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Author Archives: Anonymous

The client rescued from a small house fire is brought to the…

The client rescued from a small house fire is brought to the emergency department. There is no burn injury to the skin, however laboratory results show an elevated carboxyhemoglobin level. Which intervention would the nurse expect to implement?

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CASE STUDY: The nurse is caring for a client with peptic ulc…

CASE STUDY: The nurse is caring for a client with peptic ulcer disease (PUD) who presented to the emergency department. **The bleeding was resolved and the client was transferred to the medical-surgical floor 3 days ago. The nurse rounding today on the patient notes the following: The client begins to complain of severe abdominal pain (9 out of 10) and guarding of the abdomen. The abdomen is board-like with absent bowel sounds in all four quadrants, BP 104/55, HR 124 beats per minute, RR 28 breaths per minute. After the nurse notifies the provider, the nurse would anticipate which of the following priority interventions?

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The nurse is caring for a client with heparin induced thromb…

The nurse is caring for a client with heparin induced thrombocytopenia with a decrease in platelet count to 80,000. The client’s IV heparin infusion is discontinued. The nurse would anticipate an order from the health care provider for which of the following treatments?

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 The nurse is caring for a client with acute pancreatitis. W…

 The nurse is caring for a client with acute pancreatitis. Which of the following laboratory values will the nurse expect to find?

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The nurse is caring for a newly admitted client with diabeti…

The nurse is caring for a newly admitted client with diabetic ketoacidosis (DKA). The nurse would expect which of the following findings? Select all that apply.

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The nurse is caring for the client diagnosed with Disseminat…

The nurse is caring for the client diagnosed with Disseminated Intravascular Coagulation (DIC). Which of the following statements made by the nurse would be the most important in regard to the care of this client?

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The client was admitted with 2nd degree partial thickness an…

The client was admitted with 2nd degree partial thickness and third degree burns to the left leg, left arm, and left torso area. The burns were obtained from a gas grill propane explosion, and the paramedics have initiated burn treatment. Which of the following should the nurse do first when the client arrives to the emergency department?

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The nurse is caring for a client with an active GI bleed wit…

The nurse is caring for a client with an active GI bleed with a nasogastric (NG) tube output of 1,000 mL bright, red blood. Which of the following assessments would the nurse be most concerned with based upon this gastric output?

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The client is to receive phenytoin 0.3 g orally twice a day….

The client is to receive phenytoin 0.3 g orally twice a day. The med label states that each capsule is 100 mg. The nurse will prepare how many capsule(s) to administer to this client with each dose?

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Which of the following is the priority nursing diagnosis for…

Which of the following is the priority nursing diagnosis for a newly hospitalized client with a diagnosis of hyperosmolar hyperglycemic syndrome (HHS)?

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