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Author Archives: Anonymous

The nurse is teaching a client with chronic obstructive pulm…

The nurse is teaching a client with chronic obstructive pulmonary disease (COPD) to assess for signs and symptoms of cor pulmonale.  Which signs and symptoms should be included in the teaching plan?

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A client experiencing a severe asthma attack has the followi…

A client experiencing a severe asthma attack has the following arterial blood gas (ABG) results: Lab Result Range pH 7.33 7.35-7.45 PaCO2 48 35-45 HCO3 26 22-26 PaO2 58 80-100 Which order is the priority for the nurse to implement?

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A nurse is developing a SMART goal for a client with a weigh…

A nurse is developing a SMART goal for a client with a weight bearing restriction to their right leg.  Which of the following is an example of a SMART goal?

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A patient comes to the emergency room with complaints surrou…

A patient comes to the emergency room with complaints surrounding a COPD exacerbation.  The nurse anticipates all of the following physical assessment findings except:

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A school nurse assesses a child’s hair for pediculosis capit…

A school nurse assesses a child’s hair for pediculosis capitis (head lice). Which of the following manifestations should the nurse recognize as an indication of this condition?

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A nurse is preparing to teach a client and caregiver about t…

A nurse is preparing to teach a client and caregiver about the antidepressant therapy which will be continued at home. Which precaution should the nurse recommend, if the client experiences dizziness when getting out of bed?

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A client newly diagnosed with obsessive-compulsive disorder…

A client newly diagnosed with obsessive-compulsive disorder (OCD) is seen by a nurse in the urgent care. The client is complaining of hair loss after frequent, persistent showers. Which of the following is the best goal for the client at this time?

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When teaching a client with generalized anxiety disorder, wh…

When teaching a client with generalized anxiety disorder, which is the highest priority for the nurse to teach the client to avoid?

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The nurse has completed the in-take assessment on a new clie…

The nurse has completed the in-take assessment on a new client diagnosed with obsessive-compulsive disorder (OCD). The client is experiencing a high number of compulsive behaviors and states “it continues to make work difficult.” What nursing intervention would best help the client decrease the frequency of compulsive behaviors?

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A client who just went through an upsetting divorce is threa…

A client who just went through an upsetting divorce is threatening to commit suicide with a handgun. The client is involuntarily admitted to the psychiatric unit. Which potential nursing problem has the highest priority?

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