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A nurse is caring for a client who is receiving dialysis treatment.
0530:
Client is awake and alert.
Arteriovenous fistula (AVF) to right forearm. - (ANSWER)Indicated: Notify the provider
immediately, Administer 0.9% sodium chloride 200 mL IV bolus, Apply oxygen at 2 L/min via
nasal cannula, Position the client's legs elevated
Not indicated: Perform a 12-lead ECG, Obtain blood glucose level is not indicated
A nurse is caring for a client who is postoperative following abdominal surgery.
1100: Client received from PACU; initial vital signs recorded. - (ANSWER)Instruct the client
to splint the abdomen with a pillow for coughing.
,Plan to ambulate the client as soon as possible
Report urinary output to the provider
Ask the client to rate their pain 0 to 10 pain scale
A nurse is caring for a client who is receiving total parenteral nutrition (TPN). a new bag is not
available when the current infusion is nearly completed. - (ANSWER)Administer dextrose 10%
in water until the new bag arrives.
A nurse is caring for a client who had a nephrostomy tube inserted 12 hr ago. - (ANSWER)The
client reports back pain.
A nurse is caring for a client who is having a seizure. - (ANSWER)Turn the client to the side.
A nurse in a provider's office is assessing a client who has hypertension and takes propranolol. -
(ANSWER)Reports of a night cough.
,A nurse is planning to irrigate and dress a clean, granulating wound for a client who has a
pressure injury. - (ANSWER)Use a 30 mL syringe.
A nurse is assessing a client who has graves disease. Which of the following images should
indicate to the nurse that the client has exophthalmos - (ANSWER)Choose the one that's not a
guy. It should be one with big bulging eyes staring at you.
A nurse is caring for a client who has DKA. Which of the following findings indicate improving?
- (ANSWER)Glucose 272 mg/dL
A nurse is caring for a client who has hypothyroidism. Which of the following manifestations
should the nurse expect? - (ANSWER)Constipation
A nurse is preparing to administer a blood transfusion to a client who has anemia. -
(ANSWER)check for the type and number of units of blood to administer.
a nurse is caring for a client who has a leg cast and is returning to demonstrate on the proper use
of crutches while climbing stairs. - (ANSWER)Place body weight on the crutches
Advances the unaffected leg onto the stair
, Shifts weight from the crutches to the unaffected leg
Brings the crutches and the affected leg up to the stair.
A nurse is teaching a group of newly licensed nurses about pain management for older adult
clients. - (ANSWER)Ibuprofen can cause gastrointestinal bleeding in older adult clients.
A nurse is teaching a client who has a family history of colorectal cancer. to help mitigate this
risk, - (ANSWER)Add cabbage to the diet
a nurse in an emergency department is caring for a client who has full-thickness burns over 20%
of their total body surface area. After ensuring a patent airway and adminstering oxygen, -
(ANSWER)IV Fluids
a nurse is caring for a client who has terminal cancer. the client tells the nurse, "I wish I could
stop these treatments" - (ANSWER)Discontinuing with the treatments is your choice if it is
your wish to do so.