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Author Archives: Anonymous

The home care nurse is monitoring a pregnant client who is a…

The home care nurse is monitoring a pregnant client who is at risk for preeclampsia. At each home care visit, the nurse assesses the client for which sign of preeclampsia?

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The patient is unresponsive, without a pulse and this rhythm…

The patient is unresponsive, without a pulse and this rhythm is showing on the monitor. What action by the nurse would be most appropriate?

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The nurse obtains a rhythm strip on a patient who has had a…

The nurse obtains a rhythm strip on a patient who has had a myocardial infarction and makes the following analysis: no visible P waves, PR interval not measurable, ventricular rate of 150, R-R interval regular, QRS complex wide and distorted, and QRS duration of 0.18 second. How should the nurse interpret this cardiac rhythm?

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Three important factors of Virchow’s triad that increases th…

Three important factors of Virchow’s triad that increases the risk for DVT and then PE are: Select all that apply.

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A nurse is caring for a patient prescribed clopidogrel. Whic…

A nurse is caring for a patient prescribed clopidogrel. Which findings should prompt the nurse to suspect possible bleeding and notify the healthcare provider? (Select all that apply.)

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The nurse is monitoring a client with A fib who is receiving…

The nurse is monitoring a client with A fib who is receiving digoxin.  Which findings would the nurse expect if the patient had dig toxicity? Select all that apply

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The nurse teaches a client about dietary modifications to he…

The nurse teaches a client about dietary modifications to help manage their newly diagnosed stage 1 hypertension. Which action should the nurse take first to assist the patient in making these dietary changes?

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A nurse is caring for a client with newly diagnosed hyperten…

A nurse is caring for a client with newly diagnosed hypertension who has been prescribed lisinopril. After reviewing the client’s morning labs, which finding requires the nurse to hold the medication and notify the provider?  

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The nurse is reviewing the 12-lead ECG for a healthy older a…

The nurse is reviewing the 12-lead ECG for a healthy older adult patient who is having an annual physical exam. What finding should be of most concern to the nurse?

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A nurse reviews a client’s ECG and notes a PR interval of 0….

A nurse reviews a client’s ECG and notes a PR interval of 0.24 seconds. The client reports mild fatigue but is otherwise stable. Which interpretation is most accurate?

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