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[Show more]issues that arise from musculoskeletal problemsCorrect answers - 
 
how to care to care for amputationsCorrect answers - 
 
how to prevent complicationsCorrect answers - 
 
most common reason for amputationCorrect answers - perioheral artery disease 
 
test to determine perfusion to the affec...
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Add to cartissues that arise from musculoskeletal problemsCorrect answers - 
 
how to care to care for amputationsCorrect answers - 
 
how to prevent complicationsCorrect answers - 
 
most common reason for amputationCorrect answers - perioheral artery disease 
 
test to determine perfusion to the affec...
A nurse is administering packed red blood cells to a client. What should the nurse do if a transfusion reaction is suspected? Correct Answer - Stop the infusion. 
 
A nurse is caring for a client with skeletal traction following a fracture. How and when should skeletal pin care be provided? Correct ...
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Add to cartA nurse is administering packed red blood cells to a client. What should the nurse do if a transfusion reaction is suspected? Correct Answer - Stop the infusion. 
 
A nurse is caring for a client with skeletal traction following a fracture. How and when should skeletal pin care be provided? Correct ...
Order of Assessment- General Correct Answer - IPPA- Inspection, palpation, percussion, ausculation 
 
Order of assessment for abdomen Correct Answer - IAPP- inspection, auscultation, percussion, palpation 
 
Normal Sodium Values? Correct Answer - 136-145 mmol/L 
 
normal pottasium level Correct Answ...
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Add to cartOrder of Assessment- General Correct Answer - IPPA- Inspection, palpation, percussion, ausculation 
 
Order of assessment for abdomen Correct Answer - IAPP- inspection, auscultation, percussion, palpation 
 
Normal Sodium Values? Correct Answer - 136-145 mmol/L 
 
normal pottasium level Correct Answ...
A nurse is assessing a group of clients for indications of role changes. The nurse should identify that which of the following clients is at risk for experiencing a role change? Correct Answer - A client who has multiple sclerosis and is experiencing progressive difficulty ambulating. 
 
A nurse is ...
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Add to cartA nurse is assessing a group of clients for indications of role changes. The nurse should identify that which of the following clients is at risk for experiencing a role change? Correct Answer - A client who has multiple sclerosis and is experiencing progressive difficulty ambulating. 
 
A nurse is ...
What is the cause of a 'non-mechanical' bowel obstruction? 
A. A tumor or twisting of the bowel. 
B. Constipation. 
C. General anesthesia, narcotics, and handling of the bowel during surgery. 
D. Adhesions Correct Answer - C 
 
What should the nurse advise a pt. who has diverticulosis to eat? 
...
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Add to cartWhat is the cause of a 'non-mechanical' bowel obstruction? 
A. A tumor or twisting of the bowel. 
B. Constipation. 
C. General anesthesia, narcotics, and handling of the bowel during surgery. 
D. Adhesions Correct Answer - C 
 
What should the nurse advise a pt. who has diverticulosis to eat? 
...
Diabetic Ketoacidosis Correct Answer - - assessment: dehydration, ketosis, metabolic acidosis, hyperglycemia 
- admin fast acting insulin that can be effective within 10 min, admin IV 
- kussmaul resp 
 
Beta blockers (Propanolol) Correct Answer - - monitor: sore throat, vision changes, blurred vis...
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Add to cartDiabetic Ketoacidosis Correct Answer - - assessment: dehydration, ketosis, metabolic acidosis, hyperglycemia 
- admin fast acting insulin that can be effective within 10 min, admin IV 
- kussmaul resp 
 
Beta blockers (Propanolol) Correct Answer - - monitor: sore throat, vision changes, blurred vis...
Diabetic Ketoacidosis Correct Answer - - assessment: dehydration, ketosis, metabolic acidosis, hyperglycemia 
- admin fast acting insulin that can be effective within 10 min, admin IV 
- kussmaul resp 
 
