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Author Archives: Anonymous

A nurse is caring for a client who has developed third-spaci…

A nurse is caring for a client who has developed third-spacing, evidenced by generalized edema, hypotension, and decreased urine output. Which of the following IV fluids should the nurse anticipate to help shift fluid back into the vascular space?

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A nurse notices that the skin surrounding the IV site was re…

A nurse notices that the skin surrounding the IV site was reddish in color and showing signs of inflammation. The nurse recognizes this as what?

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A nurse is caring for a client receiving oxygen therapy. Whi…

A nurse is caring for a client receiving oxygen therapy. Which of the following actions should the nurse take to prevent fire hazards in the client’s room?

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A nurse is educating a preoperative client on how to cough e…

A nurse is educating a preoperative client on how to cough effectively after abdominal surgery. What can the nurse tell the client to do to facilitate coughing?

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A nurse is caring for a client with a chest tube after a pne…

A nurse is caring for a client with a chest tube after a pneumothorax. During assessment, the nurse notices continuous bubbling in the water-seal chamber. Which of the following is the priority nursing action?

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An experienced nurse is mentoring a new nurse on the proper…

An experienced nurse is mentoring a new nurse on the proper use of hand hygiene. What is an accurate guideline that should be discussed?

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A nurse is caring for a patient scheduled for surgery who ex…

A nurse is caring for a patient scheduled for surgery who expresses fear and anxiety about the procedure. Which of the following is an appropriate nursing intervention to meet the patient’s psychological needs?

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A nurse is completing an 8-hr I&O record for a client who co…

A nurse is completing an 8-hr I&O record for a client who consumed 4 oz juice, 6 oz tea, a 100 mL cup full of ice chips, an IV bolus of 150 mL, and 8 oz broth. The nurse should record how many mL of intake on the client’s record? Type number ONLY. [BLANK-1]

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A client is admitted to the emergency department with severe…

A client is admitted to the emergency department with severe dehydration. The healthcare provider orders IV fluids as the client is unable to drink. Which IV solution should the nurse expect to administer?

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While administering an IV medication classified as a vesican…

While administering an IV medication classified as a vesicant, the nurse notices that the client reports severe pain and burning at the IV site. What is the priority nursing action?

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