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WITH CORRECT DETAILED AND WELL ELABORATED
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ANSWERS/NEWEST UPDATE 2025/ALREADY GRADED A+
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VERSIONA vr
The practical caregiver (PN) reports the patterns of urinary frequency and volume for
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several patients. Whichfinding necessitates further assessment by the RN?
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A. Voiding 300 ml clear yellow urine q4h
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B. Voiding 50 ml cloudy urine every hour
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C. Total indwelling catheter output of 1800 ml in 24 hours
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D. 400 ml amber urine by straight catheter q6h
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B. Voiding 50 ml cloudy urine every hour
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The mother of a child with cerebral palsy (CP) asks the caregiver if her child's
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impaired movements willworsen as the child grows. Which response provides
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the best explanation?
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A. The most common permanent physical disabilit of childhood is CP. vr vr vr vr vr vr vr vr vr
B. The outcome depends on the continued development of the brain lesion. vr vr vr vr vr vr vr vr vr vr
C. The classifications of CP determines the severit of motor dysfunction vr vr vr vr vr vr vr vr vr
D. The course of CP is variable but the brain damage is not progressive.
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D. The course of CP is variable but the brain damage is not progressive.
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The caregiver is discussing the use of isotertinoin (Accutane) with a 19-year old
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female patient, who has been taking oral contraceptives for one year. The patient
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agrees to use a second form of contraception while onthe medication, and has had two
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negative pregnancy tests. What other instruction should the caregiver provide
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regarding the use of Accutane?
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A. If depression occurs, the use of St. John's Wort is recommended.
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B. The medication must be taken with food to enhance absorption.
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C. Fluids should be limited to sips when swallowing this medication.
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D. Serum lipids should be evaluated at the beginning and end of treatment.
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B. The medication must be taken with food to enhance absorption.
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Which intervention is best for the caregiver to implement for a patient who is
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experiencing severe toe pain asthe result of acute gout?
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A. Minimize calcium rich foods in diet vr vr vr vr vr
B. Provide passive ROM to the foot and toes vr vr vr vr vr vr vr
C. Place a foot cradle under the linen
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D. Apply anti-embolism stocking bilaterally.
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C. Place a foot cradle under the linen
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,Nursing assessment of a patient with Type 2 diabetes reveals that the patient is 5' 6"
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tall, weighs 238 lbs, works behind a desk all day, does not exercise, and smokes 2
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packs of cigarettes daily. In planning carefor this patient, which intervention is most
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A. Discuss changing eating habits with a goal of losing 2 lbs/week.
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important for the caregiver to implement?
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B. Instruct the patient to decrease the number of cigarrettes smoke daily. vr vr vr vr vr vr vr vr vr vr
C. Determine the patient's feelings about being diagnosed with a chronic disease vr vr vr vr vr vr vr vr vr vr
D. Encourage other family members to be tested for diabetes. vr vr vr vr vr vr vr vr
A. Discuss changing eating habits with a goal of losing 2 lbs/week.
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A woman who recently delivered a normal newborn calls the clinic crying and
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describes feelingoverwhelmed and discouraged. Which information is most
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important for the caregiver to obtain?
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A. Is there anyone with her at this time?
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B. Has she seen a mental health provider?
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C. Does she describe herself as depressed?
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D. How long has she been feeling this way?
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B. Has she seen a mental health provider?
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An infant is admitted to the newborn nursery, and is believed to have Down
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syndrome. Which physicalfinding might the caregiver expect to see?
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A. Maxillary hypoplasia
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B. Postual hypotonia
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C. Janeway spots on the palms
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D. Fusion of cranial sutures
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B. Postual hypotonia
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The caregiver is performing an admission physical assessment of a newborn who is
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A. High pitched shrill cry
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small for gestational age(SGA). Which finding should the caregiver report
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immediately to the pediatric healthcare provider?
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B. Widened, tense, bulging fontanel vr vr vr
C. Head circumference of 35 cm (14 inches) vr vr vr vr vr vr
D. Heel stick glucose of 65 mg/dl vr vr vr vr vr
A. High pitched shrill cry
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The caregiver is caring for a yound adult male patient with facial injuries
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resulting from a motor vehiclecollision. Which patient statement is indicative of
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the highest priority for nursing intervention?
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A. " I dont want my family and friends to see me looking like this."
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B. " I am not taking any more medication because the make my mouth dry."
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C. "I can't sleep through the night because I awaken with pain when I move."
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D. "My biggest fear is that this injury will cause me to lose my job."
