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FollowingFindingsshouldthenurseexpect?
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boundingpulse ,i
A nurse is discussing the z-track administration oF hydroxyzine with
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licensed nurse. Which oF the Following statements indicates the newly
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nurse understands the purpose oF the technique
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a.ThistechniquedecreasestheriskoFsubcutaneousinFiltration
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1. A nurse is creating a plan oF care For a client who has anorexia nervos
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oFtheFollowing interventionsshouldthenurseincludeintheplan?
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a. MonitortheclientFor1 hraFtermeals ,i ,i ,i ,i ,i ,i ,i
A nurse notices smoke coming From a client's room and discovers a F
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wastebasket.AFtermovingtheclienttosaFety,whichoF theFollowingsis
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priorityaction? ,i
,a. ClosetheFiredoorontheunit ,i ,i ,i ,i ,i ,i
Anurse isassessinga clientwho hasdeliriumdue toa Febrileillness. Whic
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FollowingFindingsshouldthenurseexpect?
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a. Hallucinations
1. A nurse is caring For a client Following an open colectomy. Which oF th
FollowingFindingsplacestheclientatriskFordelayedwoundhealing?
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hyperemesis
1. A home health nurse is reviewing treatment goals with a client who has
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mellitus. The nurse should evaluate which oF the Following laborator
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determineeFFectivelong-termmanagementoFbloodglucoselevels?
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A1C
1.Anurse iscaringForaclientwhohasneutropeniaduetoHIV.WhichoFth
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FollowingprecautionsshouldthenursetakewhilecaringForthisclient? ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i
a. Usea dedicatedstethoscope ,i , i ,i
1. A nurse is caring For a client who reports diFFiculty Falling asleep
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WhichoFtheFollowingactionsshouldthenursetake?
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TelltheclienttoavoiddrinkingFluids1 hrbeForebedtime
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1. A nurse is planning care For a newborn who has hyperbilirubinemia
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receive phototherapy. Which oF the Following interventions should t
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include?
,i
a.Placethenewborn45cmFromthelightsource
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1. A nurse is planning care For a client who has schizophrenia and is ha
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diFFicultyexpressingtheirFeelings.WhichoFtheFollowingreFerralsshould ,i ,i ,i ,i ,i ,i ,i ,i ,i
nurse make?
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socialworker ,i
1. A nurse is caring For a client who has heart Failure and has started taki
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diuretic. Which oF the Following Findings indicates the client is experie
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adverseeFFectoFthemedication
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,00:0204:04
1.At the startoFanevening shiFtona cardiacunit, alicensedpracticalnur
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the nurse a list oF client reports. Which oF the Following client reports sh
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nurseassessFirst?
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indigestion
1. A nurse is caring For a client who has just returned to the unit Fol
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bronchoscopy. Which oF the Following actions by the assistive p
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requires the nurse to intervene?
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oFFeroralFluidstotheclient ,i ,i ,i ,i ,i
1. A nurse on a medical unit has just received change-oF-shiFt report. Wh
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FollowingclientsshouldthenurseassessFirst?
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a.A68yearoldclientwhohadamyocardialinFarction2daysagoandrepo
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painasa4onascaleoF0to10
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1. A nurse is assessing a client prior to perForming a blood draw. The nur
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identiFythatanallergytowhichoFtheFollowingFoodcanindicatethatthe c
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an allergy to latex?
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avocados
1. A nurse is preparing to witness a client's signature on an inFormed cons
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total knee arthroplasty. Which oF the Following client statements indi
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nurse should contact the surgeon?
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a.IamthankFultherearenoseriouscomplicationsFromthistypeoFsurger
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1. A nurse is admitting a client who has antisocial personality disorder. W
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the Following client behaviors should the nurse identiFy as consistent
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disorder?
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a. UsesothersForpersonalgain ,i ,i ,i ,i
1. A nurse is teaching the parent oF a school-age child who has scabies a
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application oF permethrin 5% cream. The nurse should include whic
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FollowingasapotentialadverseeFFectoFthemedication?
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burning
, 1. A nurse is teaching a client whohas a new prescription For digoxin. Whi
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Followingstatementsshouldthenurseincludeintheteaching?
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muscleweakness ,i
1. A nurse is planning teaching For a client who is at 10 weeks oF gestation
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history oF urinary tract inFections. Which oF the Following inFormatio
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the nurse plan to include in the teaching about UTI prevention?
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a.EmptythebladderbeForeandaFterintercourse
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1. A nurse is providing discharge teaching to a client who is postpartum a
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to breastFeed. Which oF the Following should the nurse recommend t
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increase in their diet during lactation?
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a. Calcium
1. A nurse is providing teaching about preventing mastitis to a client who
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postpartum and breastFeeding her newborn. Which oF the F
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instructionsshouldthenurseinclude? ,i ,i ,i ,i
a. TrytohaveyourbabyemptyyourbreastswitheachFeeding." ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i
1. AnurseiscaringForaclientwhoreportschestpain.WhichoFtheFollowi
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Findingsindicatesmyocardialdamage?
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a. TroponinI1.8ng/mL ,i ,i ,i
1. A nurse is providing teaching about car seat saFety to the parent o
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newborn. Which oF the Following statements by the parent indi
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understanding oF the teaching?
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a. "Ishouldplacemybaby'scarseatrear-Facinguntil 6monthsoFage."
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1. A nurse is perForming high-Frequency chest compressions ,i ,i ,i ,i ,i ,i
mechanical chest compression device For a child who has cystic Fibrosi
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oFtheFollowingFindingsindicatesthetreatmenthasbeeneFFective?
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a.Thechildhasincreasedsputumproduction
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1.AnurseiscaringForaclientFollowingapossibleexposuretoanthrax.Whi
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Followingactionsshouldthenursetake?
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