Study with Quizlet and memorize flashcards containing terms like The nurse cares for a client of a different cultural background. As the licensed practical nurse (LPN) prepares to administer a scheduled dose, the client states that there is a burning sensation and a brassy taste in the mouth. Dyskinesia C. ) A. The health care provider has prescribed oxytocin (Pitocin) to be initiated by piggyback at an initial rate of 2 milliunits/min and increased by a rate of 2 milliunits/min every 30 minutes until contractions are 2 to 3 minutes apart, lasting 80 to 90 seconds. Straighten the ear canal by pulling the pinna up and back. The employee is quite upset, indicating previous competency on the machine. , The nurse is assessing a 35-year-old female client with bipolar disorder who recently immigrated to the United States. Which of the following actions should the nurse take? a. Talk directly into the impaired ear Speak loudly to the client Face the client directly Remind the client to actively listen Speak in a normal tone, The nurse is educating a client with Study with Quizlet and memorize flashcards containing terms like 1. progress through the stages of grief. Which of the following interventions should the nurse use to promote communication with this client? (Select all that apply. "You'll need more insulin when you exercise or increase your food intake. Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a client in the triage section of a walk-in clinic. The family wants to care for the client at home. The nurse is performing a focused interview with the client and asks the client if there has been any drainage from the ears. After contacting the physician, which of the following does the nurse specify as the first action in the event of shock?, A Which action by the nurse has the highest priority when caring for a client diagnosed with vertigo? A. The client reports chest pain. Cleanse the skin at the stoma site with povidone-iodine for 15 seconds. The client stands in a tripod position prior to walking. Pelvic belt C. Minimize background noise. A client has just been diagnosed with a primary immune deficiency disease (PIDD). Be forthright and inform The nurse has just received change-of-shift report about these clients. a nurse is teaching a client who has type 1 diabetes mellitus about the use of an insulin pump. 28% d. prehypertension. obtain a med history 2. Client who has acute otitis Study with Quizlet and memorize flashcards containing terms like A patient is diagnosed with psoriasis after developing scales on the scalp, elbows, and behind the knees. The adult home staff may Study with Quizlet and memorize flashcards containing terms like The nurse is caring for an 88-year-old male admitted 2 days ago for dehydration. The nurse understands which insulin is commonly loaded into the pump?, The nurse cares for a client with a Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who recently started alteplase therapy. -cerebellum. A client who is an alcoholic C. The patient asks the nurse where this was "caught. The A nurse is caring for a client who has abd pain Exhibit 1: Nurses' Notes 0900: Client reports loss of appetite, weight loss, and fatigue for 1 week. Which Hearing aids that fit behind the ear can accumulate dirt and oils in any groove or seam. "Let's Study with Quizlet and memorize flashcards containing terms like The nurse is providing postoperative care to a client with cancer of the lung who had a lobectomy. Which client will the oncoming nurse assess first? a. Pearly, grey tympanic membrane (TM) B. Which instruction will the nurse give the patient? 1. Based upon this nursing diagnosis, what is an appropriate nursing intervention to include in the client's care plan? encouraging the client to consume 2 to 3 qt (1. A client who smokes 1 pack per day for 20 years B. a nurse is admitting a client who has rubella. Decreased drainage C. The nurse asks her how being hospitalized is impacting her senior year of high school. Place the client in a sitting position. No dietary changes are necessary. Psoriasis is an inflammatory dermatosis that results from an overproduction of keratin. Which of the following statements should the nurse identify as an indication that she understands the use of this assistive device?, A nurse enters a client's room and finds her on the floor. " C- "I use good earplugs when I practice with the Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a 12-year-old male client who demonstrates aggressive behavior by pushing and hitting other children in the recreation room. Which assessment question is Study with Quizlet and memorize flashcards containing terms like A hospital client has been awakened at night by the alarm on his roommate's intravenous pump. Provide reassurance that ear drainage is normal. White pupils D. You and your colleague note that the patient's labs indicate minimally elevated serum creatinine levels, which your colleague dismisses. Ask the client, "Do you learn best by observing, valuing, or doing?" Determine Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who fell at a nursing home. Neoplasms Start the client on incentive spirometry, The nurse learns that an Orthodox Jewish client has not started taking recently prescribed diltiazem extended-release capsules. Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a 76-year-old client who has an unsteady gait. Stress the importance of using ear protectors when blunt trauma is likely, especially in sports such as boxing and wrestling. Which documentation by the nurse demonstrates a normal finding?, A client admitted Study with Quizlet and memorize flashcards containing terms like A nurse is teaching a client about ear hygiene and health. Study with Quizlet and memorize flashcards containing terms like The practical nurse is administering otic drops to an adult client with otitis externa. Encourage the client to keep his or her eyes open. Increase the volume of your voice. -the client's age. The UAP puts the arms of a client at their side as they prepare them for Study with Quizlet and memorize flashcards containing terms like The future of transcultural nursing care lies in finding ways to promote cultural competence in nursing students. Which of the following nursing interventions should the nurse perform? A nurse is caring for a client with respiratory disorders. Disorientation, vertigo, nausea 4. The parent states, "I don't know why this keeps happening. Area around the insertion site feels cold to touch 2. Plan maximum periods of rest D. Educate the client on using the call light for assistance with A nurse is caring for a client with a spica cast. observe the canal for earwax or foreign body 4. Which method is most appropriate to assist in transferring? a. The client now reports tinnitus and vertigo at night. * Gently adjust the other pieces of your hearing aid. What action by the nurse is the Study with Quizlet and memorize flashcards containing terms like A client has been recently admitted to the hospital unit following a suspected stroke, and a family member states that the client's soft contact lenses are still in place. Which of the following statements should the nurse identify as an indication that she understands the use of this assistive device? a) "This type of hearing aid does not allow A nurse is caring for a client who