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Author Archives: Anonymous

Complete the following sentence by choosing from the list of…

Complete the following sentence by choosing from the list of options. The client is most likely experiencing as most evidenced by .

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A nurse is providing discharge teaching to the parents of an…

A nurse is providing discharge teaching to the parents of an infant who recently had a ventriculoperitoneal (VP) shunt placed. Which of the following statements indicate a need for further teaching? (Select all that apply).

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A client at 18 weeks’ gestation is diagnosed with cervical i…

A client at 18 weeks’ gestation is diagnosed with cervical insufficiency. Which assessment finding most strongly supports this diagnosis?

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The client is at highest risk for developing related to .

The client is at highest risk for developing related to .

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A breastfeeding client reports nipple pain and cracking on p…

A breastfeeding client reports nipple pain and cracking on postpartum day 2. Which is the nurse’s priority intervention?

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The nurse is reviewing the assessment findings. Select the 3…

The nurse is reviewing the assessment findings. Select the 3 findings that require immediate follow-up.

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A nurse is educating a parent on preventing dehydration in a…

A nurse is educating a parent on preventing dehydration in a child with a fever and mild respiratory symptoms. Which instruction should the nurse prioritize to ensure effective hydration management at home?

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A G1P0 client’s cervix is 8 cm dilated, 100% effaced and +1…

A G1P0 client’s cervix is 8 cm dilated, 100% effaced and +1 station. What action by the nurse is most important?

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The nurse is assessing primitive reflexes in a newborn. Whic…

The nurse is assessing primitive reflexes in a newborn. Which response indicates a normal Moro reflex?

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A nurse receives the following orders at 0910 for a newborn…

A nurse receives the following orders at 0910 for a newborn who is being treated for jaundice in the NICU. The newborn’s serum bilirubin level was drawn 0850 and resulted at 11 mg/dL. Start phototherapy- 2 lights and one bili blanket Obtain transcutaneous bilirubin levels every 3 hours Obtain serum bilirubin levels every 6 hours Consult with lactation consultant Strict I & O Vitals signs every 2 hours Which of the following should the nurse perform first?

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