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Author Archives: Anonymous

The nurse is monitoring the patient for signs of hypocalcemi…

The nurse is monitoring the patient for signs of hypocalcemia. Which of the following assessment findings would indicate neuromuscular irritability associated with low calcium? (Select all that apply)

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The patient is recovering. The nurse provides discharge educ…

The patient is recovering. The nurse provides discharge education. Which of the following statements by the patient demonstrates a need for further education?

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The provider orders an endoscopy. While waiting for the diag…

The provider orders an endoscopy. While waiting for the diagnostic study to be performed, the physician orders Glucagon 1 mg IVP in an attempt to dislodge the food bolus. The nurse knows the purpose of glucagon administration is to:

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Based on the initial vital signs (BP 92/54, HR 128), the pat…

Based on the initial vital signs (BP 92/54, HR 128), the patient is displaying signs of significant volume depletion. Which physiological factor is a primary contributor to severe dehydration in the patient?

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Which statement by the patient indicates a correct understan…

Which statement by the patient indicates a correct understanding of oral self-examination at home?

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The next day the nurse is evaluating the effectiveness of th…

The next day the nurse is evaluating the effectiveness of the desmopressin (DDAVP) and fluid replacement. Which finding indicates that the treatment is successful and the DI is resolving?

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A nurse is monitoring a client who is receiving a unit of pa…

A nurse is monitoring a client who is receiving a unit of packed red blood cells (PRBCs). Thirty minutes into the transfusion, the client develops acute dyspnea, hypertension, bounding pulses, and bilateral crackles on lung auscultation. Oxygen saturation has decreased from 96% to 88%. Which is the priority nursing intervention?

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A patient with sepsis has the following ABG: • pH 7.25 • PaC…

A patient with sepsis has the following ABG: • pH 7.25 • PaCO₂ 28 mmHg • HCO₃⁻ 14 mEq/L What is the acid-base imbalance?

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A 72-year-old client is admitted with confusion, headache, n…

A 72-year-old client is admitted with confusion, headache, nausea, and muscle cramps. Laboratory results reveal: Sodium: 124 mEq/L (Normal: 135–145 mEq/L) Potassium: 4.2 mEq/L (Normal: 3.5–5 mEq/L ) Which nursing intervention should the nurse implement first?

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A nurse is caring for an older adult admitted with severe de…

A nurse is caring for an older adult admitted with severe dehydration. Assessment findings include dry mucous membranes, poor skin turgor, urine output of 15 mL/hr, heart rate 118/min, blood pressure 88/54 mm Hg, and elevated BUN levels. Which nursing action is the priority?

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