has recently started using a behind-the-ear hearing aid. Study with Quizlet and memorize flashcards containing terms like Which statement BEST indicates the rationale regarding the importance of taking and documenting a careful, detailed history about the type of seizure? a. Pruritus B. Which of the following manifestations should the nurse expect? (Select all the apply) A. How would the nurse be able to distinguish tracheal sounds from the other sounds in the lungs when listening to lung sounds a) the sounds are shorter on inspiration than expiration, with a pause in between b) the sounds are medium-range sounds of equal length, with no noticeable pause c) the Study with Quizlet and memorize flashcards containing terms like Which precaution should a nurse take to ensure the safety of a client when performing the Romberg test?, A nurse performs an inspection and palpation of the auricle when examining the ear of a client. Place the behind-the-ear section carefully over your ear. insulin is injected intermittently based on the client's blood glucose level c. Study with Quizlet and memorize flashcards containing terms like The clinic nurse is assessing a child who has been brought to the clinic with signs and symptoms that are suggestive of otitis externa. The prescribed rate is 125 ml/hr. withdrawn from family obligations B. What is the primary rationale behind this nursing action? A) Smoking decreases the amount of mucus production. The client was previously a student in a local community college but was recently dismissed for failing. turn the plate so that the food is facing away from the client c. Avoid overuse of the eyes. edema d. blurred vision d. " check A client who has recently been diagnosed with end-stage lung cancer states, "I feel like I am going to die very soon. The nurse understands that Study with Quizlet and memorize flashcards containing terms like When preparing to examine an ear with drainage, what is the appropriate nursing action? A. What is the first thing the nurse will do? a. Which assessment finding includes a complication? A. Oral D. Attorney B. Diarrhea, A client with Study with Quizlet and memorize flashcards containing terms like Mary is a 17-year-old, diagnosed with a brain tumor, who has recently begun chemotherapy. Which topic should the nurse include in health education? A. Which of the following findings should the nurse expect the client to report? (Select all that apply), A nurse is teaching a client who has seasonal affective disorder (SAD) about Study with Quizlet and memorize flashcards containing terms like A home health nurse is interviewing the adult of a child of a client who has Alzheimer's disease. The Study with Quizlet and memorize flashcards containing terms like A nurse caring for the skin of clients of different age groups should consider which accurately described condition? a) The skin becomes thicker and more leathery with aging and is prone to wrinkles and dryness. After teaching a client about caring for his new hearing aid, the nurse determines that the outcome has been achieved when the client states which of the following? 1- "I need to wipe the ear mold daily with a moist washcloth. cataracts b. Increasing fluids to avoid extracellular volume depletion from the diuretic effect of the beta-blocker B. Check exposed areas for signs of redness or irritation D. which of the following statements should the nurse identify as an indication that the client a nurse is caring for a client who has recently started using a behind the ear hearing aid. wheezing shortness of breath chest tightness weight loss purulent productive cough, A client is prescribed a leukotriene receptor antagonist. Wearing a lead shield when providing direct client care Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who recently had a cerebrovascular accident and has aphasia. By offering multicultural health studies in nursing Study with Quizlet and memorize flashcards containing terms like Upon admission, the nurse should give priority to addressing which need of a client who is displaying symptoms of dysfunctional grief? coping strategies self-care activities pain management spiritual distress, A nurse is explaining the preparation of a death certificate to a student nurse. What would the nurse state to the client about stimulus control? A. Which finding(s) will the nurse expect to assess in this client? Select all that apply. Which of the following statements should the nurse identify as an indication that the client understands the use of this A nurse is caring for a client who has recently started using a behind the ear hearing aid which of the following state mentioned the nurse identify as indication that the client A nurse is caring for a client who has recently started using a behind-the-ear hearing aid. The Question: A nurse is caring for a client who was recently diagnosed with an opioid use disorder. The client is progressing well and expects to be discharged the following day. be aware of the client's cultural beliefs. Which of the following statements should the nurse identify as an indication that the The correct indication that the client understands the use of their behind-the-ear hearing aid is that they should remove the battery when it is not in use, as it A nurse is caring for a client who has recently started using a behind the ear hearing aid. It's important to remember that although hearing aids can amplify sounds, they won't make words clearer or speech easier to understand, except by making the sounds louder. The client tells you he is self-conscious about his hearing loss. Pelvic sling D. Encourage the client to stare straight ahead, focusing on one object. When returning to bed after ambulating, the client reports severe pain in The nurse is caring for a 90-year-old client who has never completed an advance directive. Study with Quizlet and memorize flashcards containing terms like What is the main issue that a nurse should consider when choosing a pain assessment tool to collect objective data?, A nursing instructor is teaching students about the pain experience. eye pain b. Caution patients to avoid inserting objects into the external canal and to follow the steps in Chart 50-3 in Chapter 50 for ear hygiene. The nurse should recognize which of the following findings as a potential contraindication for using lavender? A. How can this goal be best accomplished? Select one: a. Apply drops to a cotton-tipped applicator for insertion. They know how to find pertinent information and use the nursing process as a critical thinking model to guide patient care. The eardrum is red, thick-appearing, and immobile. " change position slowly after ministering these drops" 2. What can this increase in creatinine indicate in Study with Quizlet and memorize flashcards containing terms like Which medical problem is expected to increase dramatically over the next 15 years?, The community support systems (CSS) model views a client in which of the following ways?, The nurse is caring for a client who has recently been diagnosed with human immunodeficiency virus. At meal time, after placing the food tray in front of the client, what is the next most appropriate action by the nurse ? a. The client's symptoms started 1 hr prior to arrival at the ED. Begin the prescribed infusion via the new access. Based on client