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23. The nurse is caring for a client who is two days post-op…

23. The nurse is caring for a client who is two days post-op.  The abdominal incision has staples intact and there is no exudate.  What type of dressing should be applied to this wound.

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40. The nurse in the clinic is reviewing the record of a one…

40. The nurse in the clinic is reviewing the record of a one-year-old child and notes the birth weight was seven pounds. The child’s current weight is 21 pounds. Which of the following actions will the nurse take related to this finding?

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21. A nurse is assisting a patient who is recovering from hi…

21. A nurse is assisting a patient who is recovering from hip surgery with their first post-operative walk. Which of the following actions should the nurse take to promote safe mobility?

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24. The nurse is removing a dry dressing and notes it has ad…

24. The nurse is removing a dry dressing and notes it has adhered to the wound bed.  Which of the following will the nurse perform related to this finding? 

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45. The nurse is completing post-op teaching with a patient…

45. The nurse is completing post-op teaching with a patient scheduled for a total abdominal hysterectomy.  Which of the following instructions will the nurse provide?  Select all that Apply

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43.  A nurse is caring for a client who is receiving heat ap…

43.  A nurse is caring for a client who is receiving heat applications using an aquathermia pad. Which of the following should the nurse implement regarding use of the pad?

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31. The nurse is caring for a client that has erythema, edem…

31. The nurse is caring for a client that has erythema, edema, heat, and pain to the right lower extremity. The nurse knows these are which of the following?

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32.The nurse is caring for a patient diagnosed with deep vei…

32.The nurse is caring for a patient diagnosed with deep vein thrombosis (DVT). Which of the following medications should the nurse administer to help prevent the formation of additional thrombi?

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35. The nurse is performing height and weight measurements o…

35. The nurse is performing height and weight measurements on a group of children and notes a child with a birthmark on the first digit (finger) of the left hand.  The nurse would correctly document the location as which of the following?

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42. The nurse is caring for a client with a pressure injury….

42. The nurse is caring for a client with a pressure injury.  The wound is a shallow open area with a red-pink wound bed and partial thickness loss of the dermis.  The nurse will document this pressure injury as which of the following?

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