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A bbclient bbwith bba bbproductive bbcough bbhas bbobtained bba bbsputum bbspecimen bbfor
bbculture bbas bbinstructed. bbWhat bbis bbthe bbbest bbinitial bbnursing bbaction? bb- bbcorrect
bbanswer✔✔Observe bbthe bbcolor, bbconsistency, bband bbamount bbof bbsputum
A bbclient bbis bbbrought bbto bbthe bbED bbby bbambulance bbin bbcardiac bbarrest bbwith
bbcardiopulmonary bbresuscitation bb(CPR) bbin bbprogress.The bbclient bbis bbintubated
bband bbis bbreceiving bb100% bboxygen bbper bbself-inflating bb(ambu) bbbag. bbThe bbnurse
bbdetermines bbthat bbthe bbclient bbis bbcyanotic, bbcold, bband bbdiaphoretic. bbWhich
bbassessment bbis bbmost bbimportant bbfor bbthe bbnurse bbto bbobtain? bb- bbcorrect
bbanswer✔✔Breath bbsounds bbover bbbilateral bblung bbfield
After bba bbhospitalization bbfor bbSyndrome bbof bbInappropriate bbAntidiuretic bbHormone
bb(SIADH), bba bbclient bbdevelops bbpontine bbmyselinolysis. bbWhich bbintervention
bbshould bbthe bbnurse bbimplement bbfirst? bb- bbcorrect bbanswer✔✔Reorient bbclient bbto
bbhis bbroom
A bbmale bbclient bbwith bbheart bbfailure bb(HF) bbcalls bbthe bbclinic bbandreports bbthat bbhe
bbcannot bbput bbhis bbshoes bbon bbbecause bbthey bbaretoo bbtight. bbWhich bbadditional
bbinformation bbshould bbthe bbnurseobtain? bb- bbcorrect bbanswer✔✔Has bbhis bbweight
bbchanged bbin bbthe bblast bbseveral bbdays?
An bbolder bbadult bbwoman bbwith bba bblong bbhistory bbof bbchronic bbobstructive
bbpulmonary bbdisease bb(COPD) bbis bbadmitted bbwith bbprogressive bbshortness bbof
bbbreath bband bba bbpersistent bbcough. bbShe bbis bbanxious bband bbis bbcomplaining bbof
bba bbdry bbmouth. bbWhich bbintervention bbshould bbthe bbnurse bbimplement? bb- bbcorrect
bbanswer✔✔Assist bbher bbto bban bbupright bbposition
A bbclient bbwith bba bbhistory bbof bbasthma bband bbbronchitis bbarrives bbat bbthe bbclinic
bbwith bbshortness bbof bbbreath, bbproductive bbcough bbwith bbthickened bbtenacious
,bbmucous, bband bbthe bbinability bbto bbwalk bbup bba bbflight bbof bbstairs bbwithout
bbexperiencing bbbreathlessness. bbWhich bbaction bbis bbmost bbimportant bbfor bbthe
bbnurse bbto bbinstruct bbthe bbclient bbabout bbself-care? bb- bbcorrect bbanswer✔✔Increase
bbthe bbdaily bbintake bbof bboral bbfluids bbto bbliquefy bbsecretions
A bbcardiac bbcatherterization bbof bba bbclient bbwith bbheart bbdisease bbindicates bbthe
bbfollowing bbblockages: bb95% bbproximal bbleft bbanterior bbdescending bb(LAD), bb99%
bbproximal bbcircumflex, bband bb?% bbproximal bbright bbcoronary bbartery bb(RCA). bbThe
bbclient bblater bbasks bbthe bbnurse bb"what bbdoes bball bbthis bbmean bbfor bbme?" bbWhat
bbinformation bbshould bbthe bbnurse bbprovide? bb- bbcorrect bbanswer✔✔Three bbmain
bbarteries bbhave bbmajor bbblockages, bbwith bbonly bb1 bbto5% bbof bbblood bbflow bbgetting
bbthrough bbto bbthe bbheart bbmuscle.
