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The nurse is caring for a client who came to the emergency d…

The nurse is caring for a client who came to the emergency department with acute respiratory distress. Which information requires an immediate action by the nurse?   

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After the death of a 36 year old man from a massive head inj…

After the death of a 36 year old man from a massive head injury, what would be appropriate for the nurse to do?

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A patient has Arterial Blood Gas results of pH 7.28, PaO2 52…

A patient has Arterial Blood Gas results of pH 7.28, PaO2 52, SaO2 84%, PaCO2 55, HCO3 24.  Which interpretation of these results by the nurse is most correct?

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To evaluate the effectiveness of prescribed therapies for a…

To evaluate the effectiveness of prescribed therapies for a client with ventilatory failure, which diagnostic test will be most useful to the nurse?

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A client is admitted with full-thickness burns covering 60%…

A client is admitted with full-thickness burns covering 60% of their total body surface area. Which of the following orders should the nurse question during the emergent phase of care?

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Ten minutes after recieving an intravenous antibiotic, the n…

Ten minutes after recieving an intravenous antibiotic, the nurses notes that a client has edematous lips and expiratory stridor with the following vital signs:  Blood pressure 70/40 mm Hg, heart rate 130 beats/min, and respirations 36 breaths/min. Which action by the nurse is priority?

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A client’s 1,000 ml IV infusion was started at 0500 infusing…

A client’s 1,000 ml IV infusion was started at 0500 infusing at 125ml/hr. What time should the IV be completed? 

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A new nurse asked her preceptor which patient situation woul…

A new nurse asked her preceptor which patient situation would therapeutic hypothermia be started in the emergency department?

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After receiving change-of-shift report on a medical unit, th…

After receiving change-of-shift report on a medical unit, the nurse should first assess the patient with which situation?

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The nurse enters the room of a client who is acutely short o…

The nurse enters the room of a client who is acutely short of breath. Which action should the nurse take first?

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