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C. "I can't sleep through the night because I awaken with pain when I move."
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,The caregiver notes that an elderly patient who is receiving a continuous tube feeding
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is increasingly fatiguedand confused. Which assessment is most important for the
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caregiver to complete before notifying the healthcare provider?
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A. Bowel sounds
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B. Breath sounds vr
C. Skin turgor vr
D. Capillary refill vr
A. Bowel sounds vr vr
A patient diagnosed with myxedema coma has assessed vital signs of: T 99.8F; P= 92
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beats/minute; R= 22breaths/minute, B/P 108/70 mmHg. Based on this information,
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what intervention should the caregiver implement first?
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A. Monitor the vital signs q1h for the next 8 hours vr vr vr vr vr vr vr vr vr
B. Notify the healthcare provider immediately vr vr vr vr
C. Assess the client for presence of infection
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D. Encourage the patient to use an incentive spirometer
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C. Assess the patient for presence of infection
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Which type of therapeutic bath should the caregiver recommend to a patient who is
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complaining of pruiritus?
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A. An emollient bath
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B. An antibacterial bath
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C. A betadine bath
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D. A colloidal bath
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B. An antibacterial bath
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A pregnant patient begins to cry when the UAP tries to assist her in donning a
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hospital gown, and she refuse to remove an undergarment that is worn in her
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A. Dertermine if continued wearing of the garment will compromise care.
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culture to preserve modesty. What should thecharge caregiver do first?
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B. Incorporate individualized cultural care into the nursing plan of care. vr vr vr vr vr vr vr vr vr
C. Discuss the importantce of respecting cultural beliefs with the UAP. vr vr vr vr vr vr vr vr vr
D. Talk with the patient to determine alternate means to preserve modesty.
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A. Dertermine if continued wearing of the garment will compromise care. vr vr vr vr vr vr vr vr vr
The caregiver is assessing a patient following hemodialysis. What finding indicate
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A. Decrease in BP
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that an expected outcomeof dialysis was achieved?
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B. Weight gain vr
C. Hemoglobon WNL vr
D. Increased urinary output vr vr
A. Decrease in BP
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, A caregiver who is new to the pediatric unit is positioning a 6 month old for an
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injection of penicillin V (Pen V) in the dorsogluteal muscle. Which action should the
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caregiver manager who is supervising this caregiver takefirst?
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A. Demonstrate techniques for restraining the infant vr vr vr vr vr
B. Review the correct landmarks before the site is injected vr vr vr vr vr vr vr vr
C. Instruct the nurse to select another injection site
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D. Explan the correct procedure for giving the medication
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C. Instruct the caregiver to select another injection site
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In evaluating the effectiveness of a patient's nocturnal sleep patterns, what question
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is best for the caregiverto ask the patient?
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A. " How often do you awaken during the night?"
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B. " Do you remember dreaming at night?" vr vr vr vr vr vr
C. " How mant hours do you sleep each night?"
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D. " Do you feel rested in the morning?"
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D. " Do you feel rested in the morning?"
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A caregiver is taking a health history of a 46 year old male patient who has smoked
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cigarettes for 30 years. Hehas had chronic bronchitis for the past 6 months. What
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statement best describes the rationale for obtaining information from the family as
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well as from the patient?
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A. Poor oxygenation inhibits the patients memory and renders information unreliable.
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B. Patient's tend to grow accustomed to their cough and underestimates their nicotene use. vr vr vr vr vr vr vr vr vr vr vr vr
C. Including the family helps to ensure that the client will comply with the treatment regimen.
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D. Family members are usually more anxious than the patient to get the physical problem
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resolved.
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C. Including the family helps to ensure that the patient will comply with the treatment
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regimen.
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The caregiver learns that a newly admitted adult patient has a six month history of
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recurring somatic pain.During the admission interview, it is most important for the
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caregiver to question the patient about what problem?
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A. Nausea and vomiting.
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B. Episodes of tremors.
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C. Periods of restlessness.
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D. Feelings of depression.
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B. Episodes of tremors.
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A caregiver seeks to alter a provision of a state's Caregiver Practice Act regarding
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caregiver-patient ratios, which thecaregiver believes to be unsafe. What action is
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most likely to impact a ruling by the state's Board of Nursing?
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A. Send documentation of the problem to the American Caregivers' Association
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B. Meet with the nurse's representative to the state legislature.
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C. Send an anonymous letter of concern to the local newspaper
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D. File a grievence at the medical center where the caregiver is employed.
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B. Meet with the caregiver's representative to the state legislature.
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