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Author Archives: Anonymous

A dietitian is explaining the MyPlate program to a client wi…

A dietitian is explaining the MyPlate program to a client with diabetes. Which aspect of MyPlate is most valuable for this client’s meal planning?

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A nurse is educating staff about aspiration risk in ICU clie…

A nurse is educating staff about aspiration risk in ICU clients. Which statements accurately reflect risk factors for aspiration in this setting? Select all that apply.

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A client receiving parenteral nutrition (PN) develops sudden…

A client receiving parenteral nutrition (PN) develops sudden fever, chills, and hypotension. The nurse suspects a catheter-related bloodstream infection. Which intervention is most crucial in preventing this complication?

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A nurse receives laboratory results showing serum potassium…

A nurse receives laboratory results showing serum potassium of 6.4 mEq/L for a client with chronic kidney disease. The client is alert and denies symptoms. Which assessment should the nurse prioritize immediately to evaluate for life-threatening complications?

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A nurse observes a colleague documenting that a client “clai…

A nurse observes a colleague documenting that a client “claims” pain is 8/10 but notes the client was laughing with visitors and ambulating without difficulty. The colleague states, “I gave only half the ordered PRN dose because the client doesn’t look like they’re really in that much pain.” Which understanding about factors influencing pain management should guide the observing nurse’s response?

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A nurse assesses a client with severe vomiting and diarrhea…

A nurse assesses a client with severe vomiting and diarrhea for three days. Laboratory results show sodium 128 mEq/L (normal 136-145), decreased extracellular fluid volume, and increased urine osmolality despite low serum osmolality. Which compensatory process best explains the body’s attempt to regulate electrolyte and fluid balance in this client?

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A 78-year-old client with Parkinson’s disease is admitted to…

A 78-year-old client with Parkinson’s disease is admitted to the hospital for pneumonia treatment. Which factor most significantly increases this client’s risk for aspiration?

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A trauma client who sustained significant blood loss from a…

A trauma client who sustained significant blood loss from a motor vehicle accident arrives in the emergency department hypotensive with decreased urine output. The nurse anticipates aggressive fluid resuscitation. Which physiological process will primarily regulate restoration of the client’s extracellular fluid volume following hemorrhage?

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A client with traumatic brain injury affecting the hypothala…

A client with traumatic brain injury affecting the hypothalamus demonstrates irregular sleep-wake patterns, sleeping briefly at random times throughout the day and night with no clear circadian rhythm. Which aspects of sleep regulation disruption explain these findings? Select all that apply.

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An older adult client recently widowed after 45 years of mar…

An older adult client recently widowed after 45 years of marriage reports severe insomnia, early morning awakening, and feeling unrested despite spending 10-12 hours in bed. The client’s adult children ask the nurse what factors might be contributing to their parent’s sleep problems. Which explanations are appropriate? Select all that apply.

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