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A nurse assesses a client’s IV site and notes the infusion r…

A nurse assesses a client’s IV site and notes the infusion rate has decreased significantly. The site appears slightly swollen, cool to touch, and the client reports mild discomfort. The EID is functioning properly. What is the priority action?

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A client at high risk for electrolyte imbalances requires fo…

A client at high risk for electrolyte imbalances requires focused assessment. Which assessment categories should the nurse include? Select all that apply.

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A nurse cares for a laboring client at 4 cm dilation experie…

A nurse cares for a laboring client at 4 cm dilation experiencing moderate contraction pain rated 6/10. The client has an epidural consent signed but states, “I really want to avoid medications if possible and try natural methods first.” The client appears anxious and is breathing rapidly during contractions. Which intervention best demonstrates clinical judgment in selecting pain management approaches?

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A pediatric nurse is educating parents about the effects of…

A pediatric nurse is educating parents about the effects of a well-balanced diet on their child’s health. Which statements accurately reflect the impact of nutrition during early childhood? Select all that apply.

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A nurse assesses an 82-year-old client with advanced dementi…

A nurse assesses an 82-year-old client with advanced dementia who cannot verbally communicate. The client has been increasingly restless, moaning during care, and pulling at bed linens. Family reports this is unusual behavior. Which actions demonstrate appropriate clinical judgment in pain assessment? Select all that apply.

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A nurse receives report on four clients in the emergency dep…

A nurse receives report on four clients in the emergency department. Which client requires the most immediate pain assessment based on clinical judgment about potential life-threatening conditions?

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A client with a urinary tract infection is experiencing freq…

A client with a urinary tract infection is experiencing frequent, painful urination. Which structure is most likely affected by this condition?

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A home health nurse evaluates a client two days post-dischar…

A home health nurse evaluates a client two days post-discharge following abdominal surgery. The client reports pain averaging 3-4/10 (goal ?4=4), takes prescribed opioids only at bedtime, uses heating pad and relaxation techniques during the day, and independently performs light activities including meal preparation. The client states, “I’m managing pretty well but worry about when to call if something changes.” Which evaluation findings indicate successful pain management outcomes? Select all that apply.

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A pediatric nurse is educating parents about nutritional nee…

A pediatric nurse is educating parents about nutritional needs during early childhood (1-3 years). Which statements are accurate? Select all that apply.

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A nurse is counseling a client who expresses frustration wit…

A nurse is counseling a client who expresses frustration with slow progress in their diet plan. Which approach would be most effective in managing the client’s expectations?

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