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The nurse is caring for a patient with uncontrolled hyperten…

The nurse is caring for a patient with uncontrolled hypertension. His blood pressure has remained controlled for the nurse’s shift. At two-hour intervals the blood pressure was checked by the nurse and found to be essentially the same. The nurse, although taking the blood pressure as directed, forgets to write down the number. During the next shift, the patient has a stroke. Years later, the patient files a lawsuit blaming the hospital for his stroke. The nurse who was caring for the patient when his blood pressure was stable cannot recall the exact blood pressure she obtained, but remembers it was normal. Will this recollection suffice in court and why?

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A nurse is teaching a client who is postoperative how to do…

A nurse is teaching a client who is postoperative how to do deep-breathing exercises and cough effectively after surgery. Which of the following statements by the client indicates an understanding of the teaching?

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A nurse is teaching an older woman how to move and lift her…

A nurse is teaching an older woman how to move and lift her disabled husband. The woman has osteoarthritis of the hips and knees. What is the goal of the nurse’s education plan with the wife?

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A client is admitted with an open sore on the coccyx. Which…

A client is admitted with an open sore on the coccyx. Which nutrient is most important for healing this sore?

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A client has an order for a narcotic analgesic every three t…

A client has an order for a narcotic analgesic every three to four hours and he received his last dose three hours earlier. Which of the following actions is most appropriate for the nurse to take in response to the client’s request for pain medication on his first postoperative day?

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A client with a urinary tract infection is to be discharged…

A client with a urinary tract infection is to be discharged from the health care facility. After teaching the client about measures to prevent urinary infections, the nurse determines that further education is needed when the client states which of the following? Select all that apply.

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The nurse is caring for client 82 years of age who is strugg…

The nurse is caring for client 82 years of age who is struggling to adapt to hearing loss as he ages. The nurse performs which of the following interventions to assist the client in adapting to this sensory deficit? Choose all that apply.

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A nurse is caring for a frail older adult client with chroni…

A nurse is caring for a frail older adult client with chronic obstructive pulmonary disease. The client always remains in a sitting position to help him breathe more easily. Based on the understanding that prolonged sitting may put pressure on bony prominences, the nurse frequently assesses which area of this client?

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A 55-year-old patient suffered a myocardial infarction 3 mon…

A 55-year-old patient suffered a myocardial infarction 3 months ago. During their hospitalization, they had stents inserted in two different sites in the coronary arteries. They were also placed on a cholesterol-lowering agent and two antihypertensives. What type of care are they receiving?

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When counseling a patient who had an MI (myocardial infarcti…

When counseling a patient who had an MI (myocardial infarction) about nutrition, the nurse recommends increasing fiber in the diet. In addition to other benefits, how does fiber affect cholesterol?

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