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64. A patient with HIV has a CD4⁺ count of 180 cells/μL and…

64. A patient with HIV has a CD4⁺ count of 180 cells/μL and presents with white patches in the mouth that cannot be scraped off. The nurse recognizes this as:

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28. A patient who had a stroke yesterday is alert and asks f…

28. A patient who had a stroke yesterday is alert and asks for water. Before allowing oral intake, the nurse should first:

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13. After receiving report on four patients with dementia, w…

13. After receiving report on four patients with dementia, which patient would the nurse assess first?

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38. A patient with a T6 spinal cord injury is being discharg…

38. A patient with a T6 spinal cord injury is being discharged home. Which instructions would the nurse include to prevent autonomic dysreflexia? (Select all that apply.)

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29. A patient receiving IV tPA for ischemic stroke suddenly…

29. A patient receiving IV tPA for ischemic stroke suddenly develops a severe headache and blood pressure rises to 200/120 mm Hg. What is the nurse’s priority action?

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23. A patient with suspected bacterial meningitis has orders…

23. A patient with suspected bacterial meningitis has orders for blood cultures, lumbar puncture, IV ceftriaxone, and IV dexamethasone. Which sequence would the nurse follow?

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54. A patient has a burn on the anterior chest and both enti…

54. A patient has a burn on the anterior chest and both entire arms. Using the Rule of Nines, the nurse calculates the total body surface area burned as:

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94. A 90-kg burn patient with 35% TBSA requires Parkland for…

94. A 90-kg burn patient with 35% TBSA requires Parkland formula resuscitation. What is the IV rate for the first 8 hours?

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39. A patient with a new C3 spinal cord injury suddenly deve…

39. A patient with a new C3 spinal cord injury suddenly develops shallow, labored respirations and decreasing oxygen saturation. What is the nurse’s priority action?

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12. A patient scores 0 on the three-word recall portion of t…

12. A patient scores 0 on the three-word recall portion of the Mini-Cog exam but draws the clock correctly with all numbers and hands at the requested time. How does the nurse interpret the result?

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