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Incorrect 160 EXAM COMPLETE 160
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1 of 160
Term
The nurse is caring for a 4 year-old admitted after receiving burns to
more than 50%
of his body. Which laboratory data should be reviewed by the nurse as
a priority in the
first 24 hours?
A) Blood urea nitrogen
B) Hematocrit
,C) Blood glucose
D) White blood count
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is C: Decreased potassium is D: Weakness in left arm
11 16
is C: Vastus lateralis is A: Blood urea nitrogen
12 13
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2 of 160
Term
A nurse administers the influenza vaccine to a client in a clinic. Within 15
minutes after
the immunization was given, the client complains of itchy and watery
eyes, increased
anxiety, and difficulty breathing. The nurse expects that the first action
in the sequence of
care for this client will be to
A) Maintain the airway
B) Administer epinephrine 1:1000 as ordered
C) Monitor for hypotension with shock
D) Administer diphenhydramine as ordered
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is B: "In some instances the result is a
is B: Administer epinephrine
retarded bone growth."
1:1000 as ordered .
10
is B: Report output of less than 30 is B: Adding a spacer device to the
ml/hr MDI canister
2 7
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3 of 160
Term
The provider orders Lanoxin (digoxin) 125 mg PO and furosomide 40
mg every
day. Which of these foods would the nurse reinforce for the client to
eat at least daily?
A) spaghetti
B) watermelon
C) chicken
D) tomatoes
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is C: Prothrombin time is B: Use minimal physical contact
10 7
, is B: Metabolic alkalosis is B: watermelon
4 1
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4 of 160
Term
Which of the following times is a depressed client at highest risk for
attempting
suicide?
A) Immediately after admission, during one-to-one observation
B) 7 to 14 days after initiation of antidepressant medication and
psychotherapy
C) Following an angry outburst with family
D) When the client is removed from the security room
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is B: Seven to 14 days after
initiation of antidepressant is C: Set daily goals with a
medication prioritization of the work
and psychotherapy 3
15