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A nurse is preparing to administer metformin to a patient wi…

A nurse is preparing to administer metformin to a patient with type 2 diabetes and chronic kidney disease. The nurse should withhold the medication and notify the provider based on which finding?

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A patient with GERD and a long history of Barrett’s esophagu…

A patient with GERD and a long history of Barrett’s esophagus reports progressive dysphagia, unintentional weight loss, and persistent hoarseness. The nurse should recognize these symptoms as potentially indicative of which condition?

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A patient undergoing a liver biopsy for suspected cirrhosis…

A patient undergoing a liver biopsy for suspected cirrhosis is returned to their hospital room. In which position should the nurse place the patient to prevent hemorrhage?

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A nurse is preparing a female patient for isotretinoin thera…

A nurse is preparing a female patient for isotretinoin therapy for severe cystic acne. Which pre-treatment requirement must be met before initiating therapy?

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A patient with a history of gallstones presents with sudden…

A patient with a history of gallstones presents with sudden onset of severe RUQ pain radiating to the right scapula, fever, and nausea. Which diagnostic finding would confirm acute cholecystitis?

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A patient receiving total parenteral nutrition (TPN) via a c…

A patient receiving total parenteral nutrition (TPN) via a central line suddenly develops a fever, chills, and hypotension. The nurse should prioritize which intervention?

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A patient received NPH insulin at 8 AM and now presents at 4…

A patient received NPH insulin at 8 AM and now presents at 4 PM with diaphoresis, confusion, and tremors. The nurse anticipates which physiological process as the cause of these symptoms?

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A nurse is assessing a patient prescribed levothyroxine for…

A nurse is assessing a patient prescribed levothyroxine for hypothyroidism. Which symptoms suggest the patient is experiencing thyroid hormone overdose? (Select all that apply.)

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A patient with suspected appendicitis suddenly reports compl…

A patient with suspected appendicitis suddenly reports complete relief of pain followed by abdominal rigidity and tachycardia. The nurse should suspect which complication?

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A patient on long-term corticosteroid therapy for Cushing’s…

A patient on long-term corticosteroid therapy for Cushing’s syndrome presents with fatigue, hypertension, and hyperglycemia. Which lab finding should the nurse anticipate?

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