Beta blockers (Propanolol) Correct Answer - - monitor: sore throat, vision changes, blurred vis...
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Add to cartDiabetic Ketoacidosis Correct Answer - - assessment: dehydration, ketosis, metabolic acidosis, hyperglycemia 
- admin fast acting insulin that can be effective within 10 min, admin IV 
- kussmaul resp 
 
Beta blockers (Propanolol) Correct Answer - - monitor: sore throat, vision changes, blurred vis...
Respiratory Alkalosis S/S Correct Answer - lethargy 
lightheadedness 
confusion 
tachycardia 
dysrhythmias related to hypokalemia 
nausea 
vomiting 
epigastric pain 
numbness and tingling of the extremities 
hyperventilation (tachypnea) 
 
A nurse is contributing to the plan of care for an older adu...
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Add to cartRespiratory Alkalosis S/S Correct Answer - lethargy 
lightheadedness 
confusion 
tachycardia 
dysrhythmias related to hypokalemia 
nausea 
vomiting 
epigastric pain 
numbness and tingling of the extremities 
hyperventilation (tachypnea) 
 
A nurse is contributing to the plan of care for an older adu...
A nurse is reinforcing teaching with a client who has HIV and is being discharged to home. Which of the following instructions should the nurse include in the teaching? Correct Answer - Take temperature once a day 
 
A nurse is caring for a client who is postoperative following a tracheostomy, and h...
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Add to cartA nurse is reinforcing teaching with a client who has HIV and is being discharged to home. Which of the following instructions should the nurse include in the teaching? Correct Answer - Take temperature once a day 
 
A nurse is caring for a client who is postoperative following a tracheostomy, and h...
A nurse in an emergency department is preparing to perform an ocular irrigation for a client. Which of the following actions should the nurse plan to take? 
a. Assess the client's visual acuity prior to irrigation 
b. Have the client turn their head toward the unaffected eye 
c. Hold the irrigator ...
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Add to cartA nurse in an emergency department is preparing to perform an ocular irrigation for a client. Which of the following actions should the nurse plan to take? 
a. Assess the client's visual acuity prior to irrigation 
b. Have the client turn their head toward the unaffected eye 
c. Hold the irrigator ...
a nurse is assessing a pt who has a history of migraine headaches with aura and reports feeling a "migraine coming on", the nurse should expect the pt to report what manifestation Correct Answer - visual disturbance 
 
a nurse is teaching a pt who has a new diagnosis of MS about visual changes she...
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Add to carta nurse is assessing a pt who has a history of migraine headaches with aura and reports feeling a "migraine coming on", the nurse should expect the pt to report what manifestation Correct Answer - visual disturbance 
 
a nurse is teaching a pt who has a new diagnosis of MS about visual changes she...
A nurse is providing teaching to a client who has stage II cervical cancer and is scheduled for brachytherapy. Which of the following instructions should the nurse include? 
 
"You will have an implant placed twice each month for the duration of the treatment." 
"You should remain at least 6 feet...
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Add to cartA nurse is providing teaching to a client who has stage II cervical cancer and is scheduled for brachytherapy. Which of the following instructions should the nurse include? 
 
"You will have an implant placed twice each month for the duration of the treatment." 
"You should remain at least 6 feet...
A nurse is caring for a client who is postoperative following vein ligation and stripping for varicose veins. Which of the following actions should the nurse take? 
 
a) position the client supine with his legs elevated when in bed 
b) encourage the client to ambulate for 15 minutes every hour while...
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Add to cartA nurse is caring for a client who is postoperative following vein ligation and stripping for varicose veins. Which of the following actions should the nurse take? 
 
