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1. A nurse and a provider Office is assisting with -delayed wound healing
the care of a client who has a new diagnosis of -glucose levels
type two diabetes mellitus. The client is at risk
for developing _____ during to _____.
2. A nurse is assisting in the care of a client who -hypocalcemia
is one day postoperative following a total thy- -muscle spasms
roidectomy. The client is the greatest risk for
developing _____ as evidenced by _____.
3. A nurse in the emergency department is assist- -serotonin syndrome
ing in the care of a client. The nurse should -altered mental status
suspect the client is experiencing _____ as evi-
denced by the client's _____.
4. A nurse is caring for a client in an outpatient -Heart failure
setting. The client is exhibiting manifestations of -BNP level
_____ as evidenced by the client's drop _____.
5. A nurse is assisting with the care of an ado- -Bacterial Meningitis:
lescent client in the emergency department. For fever, photophobia,
each finding click to specify if the finding is con- pain, mental status, and
sistent with bacterial meningitis or encephalitis. rash
Each finding may support more than one dis- -Encephalitis: fever,
ease process. pain, and mental status
6. A nurse is assisting in the care of a client -pain
who is postoperative following an appendecto- -nausea
my. Which of the following client findings should -heart rate
the nurse report to the charge nurse? -oxygen saturation
7. A nurse is assisting with the care of a client who -Respirations
is pregnant in the acute care setting. The nurse -LOC
should first address the client's _____, followed
by the _____.
8. A nurse in an urgent care setting is assisting -Requires follow-up: BP,
with the care of a client. For each finding click to Heart rate, HbA1c, and
specify if the finding requires follow-up or does BMI
not require follow up. -Does not require fol-
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low-up: Sodium and
BUN
9. A nurse is assisting with the admission of an complete a fall risk as-
older adult client. Which of the following actions sessment on the client
should the nurse take first?
10. A nurse is reinforcing teaching about puberty you will likely gain
with a group of prepubescent female clients. weight before you start
Which of the following information should the to get taller
nurse include in the teaching?
11. A nurse is assisting with planning palliative care administer atropine to
for a client who has stage IV cancer and is in reduce the clients respi-
the active stage of dying. Which of the following ratory secretions
interventions should the nurse include in the
plan of care?
12. A nurse is collecting a urine specimen for a fe- Urine specific gravity of
male client who has diabetes insipidus. Which of 1.002
the following findings should the nurse expect?
13. A nurse is contributing to the plan of care for a Place the client in a pri-
client who has viral meningitis. Which of the fol- vate room.
lowing interventions should the nurse include?
14. A nurse is assisting with the care of a client -dysrhythmia
who is postoperative following coronary artery -Laboratory reports and
bypass surgery (CABG). The client is at great- muscle cramps
est risk for developing _____ as evidenced by
_____.
15. A nurse is assisting with the care of a client who -seizures
is 24 hours postoperative following a cesarean -severe features of
birth. The client is a risk for developing _____ as preeclampsia
evidenced by _____.
16. A nurse is assisting with the care of a client. Action 1:?
Complete the diagram by dragging from the Action 2:?
choices below to specify what condition the Potential Condition: So-
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client is most likely experiencing, 2 actions the matic symptom disorder
nurse should take to address the condition, and Parameter to Monitor 1:
2 parameters the nurse should monitor to as- Secondary gains from
sess the client's progress. their illness
Parameter to Monitor 2:
Physical manifestations
Upon recognizing and
analyzing the client's
assessment findings,
such as joint pain and
physical inactivity, the
nurse's priority hypoth-
esis is that the client
is most likely experienc-
ing somatic symptom
disorder. It is essential
to generate solutions
and take actions by
monitoring for both the
presence of secondary
gains from their illness
and the client's physical
manifestations. Somat-
ic symptom disorders
are characterized by the
presence of many phys-
ical manifestations like
dizziness, nausea, back
pain, joint pain, etc. The
nurse should evaluate
and monitor the client's
vital signs and pain lev-
el.
17. A nurse is assisting in the care of a client who -Firmly massage the
is one hour postpartum. Select the 6 actions the uterine fundus
nurse should take. -Administer methyler-
gonovine