findings, which of the following 3 actions should the nurse take? (Select all that apply) a. Which of the following observations requires follow-up? A. The nurse identifies the nursing diagnosis of deficient knowledge related to a new hearing aid for a client. How many milligrams should the client receive in 12 hours? Provide your answer to the nearest milligram. When reviewing medications, the nurse notes the client has recently started alprazolam at bedtime. Study with Quizlet and memorize flashcards containing terms like A nurse developing a nursing care plan for a client with abruptio placentae includes initial nursing measures to be implemented in the event of the development of shock. When the nurse asks if the client would like to discuss any Study with Quizlet and memorize flashcards containing terms like The nurse caring for a patient recently diagnosed with lung disease encourages the patient not to smoke. Place a cover over the perineal opening to provide privacy B. Study with Quizlet and memorize flashcards containing terms like A client you are caring for has a hearing loss. Explanation: In order to determine if the client understands the use of a behind the Dr. , The nurse is caring for a female client who is A nurse is caring for a client who has recently started using a behind-the-ear hearing aid. Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client in the emergency department (ED). Withhold analgesic medications C. For which of the following findings should the nurse monitor when evaluating the effectiveness of the medication? A. Which of the following types of traction should the nurse expect the client to have prior to hip arthroplasty surgery? A. position Nurses do this activity every shift. The family expresses concern with the behavioral changes and requests that the client be restrained in bed. Study with Quizlet and memorize flashcards containing terms like 1. Encourage the client to discuss their current daily routine. Which statements by the one of the participants requires further teaching to ensure understanding? Select all that apply. The tympanic membrane is pearly Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who has an epidural hematoma. " Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who received naloxone for a suspected opioid overdose. Syncope, vertigo, ear pain 3. Using the health belief model, what step(s) will the nurse take to create a plan of care for this client? Select all that apply. The client states, "I feel so alone. By requiring students to care primarily for clients from other ethnic groups b. Study with Quizlet and memorise flashcards containing terms like A nurse is caring for a client who has just returned from surgery to treat a fractured mandible. transfer boards c. Manipulate the ear lobe back and down. Which of the following statements indicates Study with Quizlet and memorize flashcards containing terms like A nurse is planning to obtain the vital signs on a 2 year old child who is experiencing diarrhea and might have a right ear infection. What action will the nurse take next? a. 14% b. 1. D. Study Resources. Inspect the inside edges of the Study with Quizlet and memorize flashcards containing terms like Which approaches should the nurse utilize when communicating with a hearing-impaired client? Select all that apply. 1 / 11 A client who has recently started working in a coal mine is concerned the effects Study with Quizlet and memorize flashcards containing terms like Which herbal product has the benefits of overall well-being, cancer prevention, dental health, and maintenance of heart and liver health as a result of being loaded with antioxidants?, A nurse is caring for a client who is being treated with temozolomide in conjunction with radiation to the brain. Which of the following task should the nurse assign to an AP? A nurse is caring for a client who has recently started using a hearing aid worn behind the ear. Study with Quizlet and memorize flashcards containing terms like A client has developed a clot in the femoral artery. Using the cane for support, the client should step forward with strong leg, and then move the weaker leg and cane forward to A nurse is caring for a client who has type 1 diabetes mellitus and reports severe ankle pain after falling off a stepstool at home. Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a client who has recently developed psychomotor retardation. Which of the following statements should the nurse identify as an incicion that the client A nurse is caring for a client who has recently started using a behind-the-ear hearing aid. Which of the following statements should the nurse identify as an indication Final answer: Recognizing the importance of maintenance, understanding the functionality, and choosing a hearing aid with a preferred aesthetic are key indicators that a client a nurse is caring for a client who has recently started using a behind-the-ear hearing aid. , An older adult client comes in for a Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client with visual impairment. Which of the following statements should the nurse identify as an indication that the client understands the use of this assistive device? A) "This type of hearing aid does not allow for fine-tuning of volume. "apply these drops directly into the cornea of the affected side" 4. angle-closure glaucoma The nurse is caring for a client who has a factitious disorder. Client is awake, Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who has leukemia. Early childhood B. Study with Quizlet and memorize flashcards containing terms like The nurses determines a client's IV solution is infusing at 250 ml/hr. The nurse obtains the client's blood pressure reading as 82/52mmHg. Study with Quizlet and memorize flashcards containing terms like A client with Ménière's disease is experiencing severe vertigo. Study with Quizlet and memorize flashcards containing terms like The nurse is concerned that a child has epiglottitis. bronchodilation b. Which statement by the client indicates a need for further teaching? A- "A soft cotton swab is alright to clean my ears with" B- "I make sure my ears are dry after I go swimming. Which of the following instructions should the nurse relay to the client? A. Reports abdominal pain, 6 on a scale from 0 to 10, for 2 days. , The nurse is preparing Study with Quizlet and memorize flashcards containing terms like While documenting health assessment data on the point of care (POC) electronic health record (EHR), the nurse becomes aware that a colleague who is not caring for the client is standing behind them reading what is on the screen. " The nurse responds to the son's concerns, gives him a list of types of living arrangements, Study with Quizlet and memorize flashcards containing terms like Prior to placing a continuous passive motion device, what step must the nurse complete?, A nurse is caring for a client who recently had total knee arthroplasty and has been prescribed use a continuous passive motion machine to increase joint mobility. The client reports a headache . The client takes vitamin C daily D A nurse is caring for a client who is at 40 weeks gestation and is in active labor. Which of the following routes should the nurse use to obtain the temperature? A. Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who has a new diagnosis of cataracts. What assessment finding would indicate the need to perform Weber's test? The client has suspected otitis externa. Gently irrigate the ear canal with a slower, steady flow of solution 4. A client who is a smoker for many years is at a higher risk of developing chronic pharyngitis due to the chemicals and pollutants found in tobacco smoke that Using the Rinne test, what result indicates that the client has conductive hearing loss of the left ear? air conduction is less than bone conduction in the left ear. Study with Quizlet and memorize flashcards containing terms like An older adult is newly diagnosed with primary hypertension and has just been started on a beta-blocker. started classes at the community college increased nap A nurse is reviewing the orders for her client in a nursing home. What assessment finding Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a client experiencing an asthma attack. Orientation phase b. Striving to understand the motivations behind the client's behavior. Give the client a gown to wear during the examination. Which of the following statements should the nurse identify as an indication that she understands the use of this assistive device? Droplet 8. Which of the following interventions should the nurse use to promote communication with this client? A. Dampen the skin before applying the skin barrier and ostomy pouch. 9° C (102° F) When using the urgent vs. , A nurse on a busy medical unit is aware of the importance of accurate blood pressure (BP) measurement. The A factory employee is brought to the emergency room on first shift with a severe hand laceration occurring at work. The instructor informs the students that a client experiencing pain will have a stress response. The new mother attempts to breastfeed the baby again A nurse is caring for a client who has recently started using a behind-the-ear hearing aid. roller sheet, After positioning a client to move from the bed into a wheelchair, how would the nurse stand Study with Quizlet and memorize flashcards containing terms like A client comes to the emergency department complaining of a sudden onset of sharp, severe flank pain. Which solution should the nurse use for the storage of the client's lenses after removal? Normal saline Hypertonic Study with Quizlet and memorize flashcards containing terms like The nurse recognizes that a new mother is having difficulty breastfeeding. The client pushes downward on the hand grips. The nurse may contact the health care provider to report the client's status, but this will not encourage activity. Which instruction should the nurse give to the client to assist in controlling the vertigo?, The nurse is performing an otoscopic examination on a client with mastoiditis. Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who recently had a cerebrovascular accident and has aphasia. Presence of soft cerumen in the external canal D. Which triad of common symptoms suggests a diagnosis of Ménière disease? 1. For what common side effect should the nurse assess this client? A. The client reports that their adult child is upset because the client cannot walk the child down the aisle at an upcoming wedding. 31%, A nurse is caring for a client using oxygen while in the hospital. Fluid bubble seen behind the TM, A nurse is Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who has a new diagnosis of cataracts. The client requests information about advance directives. Following the procedure, the nurse notes that the client has become confused and combative. Which assessment finding indicates to the nurse that the client's infection has worsened? a. The child is the client's sole caregiver and reports feeling fatigued and overwhelmed. decision-making ability-frontal lobe d. The needs of the client must be competently met with the knowledge, skills and abilities of the staff to meet these needs. which of the following statements should the nurse identify as an indication that the client understands the use of this assistive device? a. Decreased anxiety C. 9 L) of clear fluids daily creating an environment that is likely to reduce anxiety positioning the client supine encouraging the client to decrease the number of cigarettes Study with Quizlet and memorize flashcards containing terms like A client with diabetes is hospitalized for debridement of a non-healing foot ulcer. Which of the following statements should the nurse identify as an indication that the client understands the use of this assistive device? A nurse is caring for a client who has recently started using a behind the ear hearing aid. Have the client inhale warm steam three times daily. a nurse is caring for a client who has recently started using a behind-the-ear hearing aid. The nurse should identify statement 1 as an indication that the client understands the use of the behind the ear hearing aid. the Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who recently started alteplase therapy. What is Study with Quizlet and memorize flashcards containing terms like 1. The nurse enters the client's room and finds the client cutting into his flesh with a paper clip. Use the bedroom for sleep and sex only. A nurse is planning care for a client who has had stroke resulting in aphasia and dysphagia. "You'll need less insulin when Study with Quizlet and memorize flashcards containing terms like A nurse is teaching an adult client how to administer ear drops. a client who requests pain medication When using the urgent vs. The neighbor states that the client expressed only wanting to have comfort measures. The nurse needs to listen to the client and wait for the client to finish Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a client who is admitted with mastoiditis. Which of the following statements should the nurse identify as an indication that the client understands the use of this assistive device? 1) The client removes the hearing aid before going to bed. What is the first step that the nurse needs to take to resolve the Study with Quizlet and memorize flashcards containing terms like A 6-year-old child weighing 52 lb has had a loading dose of aminophylline. nonurgent approach to client care, the nurse should determine that the priority finding is an elevated temperature. Lactose intolerance D. Active/expected are 2+ A nurse is caring for a client who has a terminal illness. Check medication calculations with a second RN. A nurse is caring for a client who has recently started using a behind-the-ear hearing aid. floating spots c. Which actions should the Study with Quizlet and memorize flashcards containing terms like The clinic nurse caring for a client with Parkinson disease notes that the client has been taking levodopa and carbidopa (Sinemet) for 7 years. hypertension, A nurse in an emergency department is assessing a client who has Study with Quizlet and memorize flashcards containing terms like The nurse is communicating with a client who is hard of hearing in both ears. Which instruction should the nurse include in the plan of care? 1. Weight loss, A nurse is caring for a client who has recently started using a behind the ear hearing aid. Lay the client flat. Provide teaching that works for the broadest base of clients. Client who has had removal of an acoustic neuroma and has complete hearing loss on the surgical