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Author Archives: Anonymous

After receiving change-of-shift report on a medical-surgical…

After receiving change-of-shift report on a medical-surgical unit, which client should the nurse assess first?  

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A client with a venous thromboembolism (VTE) is receiving a…

A client with a venous thromboembolism (VTE) is receiving a continuous intravenous infusion of heparin. Which assessment finding is the priority for the nurse to report to the healthcare provider?  

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A client with Stage 4 Chronic Kidney Disease (CKD) is admitt…

A client with Stage 4 Chronic Kidney Disease (CKD) is admitted with acute shortness of breath and an irregular heart rate. The client’s serum potassium level is 7.0 mEq/L. Which finding on the cardiac monitor requires the nurse to notify the healthcare provider immediately?  

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The nurse is performing a health screening at a community cl…

The nurse is performing a health screening at a community clinic. Which findings should the nurse identify as risk factors for the development of Type 2 Diabetes Mellitus? (Select all that apply)  

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A nurse is assessing a client who has been taking enalapril…

A nurse is assessing a client who has been taking enalapril 40 mg PO daily for the past two weeks. Which assessment finding requires the nurse’s immediate intervention?    

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A nurse is caring for a client who has benign prostatic hype…

A nurse is caring for a client who has benign prostatic hyperplasia (BPH). Which statement by the client indicates a need for further education regarding the management of this condition?  

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A nurse is preparing to administer a scheduled dose of a DOA…

A nurse is preparing to administer a scheduled dose of a DOAC (Direct Thrombin Inhibitor) to a client with atrial fibrillation. The client asks, “How does this medication work differently than the warfarin I used to take?” Which response by the nurse is accurate?  

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A nurse is caring for a client with a bowel obstruction who…

A nurse is caring for a client with a bowel obstruction who has had a nasogastric (NG) tube to low-intermittent suction for 72 hours. Which arterial blood gas (ABG) result should the nurse identify as a complication of the continuous suctioning?  

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A nurse is assessing a client one hour after administering f…

A nurse is assessing a client one hour after administering furosemide 40 mg intravenously (IV) for pulmonary edema. Which finding provides the best evidence that the medication has been effective?  

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A nurse is caring for a client with a serum sodium level of…

A nurse is caring for a client with a serum sodium level of 122 mEq/L. Which assessment finding is the priority for the nurse to report to the healthcare provider?  

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