a) position the client supine with his legs elevated when in bed 
b) encourage the client to ambulate for 15 minutes every hour while...
A nurse is admitting a client who has a suspected MI and a history of angina. Which of the following findings will help the nurse distinguish angina from an MI? 
A. Angina can be relieved with rest and nitroglycerin 
B. The pain of an MI resolves in less than 15 minutes 
C. The type of activity that...
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Add to cartA nurse is admitting a client who has a suspected MI and a history of angina. Which of the following findings will help the nurse distinguish angina from an MI? 
A. Angina can be relieved with rest and nitroglycerin 
B. The pain of an MI resolves in less than 15 minutes 
C. The type of activity that...
A nurse is planning care for a client who has a full-thickness burns on the lower extremities. Which of the following interventions should the nurse include? 
a) Limit visitation time for client's children to 40 minutes per day 
b) clean the equipment in the client's room once per week 
c) prov...
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Add to cartA nurse is planning care for a client who has a full-thickness burns on the lower extremities. Which of the following interventions should the nurse include? 
a) Limit visitation time for client's children to 40 minutes per day 
b) clean the equipment in the client's room once per week 
c) prov...
A nurse is caring for a client who has a new diagnosis of type 2 diabetes mellitus and reports difficulty following the diet and remembering to take the prescribed medication. Which of the following actions should the nurse take to promote client compliance? SATA 
A. Ask the dietitian to assist with...
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Add to cartA nurse is caring for a client who has a new diagnosis of type 2 diabetes mellitus and reports difficulty following the diet and remembering to take the prescribed medication. Which of the following actions should the nurse take to promote client compliance? SATA 
A. Ask the dietitian to assist with...
Right sided heart failure Correct Answer - Distended abdomen 
Jugular vein neck distention 
Dependent edema 
 
Left sided heart failure Correct Answer - Oliguria during the day (b/c decreased blood flow to kidneys) 
 
Fluid Volume Overload assessment findings Correct Answer - Distended neck veins 
 ...
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Add to cartRight sided heart failure Correct Answer - Distended abdomen 
Jugular vein neck distention 
Dependent edema 
 
Left sided heart failure Correct Answer - Oliguria during the day (b/c decreased blood flow to kidneys) 
 
Fluid Volume Overload assessment findings Correct Answer - Distended neck veins 
 ...
1. A nurse in a burn treatment center is caring for a client who is admitted with 
severe burns to both lower extremities and is pending an escharotomy. The client's 
spouse asks the nurse what the procedure entails. Which of the following 
nursing statements is appropriate? 
a."large incisions wi...
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Add to cart1. A nurse in a burn treatment center is caring for a client who is admitted with 
severe burns to both lower extremities and is pending an escharotomy. The client's 
spouse asks the nurse what the procedure entails. Which of the following 
nursing statements is appropriate? 
a."large incisions wi...
A nurse is caring for a client who has chronic venous insufficiency and a prescription for thigh high compression stockings. Which action should the nurse take? 
a. elevate legs for 10 min, 2-3 times a day while wearing stockings 
b. apply the stockings in the morning upon awakening and before getti...
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Add to cartA nurse is caring for a client who has chronic venous insufficiency and a prescription for thigh high compression stockings. Which action should the nurse take? 
a. elevate legs for 10 min, 2-3 times a day while wearing stockings 
b. apply the stockings in the morning upon awakening and before getti...
traction weights are on the floor Correct Answer - move patient up in bed 
 
cholecystits and cholelithiasis food Correct Answer - avoid fatty food and high protein food example : egg yolks 
 
ace inhibitor meds for blood pressure Correct Answer - discontinue meds if develop a cough 
 
tuberculosis ...
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Add to carttraction weights are on the floor Correct Answer - move patient up in bed 
 
cholecystits and cholelithiasis food Correct Answer - avoid fatty food and high protein food example : egg yolks 
 
ace inhibitor meds for blood pressure Correct Answer - discontinue meds if develop a cough 
 
tuberculosis ...
When administering a transfusion of packed red blood cells, it is important to.... Correct Answer - make sure the entire unit is transfused within 4 hours 
 
A patient who is anticipating total hip replacement is considering autologous transfusion. When teaching this patient about autologous transfu...
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Add to cartWhen administering a transfusion of packed red blood cells, it is important to.... Correct Answer - make sure the entire unit is transfused within 4 hours 
 
A patient who is anticipating total hip replacement is considering autologous transfusion. When teaching this patient about autologous transfu...
A nurse in an acute care facility is caring for a client who is at risk for seizures. Which of the following precautions should the nurse implement? Correct Answer - Ensure the client has a patient IV. 
 
