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A nurse is providing teaching to the parents of a child who…

A nurse is providing teaching to the parents of a child who has streptococcal pharyngitis about ways to prevent disease transmission.  Which of the following responses by the parents indicates an understanding of the teaching?

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A nurse is caring for a client who develops a pulmonary embo…

A nurse is caring for a client who develops a pulmonary embolism.  Which of the following interventions should the nurse implement first?

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A client with lung cancer had a thoracentesis performed on t…

A client with lung cancer had a thoracentesis performed on the right side of the chest to decrease fluid from the pleural space.  Four hours after the procedure, the client complains of shortness of breath, pain on the right side of the chest, and respirations are rapid and shallow.  What is the most likely cause and rationale?

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Several family members of a client diagnosed with a pleural…

Several family members of a client diagnosed with a pleural effusion are concerned that the client has not been “coughing up any of the fluid.”  The RN understands that a nonproductive cough is expected because the:

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Which data collected during the respiratory assessment would…

Which data collected during the respiratory assessment would indicate the pediatric client is compromised?  Select all that apply.

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A client is ready for discharge after treatment for a sponta…

A client is ready for discharge after treatment for a spontaneous pneumothorax.  The nurse started the discharge teaching yesterday.  Which of the comments by the client indicates that the education requires more teaching?

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A client with pulmonary embolism develops respiratory acidos…

A client with pulmonary embolism develops respiratory acidosis as a result of reduced alveolar ventilation. Which arterial blood gas (ABG) value confirms respiratory acidosis? (Normal value ranges: pH 7.35-7.45, pCO2 35-45 mm Hg, HCO3 21-28 mEq/L, PaO2 80-100 mm Hg)

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What would the telephone triage nurse advise the parent of a…

What would the telephone triage nurse advise the parent of an 18 month old child with a barky cough that gets worse at night? 

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Which client requires immediate intervention by the nurse to…

Which client requires immediate intervention by the nurse to decrease the risk for developing a pulmonary embolism (PE)?

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The nurse checks a client’s pulse oximetry reading and obtai…

The nurse checks a client’s pulse oximetry reading and obtains 85%.  The last reading four hours ago was 95%. What is the first action the nurse should take?

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