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The nurse is caring for a client on airborne precautions who…

The nurse is caring for a client on airborne precautions who is scheduled for a magnetic resonance imaging (MRI) test Which nursing action would be most appropriate in preparing the client for the test?

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When preparing medications for delivery to an assigned patie…

When preparing medications for delivery to an assigned patient, the nurse should check each medication for accuracy of drug and dose _____ time(s).

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The nurse has just completed the patient’s scheduled feeding…

The nurse has just completed the patient’s scheduled feeding through a G-tube. Prior to leaving the room, the nurse explains that the patient needs to keep the head of the bed elevated for 30 to 60 minutes. What rationale should the nurse give when the patient asks why the head of the bed needs to remain elevated?

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The nurse plans to administer a prescribed dose of Acetamino…

The nurse plans to administer a prescribed dose of Acetaminophen EC orally to a client with dysphagia. What is the nurse’s priority action?

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What is most important for the nurse to regularly monitor on…

What is most important for the nurse to regularly monitor on a client receiving vancomycin, due to the risk of nephrotoxicity?

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The nurse is auscultating heart sounds of a client with a hi…

The nurse is auscultating heart sounds of a client with a history of mitral valve regurgitation. Where would the nurse place the stethoscope to listen to this valve?  Refer to figure.

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The nurse received hand-off report on four clients who requi…

The nurse received hand-off report on four clients who require medications at 0800. Which action by the nurse adheres to the six rights of medication administration?

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A client has been diagnosed as having a fluid volume deficit…

A client has been diagnosed as having a fluid volume deficit following surgery. The nurse interprets that this complication is not resolving if which urine specific gravity measurement is obtained?

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The nurse is preparing to administer the daily IV dose of Va…

The nurse is preparing to administer the daily IV dose of Vancomycin to a patient with severe pneumonia. What statement from the patient would lead the nurse to withhold the Vancomycin and promptly notify the healthcare provider?

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The nurse is reviewing the medical record for a client who h…

The nurse is reviewing the medical record for a client who has been taking spironolactone for treatment of hypertension. Which, if noted in the client’s record, would indicate that the client is experiencing an adverse effect related to the medication?

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