1. The nurse is administering sublingual nitroglycerin to a client.Immediately afterward, the
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client may experience: throbbing headache or dizziness.
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2. A client with iron deficiency anemia has been admitted to the medical-sur-
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gical unit.Which assessment findings are characteristic of this type of ane-
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mia?: Dyspnea, tachycardia, and pallor
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3. The nurse is caring for a client taking an anticoagulant.Which instruction regarding antic
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oagulant therapy should the nurse give the client?: Limit foods high in vitamin K.
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4. Thenursedelivers a client's 10 a.m.medications. The client is away from his roomfor adiagn
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osticstudy.Which action is most appropriate for the nurse to take?: Lock the medications in th
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e medicine preparation area until the client returns.
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5. The nurse is caring for a client receiving patient-
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controlled analgesia (PCA) forpain management. Which statement about PCA is true?: Pain r
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elief is initiat- ed by the client as needed.
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6. The nurse is caring for a client with type 1 diabetes mellitus who exhibits confusion, ligh
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t-headedness, and aberrant behavior.The client is still con- t t t t t t t t
scious.The nurse should first administer:: 15 to 20 g of a fast-acting carbohy-
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drate such as orange juice.
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7. Thenurse is caring for an elderly female with osteoporosis. When teaching the client,the n
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urse should include information about which major complica- tion?: Bone fracture
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8. The nurse is speaking to a group of women about early detection of breast cancer.The ave
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rage age of the women in the group is 47. Following the American Cancer Society guidelines,
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the nurse should recommend that the women:: have a mammogram annually.
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9. The nurse is instructing a premenopausal woman about breast self-exami-
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nation.The nurseshould tellthe client to do her self-
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examination:: immediately after her menses. t t t t
10. The nurse is teaching a group of women to perform breast self-examina-
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tion.Thenurseshould explain thatthe purpose ofperformingthe examination is to discover::
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changes from previous self-examinations. t t t
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, 11. The American Cancer Society recommends routine screening to detect colorectal canc
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er.Which screening test for colorectal cancer should the nurse recommend?: Flexible sigmoi
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doscopy beginning at age 50t t t t
12. Which nursing diagnosis should the nurse expect to see in a care plan for a client in sickle
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cell crisis?: Acute pain related to sickle cell crisis
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13. What can the nurse do to prevent lipodystrophy when administering in-
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sulin to a diabetic client?: Rotate the injection sites.
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2t/t
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