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Author Archives: Anonymous

The nurse observes redness and drainage at the CVC insertion…

The nurse observes redness and drainage at the CVC insertion site during a dressing change. What is the nurse’s best action?

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A nurse prepares to administer a TB skin test. Which techniq…

A nurse prepares to administer a TB skin test. Which technique is appropriate?

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A nurse on a quality improvement committee is reviewing fall…

A nurse on a quality improvement committee is reviewing fall-prevention practices. Which action exemplifies the nurse’s professional role in quality and safety?

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A client on long-term enteral nutrition via PEG tube complai…

A client on long-term enteral nutrition via PEG tube complains of diarrhea. Which action should the nurse do first?

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A client is prescribed an intramuscular (IM) injection but r…

A client is prescribed an intramuscular (IM) injection but refuses to receive it in the gluteal region. What is the nurse’s best action?

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A nurse administers a 2 mL intramuscular (IM) injection in t…

A nurse administers a 2 mL intramuscular (IM) injection in the vastus lateralis of an adult. Which action prevents tissue irritation?

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How often should a transparent semipermeable CVC dressing ty…

How often should a transparent semipermeable CVC dressing typically be changed?

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The client has just had a transfusion ordered for severe ane…

The client has just had a transfusion ordered for severe anemia. The nurse is gathering the supplies that are needed in order to transfuse the client. What kind of tubing does the nurse know is needed to infuse blood or blood products?

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A confused client tries to leave the facility. The nurse app…

A confused client tries to leave the facility. The nurse applies wrist restraints without a prescription. What legal issue exists?

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The RN caring for a client receiving a transfusion notes 15…

The RN caring for a client receiving a transfusion notes 15 minutes after the infusion of packed red blood cells (PRBCs) has begun, the client is having fever, chills, difficulty breathing, and complains of severe chest tightness. What is the most appropriate initial action for the RN to take?

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