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Author Archives: Anonymous

While caring for a client near end of life, a student talks…

While caring for a client near end of life, a student talks to her.  Another student asks why she is talking to someone who is dying.  Which response would be accurate?

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In which order will the nurse use the nursing process steps…

In which order will the nurse use the nursing process steps during the clinical decision-making process? 1. Evaluation 2. Assessment 3. Planning/Outcomes 4. Diagnosis 5. Interventions

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A male client who has had outpatient surgery is unable to vo…

A male client who has had outpatient surgery is unable to void while lying supine.  What can the nurse do to facilitate his voiding?

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A nurse is caring for a 35-year-old female patient who recen…

A nurse is caring for a 35-year-old female patient who recently started taking antidepressants after repeated failed attempts at fertility treatment. The patient tells the nurse, “I feel happier, but my sex drive is gone.” Which nursing diagnosis has the highest priority?

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A client has an abrupt onset of a cluster of global changes…

A client has an abrupt onset of a cluster of global changes in attention, cognition, and level of consciousness (LOC).  What would be the most appropriate nursing diagnosis?

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A nurse is caring for a patient with dyspareunia. In which o…

A nurse is caring for a patient with dyspareunia. In which order will the nurse provide care, starting with the first step?1. Determine which signs and symptoms of dyspareunia the patient has.2. Mutually decide upon goals and objectives for dyspareunia.3. Ask the patient if the dyspareunia is improving.4. Develop a nursing diagnosis for the patient.5. Use resources to help resolve the problem.

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______A nurse caring for a client with colorectal cancer is…

______A nurse caring for a client with colorectal cancer is preparing the client for upcoming surgery. The nurse administers cephalexin to the client and explains what rationale?

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A client has an abrupt onset of a cluster of global changes…

A client has an abrupt onset of a cluster of global changes in attention, cognition, and level of consciousness (LOC).  What would be the most appropriate nursing diagnosis?

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A patient in a motor vehicle accident states, “I did not run…

A patient in a motor vehicle accident states, “I did not run the red light,” despite very clear evidence on the street surveillance tape. Which defense mechanism is the patient using?

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A tourniquet is a band that is  often used in emergency situ…

A tourniquet is a band that is  often used in emergency situations to stop/reduce blood flow to an open wound  to prevent against excessive blood loss.  A tourniquet (shown in the figure below) is often applied to a limb during a traumatic injury such as to an arm or leg to occlude/block blood flow above the site of injury for a short amount of time (often described as a brief period of ischemia).  If the tourniquet is removed from the limb and blood flow is restored through the vessels, ____________ would occur.

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