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The client presents in the emergency room with left sided we…

The client presents in the emergency room with left sided weakness and left facial droop, one blood pressure reading is 240/130.   The priority nursing action for this client is:

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A home health nurse instructs the client with heart failure…

A home health nurse instructs the client with heart failure on reasons to call the health care provider. The nurse evaluates the teaching as effective when the client makes the following statement?

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A nurse is assessing a patient who is admitted with a pulmon…

A nurse is assessing a patient who is admitted with a pulmonary embolism and is receiving titrated heparin IVPB. The nurse notes the client is scheduled for discharge in two days. Based on this information, the nurse understands it is important to contact the physician for which order? 

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The nurse is caring for a client admitted due to a traumatic…

The nurse is caring for a client admitted due to a traumatic brain injury requiring a craniotomy to evacuate cerebral bleeding.  The post-operative orders include 3% Normal Saline, Mannitol, and elevation of the head of bed.  The nurse evaluates that the interventions are effective, when the client experiences:

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A nurse is administering rivaroxaban to a client with atrial…

A nurse is administering rivaroxaban to a client with atrial fibrillation.  Which of the following statements by the client indicates teaching was effective?

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A nurse is working on the telemetry unit and identifies the…

A nurse is working on the telemetry unit and identifies the following dysrhythmias on the screen.  Which client requires immediate intervention?

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While bathing the client in congestive heart failure, the nu…

While bathing the client in congestive heart failure, the nurse notes increased exertional dyspnea, cyanosis, and production of respiratory secretions.  Which initial intervention by the nurse is the most appropriate?

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A 48 year old man was diagnosed with amyotrophic lateral scl…

A 48 year old man was diagnosed with amyotrophic lateral sclerosis (ALS) ten months ago.  He has had some symptoms during that time, but now has muscle weakness in the legs and arms.  The initial action by the nurse should be to:

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The nurse is caring for a client admitted with cardiogenic s…

The nurse is caring for a client admitted with cardiogenic shock who is bradycardic and hypotensive. The healthcare provider has ordered an infusion of milrinone. The nurse understands the medication will result in which physiological action? 

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A 25 year old client has third degree burns over 50% of his…

A 25 year old client has third degree burns over 50% of his lower body.  He is recovering in stable condition.  The best snack for him would be: 

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