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Author Archives: Anonymous

A client with a new tracheostomy becomes acutely dyspneic, a…

A client with a new tracheostomy becomes acutely dyspneic, and the trach tube is found on the bed within 24 hours of insertion. What is the nurse’s priority action?

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Which of the following dietary plans would be appropriate fo…

Which of the following dietary plans would be appropriate for the patient with COPD?

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The client returns from the operating room after having a tr…

The client returns from the operating room after having a tracheostomy. While assessing the client, which observation made by the nurse warrant immediate notification of the physician?

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A client is being discharged soon on warfarin therapy. What…

A client is being discharged soon on warfarin therapy. What menu selection for dinner indicates that the client needs more education regarding this medication?

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A client with a possible pulmonary embolism complains of che…

A client with a possible pulmonary embolism complains of chest pain and difficulty breathing. The nurse assesses a heart rate of 142 beats/min, blood pressure of 100/60 mm Hg, respirations of 42 breaths/min, and an oxygen saturation of 80%. Which action should the nurse take first?

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Which intervention is most important for the patient receivi…

Which intervention is most important for the patient receiving a nebulizer treatment who is laying in the supine position?

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An elderly school teacher with chronic obstructive pulmonary…

An elderly school teacher with chronic obstructive pulmonary disease (COPD) taking prednisone asks if it is necessary to get the pneumonia vaccine. What is the best response by the nurse?

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A client with COPD has come in for a routine check-up. The n…

A client with COPD has come in for a routine check-up. The nurse notices he has lost 5lbs since his check-up a month ago. The nurse knows that this finding may be related to which of the following?

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Which action prevents ventilator acquired pneumonia (VAP)?

Which action prevents ventilator acquired pneumonia (VAP)?

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The nurse is caring for a client on a partial rebreather mas…

The nurse is caring for a client on a partial rebreather mask receiving 75% oxygen and whose O2 saturation is 86%. What is the nurse’s first action?

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