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Author Archives: Anonymous

A client with newly diagnosed emphysema is admitted to the m…

A client with newly diagnosed emphysema is admitted to the medical-surgical unit for evaluation. Which does the nurse recognize as a deformity of the chest wall that occurs as a result of overinflation of the lungs in this client population? 

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A nurse is providing discharge teaching for a client who req…

A nurse is providing discharge teaching for a client who requires home oxygen therapy.  Which of the following statements should the nurse identify as an indication that the client needs FURTHER teaching?

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While performing an admission assessment for a client, the R…

While performing an admission assessment for a client, the RN notes that the client has varicose veins with ulcerations and lower extremity edema with a report of a feeling of heaviness. Which of the following nursing diagnoses should the nurse identify as being the priority in the client’s care?

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A patient is being treated with unfractionated heparin after…

A patient is being treated with unfractionated heparin after admission, which is being administered intravenously. The nurse who is providing care for this patient should consequently prioritize what assessments?

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A postoperative client who underwent surgery 12 hours ago is…

A postoperative client who underwent surgery 12 hours ago is found having difficulty breathing. He has petechiae over his chest, dyspnea and complains of acute chest pain. What action should the nurse take first?

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An older adult client with heart failure is being discharged…

An older adult client with heart failure is being discharged home on an ACE inhibitor and a loop diuretic. The client’s most recent vital signs prior to discharge include oxygen saturation of 93% on room air, heart rate of 81 beats per minute, and blood pressure of 89/59 mm Hg. When planning this client’s subsequent care, what nursing diagnosis should be identified for this client regarding the current presentation?

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A patient is seen in the emergency department (ED) with hear…

A patient is seen in the emergency department (ED) with heart failure. What key diagnostic test does the nurse assess to determine the severity of the patient’s heart failure?

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Given two consecutive frames ‘0003FFE’ and ‘0004002’. How ma…

Given two consecutive frames ‘0003FFE’ and ‘0004002’. How many “BYTES” are there in a single frame?

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A client with a history of right-sided heart failure lives i…

A client with a history of right-sided heart failure lives in a long-term care facility. In the daily assessment, the nurse is required to record the level of this client’s peripheral edema. Which would be the main area for examination?

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Graduated compression stockings have been prescribed to trea…

Graduated compression stockings have been prescribed to treat a client’s venous insufficiency. What education should the nurse prioritize when introducing this intervention to the client?

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