The nurse in administering a sustained-release capsule to
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a new patient. The patient insists that he cannot swallow
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pills. What is the nurse's next best course of action? -
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CORRECT ANSWERS ✔✔Ask the prescriber to change the |\ |\ |\ |\ |\ |\ |\ |\
order.
The nurse assesses a patient who has been hospitalized
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for 2 days. The patient has been receiving normal saline
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IV at 100 mL/hr, has a nasogastric tube to low suction,
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and is NPO. Which assessment finding would be a priority
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for the nurse to report to the health care provider? -
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CORRECT ANSWERS ✔✔Gradually decreasing level of |\ |\ |\ |\ |\ |\
consciousness (LOC). |\
A patient at risk for hypernatremia is one who - CORRECT
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ANSWERS ✔✔Has impaired consciousness and decreased |\ |\ |\ |\ |\ |\
thirst sensitivity |\
he nurse is caring for a patient with a diagnosis of
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hypernatremia. The following orders are written on the |\ |\ |\ |\ |\ |\ |\ |\
client's chart. Which order should the nurse question? -
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CORRECT ANSWERS ✔✔Restrict oral intake to 900 ml |\ |\ |\ |\ |\ |\ |\ |\
every 24 hrs |\ |\
,A nursing instructor asked a group of nursing students to
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discuss experiences with charting assessment data.
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Which comment by the student indicates the need for
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further teaching? - CORRECT ANSWERS ✔✔"My patient
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was really quiet and didn't say much, so I documented
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that he acted depressed."
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The nurse identifies the diagnosis of Ineffective Breathing
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Pattern related to inability to maintain adequate rate and
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depth of respirations for a client with an acuterespiratory
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problem resulting from lung disease. Which nursing
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intervention should be listed first on the care plan? - |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
CORRECT ANSWERS ✔✔Determine airway adequacy |\ |\ |\ |\ |\
hourly and as needed. |\ |\ |\
The nurse is planning the care of a client diagnosed with
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pneumonia and writes a problem of "impaired gas |\ |\ |\ |\ |\ |\ |\ |\
exchange." Which is an expected outcome for this |\ |\ |\ |\ |\ |\ |\ |\
problem? - CORRECT ANSWERS ✔✔Alert and oriented to
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person, place, time, and events. |\ |\ |\ |\
Which client problems are appropriate for the nurse to
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include in the plan of care for the client diagnosed with
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COPD? Select all that apply. - CORRECT ANSWERS
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✔✔Impaired gas exchange, Inability to tolerate |\ |\ |\ |\ |\ |\
temperature extremes, Activity intolerance, Inability to |\ |\ |\ |\ |\ |\
cope with changes in roles, Alteration in nutrition.
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, The client diagnosed with a community-acquired
|\ |\ |\ |\ |\ |\
pneumonia is being admitted to the medical unit. Which
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nursing intervention has the highest priority? - CORRECT
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ANSWERS ✔✔Obtain a sputum specimen for culture and
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sensitivity.
A client's pulse oximetry reading is 90%. What action
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should the nurse take first? - CORRECT ANSWERS
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✔✔Move the sensor to another area.
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Implementation of nursing care for a patient with |\ |\ |\ |\ |\ |\ |\ |\
hyponatremia includes - CORRECT ANSWERS ✔✔Fluid |\ |\ |\ |\ |\ |\
restriction
It is important for the nurse to assess for which clinical
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manifestation(s) in a patient who has undergone a total |\ |\ |\ |\ |\ |\ |\ |\ |\
thyroidectomy - CORRECT ANSWERS ✔✔Positive |\ |\ |\ |\ |\
Chvostek's sign |\
A patient comes to the clinic complaining of frequent,
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watery stools for the past 2 days. Which action should the
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nurse take first? - CORRECT ANSWERS ✔✔Check the
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patient's blood pressure. |\ |\