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A client presents to the emergency department with chest pre…

A client presents to the emergency department with chest pressure and shortness of breath. A 12-lead ECG is obtained and shows ST-segment elevation in leads II, III, and aVF. Which explanation by the nurse best describes the findings and the immediate plan of care?

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A client with a history of angina is prescribed sublingual n…

A client with a history of angina is prescribed sublingual nitroglycerin for the first time. Which statement by the client indicates the need for further teaching?

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A 58-year-old patient reports heartburn, regurgitation, and…

A 58-year-old patient reports heartburn, regurgitation, and chest discomfort that worsens after meals and when lying down. The nurse suspects a hiatal hernia. Which of the following findings supports this diagnosis?

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A patient presents with severe pain in the arms and legs, fa…

A patient presents with severe pain in the arms and legs, fatigue, and shortness of breath. The patient’s blood contains abnormally shaped red blood cells that can become rigid and block small blood vessels, causing tissue ischemia. Vital signs reveal tachycardia and mild fever. Which nursing intervention is the highest priority?

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A pediatric client with a hereditary coagulation disorder ch…

A pediatric client with a hereditary coagulation disorder characterized by absence of factor VIII reports sudden pain and swelling in the knee after bumping it while playing. The nurse notes limited range of motion. Which is the most appropriate nursing action?

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A patient is admitted with reports of right lower quadrant a…

A patient is admitted with reports of right lower quadrant abdominal pain, nausea, and mild fever. Which nursing intervention should the nurse implement first?

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A nurse is reinforcing teaching with a client diagnosed with…

A nurse is reinforcing teaching with a client diagnosed with thrombocytopenia. Which statement by the client demonstrates correct understanding of self-care at home?

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A patient with congestive heart failure is prescribed 60 mg…

A patient with congestive heart failure is prescribed 60 mg IV furosemide (Lasix). The available vial is 20,000 mcg/mL. How many mL will the nurse prepare?

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A nurse is reinforcing teaching with a client scheduled for…

A nurse is reinforcing teaching with a client scheduled for a serum ferritin test to evaluate for anemia. Which of the following statements made by the client indicates understanding of the teaching?

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A patient presents with fatigue and dark urine. During the p…

A patient presents with fatigue and dark urine. During the physical assessment, the nurse observes yellowing of the sclera and skin. Which additional assessment finding would most likely support the presence of jaundice?

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