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Rationale E
1 A Enurse Eis Ecaring Efor Ea Eclient Ewho Ehas Ebipolar Edisorder Eand Eis Eexperiencing
Eacute Emania. EThe Enurse Eobtained Ea Everbal Eprescription Efor Erestraints. EWhich
Eof Ethe Efollowing Eshould Ethe Eactions Ethe Enurse Etake?
Document Ethe Eclient's Econdition Eevery E15 Eminutes
2 A Enursing Eplanning Ecare Efor Ea Eschool-age Echild Ewho Eis E4 Ehr
Epostoperative Efollowing Eperforated Eappendicitis. EWhich Eof Ethe Efollowing
Eactions Eshould Ethe Enurse Einclude Ein Ethe Eplan Eof Ecare?
Administer Eanalgesics Eon Ea Escheduled Ebasis Efor Ethe Efirst E24 Ehr
3 A Enurse Eis Ereceiving Ea Echange-of-shift Ereport Efor Ea Egroup Eof Eclients. EWhich Eof
Ethe Efollowing Eclients Eshould Ethe Enurse Eplan Eto Eassess Efirst?
A Eclient Ewho Ehas Ea Ehip Efracture Eand Ea Enew Eonset Eof Etachypnea
4 A Enurse Eis Epreparing Eto Eapply Ea Etransdermal Enicotine Epatch Efor Ea Eclient.
EWhich Eof Ethe Efollowing Eactions Eshould Ethe Enurse Etake?
Wear Egloves Eto Eapply Ethe Epatch Eto Ethe Eclient's Eskin
5 A Enurse Ehas Ejust Ereceived Ea Echange-of-shift Ereport Efor Efour Eclients. EWhich Eof
Ethe Efollowing Eclients Eshould Ethe Enurse Eassess Efirst?
A Eclient Ewho Ewas Ejust Egiven Ea Eglass Eof Eorange Ejuice Efor Ea Elow Eblood Eglucose Elevel
6 A Enurse Eis Ecaring Efor Ea Eclient Ewho Eis Ereceiving Eintermittent Eenteral Etube
Efeedings. EWhich Eof Ethe Efollowing Eplaces Ethe Eclient Eat Erisk Efor Easpiration?
A Ehistory Eof Egastroesophageal Ereflux Edisease
7 A Enurse Eis Ereviewing Ethe Elaboratory Eresults Efor Ea Eclient Ewho Ehas ECushing's
Edisease. EThe Enurse Eshould Eexpect Ethe Eclient Eto Ehave Ean Eincrease Ein Ewhich
Eof Ethe Efollowing Elaboratory Evalues?
Serum Eglucose Elevel- Eincreased
, 8 A EEnurse EEis EEcaring EEfor EEa EEclient EEwho EEhas EEsevere EEpreeclampsia EEand EEis
EEreceiving EEmagnesium EEsulfate EEintravenously. EEThe EEnurse EEdiscontinues EEthe
EEmagnesium EEsulfate EEafter EEthe EEclient EEdisplaces EEtoxicity. EEWhich EEof EEthe
EEfollowing EEactions EEshould EEthe EEnurse EEtake?
Administer EEcalcium EEgluconate EEIV
Rationale: EECalcium EEgluconate EEis EEgiven EEfor EEmagnesium EEsulfate EEtoxicity. EEAlways
EEhave EEan EEinjectable EEform EEof
calcium EEgluconate EEavailable EEwhen EEadministering EEmagnesium EEsulfate EEby EEIV.
9 A EEcharge EEnurse EEis EEteaching EEnew EEstaff EEmembers EEabout EEfactors EEthat
EEincrease EEa
client's EErisk EEto EEbecome EEviolent. EEWhich EEof EEthe EEfollowing EErisk EEfactors
EEshould EEthe EEnurse EEinclude EEas EEthe EEbest EEpredictor EEof EEfuture EEviolence?
Previous EEviolent EEbehavior
Risk EEfactors EEalso EEinclude: EEpast EEhistory EEof EEaggression, EEpoor EEimpulse EEcontrol,
EEand EEviolence. EEComorbidity EEthat EEleads EEto EEacts EEof EEviolence EE(psychotic
EEdelusions, EEcommand EEhallucinations, EEviolent EEangry EEreactions EEwith EEcognitive
EEdisorders).
10 A EEnurse EEis EEpreparing EEto EEperform EEa EEsterile EEdressing EEchange.
EEWhich EEof EEthe EEfollowing EEactions EEshould EEthe EEnurse EEtake EEwhen
EEsetting EEup EEthe EEsterile EEfield? EEPlace EEthe EEcap EEfrom EEthe EEsolution
EEsterile EEside EEup EEon EEclean EEsurface
11 A EEnurse EEis EEproviding EEteaching EEto EEan EEolder EEadult EEclient EEabout
EEmethods EEto EEpromote EEnighttime EEsleep. EEWhich EEof EEthe EEfollowing
EEinstructions EEshould EEthe EEnurse EEinclude?
Eat EEa EElight EEsnack EEbefore EEbedtime
, 12 A EEhome EEhealth EEnurse EEis EEpreparing EEfor EEan EEinitial EEvisit EEwith EEan
EEolder EEadult EEclient EEwho EElives EEalone. EEWhich EEof EEthe EEfollowing EEactions
EEshould EEthe EEnurse EEtake EEfirst?
Identify EEenvironmental EEhazards EEin EEthe EEhome
13 A EEnurse EEis EEassessing EEthe EEremote EEmemory EEof EEan EEolder EEadult EEclient
EEwho EEhas EEmild EEdementia. EEWhich EEof EEthe EEfollowing EEquestions EEshould
EEthe EEnurse EEask EEthe EEclient? EE"What EEhigh EEschool EEdid EEyou EEgraduate EEfrom"
14 A EEnurse EEis EEproviding EEteaching EEto EEan EEadolescent EEwho EEhas EEtype EE1
EEdiabetes EEmellitus. EEWhich EEof EEthe EEfollowing EEgoals EEshould EEthe EEnurse
EEinclude EEin EEthe EEteaching? EEHbA1c EElevel EEless EEthan EE7%
15 A EEnurse EEis EEcaring EEfor EEa EEclient EEwho EEis EE1 EEhr EEpostoperative EEfollowing
EErhinoplasty. EEWhich EEmanifestations EErequire EEimmediate EEaction EEby EEthe
EEnurse?
Increase EEin EEfrequency EEof EEswallowing
16 A EEnurse EEis EEplanning EEcare EEfor EEa EEpreschool-age EEchild EEwho EEis EEin EEthe
EEacute EEphase EEof
Kawasaki EEdisease. EEWhich EEof EEthe EEfollowing EEinterventions EEshould EEthe EEnurse
EEinclude EE
in EEthe EEplan EEof EEcare?
Monitor EEthe EEchild's EEcardiac EEstatus
17 A EEnurse EEis EEplanning EEan EEeducational EEprogram EEfor EEhigh EEschool
EEstudents EEabout EEcigarette EEsmoking. EEWhich EEof EEthe EEfollowing EEpotential
EEconsequences EEof EEsmoking EEis EEmost EElikely EEto EEdiscourage EEadolescents
EEfrom EEusing EEtobacco?
Use EEof EEtobacco EEdecreases EEthe EElevel EEof EEathletic EEability