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Author Archives: Anonymous

A client with diabetes reports washing the feet daily. The n…

A client with diabetes reports washing the feet daily. The nurse is teaching the client how to prevent foot complications. Which action should the nurse include? 

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A client receiving patient-controlled analgesia (PCA) report…

A client receiving patient-controlled analgesia (PCA) reports continued pain. Which instruction should the nurse provide?

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A nurse assesses an older adult who has an unsteady gait and…

A nurse assesses an older adult who has an unsteady gait and difficulty maintaining balance while walking. Which assistive devices could help improve the client’s stability during ambulation? Select all that apply

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While receiving a bath, a client develops shortness of breat…

While receiving a bath, a client develops shortness of breath and labored breathing with a respiratory rate of 30/min. The client is lying flat. Which position should the nurse use to promote easier breathing? 

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Which finding is most consistent with dementia?

Which finding is most consistent with dementia?

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A parent tells the nurse, “The parenting techniques that wor…

A parent tells the nurse, “The parenting techniques that worked with my first child do not seem to work with my second child.” Which concept should the nurse use to explain the children’s different responses?

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A nurse is assessing a client who is breathing faster and de…

A nurse is assessing a client who is breathing faster and deeper than normal. The nurse explains that this type of breathing can cause the body to remove too much carbon dioxide. Which statements describe hyperventilation? Select all that apply.

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A client with a respiratory disorder is receiving oxygen the…

A client with a respiratory disorder is receiving oxygen therapy. During the assessment, the nurse notes changes in the client’s condition. Which finding requires the nurse to recognize that hypoxia may be worsening?

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A nurse is providing a complete bed bath to a client who is…

A nurse is providing a complete bed bath to a client who is unable to get out of bed. The nurse begins by washing the client’s far side before the near side. What is the primary reason for using this technique?   

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A confused older adult tells the nurse, “It is Monday, and I…

A confused older adult tells the nurse, “It is Monday, and I need to go home because my daughter is coming to pick me up.” The nurse knows it is Tuesday. Which response demonstrates validation therapy?

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