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60. Which interventions should be implemented to prevent a h…

60. Which interventions should be implemented to prevent a hemolytic transfusion reaction? (Select all that apply)

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55. A nurse is preparing to administer a blood transfusion t…

55. A nurse is preparing to administer a blood transfusion to an older adult. Understanding age-related changes, what alterations in the usual protocol are necessary for the nurse to implement? (Select all that apply.)

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3. The nurse assessing a premature newborn infant auscultate…

3. The nurse assessing a premature newborn infant auscultates a continuous machinery-like murmur. What action by the nurse is most appropriate?

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41. What action by a new intensive care unit staff nurse wou…

41. What action by a new intensive care unit staff nurse would indicate that the nurse educator’s teaching about arterial pressure monitoring has been effective?

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33. Disseminated intravascular coagulation is suspected in a…

33. Disseminated intravascular coagulation is suspected in a client with pneumonia and sepsis.  What information is most important to report to the health care provider?

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12. Which assessment finding would lead the nurse to suspect…

12. Which assessment finding would lead the nurse to suspect that a newborn infant has a ventricular septal defect?

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A nursing instructor is teaching about the prevalence of bip…

A nursing instructor is teaching about the prevalence of bipolar disorder. Which student statement indicates that learning has occurred?

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49. After surgery for an abdominal aortic aneurysm, a client…

49. After surgery for an abdominal aortic aneurysm, a client’s central venous pressure is 2 mm/Hg. Which action should the nurse take?

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29. A client has been admitted with dehydration and hypotens…

29. A client has been admitted with dehydration and hypotension after having vomiting and diarrhea for 4 days. Which finding is most important for the nurse to report to the health care provider?

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5. The nurse is admitting a child who has been diagnosed wit…

5. The nurse is admitting a child who has been diagnosed with Kawasaki disease. What is the most serious complication for which the nurse should assess in Kawasaki disease?

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