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Author Archives: Anonymous

In developing a care plan for a patient with an open reducti…

In developing a care plan for a patient with an open reduction internal fixation (ORIF) of an open displaced fracture of the tibia,  what is the priority nursing diagnosis?

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Which intervention is most effective in mobilizing secretion…

Which intervention is most effective in mobilizing secretions in a patient with pneumonia?

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A client presents with a pressure ulcer on the ankle. What s…

A client presents with a pressure ulcer on the ankle. What should the nurse do first?

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A patient is admitted to the ER with severe fatigue and conf…

A patient is admitted to the ER with severe fatigue and confusion. Lab studies are done. Which lab value will require the most immediate action by the nurse?

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A patient develops megaloblastic anemia. The nurse will anti…

A patient develops megaloblastic anemia. The nurse will anticipate teaching the patient about increasing oral intake of:

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A 48-year-old patient is taking glipizide (Glucotrol) bid fo…

A 48-year-old patient is taking glipizide (Glucotrol) bid for control of Type 2 diabetes. Which statement by the patient indicates that he needs additional teaching about is medication?

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A client is brought to the emergency department after wander…

A client is brought to the emergency department after wandering on the street. The client is confused and verbalizes double vision, headache, and shakiness. Laboratory data reveal a serum blood glucose of 52 mg/dl. Which questions, asked by the nurse, may reveal more data related to the client’s condition? (Select all that apply)

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A nurse is assessing a postoperative patient’s pain. The pat…

A nurse is assessing a postoperative patient’s pain. The patient reports abdominal pain rated 6 out of 10, which began after coughing. The patient states that rest and pain medication alleviate the pain, while coughing exacerbates it. Which element of the pain assessment is missing?

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A nurse is preparing to administer a medication to a patient…

A nurse is preparing to administer a medication to a patient who has overdosed on opioids. Which medication is the appropriate reversal agent for opioid overdose?

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A client with contact dermatitis asks the nurse how he could…

A client with contact dermatitis asks the nurse how he could have developed the condition. Which etiology should the nurse include in a response to the client?

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