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A nurse is caring for a 32-year-old patient with a T6 spinal…

A nurse is caring for a 32-year-old patient with a T6 spinal cord injury who suddenly develops severe headache, flushing above the injury level, nasal congestion, and a blood pressure of 190/110 mmHg. The patient reports feeling anxious. The nurse suspects autonomic dysreflexia. What is the priority nursing intervention in this situation?

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A nurse is caring for a 35-year-old patient recently diagnos…

A nurse is caring for a 35-year-old patient recently diagnosed with cancer. During a conversation, the patient states, “I feel like my life is over now. I don’t know how to cope with this diagnosis.” The nurse uses therapeutic communication to provide support. Which response by the nurse demonstrates therapeutic communication?

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A nurse is caring for a 58-year-old patient in the emergency…

A nurse is caring for a 58-year-old patient in the emergency department presenting with chest pain radiating to the left arm, shortness of breath, and nausea. The patient’s ECG confirms ST-segment elevation consistent with myocardial infarction (MI). The nurse implements the MONA protocol as part of the initial management. Which interventions are appropriate when applying the MONA protocol for this patient? (Select all that apply)

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A nurse is caring for a 62-year-old patient who underwent to…

A nurse is caring for a 62-year-old patient who underwent total hip replacement surgery. The patient is at risk for developing deep vein thrombosis (DVT) due to immobility following the procedure. The nurse plans to implement preventive measures. Which intervention is most effective for preventing DVT in this patient?

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A nurse is providing a complete bed bath for a 75-year-old p…

A nurse is providing a complete bed bath for a 75-year-old patient who is immobile due to a stroke. The nurse explains the process to the patient before beginning. Which sequence of steps should the nurse follow to ensure proper hygiene and prevent infection during the bed bath?

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A nurse is caring for a 40-year-old patient who was recently…

A nurse is caring for a 40-year-old patient who was recently diagnosed with a chronic illness. The patient states, “I feel so overwhelmed by this diagnosis, and I don’t know how to handle it.” The nurse discusses coping mechanisms and stress management techniques to help the patient adjust. Which statement by the patient indicates effective coping?  

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The client is complaining of diminished appetite. Which init…

The client is complaining of diminished appetite. Which initial action should the nurse take?

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If a client has cancer and is being treated with chemotherap…

If a client has cancer and is being treated with chemotherapy, the greatest food safety concern is

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A client experiences bloating gas and diarrhea after eating…

A client experiences bloating gas and diarrhea after eating ice cream or drinking milk.  These symptoms are related to 

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Most clients with cystic fibrosis require a  

Most clients with cystic fibrosis require a  

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