WITH CORRECT ANSWERS ALREADY PASSED AND
VERIFIED
Neutrophil count- The patient is experiencing infection, so a nurse should review the
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n neutrophil count before contacting the HCP. - answer-While caring for a client with full
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n thickness burns covering 40% of the body, the nurse observes purulent drainage from the
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n wounds. Before reporting the finding, what is the best lab value to evaluate?
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Demonstrate the use of visual scanning during meals to the client and family. - answer-An
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n older woman who experienced a cerebrovascular accident (CVA) has difficulty with visual
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n perception and she only eats half of the food on her meal tray. Her family expresses
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n concern about her nutritional status. How should the nurse respond to the family's
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n concern?
High Fowler's Position- High fowlers helps to decrease venous return, which decreases
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n fluid volume in the heart that results in decreased cardiac workload. - answer-Best
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n position for respiratory distress?
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High risk for injury - answer-A patient with peripheral artery disease has marked
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n peripheral neuropath. An appropriate nursing diagnosis for the patient is
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, Check feet every day for cuts or injuries. - answer-Type 2 diabetes patient discharge
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n teaching patient and family n n n
Institute Contact precautions for staff and visitors
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Send wound drainage for culture and sensitivity
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Monitor the clients WBC count - answer-Plan of care for patient with skin lesions of lower
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n extremities with possible MRSA. SATA n n n n
Hematemesis- - Contact HCP if blood is visible in body fluids such as hematemesis. -
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n answer-A patient with acute anterior wall MI 1 week ago is given low-dose aspirin. The
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n medication is related to which problem and HCP should be notified?
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Elevated blood urea nitrogen (BUN) - answer-For a patient with SLE exacerbation what is
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n the most important to report which assessment finding?
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Rate of pain on a scale from 0-10. - answer-Before selecting a medication to administer,
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n which action should the nurse implement in the post-op patient who reports incisional
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n pain and has 2 PRN analgesia available in MAR?
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Keep patient NPO- Patient should be kept NPO until procedure is successfully completed.
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n The patient should not take anything by mouth. - answer-Patient had bariatric surgery 2
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n months ago who developed post-op strictures who is experiencing nausea and vomiting
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