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RN Concept.
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Exam of 30 pages for the course ASU SHS 470 at ASU SHS 470 (RN Concept.)
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By: Bestnursesteve • 3 months ago
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RN Concept -Based Assessment Level 2 Online Practice B New Latest Version with Questions and Answers A home health nu rse is assessing a client who has COPD. The client has a respiratory rate of 22/min and reports shortness of breath. Which of the following actions should the nurse take first? A: Place the client in high -Fowler's position. B: Encourage the client to perfo rm diaphragmatic breathing. C: Instruct the client to perform a huff -coughing technique. D: Administer a nebulized bronchodilator. - ✔✔ ANSW✔✔ place the client in high -Fowler's position A hospice nurse is visiting with a client following the death of her partner 1 month ago. The client is tearful and states she does not see how she can ever be happy again. Which of the following responses should the nurse make? - ✔✔ ANSW✔✔ What are some of the best times with your partner that you remember? A nurse a reviewing the laboratory report of a client who is taking atorvastatin. Which of the following findings should the nurse identify as an indication that the medication is having an adverse effec t? A: LDL 100 mg/dL B: Total cholesterol 199 mg/dL C: Aspartate aminotransferase (AST) 45 units/L D: Creatine kinase (CK) 120 units/L - ✔✔ ANSW✔✔ Aspartate aminotransferase (AST) 45 units/L A nurse in a community health clinic is reviewing data from the med ical records of four clients. Which of the following communicable diseases requires reporting by the nurse? -Gonorrhea -Herpes genitalis -Human papillomavirus -Bacterial vaginosis - ✔✔ ANSW✔✔ Gonorrhea Gonorrhea is an infectious condition listed on the Nat ionally Notifiable Infectious Conditions Listing. The nurse should report this communicable disease to the Centers for Disease Control and Prevention. A nurse in a provider's office is assessing a client who is taking warfarin to treat atrial fibrillation . Which of the following findings should the nurse identify as an adverse effect that should be reported to the provider? A: Black, tarry stools B: Ringing in the ears C: Urinary retention D: Recent hallucinations - ✔✔ ANSW✔✔ Black, tarry stools A nurse in a provider's office is reviewing the medical record of a client who has COPD. Which of the following findings is the priority for the nurse to report to the provider? A: Chest x -ray results show increased lung space. B: Sputum culture shows gram positive bacteria. C: SpO2 level is 88%. D: Weight loss of 1.4 kg (3 lb) since prior visit. - ✔✔ ANSW✔✔ Sputum culture shows gram positive bacteria A nurse in an emergency department is assessing a client who displays manifestations of a small bowel obstruction. Whi ch of the following findings should the nurse expect? Select all that apply A: Abdominal distention B: Flank pain C: Hypervolemia D: Vomiting E: Hyperactive bowel sounds - ✔✔ ANSW✔✔ Abdominal distention, vomiting, hyperactive bowel sounds A nurse in an emergency department is caring for a client who has appendicitis. Which of the following actions should the nurse take? -restrict oral intake to clear fluids -place a heating pad on the client's abdomen -place the client in semi -Fowler's posi tion -Administer an enema - ✔✔ ANSW✔✔ Place the client in semi -Fowler's position The nurse should place the client in semi -Fowler's position to contain abdominal drainage in the lower abdomen and prevent it from seeping into the peritoneum. A nurse in an e mergency department is reviewing the laboratory report of a client who has hyperventilation. The client's ABG results are pH 7.50, PaCO2 29 mmHg, and HCO3 25 mEq/L. The nurse should interpret that these values are an indication of which of the following ac id-base imbalances? - ✔✔ ANSW✔✔ Respiratory alkalosis A nurse is admitting a client who has peptic ulcer disease and an upper gastrointestinal bleed. Which of the following manifestations should the nurse expect? Select all that apply A: Dark, tarry stools B: Bright red emesis C: Increased heart rat eD: Increased blood pressure E: Bounding peripheral pulses - - ✔✔ ANSW✔✔ Dark tarry stools, bright red emesis, increased heart rate A nurse is admitting an infant who has pertussis. Which of the following actions should the nurse take? - ✔✔ ANSW✔✔ Initiate droplet precautions for the infantThe benefits of buying summaries with Stuvia:
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