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Which action is most important for the nurse to implement wh…

Which action is most important for the nurse to implement when caring for a client with presbycusis?  

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The nurse is working with an unlicensed assistive personnel…

The nurse is working with an unlicensed assistive personnel (UAP) caring for a client on bed rest. How would the nurse instruct the UAP to care for the client to prevent skin injury related to shearing?  

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The client had an abdominal surgical procedure two days ago….

The client had an abdominal surgical procedure two days ago. While assessing the client’s suture line, which would indicate to the nurse a possible delay in wound healing?  

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The nurse instructs a client with nasal congestion related t…

The nurse instructs a client with nasal congestion related to seasonal allergies that the rationale for using fluticasone (Flonase) is to  

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When caring for a client with a venous stasis ulcer, which a…

When caring for a client with a venous stasis ulcer, which assessment is most important for the nurse to perform?  

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The nurse interprets the following ABG pH 7.50 PaCO2 30 HCO3…

The nurse interprets the following ABG pH 7.50 PaCO2 30 HCO3 25 as  

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The nurse is discussing how to prioritize client care with t…

The nurse is discussing how to prioritize client care with the UAP. Which client should the nurse instruct the UAP to see first?  

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Which technique is correct for the nurse to administer a cle…

Which technique is correct for the nurse to administer a cleansing enema to a client before a scheduled colonoscopy?  

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A client had a CVA (stroke) two days ago, resulting in hemip…

A client had a CVA (stroke) two days ago, resulting in hemiparesis on the left side. During the assessment, the nurse discovers a Stage I pressure injury on the client’s left heel and includes which in the plan of care?  

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The nurse is contacting the health care provider regarding a…

The nurse is contacting the health care provider regarding a client’s sleep problem. Place the steps of the SBAR in the correct order. “I’m calling to ask if you would order a hypnotic such as Ambien (zolpidem) to use on a prn basis.” “Dr. Cline, this is Renata, the nurse caring for Mrs. Perry. I’m calling because Mrs. Perry is having difficulty sleeping.” Perry, 36 years old, was admitted 3 days ago following a motor vehicle accident. She is in a balanced skeletal traction for a fractured left femur. She is having difficulty falling asleep. Perry is taking her pain medication every 4 hours as ordered and rates her pain as 8 out of 10. Last night she was still awake at 0100. She states that she is comfortable but she can’t fall asleep. Her vital signs are T98.8 P 78 R 16 BP 124/71.

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