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Author Archives: Anonymous

The nurse is caring for two patients; both are having a hyst…

The nurse is caring for two patients; both are having a hysterectomy. The first patient is having a hysterectomy after a complicated birth. The second patient has uterine cancer. What will most likely influence the experience of pain for these two patients?

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An 82 year old woman is being admitted to the long term care…

An 82 year old woman is being admitted to the long term care facility.  Her assigned nurse completes a full assessment, including calculating the risk for skin breakdown based on the Braden Scale.  Which of the following will the nurse not include to accurately calculate a Braden Scale value? 

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An older client is observed having difficulty moving from a…

An older client is observed having difficulty moving from a sitting to a standing position and has an unsteady gait. What should the nurse assess in this client to promote home safety? (Select all that apply.)

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The patient has been brought to the emergency department fol…

The patient has been brought to the emergency department following a motor vehicle accident. The patient is unresponsive. His driver’s license states that he needs glasses to operate a motor vehicle, but no glasses were brought in with the patient. The nurse should

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A client is at risk for developing a pressure ulcer and does…

A client is at risk for developing a pressure ulcer and does not like to lie on his side. To enhance compliance, the nurse uses which of the following most effective explanation.

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A nurse in a hospital is conducting a physical assessment wi…

A nurse in a hospital is conducting a physical assessment with a partly undressed patient. What action by the nurse is most appropriate?

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The student nurse performs orthostatic blood pressure readin…

The student nurse performs orthostatic blood pressure readings during morning assessment. The results are: lying 146/78 mm Hg, sitting 128/68, and standing 110/62 mm Hg. What action by the nurse is best?

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The nurse has identified several problems for a patient sche…

The nurse has identified several problems for a patient scheduled for a bone marrow transplant. By formulation of nursing diagnoses, the nurse:

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The nurse writes an expected outcome statement in measurable…

The nurse writes an expected outcome statement in measurable terms. An example is: 

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A patient requires frequent blood pressure (B/P) measurement…

A patient requires frequent blood pressure (B/P) measurements after being admitted with a gunshot wound. The registered nurse (RN) is delegating the task of collecting B/P measurements to a licensed practical nurse (LPN). When delegating, the RN  knows which statement to be true?

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