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Answered LATEST 2023 Verified by Expert k k k k k k
A nurse is preparing to mix short-acting and intermediate-acting
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kinsulin in one syringe to administer to a client who has type 1
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kdiabetes mellitus. k
Identify the sequence the nurse should follow. - Correct Answer -1:
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kDraw up the volume of insulin from the intermediate-acting insulin
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kvial.
2: Inject the volume of air equal to the amount of insulin to withdraw
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from the intermediate-acting insulin vial.
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3: Inject the volume of air equal to the insulin dose form the short-
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acting insulin vial k k
4: Withdraw the prescribed amount of insulin form the short-acting
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insulin vial.
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5: Withdraw the prescribed amount of insulin form the intermediate-
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acting insulin vial. k k
A nurse is planning care for a client who has dysphagia and is
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at risk for aspiration. Which of the following referrals should the
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nurse make? - Correct Answer -Speech-language pathologist
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A nurse is assessing a client who wears partial dentures and reports
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kmouth pain. Which of the following actions should the nurse take? -
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kCorrect Answer k
-Advise the client to rinse their mouth and dentures after each meal.
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thoracentesis post procedure? - Correct Answer -Position the client on k k k k k k k k k
kthe unaffected side.The nurse should position the client on the
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kunaffected side to help facilitate expansion of the affected lung. k k k k k k k k k
Maintain the head of the bed at 45°.MY ANSWERSome facility
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kprotocols recommend that the nurse should raise the head of the
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kbed to 30° for at least 30 min to facilitate expansion of the affected
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klung and ease of breathing.
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Measure the client's abdominal girth at the level of the umbilicus.The
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knurse should measure the client's abdominal girth following an
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kabdominal paracentesis, rather than a thoracentesis. k k k k k
Leave the puncture site open to air.The nurse should apply a small,
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ksterile dressing over the puncture site.
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A nurse is planning teaching for a client who has a new diagnosis of
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,ktype 2 diabetes mellitus. Which of the following actions should the
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knurse take prior to performing the teaching? (select all that apply) -
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kCorrect Answer -- Establish the client's learning needs
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, - Determine the client's literacy level k k k k
- Evaluate the client's readiness for learning k k k k k
- Identify the client's learning style k k k k
A nurse is preparing to notify the provider about a change in a client's
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kstatus. Which of the following information should the nurse plan to
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kinclude in the "background" portion of the SBAR communication tool? -
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kCorrect Answer k
-Previous treatments k
A nurse is providing discharge teaching to a client who has a
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new prescription for home oxygen therapy utilizing a compressed
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oxygen system. Which of the following statements by the client
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indicates an understanding of the teaching? - Correct Answer -"I will
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store oxygen tanks in an upright position"
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A nurse is caring for a client who has terminal cancer. The client
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begins to cry and says, "I am afraid of dying." Which of the following
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responses should the nurse make? - Correct Answer -"It must me a
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very difficult time for you."
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A nurse is assessing a client's coping skills. Which of the following
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should the nurse identify as an internal stressor? - Correct Answer -
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Fear of medical test results
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A nurse is performing postmortem care for an older client who had
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kjust died. Which of the following actions should the nurse take? -
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Correct Answer
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-Identify the client using two identifiers
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A nurse has administered 5 mL of medication to a client via NG
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tube. Then used 30 mL of water to flush the tue both before and
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after the instillation. the nurse should document which of the
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following amounts as liquid intake for the client? - Correct Answer -
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65 mL k
A nurse is performing a family assessment for a client who has
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recently developed paraplegia following a stroke. Which of the
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following actions should the nurse take first? - Correct Answer -
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Determine how the client views the concept of family k k k k k k k k
A nurse is caring for a client who reports having insomnia due to
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increased stress. Which of the following actions should the nurse take
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first? - Correct Answer -Determine the source of the client's stress
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