The nurse should ensure the client has IV access in the event that the client requires medicati...
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Add to cartA nurse in an acute care facility is caring for a client who is at risk for seizures. Which of the following precautions should the nurse implement? Correct Answer - Ensure the client has a patient IV. 
 
The nurse should ensure the client has IV access in the event that the client requires medicati...
How do you ensure that medication reaches the inner ear? Correct Answer - Press gently on the tragus 
 
which requires an incident report? 
-putting restraints on a moveable part of the bed 
-putting a mask on a TB patient before transport 
-administer meds 30 min before 
-patient receives addition...
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Add to cartHow do you ensure that medication reaches the inner ear? Correct Answer - Press gently on the tragus 
 
which requires an incident report? 
-putting restraints on a moveable part of the bed 
-putting a mask on a TB patient before transport 
-administer meds 30 min before 
-patient receives addition...
A nurse is assessing for compartment syndrome in a client who has a short leg cast. Which of the following findings should the nurse identify as a manifestation of this condition? 
 
- bounding pedal pulse 
- capillary refill less than 2 seconds 
- pain that increases with passive movement 
- areas...
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Add to cartA nurse is assessing for compartment syndrome in a client who has a short leg cast. Which of the following findings should the nurse identify as a manifestation of this condition? 
 
- bounding pedal pulse 
- capillary refill less than 2 seconds 
- pain that increases with passive movement 
- areas...
A nurse is reviewing bowel prep using polyethylene glycol with a client scheduled for a colonoscopy. Which of the following instructions should the nurse include in the teaching? 
a. check with the provider about taking current medications when consuming bowel prep 
b. consume a normal diet until st...
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Add to cartA nurse is reviewing bowel prep using polyethylene glycol with a client scheduled for a colonoscopy. Which of the following instructions should the nurse include in the teaching? 
a. check with the provider about taking current medications when consuming bowel prep 
b. consume a normal diet until st...
A nurse is caring for a client who is scheduled for a thoracentesis. Prior to the procedure, which of the following actions should the nurse take? 
 
A. Position the client in an upright position, leaning over the bedside table 
B. Explain the procedure 
C. Obtain ABGs 
D. Administer benzocaine spra...
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Add to cartA nurse is caring for a client who is scheduled for a thoracentesis. Prior to the procedure, which of the following actions should the nurse take? 
 
A. Position the client in an upright position, leaning over the bedside table 
B. Explain the procedure 
C. Obtain ABGs 
D. Administer benzocaine spra...
A nurse is admitting a client who has active tuberculosis to a room on a medical-surgical unit. Which of the following room assignments should the nurse make for the client? Correct Answer - A room with air exhaust directly to the outdoor environment 
 
A nurse is caring for a client who has a new d...
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Add to cartA nurse is admitting a client who has active tuberculosis to a room on a medical-surgical unit. Which of the following room assignments should the nurse make for the client? Correct Answer - A room with air exhaust directly to the outdoor environment 
 
A nurse is caring for a client who has a new d...
A nurse is reinforcing teaching with a client who has HIV and is being discharged to home. Which 
of the following instructions should the nurse include in the teaching? 
 
1) Take temperature once a day. 
2) Wash the armpits and genitals with a gentle cleanser daily. 
3) Change the litter boxes whi...
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Add to cartA nurse is reinforcing teaching with a client who has HIV and is being discharged to home. Which 
of the following instructions should the nurse include in the teaching? 
 
