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24 QUESTIONS WITH V
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ERIFIED ANSWERS A 0 0
ND RATIONALES
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A community health nurse is assessing an adolescent
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who is pregnant. Which of the following assessment
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s is the nurse's priority?
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A. Social relationship with peers
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.B. Plans for attending school while pregnant.
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C. (Unable to read) (Picked this one) Medicaid?
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D. Understanding of infant care. - ANSWER-
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C. (Unable to read) (Picked this one) Medicaid?
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A nurse manager is planning to teach staff about cri
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tical pathways. Which of the following information
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should the nurse include? 0 0 0
A. Critical pathways have unlimited timeframe for c
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ompletion
B. (Unable to read) decrease health care costs.
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C. (Unable to read) critical pathway if variances (Una
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ble to read) 0 0
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D. (Unable to read) are used to create the critical pa
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thway. - ANSWER- 0 0
B. (Unable to read) decrease health care costs.
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A nurse overhears two assistive personnel (AP)
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discussing care for a client while in the elevator.
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Which of the following actions should the nurse
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take?
A. Contact the client's family about the incident.
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B. Notify the client's provider about the incident.'C. Fil
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e a complaint with the facility's ethics committee.
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D. Report the incident to the AP's charge nurse. -
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ANSWER-
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D. Report the incident to the AP's charge nurse.
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A nurse is planning care for a client who is receiving
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hemodialysis. Which of the following actions should 0 0 0 0 0 0 0
the nurse include in the plan of care?
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A. Withhold all medications until after dialysis
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B. Rehydrate with dextrose 5% in water for orthosta
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tic hypotension.
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C. Check the vascular access site for bleeding after d
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ialysis.
D. Give an antibiotic 30 min before dialysis. -
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ANSWER-
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C. Check the vascular access site for bleeding af
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ter dialysis. 0
A nurse in the emergency department is caring for a cli
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ent who reports intimate partner violence. Which of th
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e following interventions is the nurse's priority?
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A. Develop a safety plan with the client
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B. (Unable) options for reporting the incident.
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C. Refer the client to a community support group.
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D. Determine if the client has any injuries. -
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ANSWER-D. Determine if the client has any injuries.
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A nurse is caring for a client who is in active labor an
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d note the FHR baseline has been 100/min for the pas
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t 15 min. The nurse should identify which of the follo
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wing conditions as a possible cause of fetal bradycar
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dia?
A. Maternal fever
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