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Author Archives: Anonymous

The nurse is caring for a client who is lethargic with decre…

The nurse is caring for a client who is lethargic with decreased deep tendon reflexes, shallow respirations, prolonged PR interval and widened QRS complexes on the ECG, and a magnesium level of 4.5 mg/dL. The nurse should anticipate which of the following orders for this client?   

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The nurse is assessing a client who had a thyroidectomy 12 h…

The nurse is assessing a client who had a thyroidectomy 12 hours ago and is reporting anxiety, tingling around the mouth, and muscle twitching in the hand. Which of the following actions would be a priority for the nurse to take?     

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A 28-year-old woman presents with excessive menstrual bleedi…

A 28-year-old woman presents with excessive menstrual bleeding, fatigue, pallor, and a craving for ice. Laboratory tests reveal low hemoglobin, low ferritin, and small and pale red blood cells. What is the most likely diagnosis for this client? 

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A nurse is monitoring a client with hepatorenal syndrome who…

A nurse is monitoring a client with hepatorenal syndrome who has developed oliguria, with urine output less than 500 mL/24 hours. Which laboratory finding would the nurse expect to see?

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A 58-year-old client is admitted to the hospital with sympto…

A 58-year-old client is admitted to the hospital with symptoms of nausea, vomiting, and weakness. Arterial blood gas (ABG) analysis reveals the following:    pH: 7.20          PaCO2: 40 mmHg       HCO3: 18 mEq/L   The nurse understands that this client’s arterial blood gas (ABG) reveals [condition] [description].

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A 50-year-old woman presents with complaints of weight gain,…

A 50-year-old woman presents with complaints of weight gain, easy bruising, and noticeable changes in her facial appearance, including a rounded face. Upon examination, her blood pressure is elevated, and she has a purple striae on her abdomen. What condition is most likely affecting this client? 

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You are the nurse providing care to a client experiencing ur…

You are the nurse providing care to a client experiencing urolithiasis. The stone measures 2 mm in size per CT imaging. The client reports a pain level of 10/10 based on a 0-10 pain scale.  Which nursing [intervention1] and [intervention2] are priorities for this client based on the scenario?     

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The nurse is caring for multiple clients in the respiratory…

The nurse is caring for multiple clients in the respiratory unit. Based on the clients’ conditions and the need for nursing interventions, which client should the nurse prioritize first?  

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A 75-year-old client is admitted to the hospital for managem…

A 75-year-old client is admitted to the hospital for management of worsening palpitations and shortness of breath. The rhythm below is shown on the cardiac monitoring. The nurse understands this client is experiencing which rhythm?         

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A 45-year-old female client is diagnosed with hyperthyroidis…

A 45-year-old female client is diagnosed with hyperthyroidism.  The nurse should anticipate which of the following orders. 

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