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A nurse in a medical-surgical unit is caring for six clients. Complete the following sentence by using the list of options. The first client the nurse should assess is _____ followed by _____. Client 1: Client is admitted with a new diagnosis of rheumatoid arthritis.Client 2: Client has a history of hyperlipidemia. Atorvastatin 20 mg PO administered as prescribed.Client 3: Client is 1 day postoperative. Reports pain as 8 on a scale of 0 to 10. Morphine 5 mg subcutaneous administered as prescr...

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A nurse on a medical unit is preparing to discharge a client to home. Which of the following actions should the nurse take as part of the medication reconciliation process? Correct Answer - compare prescriptions with medications the client received while are the facility a nurse is reviewing a client's medication prescription that reads, "digoxin 0.25 by mouth every day." which of the following components of the prescription should the nurse verify with the provider? Correct Answer - medic...

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A nurse is caring for a client who has a new RX for antihypertensive medication. Prior to administering the medication, the nurse uses an electronic database to gather information about the medication and the effects it might have on this client. Which of the following components of critical thinking is the nurse using when he reviews the medication information? A) Knowledge B) Experience C) Intuition D) Competence Correct Answer - A) Knowledge A client who has an indwelling cathete...

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A, B,D Restorative health care involves intermediate follow-up care for restoring health and promoting self-care. Home health care, rehabilitation facilities, and skilled nursing facilities are a type of restorative health care Correct Answer - A nurse is discussing restorative health care with a newly licensed nurse. Which of the following examples should the nurse include in the teaching? (select all that apply) A- home health care B- rehabilitation facilities C- diagnostic centers D- ...

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An RN observes assistive personnel (AP) reprimanding a client for not using the urinal properly. The AP tells the client that diapers will be used next time the urinal is used improperly. Which of the following torts is the AP committing? A: Assault B: Battery C: False imprisonment D: Invasion of privacy Correct Answer - A Rationale: By threatening the client, the AP is committing assault. The AP's threats could make the A nurse is discussing restorative health care with a newly lice...

Advance directives- teaching Correct Answer - Communicates the client wishes regarding end of life care; are written before a client becomes ill Nurses role is to provide info about advance directives Document client's advance directive status Ensure advance directives reflects clients current decision Inform all members of the healthcare team of the client's advanced directives Culture (client who speaks a different language) Correct Answer - Use an interpreter always; try to g...

A nurse is preparing to administer an injection of an opioid medication to a client. The nurse draws out 1 mL of the medication from a 2 mL vial. Which of the following actions should the nurse take? Correct Answer - Ask another nurse to observe the medication wastage A nurse is preparing to administer 0.9% sodium chloride 750 mL IV to infuse over 7 hr. The nurse should set the infusion pump to deliver how many mL/hr? (round to nearest whole number. Use a leading zero if it applies. Do not us...

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To use the NURSING PROCESS correctly, the nurse must FIRST A. Identify the goals for the client's care B. Obtain information about the client C. State the client's nursing care needs D. Evaluate the effectiveness of the client's care Correct Answer - B. Obtain information about the client. RATIONALE: while stating the client's needs, identifying goals, and evaluating the effectiveness of the client's care is an appropriate step in the nursing process, it is not the first step...

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Diaphragm of stethoscope? Correct Answer - Used for high-pitched sounds (heart sounds, bowel sounds, breath sounds)---placed firmly on the body Bell of stethoscope? Correct Answer - Used for low-pitched sounds (abnormal heart sounds, bruits)---placed lightly on the body Tympanic temperature--adults? children? Correct Answer - Adult--pull ear up and back; Children younger than 3 pull down and back Rectal temperature? Correct Answer - Sims position---inserted 3.5cm or 11/2 in for adults ...

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A nurse is discussing restorative health care with a newly licensed nurse. Which of the following examples should the nurse include in the teaching? (Select all) A. Home health care B. Rehabilitation facilities C. Diagnostic centers D. Skilled nursing facilities E. Oncology centers Correct Answer - A. home health care B. rehabilitation facilities D. skilled nursing facilities A nurse is explaining the various types of healthcare coverage clients might have To a group of nursing s...

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A nurse is administering 1 L of 0.9% sodium chloride to a client who is postoperative and has fluid volume deficit. Which of the following changes should the nurse identify as an indication that the treatment was successful? Increase in hematocrit increase in respiratory rate Decrease in heart rate Decrease in capillary refill time Correct answers - Correct Answer: Decrease in heart rate Fluid volume deficit causes tachycardia. With correction of the imbalance, the heart rate should retu...

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