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Author Archives: Anonymous

A nurse applies clinical judgment when analyzing assessment…

A nurse applies clinical judgment when analyzing assessment findings for a client with limited mobility. Which actions demonstrate sound clinical judgment? Select all that apply.

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A nurse teaches about sleep disorders. Which characteristics…

A nurse teaches about sleep disorders. Which characteristics distinguish insomnia from narcolepsy? Select all that apply.

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A nurse is developing a care plan for a client with a long-t…

A nurse is developing a care plan for a client with a long-term indwelling urinary catheter. Which interventions are appropriate to reduce the risk of catheter-associated urinary tract infection (CAUTI)? Select all that apply.

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A client with acute pancreatitis develops perioral tingling…

A client with acute pancreatitis develops perioral tingling and muscle cramps. Which regulatory processes are disrupted? Select all that apply.

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A nurse reviews pain management outcomes and discovers that…

A nurse reviews pain management outcomes and discovers that patients with high self-reported pain scores receive less analgesic medication than ordered. Chart reviews reveal nurses documented concerns about “exaggerated pain behaviors.” Which barrier does this situation reflect?

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A client with a colostomy reports skin irritation around the…

A client with a colostomy reports skin irritation around the stoma. Which nursing intervention should be prioritized?

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A nurse inspects IV tubing when flow decreases. Which factor…

A nurse inspects IV tubing when flow decreases. Which factors could obstruct IV flow? Select all that apply.

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A nurse assesses two clients. Client A describes chest pain…

A nurse assesses two clients. Client A describes chest pain as “crushing and viselike.” Client B describes incisional pain as “dull, aching, and throbbing.” Which analysis of these pain descriptors guides appropriate pain management?

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A nurse assesses a client’s IV site and notes the infusion r…

A nurse assesses a client’s IV site and notes the infusion rate has decreased significantly. The site appears slightly swollen, cool to touch, and the client reports mild discomfort. The EID is functioning properly. What is the priority action?

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A client at high risk for electrolyte imbalances requires fo…

A client at high risk for electrolyte imbalances requires focused assessment. Which assessment categories should the nurse include? Select all that apply.

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