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A nurse is caring for a patient admitted to the hospital wit…

A nurse is caring for a patient admitted to the hospital with a diagnosis of congestive heart failure and is retaining fluid. For what clinical indicator should the nurse assess the patients that supports the presence of this condition?

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A nurse is assessing a patient who has a traumatic injury to…

A nurse is assessing a patient who has a traumatic injury to the base of the right index finger. Which assessment of the site indicates the inflammatory response has progressed to the infectious process?

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A patient reports to the nurse that an “accident” occurred a…

A patient reports to the nurse that an “accident” occurred and the bed is wet with urine. What step in the nurse process is most associated with the bathing and changing of linen?

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The physician orders 1 units of PRBC’s (blood) for a patient…

The physician orders 1 units of PRBC’s (blood) for a patient with severe anemia, to infuse over 4 hours per IV pump. The PRBC’s has a volume of 200 mL. At what rate should the nurse infuse the PRBC’s? [BLANK-1]

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When two (2) nursing diagnosis appear closely related, what…

When two (2) nursing diagnosis appear closely related, what should the nurse do first to determine which of the diagnosis most accurately reflects the needs of the patient?

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An Intramuscular / IM injection in an average sized adult pa…

An Intramuscular / IM injection in an average sized adult patient should be given at angle of?

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The presence of increased serosanguinous drainage from a pri…

The presence of increased serosanguinous drainage from a primary intention surgical wound may indicate which potential complication of wound healing?

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The physician orders Digoxin 0.375 mg IV stat for a patient…

The physician orders Digoxin 0.375 mg IV stat for a patient admitted to the emergency room in heart failure. Digoxin is available as: 500 mcg/2mL. What will the nurse prepare for administration to the patient? Record answer to the tenth [BLANK-1]

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A patient is admitted to the emergency room with epigastric…

A patient is admitted to the emergency room with epigastric pain. The nurse askes the patient to identify the intensity of the pain using a scale of 0 to 10, with 0 being pain free and 10 reflecting excruciating pain. Which step of the nursing process does this action reflect?

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A nurse identifies the following desired outcome: “the patie…

A nurse identifies the following desired outcome: “the patient will walk 30 feet twice a day without exhibiting signs and symptoms of activity intolerance “. Which step of the nursing process does this statement reflect?

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