What bbinformation bbshould bbthe bbnurse bbinclude bbin bbthe bbteaching bbplan bbof bba
bbclient bbdiagnosed bbwith bbgastroesophageal bbreflux bbdisease bb(GERD)? bb- bbcorrect
bbanswer✔✔Minimize bbsymptoms bbby bbwearing bbloose, bbcomfortable bbclothing
The bbnurse bbis bbcaring bbfor bba bbclient bbwith bba bblower bbleft bblobe bbpulmonary
bbabscess. bbWhich bbposition bbshould bbthe bbnurse bbinstruct bbthe bbclient bbto
bbmaintain? bb- bbcorrect bbanswer✔✔left bblateral
A bbclient bbwith bbcholelithiasis bbhas bba bbgallstone bblodged bbin bbthe bbcommon bbbile
bbduct bband bbis bbunable bbto bbeat bbor bbdrink bbwithout bbbecoming bbnauseated bband
bbvomiting. bbWhich bbfinding bbshould bbthe bbnurse bbreport bbto bbthe bbhealthcare
bbprovider. bb- bbcorrect bbanswer✔✔Yellow bbsclera
While bbcaring bbfor bba bbclient bbwith bbAmyotrophic bbLateral bbSclerosis bb(ALS), bbthe
bbnurse bbperforms bba bbneurological bbassessment bbevery bbfour bbhours. bbWhich
bbassessment bbfinding bbwarrants bbimmediate bbintervention bbby bbthe bbnurse? bb-
bbcorrect bbanswer✔✔Weakened bbcough bbeffort
The bbnurse bbis bbproviding bbpreoperative bbeducation bbfor bba bbJewish bbclient
bbscheduled bbto bbreceive bba bbxenograft bbgraft bbto bbpromote bbburn bbhealing. bbWhich
bbinformation bbshould bbthe bbnurse bbprovide bbthis bbclient? bb- bbcorrect bbanswer✔✔The
bbxenograft bbis bbtaken bbfrom bbnonhuman bbsources
A bbmale bbclient bbwho bbhad bbcolon bbsurgery bb3 bbdays bbago bbis bbanxious bband
bbrequesting bbassistance bbto bbreposition. bbWhile bbthe bbnurse bbis bbturning bbhim, bbthe
bbwound bbdehiscences bband bbeviscerates. bbThe bbnurse bbmoistens bban bbavailable
bbsterile bbdressing bband bbplaces bbit bbover bbthe bbwound. bbWhat bbintervention bbshould
bbthe bbnurse bbimplement bbnext? bb- bbcorrect bbanswer✔✔Prepare bbthe bbclient bbto
bbreturn bbto bbthe bboperating bbroom
A bbclient bbwith bbcarcinoma bbof bbthe bblung bbis bbcomplaining bbof bbweakness bband
bbhas bba bbserum bbsodium bblevel bbof bb117 bbmEq/L. bbWhich bbnursing bbproblem
, bbshould bbthe bbnurse bbinclude bbin bbthis bbclient's bbplan bbof bbcare? bb- bbcorrect
bbanswer✔✔Fluid bbvolume bbexcess
A bbfemale bbclient bbenters bbthe bbclinic bband bbinsists bbon bbbeing bbseen. bbShe bbis
bbweak, bbnervous, bband bbreports bba bbracing bbheart bbbeat bband bbrecent bbweight bbloss
bbof bb15 bbpounds. bbAfter bbruling bbout bbsubstance bbwithdrawal, bbthe bbhealthcare
bbprovider bbsuspects bbhyperthyroidism bband bbadmits bbher bbfor bbfurther bbtesting.
bbWhich bbaction bbshould bbthe bbnurse bbimplement? bb- bbcorrect bbanswer✔✔Space
bbthe bbclient's bbcare bbto bbprovide bbperiods bbof bbrest
The bbnurse bbis bbteaching bba bbclient bbwith bbglomerulonephritis bbabout bbself-care.
bbWhich bbdietary bbrecommendations bbshould bbthe bbnurse bbencourage bbthe bbclient bbto
bbfollow? bb- bbcorrect bbanswer✔✔Restrict bbprotein bbintake bbby bblimiting bbmeats bband
bbother bbhigh-protein bbfoods
An bboverweight, bbyoung bbadult bbmade bbwho bbwas bbrecently bbdiagnosed bbwith bbtype
bb2 bbdiabetes bbmellitus bbis bbadmitted bbfor bba bbhernia bbrepair. bbHe bbtells bbthe bbnurse
bbthat bbhe bbis bbfeeling bbvery bbweak bband bbjittery. bbWhich bbactions bbshould bbthe
bbnurse bbimplement?(Select bball bbthat bbapply.) bb- bbcorrect bbanswer✔✔Check bbhis
bbfingerstick bbglucose bblevel
Assess bbhis bbskin bbtemperature bband bbmoisture bb
Measure bbhis bbpulse bband bbblood bbpressure
A bbclient bbwith bbCushing's bbsyndrome bbis bbrecovering bbfrom bban bbelective
bblaparoscopic bbprocedure. bbWhich bbassessment bbfinding bbwarrants bbimmediate
bbintervention bbby bbthe bbnurse? bb- bbcorrect bbanswer✔✔Irregular bbapical bbpulse
An bbadult bbwoman bbwith bbprimary bbRaynaud bbphenomenon bbdevelops bbpallor bband
bbthen bbcyanosis bbof bbher bbfingers. bbAfter bbwarming bbher bbhands, bbthe bbfingers bbturn
bbred bband bbthe bbclient bbreports bba bbburning bbsensation. bbWhat bbaction bbshould bbthe
bbnurse bbtake? bb- bbcorrect bbanswer✔✔Continue bbto bbmonitor bbthe bbfingers bbuntil
bbcolor bbreturns bbto bbnormal
A bbmale bbclient bbwith bbmuscular bbdystrophy bbfell bbin bbhis bbhome bband bbis bbadmitted
bbwith bba bbright bbhip bbfracture. bbHis bbright bbfoot bbis bbcool, bbwith bbpalpable bbpedal
bbpulses. bbLungs bbare bbcoarse bbwith bbdiminished bbbibasilar bbbreath bbsounds. bbVital
bbsigns bbare bbtemperature bb101F, bbheart bbrate bb128 bbbeats/minute, bbrespirations28
bbbreaths/minute, bband bbblood bbpressure bb122/82. bbWhich bbintervention bbis bbmost
bbimportant bbfor bbthe bbnurse bbto bbimplement bbfirst bb- bbcorrect bbanswer✔✔Administer
bbPRN bboral bbantipyretic
The bbnurse bbis bbcompleting bbthe bbpreoperative bbassessment bbof bba bbclient bbwho bbis
bbscheduled bbfor bba bblaparoscopic bbcholecystectomy bbunder bbgeneral bbanesthesia.
bbWhich bbfinding bbwarrants bbnotification bbof bbthe bbhealthcare bbprovider bbprior bbto
bbproceeding bbwith bbthe bbscheduled bbprocedure? bb- bbcorrect bbanswer✔✔The bbclient's
bbblood bbpressure bbreading bbis bb184/88 bbmm bbHg