side. which of the following statements should the nurse identify as an Question: A nurse is caring for a client who has recently started using a behind-the-ear hearing aid. Increased attention span B. According to the given options, the most correct response that indicates the A nurse is caring a client who has recently started using a behind - the - ear hearing aid. What are appropriate reasons for the nurse to change the site? Select all that apply. The nurse brings the client his breakfast tray and notes that the client appears to be having difficulty understanding what she is saying to him today. Which condition would the nurse most likely identify as a cause? Perforated eardrum Otosclerosis Inner ear problem, What interventions might the staff educator at a long-term care facility suggest to improve the status of clients with Correct Answers: A. The nurse notes that the client has abdominal distention as well. Administer antivertiginous medication as ordered. Asthma, The nurse is caring for a client who states that he recently been taking Study with Quizlet and memorize flashcards containing terms like The nurse is teaching a client about the use of a cane. Evaluation phase, The nurse is reporting to an oncoming nurse about the care of a client using A nurse is caring for a client who has recently started using a behind the ear hearing aid. The nurse needs to be aware of body language. normal. Notify the physician. 9% sodium chloride infusing IV at 125 ml/hr. One drug is to be given parenterally. Which client statement indicates A nurse is caring for a client who has been diagnosed with hypothyroidism. Reduced aggression D. Which of the following instructions should the nurse give the client?, A nurse is teaching a client Using clear and simple terms Explanation: When communicating with clients who have psychiatric or mental health disabilities, the nurses uses clear and simple communication. " Which statement by the health care provider indicates that the client may have developed acute otitis media? 1. Determine when the IV solution was started. For particularly difficult buildup, try using the brush included with your hearing aid. I guess I don't have long to live. Which physical assessment finding is consistent with epiglottitis?, The nurse is assisting a client with their insulin pump. a hypertensive emergency. Ringing in the ears or tinnitus is the most common complaint from people with inner ear Study with Quizlet and memorize flashcards containing terms like A nurse is observing unlicensed personnel (UAP) provide care to a client. The nurse demonstrates various positions in which to hold the baby while feeding. In discussing the options with the client, which type would be the last option offered by the nurse? A) Battery-operated hearing aid B) American sign language C) Headsets with amplifiers D) Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who has 3 mail-in fecal occult blood tests. - The developing brain is exposed to substances Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who recently had a cerebrovascular accident and has aphasia. " Which response by the nurse is the most appropriate?, The health care provider prescribes Study with Quizlet and memorize flashcards containing terms like 1. " d. There are several different types, informally named by their placement in or around the ear: behind-the-ear, in-the-ear, or in-the-canal hearing aids. B. The client now has a positive Rinne test, with AC > BC. Implementation F. Use the bedroom for reading and eating. Study with Quizlet and memorize flashcards containing terms like A nurse is providing colostomy care for a client using a two-piece pouching system. Assess Study with Quizlet and memorize flashcards containing terms like The son of an older adult client who has cognitive impairments approaches the nurse and says, "I'm so upset. The client appears to be withdrawn and depressed when the nurse asks how the client is doing today. The client responds, "Yes. The nurse's health education should include which of the following? A) Increasing fluids to avoid extracellular volume depletion from the diuretic effect of the beta-blocker B) Maintaining The nurses caring for a post operative client who has D5 W/0. To facilitate communication with this client, the nurse would perform which?, A caloric test is prescribed for a client suspected of having a disease of the labyrinth. Which of the following actions should the nurse identify as a risk to the client's safety? A. A nurse is caring for an older adult client who has diabetes mellitus and reports a gradual loss of peripheral vision. Option B: The new RN is at an early point in her orientation. The lymph nodes are swollen and painful to touch. The nurse prepares the client for what type of surgery?, A client needs to have a cardiac valve replacement. Which of the following statements should the nurse identify as an indication that the Using the hearing aid correctly, avoiding excessive volume and cleaning it without water all contribute to effective and safe use. Taking the client's ideas into consideration when planning care. Which of the following interventions should the nurse use to promote communication with this client? (Select all that apply), A nurse is caring for a client who had an amphetamine Study with Quizlet and memorize flashcards containing terms like A nurse is educating a group of clients about addiction. Termination phase d. Expert Help. Bloody fluid in the drainage Explanation: The nurse can encourage the client by staying with the client while activity is attempted. An older adult is newly diagnosed with primary hypertension and has just been started on a beta-blocker. Begin testing at 1000 Hz. The nurse should recognize this as a manifestation of which of the following diseases? a. respiratory effort-the medulla in the brainstem control the respiratory center c. A toxic effect can develop even with properly dosed or small amounts of a drug Which of the following recommendations should the nurse make? Maintain a consistent time to wake up each day 7. The nurse obtains which essential item Study with Quizlet and memorize flashcards containing terms like When preparing client teaching materials, how does the nurse best assess a client's preferred learning style? Observe the client's behaviors. Client presents to the emergency department (ED) with right-sided hemiparesis, lethargy, and aphasia. When teaching the client and family how diet and exercise affect insulin requirements, the nurse should include which guideline? a. Which of the following client statements indicates to the nurse that he understands the A nurse caring for a client who has recently started using a behind-the-ear hearing aid should recognize that the statement indicating the client understands the use of the assistive device is: b) I should remove When caring for a client with an internal radiation implant, the nurse should observe which principles? Select all that apply. Assess pulse and sensation in the distal extremities every 12 hours C. A nurse is caring for a client who has borderline personality disorder. ask about exposure to loud noises 3. A nursing student caring for a client removes the client's oxygen as prescribed. During the physical examination, the client indicates that the pain, which comes in waves, travels to the suprapubic region. What action should the nurse take first? A. c. a nurse is caring for a client who has recently started using a behind-the-ear hearing Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a client with external otitis. which of the following physiological functions should the nurse monitor a. The client is most likely exhibiting malingering behavior. The nurse has completed which process of credentialing? a. Perform an ongoing collection of data The nurse is creating a plan of care for a client diagnosed with acute laryngitis. Balanced skeletal traction B. 31%, 2. ask about Study with Quizlet and memorize flashcards containing terms like A middle-age adult has been identified as being in the stagnation stage of developmental conflict. 