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Author Archives: Anonymous

Order: 1500mL of NS with 20 mEq KCl to infuse over 12 hours….

Order: 1500mL of NS with 20 mEq KCl to infuse over 12 hours. How many mL/hr will the nurse set the IV pump?__________mL/hr (NUMERIC answers only. Round to the nearest whole number)

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A client is receiving thrombolytic therapy for treatment of…

A client is receiving thrombolytic therapy for treatment of a pulmonary embolism (PE). The nurse must monitor for which of the following potential adverse effects during therapy?

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The nurse is providing discharge teaching to a client with a…

The nurse is providing discharge teaching to a client with a chronic right ankle venous ulcer about wound care. What statement by the client indicates a need for further teaching?

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The nurse has received a change of shift report. Which clien…

The nurse has received a change of shift report. Which client should the nurse assess first?

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Which of the following would be an expected assessment findi…

Which of the following would be an expected assessment finding in a client admitted with chronic obstructive pulmonary disease (COPD)?

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A client with heart failure has bilateral 4+ edema of the ri…

A client with heart failure has bilateral 4+ edema of the right ankle that extends to midcalf. The client is sitting in a chair in no evident distress with the legs in a dependent position. What should the nurse do first?

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A nurse is reviewing a client’s most recent laboratory repor…

A nurse is reviewing a client’s most recent laboratory report. The patient’s magnesium level is 4.5 (Reference range 1.8-2.2 mg/dL). Which of the following assessments should the nurse perform first?

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The nurse is monitoring the closed chest drainage system of…

The nurse is monitoring the closed chest drainage system of a client diagnosed with a pneumothorax. Where will the nurse look to assess for an air leak in the chest drainage system?

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The nurse is instructing the client with end stage renal dis…

The nurse is instructing the client with end stage renal disease to maintain adequate nutritional intake. Which diet would be the most appropriate?

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A nurse is assessing a client’s respiratory status. Upon aus…

A nurse is assessing a client’s respiratory status. Upon auscultation the nurse hears a coarse, snore like sound in the lower lobes. When the patient coughs the sounds disappear. What adventitious sound is the nurse hearing?

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