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Author Archives: Anonymous

A 42 year-old obese woman expresses frustration to the nurse…

A 42 year-old obese woman expresses frustration to the nurse about her failure to lose weight after adhering to the weight loss instructions provided by her HCP. Which statement by the client indicates a need for further education?

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   Rapid acting insulins have an onset of 10-30 minutes.

   Rapid acting insulins have an onset of 10-30 minutes.

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A client who has just been admitted with community-acquired…

A client who has just been admitted with community-acquired pneumococcal pneumonia has a temperature of 102..6° F a frequent cough and is reporting severe pleuritic chest pain. Which prescribed medication should the nurse give first?

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During a medical relief mission to Honduras a nurse is carin…

During a medical relief mission to Honduras a nurse is caring for a patient in need of intravenous antibiotic therapy. The accompanying nurse practitioner orders 2 grams of ceftriaxone to be infused over 30 minutes. The medication is prepared in a 50 milliliter bag. Unfortunately, no IV pumps are available and the nurse must utilize the drip factor (20 gtt/mL) of the IV tubing. What is the flow rate in gtt/min?A: ______ gtt/minute

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A serum potassium level of 3.2 mEq/L  is reported for a clie…

A serum potassium level of 3.2 mEq/L  is reported for a client with cirrhosis who has scheduled doses of spironolactone (Aldactone) and furosemide (Lasix) due. Which action should the nurse take?

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A client who has been undergoing chemotherapy for the past 3…

A client who has been undergoing chemotherapy for the past 3 months, comes into the clinic to review their most recent labs.The nurse makes notes of the following lab values to initiate the necessary patient education:White Blood Cells: 1500Hemoglobin: 8.6Hematocrit: 28%Platelets: 40,000.Which of the educational topics would not  be appropriate for this client?:

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   Long-acting insulins, such as Detemir, have durations of…

   Long-acting insulins, such as Detemir, have durations of 16-24 hours.

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A client seeks medical attention through the emergency room…

A client seeks medical attention through the emergency room after missing two consecutive dialysis sessions. The client has significant edema in both legs, reports chest pain, and is tachypneic with shortness of breath on 4 Liters of oxygen via nasal cannula. The following arterial blood gas (ABG) results: pH 7.33, PaCO2 36 mm Hg, and HCO3 28 mEq/L. How should the nurse interpret these results?

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A 38 year-old client is admitted to the hospital with severe…

A 38 year-old client is admitted to the hospital with severe abdominal pain, confusion, and vomiting. While in the ER the patient was combative with staff.. The client’s spouse reports he is not a alcohol drinker. She also reported that has been urinating excessivley for days. Upon assessing the patient, the nurse notices that he has foul-smelling fruity breath, has a rapid deep pattern of breathing, and has dry oral mucosa. What lab result is the nurse anticipating to see?

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The emergency department nurse is evaluating the effectivene…

The emergency department nurse is evaluating the effectiveness of therapy for a client who has received treatment during an asthma attack. Which assessment finding is the best indicator that the therapy has been effective?

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