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A patient admitted with acute kidney injury due to dehydrati…

A patient admitted with acute kidney injury due to dehydration has oliguria, anemia, and hyperkalemia. Which prescribed action would the nurse take first?

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The nursing is assisting to defibrillate a client in ventric…

The nursing is assisting to defibrillate a client in ventricular fibrillation. After placing the pad on the client’s chest and before discharge, which intervention is priority?

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A 38-yr-old patient who has had a spinal cord injury returne…

A 38-yr-old patient who has had a spinal cord injury returned home following a stay in a rehabilitation facility. The home care nurse notes the spouse is performing many of the activities that the patient had been managing unassisted during rehabilitation. Which nursing action would best match the goals for this phase of rehabilitation?

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Which patient is at highest risk for a spinal cord injury?

Which patient is at highest risk for a spinal cord injury?

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A client in sinus bradycardia, with a heart rate of 45 bpm,…

A client in sinus bradycardia, with a heart rate of 45 bpm, complains of dizziness and has a blood pressure of 82/60 mm Hg. Which should the nurse anticipate will be prescribed?

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A client is having frequent premature ventricular contractio…

A client is having frequent premature ventricular contractions. The nurse should place priority on assessment of which item? 

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A patient with a history of T3 spinal cord injury is admitte…

A patient with a history of T3 spinal cord injury is admitted for a pressure injury. The patient tells the nurse, “I have a pounding headache and I feel sick to my stomach.” Which action would the nurse take first?

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The nurse is watching the cardiac monitor and notices that t…

The nurse is watching the cardiac monitor and notices that the rhythm suddenly changes. There are no P waves, the QRS complexes are wide, and the ventricular rate is regular but more than 140 bpm. The nurse determines that the client is experiencing which dysrhythmia?

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A 74-year-old female presents to the ER with complaints of d…

A 74-year-old female presents to the ER with complaints of dyspnea, persistent cough, and unable to sleep at night due to difficulty breathing. On assessment, you note crackles throughout the lung fields, respiratory rate of 25, and an oxygen saturation of 90% on room air. Which of the following lab results confirm your suspicions of heart failure?

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A client has frequent bursts of ventricular tachycardia on t…

A client has frequent bursts of ventricular tachycardia on the cardiac monitor. What should the nurse be most concerned about with this dysrhythmia?

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