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Author Archives: Anonymous

A nurse is planning discharge teaching after total knee arth…

A nurse is planning discharge teaching after total knee arthroplasty. Which measure is MOST effective for preventing venous thromboembolism during the early postoperative period?

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A patient with multiple rib fractures becomes increasingly r…

A patient with multiple rib fractures becomes increasingly restless and confused 48 hours after admission. The nurse observes small, scattered red spots on the patient’s chest and neck. What is the nurse’s PRIORITY concern?

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A patient with rheumatoid arthritis reports severe dryness o…

A patient with rheumatoid arthritis reports severe dryness of the eyes and mouth. Which complication should the nurse suspect?

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A 42-year-old woman presents with 10 months of bilateral wri…

A 42-year-old woman presents with 10 months of bilateral wrist and hand swelling, morning stiffness lasting 3–4 hours, fatigue, and unintentional weight loss of 12 pounds. Lab results: RF positive, anti-CCP positive, ESR elevated, CRP elevated. She is prescribed methotrexate (Trexall) 15 mg weekly. Three months after starting methotrexate, the patient calls to report severe fatigue, bruising on both arms, painful mouth sores, and a sore throat. Which action by the nurse is MOST appropriate?

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A patient is admitted with suspected acute osteomyelitis of…

A patient is admitted with suspected acute osteomyelitis of the right tibia. Which combination of laboratory findings BEST supports this diagnosis?

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A patient with a history of gout is being discharged after a…

A patient with a history of gout is being discharged after an acute attack. Which patient statement indicates correct understanding of gout management?

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A patient with a closed tibial fracture asks the nurse when…

A patient with a closed tibial fracture asks the nurse when bone healing will first be visible on x-ray. Which response is most accurate?

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PRIORITY RANKING — A patient with bilateral femur fractures…

PRIORITY RANKING — A patient with bilateral femur fractures suddenly reports shortness of breath, restlessness, and chest tightness 36 hours after admission. The nurse suspects fat embolism syndrome. Rank the following actions in order of priority (enter 1, 2, 3, or 4 for each option — 1 = FIRST action): A. Apply supplemental oxygen via face mask B. Assess oxygen saturation via pulse oximetry C. Obtain a complete set of vital signs D. Notify the healthcare provider with assessment data 

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PRIORITY RANKING — A patient with a tibial fracture in a pla…

PRIORITY RANKING — A patient with a tibial fracture in a plaster cast reports escalating pain rated 10/10 that is not relieved by IV morphine. The toes are pale, cool, and the patient cannot move them voluntarily. Rank the following nursing actions in order of priority (enter 1, 2, 3, or 4 for each option — 1 = FIRST action): A. Perform a complete neurovascular assessment and document findings B. Keep the extremity at the level of the heart — do NOT elevate above it C. Notify the healthcare provider immediately with assessment data D. Prepare to assist with cast bivalving per healthcare provider order 

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D3. DRUG MATH — Order: Ibuprofen 600 mg PO. Available: Ibupr…

D3. DRUG MATH — Order: Ibuprofen 600 mg PO. Available: Ibuprofen 200 mg tablets. How many tablets will the nurse administer? (Enter numeric answer)

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