Exam Questions with Correct Verified Answers/
Graded +
A home health nurse is caring for a child who has Lyme disease. Which of the following is an
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appropriate action for the nurse to take? - Answer ✔✔ - Ensure the state health department has
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been notified
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A nurse is caring for a client who has been admitted to the hospital.
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Nurses' Notes. II!
0900:
The client reports experiencing a loss of appetite and shortness of breath within the last month or
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so. The client reports experiencing weakness, abdominal pain, severe itching, and mood changes.
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The client has had alcohol use disorder for the past 10 years and sometimes drinks alcohol
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uncontrollably.
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The client is alert but disoriented to time. Their abdomen is bloated and they have redness of the
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palms of the hands. Excoriated areas on the upper thorax and shoulders are present. Sclera are
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yellow.
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1230:
Administered antacids, spironolactone, and colchicine per provider's prescription.
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, Vital Signs.II!
0930:
Temperature 37.3° C (99.1 F). II! II! II! II!
Heart rate 84/min.II! II!
Respiratory rate 20/min. II! II!
BP 138/88 mm Hg.
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Oxygen saturation 93% on room air.
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1600:.
Temperature 37° C (98.6° F). II! II! II! II!
Heart rate 80/min.II! II!
Respiratory rate 20/min. - Answer ✔✔ - - Provide frequent rest periods for the client
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- Instruct the client to avoid blowing their nose forcefully
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- Assess the client s level of orientation
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- Restrict the client's sodium intake
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- Advise the client to avoid the use of soap and alcohol-based lotions
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