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The nurse is assessing a client with multiple trauma who is…

The nurse is assessing a client with multiple trauma who is at risk for developing acute respiratory distress syndrome. The nurse should assess for which earliest sign of acute respiratory distress syndrome?

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A nurse is watching as a nursing student suctions a client t…

A nurse is watching as a nursing student suctions a client through a tracheostomy tube. Which actions on the part of the student would prompt the nurse to intervene and demonstrate correct procedure? Select all that apply.

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A client has been given a diagnosis of multiple myeloma. Whi…

A client has been given a diagnosis of multiple myeloma. Which result does the nurse reviewing the client’s laboratory findings recognize as being specifically related to this diagnosis?

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Premature ventricular contractions (PVCs) occur while the nu…

Premature ventricular contractions (PVCs) occur while the nurse is suctioning a patient’s endotracheal tube. Which action by the nurse is best?

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A nurse employed in an emergency department (ED) on the even…

A nurse employed in an emergency department (ED) on the evening shift is assigned to triage arriving clients. Which client should the nurse designate as the highest priority?

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A nurse cares for clients during a community-wide disaster d…

A nurse cares for clients during a community-wide disaster drill. Once of the clients asks, “Why are the individuals with blue tags not receiving any care?” How should the nurse respond?

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An emergency department (ED) nurse receives a telephone call…

An emergency department (ED) nurse receives a telephone call from the local police department and is told that several victims of an industrial explosion will be brought to the ED. Which action should the nurse take immediately?

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To verify the correct placement of an endotracheal tube (ET)…

To verify the correct placement of an endotracheal tube (ET) after insertion, the best initial action by the nurse is to

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An emergency room nurse is caring for a trauma client. Which…

An emergency room nurse is caring for a trauma client. Which interventions should the nurse anticipate during the primary survey? (Select all that apply.)

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A client with human immune deficiency virus is admitted to t…

A client with human immune deficiency virus is admitted to the hospital with fever, night sweats, and severe cough. Laboratory results include a CD4+ cell count of 180/mm3 and a pending tuberculosis (TB) skin test. What action should the nurse take first?

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