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Author Archives: Anonymous

The client approaches the nurse in the health clinic and sta…

The client approaches the nurse in the health clinic and states, I have been dealing with my spouse’s illnesses for years.  Now, my children want me to start babysitting my grandchildren. I don’t know whether I can handle all this. Which is the nurse’s most accurate interpretation of the client’s statement?

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The post-operative care (PACU) nurse provides care to a pati…

The post-operative care (PACU) nurse provides care to a patient who underwent a total hip replacement. The nurse is aware that the patient is a practicing Jehovah’s Witness. The primary care provider orders the administration of blood for the treatment of severe postoperative anemia. The patient is still very drowsy from general anesthesia and is unable to discuss the plan of care. The nurse understands that the blood transfusion is necessary for the patient’s survival. However, the nurse is also aware that the patient’s religious beliefs may prohibit the patient from receiving blood products. Which term best describes the conflict the nurses experienced?

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Client is receiving a low sodium diet. Which food should the…

Client is receiving a low sodium diet. Which food should the nurse teach the client to avoid because it is high in sodium?

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The nurse is caring for a patient who expresses dread and va…

The nurse is caring for a patient who expresses dread and vague uneasiness. The nurse assessment reveals the patient’s heart rate is elevated. Which of the nursing diagnosis is most appropriate for this patient?

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The nurse is aware that a patient argues with the patient sp…

The nurse is aware that a patient argues with the patient spouse, the patient becomes verbally abusive to the nurse who is providing care period which coping mechanism does the nurse recognize the patient is exhibiting?

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From which source is the nurse seeking information when aski…

From which source is the nurse seeking information when asking a clients wife specific questions about the clients health status before admission?

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Which action violates medical asepsis when the nurse makes a…

Which action violates medical asepsis when the nurse makes an occupied bed?

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A nonvisualized gallbladder is indicative of either gallblad…

A nonvisualized gallbladder is indicative of either gallbladder disease or the patient recently eating. Therefore, it is essential to determine when a patient last ate.

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________________describes a folded gallbladder fundus.

________________describes a folded gallbladder fundus.

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The area where the neck of the gallbladder joins the cystic…

The area where the neck of the gallbladder joins the cystic duct is described as the spiral valve due to its tortuous appearance. This reference is to appearance only because there is no valvular action.

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