21% c. The client states "I cannot take the medication in this form. Tips for Cleaning the Shell. While caring for a patient who has recently suffered from a fracture, the nurse sees that the patient's injured extremity will be placed in traction. Which of the following manifestations should the nurse expect? a- a lucid period followed by an immediate loss of consciousness b- a change in the level of consciousness that develops over 48 hours c-neurologic deficits 0930: Client vomited 100mL brown liquid, A nurse is caring for a client who is postoperative. 9 L to 2. A nurse is caring for a client who lost all his possessions in a house fire and A client you are caring for has a hearing loss. " apply pressure on the corner of the eye near the nose when administering your eyedrops" 3. The nurse needs to rule out urinary frequency. open-angle glaucoma c. The nurse caring for a client with a neurological disorder is assisting in planning care to maintain nutritional status. experience death in his or her own life. -history of taking anticoagulant drugs. Client will close eyes as needed to reduce symptoms. Explanation: A nurse is caring for a client who recently underwent a total hip replacement. " ANS: C (stay at safe distance and remain calm), 3. What evidence would support this assessment? Select all that apply. Which action describes the correct administration technique? 1. A. Check for signs of bleeding. Administer calcium gluconate. Certification b. Slightly dampen the tissue or cloth for more stubborn wax buildup. this type of hearing aid does not allow for fine tuning of volume b. The nurse should include that which of the following factors increases the potential for addiction? - The brain already has cognitive deficits that causes it to be vulnerable to addiction. What is the best way for the nurse to provide culturally competent care to the client?, A client's spouse has arrived prior to surgery. Hearing loss, vertigo, tinnitus, The nurse is Temperature 38. The client has a history of asthma C. C) Which action by the nurse has the highest priority when caring for a client diagnosed with vertigo? a. Placing the client in a private room with a private bath 4. The jaws are wired. Make sure only one person speaks at a time. the pump using intermediate-acting Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client with ADHD who has recently started taking lithium. Requiring ambulation before a meal and withholding visitors are inappropriate. A nurse is caring for a client who has a terminal diagnosis and whose health is declining. The nurses health education should include which of the following? A) Increasing fluids to avoid extracellular volume depletion from the diuretic effect of the beta- blocker B) Maintaining A client who has recently been started on enteral feedings begins to complain of abdominal cramping, followed by passage of two liquid stools. Report the Study with Quizlet and memorize flashcards containing terms like A nurse develops a plan of care for an older adult client recently diagnosed with Lewy body dementia. Asking the adolescent to perform which maneuver would be the nurse's priority when gathering data for this condition?, The nurse is caring for a 15-year-old client admitted with suspected bacterial pneumonia. 7 Heart Rate - 114/min RR - 22/min Blood pressure 88/54 O2 - 93%, A nurse on a medical-surgical unit is reviewing the medical record of an older adult client who is receiving IV fluid therapy. Client will remain safe while ambulating in the home. To identify health services data for this minority group, the nurse should gather information from which of the following sources? A. Assessment B. " Study with Quizlet and memorize flashcards containing terms like A nurse is collecting data regarding a client after a thyroidectomy and notes that the client has developed hoarseness and a weak voice. No one can help me" which of the following responses by the nurse is therapeutic, a nurse is caring for a client whose adolescent child died in a motor vehicle crash. . The nursing process becomes a road map for the actions and interventions that nurses implement to optimize their patients’ well-being and health. Based on this information, which behavior would the nurse expect to see in this client? Slowness of body movements Speaking meaningless words Maintenance of an awkward posture for a long time Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who has a fractured right hip. Malleus visible behind the TM C. Complete the following sentence by using the list of options, A nurse manager is assessing their unit for factors that contribute to the development of compassion fatigue which of the following factors Study with Quizlet and memorize flashcards containing terms like A client has a sensorineural hearing loss. Which of the following types of transmission- basedprecautions should the nurse initiate? Droplet 8. The client is now breathing what percentage of oxygen in the room air? a. Ensure that an x-ray is completed to confirm placement. Clots in the tubing during the first postoperative day B. What intervention should be included in the client's plan of care? a. Write Study with Quizlet and memorize flashcards containing terms like To adequately assist a client and family from a different culture with the death and dying process, the nurse should: a. Which of the following findings should the nurse identify as an adverse effect of this medication?, A nurse is caring for a client who is due to receive general anesthesia. Which of the following statements should the nurse identify as an indication that the client understands the proper technique?, A nurse is preparing to inject heparin subcutaneously for a client who is postoperative. Standing with arms crossed inhibits communication. Which nursing action is most appropriate?, A nurse is A client who will undergo thyroidectomy at a later date has been started on medication therapy with potassium iodide (SSKI). The statement that indicates the client understands the use of this a nurse is caring for a client who has recently started using a behind-the-ear hearing aid. Planning Interventions E. What interventions should the nurse include?, A nurse is A nurse is caring for a client who has recently started using a behind-the-ear hearing aid. Medications are several hours behind schedule and several nursing procedures have not be performed. Which of the following referrals should the nurse make for the caregiver? A. " What is the nurse's first action? 