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Author Archives: Anonymous

You are a home care nurse and your patient states he just co…

You are a home care nurse and your patient states he just consumed five 8 oz. bottles of water.  How many milliliters did your patient drink?

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The nurse is caring for a client who was admitted for advanc…

The nurse is caring for a client who was admitted for advanced cirrhosis. The client has massive ascites, peripheral dependent edema in the lower extremities, nausea and vomiting, and dyspnea related to pressure on the diaphragm. Which indicator is the most reliable for tracking fluid retention?

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The nurse is ready to begin a tube feeding via an NG feeding…

The nurse is ready to begin a tube feeding via an NG feeding tube for a patient who is comatose. What action should the nurse take before starting the feeding?

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A client hospitalized with gastritis reports 10 to 20 small…

A client hospitalized with gastritis reports 10 to 20 small diarrhea stools per day, with abdominal pain before defecation. The client appears depressed and underweight and is uninterested in self-care or suggested therapies. What is the priority nursing concept to consider when planning interventions for this client?

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The nurse is preparing to provide care for a client diagnose…

The nurse is preparing to provide care for a client diagnosed with peptic ulcer disease. Which pathophysiological characteristic will the nurse correctly associate with the patient’s diagnosis?

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The nurse is providing care for a patient diagnosed with chr…

The nurse is providing care for a patient diagnosed with chronic pancreatitis. The patient’s vital signs are blood pressure 130/78 mm Hg, respirations 42 breaths/min and labored with O2 saturation rate of 85%, pulse 102 beats/min, and pain level of 7 on a 0-to-10 scale. Which immediate nursing action is appropriate?

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The nurse is preparing to perform an abdominal examination….

The nurse is preparing to perform an abdominal examination. For which reason will the nurse perform auscultation before palpation and percussion?

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Order: Prednisone 100 mg by mouth daily for inflammation. Av…

Order: Prednisone 100 mg by mouth daily for inflammation. Available: Prednisone 40 mg tablets How many tablets would you dispense to the patient to reach the desired dose?

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The nurse is providing discharge teaching to a patient with…

The nurse is providing discharge teaching to a patient with diarrhea. Which patient statement indicates that teaching has been effective?

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The nurse is collecting data from a patient who is reporting…

The nurse is collecting data from a patient who is reporting abdominal pain. Which symptom suggests that the patient is experiencing appendicitis?

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