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2023 NEWEST VERSION ACTUAL
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EXAM 180 QUESTIONS AND CORRECT
DETAILED ANSWERS
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1 of 179
Term
A nurse is preparing a sterile field to peform a dressing change. Which
of the following actions should the nurse take?
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Place sterile objects directly on the Place non-sterile objects on the
edge of the sterile field sterile field
, Place sterile objects at least 2.5
Place sterile objects randomly on the
cm (1 inch) from the edge of
sterile field
the sterile field
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2 of 179
Term
A nurse is caring for a client who has heart failure and is taking
furosemide (lasix). Which of the following statements made by the
client indicates a need for the nurse to intervene?
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"I have to sleep sitting up" urine output 12 ml/hr
absence of menses. "your windpipe is inflamed and
elevated blood pressure. constricted"
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3 of 179
Term
,A client who has asthma and is started on montelukast (Singular)
returns to the clinic 1 month later. Which of the ff. indicates that the
client is complying with this medication regimen?
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The client takes the medication The client takes the medication with
once daily at bedtime grapefruit juice
The client experiences increased
The client skips doses frequently
asthma attacks
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4 of 179
Term
A nurse is reinforcing teaching to a client who has been taking dig 0.25
mg PO daily for 6 months, which of the following indicates a need for
further teaching?
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, I will call my provider if I
I will switch to a different medication
experience a yellow tinge to
if i see a yellow tinge to my vision
my vision
I will stop taking the medication
I will increase my dosage if I notice a
immediately if i see a yellow tinge to
yellow tinge to my vision
my vision
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5 of 179
Term
A nurse is collecting data from the caregiver of a client who has
Alzheimer's disease. The caregiver reports the client has difficulty
sleeping at night and wanders throughout the house. Which of the
following interventions should the nurse recommend?
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Recommend the client to take a long Advise the client to watch tv until late
nap in the afternoon at night
Suggest the client to drink coffee Encourage the client to take
before bedtime frequent walks during the day
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