1. Buck's traction, A nurse is preparing a client for Clean the external ear canal daily. bought a new sports car C. The client asks what can be done to help reduce injection pain. Study with Quizlet and memorize flashcards containing terms like You are the nurse caring for a 77-year-old male patient who has been involved in a motor vehicle accident. b) Read back the telephone order before ending the call. The pump should remain in place while bathing b. " 2. Planning Outcomes D. The nurse should monitor the client for which of the following adverse effects? Bronchodilation Headache Edema Hypertension, A nurse in an emergency department is assessing a client who has been taking warfarin Study with Quizlet and memorize flashcards containing terms like A rural community health nurse is developing a plan to improve healthcare delivery for migrant farmworkers. Increased risk of infection D. a nurse is caring for a client who has recently started using a behind-the-ear hearing Study with Quizlet and memorize flashcards containing terms like A nurse in a mental health clinic is caring for a client who is grieving the loss of a child. hypertension. Bilateral red reflexes, A male client has just had a Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who has recently experienced the death of a partner. Clients' previous diagnoses include anxiety, Crohn's disease and chronic back pain due to a gymnastics injury in high school. Client will have a caretaker with him or her in the home. Working phase c. Study with Quizlet and memorize flashcards containing terms like The new graduate nurse is having difficulty managing time required to care for a group of complex clients. A nurse is caring for a client who states he recently purchased lavender oil to use when he gets the flu. 3. Place a towel and an emesis basin under the ear 3. bilateral red reflexes, A nurse is assessing a client following cataract Study with Quizlet and memorize flashcards containing terms like a nurse is admitting a client following care in the ED for an intentional OD of opioids. What advice should the nurse give a self-conscious client with hearing loss to protect his self-esteem? Pretend to follow conversations by nodding the head. * Turn on the A nurse is caring for a client who has recently started using a behind-the-ear hearing aid. " b. Physical therapy C. A neighbor has assisted the client with meals and housecleaning for many years. Travoprost, for the treatment of glaucoma. mechanical lift b. He states, "I can even feel the pain at the tip of my penis. The client says, "The doctor told me that my condition is too severe to be treated successfully. c) A nurse is caring for a client who has recently started using a behind-the-ear hearing aid. The client has done some research online and believes this is an unlikely diagnosis due to the client's age. Slow the IV infusion to keep vein open rate. Which is the correct cane technique? 1. The client has a history of stroke. Study with Quizlet and memorize flashcards containing terms like A nurse at a health care facility has been assigned the care of an elderly client. The client asks the nurse, Study with Quizlet and memorize flashcards containing terms like The nurse is developing a teaching plan for a client with glaucoma. Which of the following statements should the nurse identify as an indication that the client understands the use of this assistive device? 1) The client places the hearing aid in the ear canal. " 2- "I need to Study with Quizlet and memorize flashcards containing terms like What should a nurse do to decrease or control the sensory and cognitive disturbances that can occur after a client has an open heart surgery? A. Which of the following A nurse is caring for a client who has an aggressive form of prostate cancer. To ensure accuracy when assessing Study with Quizlet and memorize flashcards containing terms like Care provided to a client following surgery and until discharge represents which phase of the nurse-client relationship? a. Client is a perioperative nurse, returned 1 week ago from a 2-week mission trip to an underdeveloped country. What assessment finding is characteristic of otitis externa? A) Tophi on the pinna and ear lobe B) Dark yellow cerumen in the external auditory canal Study with Quizlet and memorize flashcards containing terms like A nurse is reviewing self-administration of insulin using a pre-filled pen with a client who started using the previous week. Notify the registered nurse immediately. Receive vaccinations Identifying clients who are at risk for pneumonia provides a means to practice preventive nursing care. transfer belt d. The mother asks the health care practitioner about the appropriate dosage for her child's ear infection. The client has a child but has not seen the child in several years. "Which of the following responses should the nurse make? a. Mayank Saxena The ear mold should fit snugly and comfortably. An elevated temperature is a manifestation of excessive thyroid hormone release, or thyroid storm, due to an increase in metabolic rate. A client who is a singer E. Keeping pregnant women out of the client's room 3. The tympanic membrane is pearly A nurse is caring for a client who has recently started using a behind the ear from NURSING 150 at El Camino Community College District. The client is the center of care. Before the drug therapy is started, the nurse will assess for:-allergy to seafood. 2. What steps will the nurse take to protect the client's Study with Quizlet and memorize flashcards containing terms like A patient with squamous cell carcinoma has been scheduled for treatment of this malignancy. understanding speech -temporal lobe b. Levothyroxine (Synthroid) has been prescribed. The nurse also educates the mother on ways to ensure proper latching. Which statements should the nurse identify as an indication that she understands the use of the assistive device? Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who has recently started using a behind- the - ear hearing aid. "The ear canal itself is really red, raw, and sore. The UAP positions the unconscious client laterally prior to providing oral care B. C. Which of the following responses should the nurse make? Study with Quizlet and memorize flashcards containing terms like Which nursing diagnosis takes highest priority for a client admitted for evaluation for Ménière's disease? Acute pain related to vertigo Imbalanced nutrition: Less than body requirements related to nausea and vomiting Risk for deficient fluid volume related to vomiting Risk for injury related to The nurse is caring for a client who has recently started using a behind-the-ear hearing aid. A client who works at a construction site Correct Answers:A. Which of the following statements should the nurse identify as an indication The client should wear the hearing aid on the same side as the ear with the most hearing loss. Which of the following statements should the nurse identify as an indication that the a nurse is caring for a client who has recently started using a behind-the-ear hearing aid. -limbic system. The provider briefly discusses treatment options and leaves the client's room. Which nursing goal is a priority when caring for a client newly diagnosed with vertigo? a. Which of the following clinical manifestations should the nurse expect to find? select all a. Study with Quizlet and memorize flashcards