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Author Archives: Anonymous

A female client is on isolation because she acquired a methi…

A female client is on isolation because she acquired a methicillin-resistant aureus (MRSA) infection during hospitalization for hip replacement surgery. What name is given to this type of infection?  

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The nurse is making hourly rounds on the surgical unit and a…

The nurse is making hourly rounds on the surgical unit and a client requests a glass of water.  How should the nurse respond?  

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Follow instructions for rounding for each question.  Label a…

Follow instructions for rounding for each question.  Label all answers to receive credit. All labels must be written in approved abbreviations from Pickar or Taylor textbook. The health care provider orders digoxin (Lanoxin) 125 mcg IV. How many mL will the nurse administer?

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Follow instructions for rounding for each question.  Label a…

Follow instructions for rounding for each question.  Label all answers to receive credit. All labels must be written in approved abbreviations from Pickar or Taylor textbook. If a medication is ordered q6h, how many doses per day will the client receive?  

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The nurse is caring for a client who has been newly diagnose…

The nurse is caring for a client who has been newly diagnosed with diabetes. One of the outcomes in the client’s plan of care is: “Client will demonstrate correct technique for self-injecting insulin within 3 days.” Before lunch, the nurse observed the client draw up and administer his insulin successfully. How should the nurse follow up on this observation?

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The client refuses a scheduled dose of digoxin (Lanoxin). Ho…

The client refuses a scheduled dose of digoxin (Lanoxin). How should the nurse document the event?

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The unlicensed assistive personnel (UAP) has reported a clie…

The unlicensed assistive personnel (UAP) has reported a client’s oral temperature of 95.5F. The nurse’s best response is to  

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The nurse prepares to obtain a blood pressure reading on a c…

The nurse prepares to obtain a blood pressure reading on a client who returned from the recovery room following left hip replacement. Intravenous fluids are infusing in the right antecubital area.  The nurse knows the most appropriate site to take the blood pressure is the:

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A nurse is approached by a family member who is visiting fro…

A nurse is approached by a family member who is visiting from out of state and has come to see their relative. The client is off the floor having a procedure done and will not return for at least an hour.  The family member is agitated that they missed the client and would like some information from the nurse.  The nurse’s best course of action is to

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The nurse has delegated oral care for an unconscious client…

The nurse has delegated oral care for an unconscious client to an unlicensed assistive personnel (UAP). Which action by the UAP requires immediate intervention by the nurse?

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