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The client just arrived on the nursing unit from the post-an…

The client just arrived on the nursing unit from the post-anesthesia care unit (PACU) following an appendectomy this morning. She is complaining of pain and nausea. You are the nurse assigned to care for her. What is the most appropriate nursing intervention?

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The nurse is completing an admission assessment with a clien…

The nurse is completing an admission assessment with a client. The client looked down and became tearful when asked about feeling safe at home. How would the nurse respond to the nonverbal communication displayed by the client?

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A nurse tells a client, “Are you going to get out of bed, or…

A nurse tells a client, “Are you going to get out of bed, or are you just going to sleep all day and night?” This is an example of which barrier to communication?

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A nurse caring for a client in a long-term health care facil…

A nurse caring for a client in a long-term health care facility measures the client’s intake and output and weighs the client to assess water balance. These actions help to meet which type of need in Maslow’s hierarchy of needs?

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The nurse should utilize the SBAR (Situation, Background, As…

The nurse should utilize the SBAR (Situation, Background, Assessment and Recommendation) or the ISBARR communication (Introduction, Situation, Background, Assessment, Recommendation, Read Back) during which clinical situation?

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A nurse realizes that the dosage of the medication administe…

A nurse realizes that the dosage of the medication administered to the client has been entered incorrectly into the client paper record. Which action would be appropriate for the nurse to do?

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A nurse documents the respiratory rates of several adult cli…

A nurse documents the respiratory rates of several adult clients. Which client will the nurse document as experiencing tachypnea?

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A charge nurse is teaching a group of nurses about protectin…

A charge nurse is teaching a group of nurses about protecting themselves from an abusive client. Which of the following statements by a nurse within the group demonstrates an understanding of the teaching?

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A nurse enters a client’s room and observes the client sitti…

A nurse enters a client’s room and observes the client sitting in a chair looking out the window. The nurse obtains the client’s vital signs and gathers information about the client’s current level of pain. Based on this information, the nurse identifies a potential problem with pain control and decides to call the provider to obtain a prescription for an analgesic. The nurse is engaged in which action?

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A patient weighted 209 lbs on the initial visit to the clini…

A patient weighted 209 lbs on the initial visit to the clinic.  When the patient returned to the clinic they reported losing 11 lb. What is the client’s current weight in kg?  Place the number only in the blank.  [BLANK-1]

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