1) Take temperature once a day. 
2) Wash the armpits and genitals with a gentle cleanser daily. 
3) Change the litter boxes whi...
A nurse is caring for a client who is postoperative. Complete the diagram by dragging from the choices below to specify what condition the client is most likely experiencing, two actions the nurse should take to address that condition, and two parameters the nurse should monitor to assess the client...
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Add to cartA nurse is caring for a client who is postoperative. Complete the diagram by dragging from the choices below to specify what condition the client is most likely experiencing, two actions the nurse should take to address that condition, and two parameters the nurse should monitor to assess the client...
Four non-modifiable risk factors Correct Answer - -age 
 
-genetics 
 
-developmental level 
 
-gender 
 
Five modifiable risk factors Correct Answer - -smoking 
 
-exercise 
 
-nutrition 
 
-health education 
 
-sex practices 
 
Three triaging categories Correct Answer - -emergent 
 
-urgent 
 
-no...
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Add to cartFour non-modifiable risk factors Correct Answer - -age 
 
-genetics 
 
-developmental level 
 
-gender 
 
Five modifiable risk factors Correct Answer - -smoking 
 
-exercise 
 
-nutrition 
 
-health education 
 
-sex practices 
 
Three triaging categories Correct Answer - -emergent 
 
-urgent 
 
-no...
Angina Precipitating Factors: 4 E's Correct Answer - Exertion 
Eating 
Extreme temperatures 
Emotional Distress 
 
Arterial Occlusion: 4 P's Correct Answer - Pain 
Pallor 
Paresthesia 
Pulselessness or absent pulse 
 
Congestive Heart Failure Treatment: MADD DOG Correct Answer - Morphine 
Aminoph...
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Add to cartAngina Precipitating Factors: 4 E's Correct Answer - Exertion 
Eating 
Extreme temperatures 
Emotional Distress 
 
Arterial Occlusion: 4 P's Correct Answer - Pain 
Pallor 
Paresthesia 
Pulselessness or absent pulse 
 
Congestive Heart Failure Treatment: MADD DOG Correct Answer - Morphine 
Aminoph...
Acute pancreatitis Correct Answer - The highest priority finding is absent bowel sounds 
 
Nontunneled percutaneous central venous catheter (CVC) Correct Answer - Nurse should place pt in Trendelenburg position 
 
Conscious sedation Correct Answer - Nurse should intervene if pt's O2 is 90% because ...
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Add to cartAcute pancreatitis Correct Answer - The highest priority finding is absent bowel sounds 
 
Nontunneled percutaneous central venous catheter (CVC) Correct Answer - Nurse should place pt in Trendelenburg position 
 
Conscious sedation Correct Answer - Nurse should intervene if pt's O2 is 90% because ...
Acute pancreatitis Correct Answer - The highest priority finding is absent bowel sounds 
 
Nontunneled percutaneous central venous catheter (CVC) Correct Answer - Nurse should place pt in Trendelenburg position 
 
Conscious sedation Correct Answer - Nurse should intervene if pt's O2 is 90% because ...
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Add to cartAcute pancreatitis Correct Answer - The highest priority finding is absent bowel sounds 
 
Nontunneled percutaneous central venous catheter (CVC) Correct Answer - Nurse should place pt in Trendelenburg position 
 
Conscious sedation Correct Answer - Nurse should intervene if pt's O2 is 90% because ...
A nurse is caring for a client who has a blood glucose of 52 mg/dl. The client is lethargic but arousable. Which of the following actions should the nurse perform first? 
 
A. Recheck the blood glucose in 15 mins 
B. Provide a carbohydrate and protein food 
C. Provide 15 g of simple carbohydrates 
D...
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Add to cartA nurse is caring for a client who has a blood glucose of 52 mg/dl. The client is lethargic but arousable. Which of the following actions should the nurse perform first? 
 
A. Recheck the blood glucose in 15 mins 
B. Provide a carbohydrate and protein food 
C. Provide 15 g of simple carbohydrates 
D...
a home health nurse visits a client who has COPD and receives oxygen at 2L/min via nasal cannula. the client reports difficulty breathing. which of the following actions is the nursing priority? 
a. increase the oxygen flow to 3L/min 
b. assess the client's respiratory status 
c. call emergency ser...
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Add to carta home health nurse visits a client who has COPD and receives oxygen at 2L/min via nasal cannula. the client reports difficulty breathing. which of the following actions is the nursing priority? 
a. increase the oxygen flow to 3L/min 
b. assess the client's respiratory status 
c. call emergency ser...
A nurse is planning care for a client who is having a percutaneous transluminal coronary angioplasty (PTCA) with stent placement. Which of the following actions should the nurse anticipate in the post-procedure plan of care? 
A. Instruct the client about a long-term cardiac conditioning program 
B. ...
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Add to cartA nurse is planning care for a client who is having a percutaneous transluminal coronary angioplasty (PTCA) with stent placement. Which of the following actions should the nurse anticipate in the post-procedure plan of care? 
A. Instruct the client about a long-term cardiac conditioning program 
B. ...
Colon resection Correct Answer - Surgical removal of a portion of the colon. 
 
