With Correct Answer
A nurse is assisting with the care of a client who was admitted to the emergency department (ED).CORRECT
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ANSWERS✔✔Schizophrenia
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- Pressured speech
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- Social impairment
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- Grandiose delusions
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Bipolar 1 Disorder J J
- Pressured speech
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- Social impairment
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- Grandiose delusions
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A nurse is caring for a client who is 12 hr postoperative following a total hip arthroplasty. Which of the
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following actions should the nurse take?CORRECT ANSWERS✔✔Place an abduction wedge between the
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client's legs when in bed.
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A nurse is evaluating the safe use of electrical equipment by a newly hired assistive personnel (AP). Which of
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the following actions by the AP demonstrates an understanding of the proper use of electrical
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equipment?CORRECT ANSWERS✔✔Grasps the plug of a device in the client's room to pull it straight out
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from the wall
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,A nurse is assisting with the care of an adolescent in the emergency department (ED).CORRECT ANSWERS✔
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✔- skin findings
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- temperature
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- WBC count
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- casual blood glucose
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- potassium
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- pain
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A nurse is assisting with the care of a client admitted with profuse vomiting and abdominal pain.CORRECT
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ANSWERS✔✔- peritonitis
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- bowel obstruction
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A nurse on the medical-surgical unit is assisting with the care of a client who was admitted from the
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emergency department (ED).CORRECT ANSWERS✔✔- confusion
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- sodium level
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A nurse is assisting with care of a client who is on 24-hr observation.CORRECT ANSWERS✔✔- hemorrhage
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- thrombocytopenia
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A nurse is caring for a client who is postoperative following a perineal prostatectomy. For each potential
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postoperative complication below, click to specify the nursing intervention that the nurse should
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implement.CORRECT ANSWERS✔✔- offer the client a sitz bath to relieve pain and promote healing
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- encourage the client to drink prune juice to relieve constipation
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- instruct the client to perform calf pump and foot circle exercises to promote venous return and reduce the
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risk of a deep vein thrombosis.
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, A nurse is collecting data on a newborn who is 3 days old.CORRECT ANSWERS✔✔- temperature of 36.4° C
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(97.5° F)
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- Weight 2,545 g (5 lb 9 oz) 12% weight loss
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- Breastfeeding every 3 to 5 hr for 5 to 10 min.
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- Birth parent reports nipple discomfort throughout the feeding
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- Mild tremors noted when awake
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A nurse on a mental health unit is caring for a client. For each nursing action, click to specify if the nursing
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action is anticipated or contraindicated for the client.CORRECT ANSWERS✔✔ANTICIPATED:
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- Offer high calorie snacks frequently.
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- Initiate suicide precautions.
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- Encourage the client to attend group therapy.
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CONTRAINDICATED:
- Allow the client to sleep with their hands beneath the blanket.
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A nurse is assisting in the care of a client who is postoperative following administration of general
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anesthesia.CORRECT ANSWERS✔✔ACTIONS:
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- administer dantrolene
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- administer oxygen
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CONDITION:
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PARAMETERS:
- monitor for hypercapnia
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- monitor for muscle tension
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