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A client’s vital signs are oral temperature 99.2 degrees F,…

A client’s vital signs are oral temperature 99.2 degrees F, pulse 98 beats per minute with a regular rhythm, respirations 18 breaths per minute and deep, and blood pressure 146/92 mm Hg. Which vital sign should the nurse follow up on?

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Which of the following should an emergency department nurse…

Which of the following should an emergency department nurse include in an SBAR handoff report when transferring her client to the care of the medical unit nurse? Select all that apply.

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The nurse is caring for a client who is scheduled to donate…

The nurse is caring for a client who is scheduled to donate a kidney to a sibling in the morning, who is having second thoughts. Which action would be most appropriate?

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The nurse is assessing a client with pneumonia and hears sof…

The nurse is assessing a client with pneumonia and hears soft, high-pitched, brief sounds that have a bubbling, crackling, popping quality in the lower lung fields on inspiration. The nurse should document these sounds as_______.

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The nurse is developing a plan of care for a client’s consti…

The nurse is developing a plan of care for a client’s constipation. Which intervention(s) should the nurse include to facilitate a bowel movement? Select all that apply.

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A nurse is caring for a client admitted with Cholecystitis (…

A nurse is caring for a client admitted with Cholecystitis (inflammation of the gallbladder). What is the key assessment, or focused assessment, for this client?

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The nurse is assessing a client with an injured leg after a…

The nurse is assessing a client with an injured leg after a bicycle accident for evidence of a localized inflammatory response. Which findings would be consistent with this?

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The nurse is caring for a client at risk of developing a dee…

The nurse is caring for a client at risk of developing a deep vein thrombosis (DVT) R/T existing factors and immobility. Which intervention(s) would help prevent a DVT? Select all that apply.

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The nurse is developing a plan of care for a client with a p…

The nurse is developing a plan of care for a client with a paralytic ileus. The nurse understands which physiological change may cause a paralytic ileus?

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Which of the following poses a risk of exposure to bloodborn…

Which of the following poses a risk of exposure to bloodborne pathogens to healthcare workers? Select all that apply.

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