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Author Archives: Anonymous

A nurse has entered the room of a client with cirrhosis and…

A nurse has entered the room of a client with cirrhosis and found the client on the floor. The client reports falling when transferring to the commode. The client’s vital signs are within reference ranges and the nurse observes no apparent injuries. What is the nurse’s most appropriate action?

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A patient with acute renal failure has a potassium of 6.5 mE…

A patient with acute renal failure has a potassium of 6.5 mEq/L. The priority intervention is to:

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A patient with newly diagnosed asthma is prescribed a short-…

A patient with newly diagnosed asthma is prescribed a short-acting beta-agonist (SABA) and an inhaled corticosteroid (ICS). Which statement about proper inhaler use indicates effective learning?

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A patient with a known calcium oxalate stone asks for dietar…

A patient with a known calcium oxalate stone asks for dietary advice. Which recommendation is most appropriate to reduce recurrence?

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Which finding indicates that airway clearance interventions…

Which finding indicates that airway clearance interventions (e.g., chest physiotherapy, hydration) are effective for a patient with chronic bronchitis?

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Which ABG suggests a mixed respiratory and metabolic acidosi…

Which ABG suggests a mixed respiratory and metabolic acidosis?

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A 30-year-old patient with status asthmaticus continues to w…

A 30-year-old patient with status asthmaticus continues to wheeze despite nebulized albuterol. Which intervention is priority?

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A patient with gallstones develops jaundice, dark urine, and…

A patient with gallstones develops jaundice, dark urine, and clay-colored stools. The nurse suspects:

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A 72-year-old with BPH is scheduled for a transurethral rese…

A 72-year-old with BPH is scheduled for a transurethral resection of the prostate (TURP). Which post-op complication is the nurse most concerned about in the first 24 hours?

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A patient with bulimia presenting with excessive vomiting is…

A patient with bulimia presenting with excessive vomiting is at risk for hypochloremia and:

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