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Author Archives: Anonymous

A client with a total laryngectomy is experiencing thickened…

A client with a total laryngectomy is experiencing thickened secretions and difficulty clearing the airway. What is the nurse’s priority action?

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A client with burns covering 35% of total body surface area…

A client with burns covering 35% of total body surface area (TBSA) arrives at the emergency department in the emergent phase of burn injury. The nurse observes tachycardia, hypotension, and rapid shallow respirations. What is the nurse’s priority intervention?

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A nurse is admitting a client with pneumonia. The client was…

A nurse is admitting a client with pneumonia. The client was transferred from a long-term care facility where they have resided for the past 3 months. The onset of symptoms occurred 5 days prior to admission. Based on the classification system, how should the nurse categorize this client’s pneumonia?

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Oxygen consumption by the cells in the stratum basale is ___…

Oxygen consumption by the cells in the stratum basale is _________________ oxygen consumption by cells in the stratrum corneum.

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A nurse is reviewing a client’s ASA physical status classifi…

A nurse is reviewing a client’s ASA physical status classification prior to surgery. Which statement best explains the significance of a higher ASA classification?

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A nurse is working in an Emergency Department (ED) and is aw…

A nurse is working in an Emergency Department (ED) and is aware of the risks of workplace violence. The ED manager is implementing a comprehensive workplace violence prevention program. Which measures are recommended to protect staff from workplace violence in the ED? Select all that apply.

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A client recovering from an autograft procedure reports seve…

A client recovering from an autograft procedure reports severe itching at the donor site on postoperative day 5. The nurse observes localized erythema and increased warmth at the site. What is the nurse’s priority action?

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A family brings their 8-year-old child to the clinic after a…

A family brings their 8-year-old child to the clinic after a confirmed diagnosis of pediculosis capitis (head lice). They ask the nurse how to effectively complete the treatment plan at home. Which statements by the parents indicate correct understanding? Select all that apply.

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A client with dark skin is being assessed for suspected blee…

A client with dark skin is being assessed for suspected bleeding tendencies. To accurately evaluate for petechiae, which anatomical sites should the nurse examine? Select all that apply.

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A nurse is interpreting arterial blood gas (ABG) results for…

A nurse is interpreting arterial blood gas (ABG) results for a client suspected of having acute respiratory failure (ARF). The client’s ABG reveals a PaO2 of 55 mm Hg, a PaCO2 of 42 mm Hg, and a pH of 7.40. Based on these findings, the nurse should classify this client’s ARF as:

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