Hemorrhaging Correct Answer - Excessive bleeding. 
 
Diabetes insipidus Correct Answer - Condition characterized by decreased production of antidiuretic hormone (ADH), resulting in excessive urination. 
 
Desmopressin Co...
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Add to cartColon resection Correct Answer - Surgical removal of a portion of the colon. 
 
Hemorrhaging Correct Answer - Excessive bleeding. 
 
Diabetes insipidus Correct Answer - Condition characterized by decreased production of antidiuretic hormone (ADH), resulting in excessive urination. 
 
Desmopressin Co...
A nurse is assessing a client who is preoperative. The nurse should identify that which of the following factors reported by the client increases the risk for a postoperative wound infection? 
A- Frequent use of echinacea 
 
B- Long term use of corticosteroids 
 
C- History of osteoporosis 
 
D- Die...
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Add to cartA nurse is assessing a client who is preoperative. The nurse should identify that which of the following factors reported by the client increases the risk for a postoperative wound infection? 
A- Frequent use of echinacea 
 
B- Long term use of corticosteroids 
 
C- History of osteoporosis 
 
D- Die...
A nurse is caring for a client who is postprocedure following a lumbar puncture and reports a throbbing headache when sitting upright. Which of the following actions should the nurse take? (Select all that apply). 
 
A. Use the Glasgow Coma Scale when assessing the client. 
B. Assist the client to a...
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Add to cartA nurse is caring for a client who is postprocedure following a lumbar puncture and reports a throbbing headache when sitting upright. Which of the following actions should the nurse take? (Select all that apply). 
 
A. Use the Glasgow Coma Scale when assessing the client. 
B. Assist the client to a...
A nurse is screening a client for hypertension. Which of the following actions by the client increase his 
risk for hypertension? Correct Answer - - Eating popcorn at the movie theater 
- Consuming 36 oz of beer daily 
 
A nurse is caring for a client who received a bolus dose of succinylcholine (An...
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Add to cartA nurse is screening a client for hypertension. Which of the following actions by the client increase his 
risk for hypertension? Correct Answer - - Eating popcorn at the movie theater 
- Consuming 36 oz of beer daily 
 
A nurse is caring for a client who received a bolus dose of succinylcholine (An...
What are some clinical manifestations of hypocalcemia? Correct Answer - muscle cramping and tingling in the extremities 
 
Describe the risk factors of ESKD and then manifestations and treatments: Correct Answer - Anemia- malaise, fatigue, and activity intolerance; treated with epoetin alfa 
Pulmona...
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Add to cartWhat are some clinical manifestations of hypocalcemia? Correct Answer - muscle cramping and tingling in the extremities 
 
Describe the risk factors of ESKD and then manifestations and treatments: Correct Answer - Anemia- malaise, fatigue, and activity intolerance; treated with epoetin alfa 
Pulmona...
A nurse is providing discharge instructions for a client following cataract surgery with insertion of an intraocular lens. Which of the following instruction should the nurse include? Correct Answer - Restrict lifting objects greater than 10 pounds 
 
Rationale: the nurse instruct the client to rest...
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Add to cartA nurse is providing discharge instructions for a client following cataract surgery with insertion of an intraocular lens. Which of the following instruction should the nurse include? Correct Answer - Restrict lifting objects greater than 10 pounds 
 
