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A client reports he has received the Bacilli-Calmette-Guerin…

A client reports he has received the Bacilli-Calmette-Guerin (BCG) vaccination. Which of the following is the best method to determine this client’s tuberculosis (TB) status?

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You are admitting four clients to the medical unit, but only…

You are admitting four clients to the medical unit, but only 1 negative pressure isolation room is available. Which client is the priority placement?

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The client with chronic lung disease presents with increased…

The client with chronic lung disease presents with increased dyspnea and tachycardia.  Which assessment/diagnostic findings would indicate atelectasis? 

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A nurse is working in a pediatric clinic. After the nurse gi…

A nurse is working in a pediatric clinic. After the nurse gives a hepatitis A immunization to an infant, the parent asks what kind of protection this provides for the child. What is the nurse’s best response? 

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The nurse is reviewing lab results of a client with AIDS who…

The nurse is reviewing lab results of a client with AIDS whose current viral load is 25,000. Which additional information indicates the antiretroviral (ART) medications are effective?

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The unlicensed assistive personnel (UAP) notifies the nurse…

The unlicensed assistive personnel (UAP) notifies the nurse that the client diagnosed with COPD: Emphysema would like his oxygen level increased from 2L via nasal cannula to 6L via nasal cannula to help with his breathing. What is the priority nursing intervention?

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A client with a pulmonary embolus has the following arterial…

A client with a pulmonary embolus has the following arterial blood gas (ABG) values: pH, 7.49; partial pressure of arterial oxygen (PaO2), 60 mm Hg; partial pressure of arterial carbon dioxide (PaCO2), 30 mm Hg; bicarbonate (HCO3–) 25 mEq/L. What should the nurse do first?

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A client experiencing a severe exacerbation of COPD: Emphyse…

A client experiencing a severe exacerbation of COPD: Emphysema due to pneumonia has a respiratory rate of 36, decreased breath sounds at the bilateral bases with expiratory wheezes in the upper lobes, and the following arterial blood gas results: Ph 7.32, PaCO2 48 mmHg, HCO3 26 mEq/L, PaO2 84mmHg. Which order from the health care provider should the nurse implement as the priority?

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A client diagnosed with Rheumatoid Arthritis is being discha…

A client diagnosed with Rheumatoid Arthritis is being discharged with a prescription for an oral steroid which will be tapered. The client asks the nurse why they are not receiving the same dose each day. The best response by the nurse is which of the following? 

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A client has a chest-tube attached to a wet suction system a…

A client has a chest-tube attached to a wet suction system and the nurse notes the fluid in the water-seal chamber has stopped tidaling. The nurse should understand this is most likely caused by which of the following?

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