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2026
,The nurse is caring for a male patient diagnosed with alcohol cirrhosis and needs a liver
transplant. The patient has been out of work for several months and does not have
insurance or enough cash. The patient is concerned that he may not be considered for
the transplant. What statement made the nurse would be lacking in cultural
competence
It is definitely a negative that your liver disease is caused by alcohol abuse
The nurse is caring for a patient who was taking ibuprofen three times d ay for pain due
to her osteoarthritis. The patient present with dizzies, HA, nausea and vomiting coffee
ground emesis. Which s/s will the nurse monitor for?
Tachycardia, Tachypnea
The nurse is assessing the function of a chest tube drainage system in a patient who
has just returned from the recovery room following a thoracotomy. Which are the
expected assessment finding related to chest tube drainage system?
Drainage system maintained below the patient's chest, Occlusive dressing over the
insertion site, Tidaling in the water seal chamber during inhalation and exhalation
A nurse is caring for four patients on the floor. Which patient should the nurse see first?
A patient with end stage liver disease with platelet count of 25,000
, The nurse is assessing a patient status post hemicolectomy and notes the patient's
calf is red and slightly edematous. The nurse precedes to do a pain assessment. The
patient states the pain is an 8 out of 10. The patient's vitals are as follows HR 92, BP
140/89, RR 224, T 98.7. The health care provider has ordered Morphine 4-6 mg IBP q 4
hours.
Which stage Tanners is this?
Interpreting
The nurse is providing care to a patient with a large surgical wound that requires and
extensive amount of dressing and supplies. What cost-effective action would the nurse
take when performing dressing changes? (SATA)
Review previous documentation to identify specific supplies needed, Survey the room for
supplies before starting the dressing change
A patient with bleeding esophageal varices from alcoholic cirrhosis is admitted to the
emergency department. Which comment overhead by the charge nurse from a staff
nurse requires immediate intervention?
"Charlie is here, my tax dollars going to good use once again"
The nurse is caring for a patient admitted to the emergency room with complaints
of chest pain. Which step in tanners does the nurse need to do first when caring for
this patient?
Noticing
A patient with AKI has been admitted to the hospital for 24-hour observation. The patient
c/o 8/10 flank pain and N/V and has a urine output of 81 mL over the past three hours. The pt.
T is 99, HR 100, R 22, BP 90/50. What is the nursing priority
Administer IV fluids