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11. A patient with advanced dementia suddenly begins crying…

11. A patient with advanced dementia suddenly begins crying and pushing staff away during morning care. Which action would the nurse take first?

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15. A patient opens eyes only to painful stimulation, makes…

15. A patient opens eyes only to painful stimulation, makes incomprehensible sounds, and exhibits flexion withdrawal from pain. The nurse calculates the Glasgow Coma Scale score as:

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10. A nursing assistant reports that a patient with dementia…

10. A nursing assistant reports that a patient with dementia becomes increasingly confused and combative every evening around 6 PM. Which initial nursing action is most appropriate?

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69. A patient with a newly applied below-knee cast reports i…

69. A patient with a newly applied below-knee cast reports increasing leg pain. Which findings would indicate compartment syndrome? (Select all that apply.)

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4. A lumbar puncture is performed on a patient with suspecte…

4. A lumbar puncture is performed on a patient with suspected meningitis. Which cerebrospinal fluid result would support the diagnosis of bacterial meningitis?

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61. A construction worker sustains an electrical burn from a…

61. A construction worker sustains an electrical burn from a high-voltage power line. In addition to cardiac monitoring, the nurse should closely monitor:

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3. A patient with a severe head injury has an intracranial p…

3. A patient with a severe head injury has an intracranial pressure (ICP) monitor in place. Which nursing action would INCREASE the patient’s ICP?

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6. An 82-year-old patient with no psychiatric history become…

6. An 82-year-old patient with no psychiatric history becomes agitated, confused, and sees insects on the walls two days after hip surgery. Which conclusion by the nurse is most accurate?

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Canned foods have an infinite shelf-life.

Canned foods have an infinite shelf-life.

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Childhood obesity and hypertension are linked to the develop…

Childhood obesity and hypertension are linked to the development of atherosclerosis and heart disease in adulthood.

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