The nurse cares for a client who is at 39 weeks gestation. The healthcare provider orders a
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biophysical profile
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(BPP). The nurse should understand that an abnormal biophysical profile (BPP) <CORRECT
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ANSWER>indicates that labor needs to be induced
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The nurse cares for a client with Celiac disease who is receiving supplemental magnesium in
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their IV fluids. Which
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symptom would alert the nurse that the client's magnesium level has become too high?
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<CORRECT ANSWER>Diminished deep tendon reflexes
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A client has just had surgery to create an ileostomy. The nurse assesses the client in the
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immediate postoperative
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period for which most frequent complication of this type of surgery? <CORRECT
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ANSWER>Fluid and electrolyte imbalance
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The nurse cares for a client who had a cholecystectomy 24 hours ago. The nurse notes that
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the T-tube has drained 750 mL of brownish-green drainage since the surgery. Which nursing
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intervention is most appropriate? <CORRECT ANSWER>Document the findings in the chart
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electrical burn? <CORRECT ANSWER>Color or urine, skin turgor, amount of urine.
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In providing diet education for a patient on a low-fat diet, which information is important for
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the nurse to share? <CORRECT ANSWER>Saturated fats are found mostly in animal sources.
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A patient who has gastroesophageal reflux disease (GERD) is experiencing increasing
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discomfort. Which patient
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statement to the nurse indicates that additional teaching about GERD is needed? <CORRECT
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ANSWER>"I eat small meals and have a bedtime snack."
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, Module 2 Exam
The nurse cares for a client who had a parathyroidectomy 2 days ago. The client now
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appears irritable, and
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complains of tingling/numbness in the face and ears. Laboratory results show: Potassium 3.2
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mEq/L, Sodium 138 mEq/L, Calcium 8.2 mg/dL. Which lunch tray is most appropriate for this
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client? <CORRECT ANSWER>Grilled cheese sandwich, collard greens and yogurt
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The nurse cares for a client with end-stage renal failure who is exhibiting extreme thirst,
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confusion, and dry flushed skin. The client's laboratory results show the following: Potassium
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3.4 mEq/L, Sodium 155 mEq/L, Calcium 9.5 mg/dL. The nurse would expect to implement
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which intervention? <CORRECT ANSWER>Restrict sodium intake
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The nurse cares for a client who was admitted for chest pain. The nurse notes the following
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rhythm on the
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monitor. Which intervention is most appropriate? <CORRECT ANSWER>Evaluate client
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condition
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The nursing assistant informs the nurse that a client with chronic renal failure has "white
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crystals" and dry, itchy
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skin. What instruction should the nurse give to the nursing assistant? <CORRECT
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ANSWER>Prepare a tepid-water bath for the client
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9 units Heparin infusion? <CORRECT ANSWER>17.3
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bolus of 1 liter normal saline over 3 hours? <CORRECT ANSWER>333
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insulin drip of 13 units per hour? <CORRECT ANSWER>6
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insulin drip of 12 units per hour? <CORRECT ANSWER>5
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