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Author Archives: Anonymous

A nurse is monitoring a client’s cardiac rhythm when the cli…

A nurse is monitoring a client’s cardiac rhythm when the client suddenly develops the rhythm shown on the cardiac monitor. The client is awake and able to answer questions but reports feeling lightheaded. The blood pressure is 92/46 mm Hg. Which action should the nurse take first?

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An ICU nurse is caring for a patient admitted with myxedema…

An ICU nurse is caring for a patient admitted with myxedema coma secondary to severe hypothyroidism. The provider prescribes medications to rapidly improve the patient’s symptoms.Which medication should the nurse anticipate administering?

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A 20-year-old college student presents to the student health…

A 20-year-old college student presents to the student health center during final exams and states, “My heart feels like it is skipping beats.” An electrocardiogram (ECG) reveals occasional unifocal premature ventricular contractions (PVCs). The client denies chest pain, shortness of breath, and dizziness. Which nursing action is most appropriate?

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A client receiving warfarin therapy has a laboratory result…

A client receiving warfarin therapy has a laboratory result showing an international normalized ratio (INR) of 5.8. Which medication should the nurse anticipate administering?

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A client receiving mechanical ventilation develops sudden re…

A client receiving mechanical ventilation develops sudden respiratory distress. A chest radiograph is obtained, and the nurse reviews the report for findings consistent with a left pneumothorax. Which finding should the nurse expect?

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A client with severe preeclampsia develops eclampsia during…

A client with severe preeclampsia develops eclampsia during labor and undergoes an emergency cesarean birth. During the immediate postoperative period, which assessment finding would cause the nurse to suspect that the client is at risk for developing HELLP syndrome?

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A nurse is providing education to the parent of a child pres…

A nurse is providing education to the parent of a child prescribed intranasal desmopressin acetate (DDAVP). The nurse explains that this medication is most commonly used to treat which disorder?

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A nurse is teaching the daughter of a client with middle-sta…

A nurse is teaching the daughter of a client with middle-stage Alzheimer disease. The daughter asks, “Will the sertraline my mother is taking improve her dementia?” Which response by the nurse is most appropriate?

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A 25-year-old female patient has superficial partial thickne…

A 25-year-old female patient has superficial partial thickness burns on the posterior head and neck, front of the left arm, front and back of the right arm, posterior trunk, frontand back of the left leg, and back of right leg. The patient weighs 72 kg. Use the Parkland Burn Formula to calculate the total amount of Lactated Ringerss that will be given over the next 24 hours?

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A 72-kg client with chronic obstructive pulmonary disease (C…

A 72-kg client with chronic obstructive pulmonary disease (COPD) is undergoing weaning from mechanical ventilation. The nurse monitors the client’s response to the weaning protocol. Which assessment finding indicates that the weaning trial should be stopped?

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