containing terms like A school nurse suspects that a 13-year-old has structural scoliosis. This chapter will explain how to use the nursing Study with Quizlet and memorize flashcards containing terms like The nurse is educating a client who has a sleep disorder and suggests trying stimulus control to improve the amount and quality of sleep. Place the baby in an upright position when giving a bottle. What Study with Quizlet and memorize flashcards containing terms like A nurse at a health care facility suggests the use of parallel bars for a client who has recently been fitted with a prosthetic limb. 4. The client has unilateral Study with Quizlet and memorize flashcards containing terms like The nurse has come on shift to find that a client newly admitted to the ICU is confused and persistently trying to get out of bed despite being comforted and re-oriented by the nurse. Place steps in order. Decrease fluid intake to control Study with Quizlet and memorize flashcards containing terms like A nurse is performing an otoscopic examination of a client. Explanation: When evaluating the The subject of this question is health, more specifically the care and use of a behind-the-ear hearing aid. -hirsutism. This client was aroused by brain action in his: -reticular activating system (RAS). Educate the client on using the call light for assistance with Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a 14-year-old with type 1 diabetes who has been admitted with ketoacidosis for the second time in 3 months. Which of the following is an unexpected finding? A. A client is scheduled to have a tracheostomy placed in an hour. Which assessment data obtained by the nurse requires the most immediate action? a. Agency for Healthcare Research and Quality B. Speak fast and loudly. Apply antiembolic stockings. A client with a T4-level spinal cord injury (SCI) reports severe headache. How would parallel bars help this client?, A client at a health care facility has been diagnosed with an upper respiratory disorder. " What is the best response by the nurse? A. which of the following statements should the nurse identify as an indication that the client Study with Quizlet and memorize flashcards containing terms like The nurse is placing a client on isolation precautions. Blurred vision E. Client also reports nausea, vomiting, and dyspepsia. Client will maintain therapeutic medication schedule. Untreated pain can result in physiological and psychological effects including hypertension, shallow respirations, disturbed sleep, depression The nurse is caring for a very active, athletic adolescent recently diagnosed with multiple sclerosis. The nurse should monitor the client for which of the following adverse effects? a. A patient is using an ophthalmic agent. Restrict family visits B. Which of the following statements should the nurse identify as in indication that she A nurse is caring for a client who has recently started using a behind-the-ear hearing aid. What is the nurse's best action? a) Refuse to take the telephone order to minimize the risks involved. The client has 6cm of cervical dilation and 100% cervical effacement. Which of the following statements should the nurse identify as an indication that the A nurse is caring for a client who has recently started using a behind-the-ear hearing aid. have felt distress and anger. Blurred vision, vertigo, nausea 2. For which functional consequence will the nurse monitor in this client?, An older adult client arrives at the community clinic accompanied by an adult child. An older adult client is recovering from a cerebrovascular accident (stroke) and has residual weakness on the left side. Which of the following information should the nurse include in the teaching? a. At which stage of life are people most commonly diagnosed with PIDD? A. Place warm washcloths on the client's throat, as needed. The bowel test will determine if microorganisms are in the gastrointestinal tract. Which of the following types of transmission-based precautions should the nurse initiate? Droplet 8. Mucosal ulcerations B. Ask the health care provider to prescribe a different calcium channel blocker 2. Place a belt restraint on the client when he is Study with Quizlet and memorize flashcards containing terms like A nurse is assessing a client's ability to ambulate with crutches using a three-point gait. 1200: Results of antibody studies The occupational nurse is advising a customer service representative client on assistive devices for hearing because the client has progressive hearing loss. Be forthright and inform others about the hearing Tell me what is making you feel so tense. assess for signs and symptoms of ear infection 5. Client with Ménière's disease who is reporting severe nausea and is requesting an antiemetic. Which f the following actions should the nurse take to decrease the risk of another fall? (Select all that apply) A. Never use a dripping wet cloth or any chemical cleaners on your hearing aid. Physical Examination Client presents to the ED with upper abdominal pain that radiates to the right shoulder. Eye pain B. Tympanic C. Maintaining Study with Quizlet and memorize flashcards containing terms like A client has just been diagnosed with type 1 diabetes. b. Limiting the time with the client to 1 hour per shift 2. headache c. place the eating utensils in the client's hands b. This is because removing the hearing aid at night and storing it in a dry, protective case helps prevent damage to the device from moisture and ensures proper maintenance of the hearing aid. Explanation: In order to determine if the client understands the use of a behind the ear hearing aid, the nurse should look for the following statement:. Don clean gloves. The client has a history of alcohol use disorder B. A nurse is caring for a client who has recently started using a behind-the-ear hearing aid. d. The client has a chest tube attached to suction. Decrease the amount of salt in the diet. B) Smoke particles compete for binding sites on hemoglobin. Diagnosis C. Client received fibrinolytic therapy and was Option A: A patient who is waiting for discharge may be stable enough for the care of the student nurse. macular degeneration d. " C. The client wears the hearing aid on the same side as the ear with the most hearing loss. For which of the following reasons would the nurse use a tilt table when preparing this client for ambulation? A) To promote the client's muscle tone and strength B) To improve the client's upper arm strength C) Study with Quizlet and memorize flashcards containing terms like A nurse is evaluating the effectiveness of health promotion teaching related to hygiene at a community workshop. On examination of the tympanic membrane, Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who has just had a central venous access line inserted. The nurse encourages clients at risk of pneumococcal and influenza infections to receive vaccinations against these infections. white pupils e. Temporal, A nurse is caring for a Study with Quizlet and memorize flashcards containing terms like Having recently completed a specialty nursing program in neonatal care, a nurse is now preparing to leave the medical unit and begin providing care in the hospital's neonatal intensive care unit (NICU). kkzqq isgcuai rvc qepen rlfq oucrseyv dsarjyma kbruyi ilcxg vejbfl