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Author Archives: Anonymous

The nurse caring for a client post colon resection is assess…

The nurse caring for a client post colon resection is assessing the client on the second postoperative day. The nasogastric tube (NG) remains patent and continues at low intermittent wall suction. What assessment finding would suggest that the client’s potassium levels are too low?

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A client with diabetes is attending a class on the preventio…

A client with diabetes is attending a class on the prevention of associated diseases. What action should the client perform to reduce the risk of osteomyelitis?

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The nurse is admitting a client to the unit who is diagnosed…

The nurse is admitting a client to the unit who is diagnosed with a lower motor neuron lesion. What entry in the client’s electronic record is most consistent with this diagnosis?

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The nurse is caring for a client who has a peripheral IV in…

The nurse is caring for a client who has a peripheral IV in place for fluid replacement. When caring for the client’s IV site, the nurse should

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When caring for a client who has had a stroke, a priority is…

When caring for a client who has had a stroke, a priority is reduction of ICP. What client position is most consistent with this goal?

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A postoperative client rapidly presents with hypotension; ra…

A postoperative client rapidly presents with hypotension; rapid, thready pulse; oliguria; and cold, pale skin. The nurse suspects that the client is experiencing a hemorrhage. What should be the nurse’s first action?

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A client with angina has been prescribed nitroglycerin. Befo…

A client with angina has been prescribed nitroglycerin. Before administering the drug, the nurse should inform the client about what potential adverse effects?

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A client is admitted to the medical unit with an exacerbatio…

A client is admitted to the medical unit with an exacerbation of multiple sclerosis. When assessing this client, the nurse has the client stick out her tongue and move it back and forth. What is the nurse assessing?

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While caring for a client with an endotracheal tube, the nur…

While caring for a client with an endotracheal tube, the nurse should normally provide suctioning how often?

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A nurse is collaborating with the physical therapist to plan…

A nurse is collaborating with the physical therapist to plan the care of a client with osteomyelitis. What principle should guide the management of activity and mobility in this client?

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