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A nurse is reviewing the lab report of a client who has a mag level of 1.0meq/L. Which
of the following should the nurse expect? - Answer: Cardiac dysrrhythmia
A nurse is caring for a client who has breast cancer and has been receiving
chemotherapy.
Which of the lab values will you report to the provider? - Answer: WBC 3,000
A nurse is planning teaching for a client who is at 10 weeks of gestation and has a
history of urinary tract infections. Which of the following information should the nurse
plan to include in the teaching about UTI prevention? - Answer: Empty the bladder
before and after intercourse
A nurse is teaching a client about nutritional intake. Include in the teaching - Answer:
Carbs should be atleast 45%-65% of you caloric intake
A nurse is performing high-frequency chest compressions using a mechanical chest
compression device for a child who has cystic fibrosis. Which of the following findings
indicates the treatment has been effective? - Answer: The child has increased sputum
production
A nurse is discussing the z-track administration of hydroxyzine with a newly licensed
nurse. Which of the following statements indicates the newly licensed nurse
understands the purpose of the technique? - Answer: This technique decreases the risk
of subcutaneous infiltration
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APPHIA - Crafted with Care and Precision for Academic Excellence.
,A nurse is caring for a client who has heart failure and has started taking a loop diuretic.
Which of the following findings indicates the client is experiencing an adverse effect of
the medication - Answer: Decreased reflexes
Client who had a CVA. Perform to prevent foot dropping - Answer: Place positing boots
on the client's feet
A nurse in a provider's office is teaching a client 16 weeks of gestation and has a new
prescription for ferrous sulfate. What should the nurse include in the teaching - Answer:
Take you iron with fluids other than coffee and tea
A nurse is caring for a client who has a newly implanted sealed internal radiation device
to treat cervical cancer. Which of the following is an appropriate action for the nurse to
take? - Answer: Keep a 3 foot distance from the radiation implant
A charge nurse is evaluating the time management skills of a newly licensed nurse.
Which of the following actions should the charge nurse identify as an effective time
management skill? - Answer: Completes activities for one client before moving to the
next client
A nurse is performing an admission assessment for a client who is to undergo a
colonoscopy. The client states he took all his meds before coming. Which of the
following medication is priority to report to the provider - Answer: Clopidegrel
Four clients to an emergency department. The nurse should plan to see which of the
following first? - Answer: 50-year old client who has slurred speech, disoriented and
reports a headache
Placenta previa. Which of the following client findings should the nurse include? -
Answer: Bring red vaginal bleeding
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APPHIA - Crafted with Care and Precision for Academic Excellence.
, A nurse is caring for a client who has constricted pupils, delayed reflexes, and
decreased blood pressure. The nurse should identify that these findings are potential
manifestations of which of the following? - Answer: Opioid intoxication
A nurse in a clinic is teaching a client who is postmenopausal about estrogen therapy.
What should the nurse include in the teaching - Answer: estrogen therapy increase the
risk for thrombus formation
A nurse administers a dose of metoclopramide to a client prior to a chemotherapy
treatment. The client develops uncontrolled contraction of the head and neck muscles.
Which of the following medications should the nurse administer - Answer:
diphenhydramine
A nurse on a med-surg unit is caring for a group of clients. Which of the following clients
would benefit from a three-way indwelling catheter - Answer: female who is prone to
development of blood clots in the urine
A nurse is assessing the vital signs of a newborn who was born 8hrs ago. Which of the
following findings require interventions by the nurse? - Answer: blood pressure
Windshield survey - Answer: The availability of religious facilities.
A nurse is caring for a postoperative client. Which of the following interventions will
reduce the risk of DVT - Answer: apply venous plexus foot pumps
A nurse is providing teaching about car seat safety to the parent of a term newborn.
Which of the following statements by the parent indicates an understanding of the
teaching? - Answer: "I should place a rolled blanket along each side of my baby's head
in the car seat."
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APPHIA - Crafted with Care and Precision for Academic Excellence.