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Author Archives: Anonymous

The following data is available for a patient receiving volu…

The following data is available for a patient receiving volume-controlled mechanical ventilation.          10 am      2 pm     Ppeak (cm H2O)   25   36   Pplat (cm H2O)   15   26   Set VT (L)   0.6   0.6   PEEP (cm H2O)   5   5  The respiratory therapist should

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Apnea of prematurity is characterized by which of the follow…

Apnea of prematurity is characterized by which of the following:Periods of apnea that last 15-20 seconds or longerIncrease in oxygen saturationDecrease in respiratory rateBradycardia

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While auscultating the posterior lung bases of a healthy adu…

While auscultating the posterior lung bases of a healthy adult, the nurse hears soft, low-pitched sounds during inspiration that fade during expiration. How should the nurse properly confirm these are normal vesicular breath sounds?

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A 6-month-old infant is brought to the clinic for a routine…

A 6-month-old infant is brought to the clinic for a routine visit. The nurse notes a strong odor of urine, severe diaper rash with skin breakdown, delayed weight gain compared to previous growth percentiles, and dried formula around the infant’s mouth. The caregiver states, “Babies cry all the time; sometimes I just let him figure it out.” What is the nurse’s most appropriate action?

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A nurse is assessing a newborn’s hips using the Ortolani man…

A nurse is assessing a newborn’s hips using the Ortolani maneuver. Which action correctly demonstrates this technique?

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The nurse begins auscultating bowel sounds in a client with…

The nurse begins auscultating bowel sounds in a client with no prior abdominal surgery. Where should the nurse begin?

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To properly assess the Moro reflex, the nurse should:

To properly assess the Moro reflex, the nurse should:

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A nurse prepares to assess the patellar deep tendon reflex i…

A nurse prepares to assess the patellar deep tendon reflex in an adult client. Which action demonstrates correct technique?

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During abdominal percussion of a client with mild constipati…

During abdominal percussion of a client with mild constipation, the nurse notes: Predominanttympany in the RLQ Localizeddullness in the LLQ The client denies pain, fever, or acute symptoms. Which interpretation is most accurate?

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Case Scenario:  A nurse is caring for Mr. Reynolds, a 72-yea…

Case Scenario:  A nurse is caring for Mr. Reynolds, a 72-year-old client admitted with pneumonia and dehydration. During the assessment, the student obtains: Temperature: 38.1°C (100.6°F) Heart rate: 112 beats/min Respiratory rate: 24 breaths/min Blood pressure: 92/58 mm Hg Oxygen saturation: 91% on room air The client is awake, alert, and oriented ×4; skin is warm and slightly dry; and reports, “I feel weak and a little short of breath when I move.” The provider has prescribed oxygen PRN for SpO₂ < 92% and IV fluids at 75 mL/hr. Which finding should the nursing student identify as the highest priority?

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