Rationale: the nurse instruct the client to rest...
A nurse in an emergency department is preparing to perform an ocular irrigation for a client. Which of the following actions should the nurse plan to take? 
a. Assess the client's visual acuity prior to irrigation 
b. Have the client turn their head toward the unaffected eye 
c. Hold the irrigator ...
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Add to cartA nurse in an emergency department is preparing to perform an ocular irrigation for a client. Which of the following actions should the nurse plan to take? 
a. Assess the client's visual acuity prior to irrigation 
b. Have the client turn their head toward the unaffected eye 
c. Hold the irrigator ...
S/Sx hypoparathyroidism Correct Answer - involuntary muscle spasms 
 
protamine sulfate Correct Answer - antidote to heparin 
 
monitor aPTT levels for... Correct Answer - heparin 
 
chest petechaie in a pt with a fractured long bone Correct Answer - notify HCP- could be an indication of fat emboli ...
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Add to cartS/Sx hypoparathyroidism Correct Answer - involuntary muscle spasms 
 
protamine sulfate Correct Answer - antidote to heparin 
 
monitor aPTT levels for... Correct Answer - heparin 
 
chest petechaie in a pt with a fractured long bone Correct Answer - notify HCP- could be an indication of fat emboli ...
Which respiratory diseases are risk factors for surgical complications? Correct Answer - 1. COPD 
2. Pneumonia 
3. Asthma 
 
Which cardiovascular diseases are risk factors for surgical complications? Correct Answer - 1. Heart failure 
2. Myocardial infraction 
3. Hypertension 
4. Dysrhythmia 
 
How ...
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Add to cartWhich respiratory diseases are risk factors for surgical complications? Correct Answer - 1. COPD 
2. Pneumonia 
3. Asthma 
 
Which cardiovascular diseases are risk factors for surgical complications? Correct Answer - 1. Heart failure 
2. Myocardial infraction 
3. Hypertension 
4. Dysrhythmia 
 
How ...
signs of increase ICP Correct Answer - Sleepiness or difficulty arousing the client from sleep 
 
A widening pulse pressure 
 
decerebrate and decorticate posturing 
 
What med do you hold for cardioversions? Correct Answer - Cardiac glycosides, such as digoxin, are withheld prior to cardioversion. ...
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Add to cartsigns of increase ICP Correct Answer - Sleepiness or difficulty arousing the client from sleep 
 
A widening pulse pressure 
 
decerebrate and decorticate posturing 
 
What med do you hold for cardioversions? Correct Answer - Cardiac glycosides, such as digoxin, are withheld prior to cardioversion. ...
A nurse is preparing an in-service presentation about the management of myocardial infarction (MI). Death following MI is often a result of which of the following complications? 
A. Cardiogenic shock 
B. Dysrhythmias 
C. Heart failure 
D. Pulmonary edema Correct Answer - Correct Answer: B. 
Dysrhyth...
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Add to cartA nurse is preparing an in-service presentation about the management of myocardial infarction (MI). Death following MI is often a result of which of the following complications? 
A. Cardiogenic shock 
B. Dysrhythmias 
C. Heart failure 
D. Pulmonary edema Correct Answer - Correct Answer: B. 
Dysrhyth...
a nurse is caring for four clients. which of the following is at the greatest risk for pneumonia? 
a. school age child with hx of asthma 
b. young adult who is living in college dorm 
c. middle adult who is using incentive spirometer post surgery 
d. older adult with dysphagia Correct Answer - d....
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Add to carta nurse is caring for four clients. which of the following is at the greatest risk for pneumonia? 
a. school age child with hx of asthma 
b. young adult who is living in college dorm 
c. middle adult who is using incentive spirometer post surgery 
d. older adult with dysphagia Correct Answer - d....
A nurse is teaching a client who asks about taking a glucosamine supplement for osteoarthritis. Which of the following information should the nurse include in the teaching? 
A. Avoid using glucosamine with chondroitin 
B. Glucosamine can cause degradation of cartilage when used over a long time 
C. ...
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Add to cartA nurse is teaching a client who asks about taking a glucosamine supplement for osteoarthritis. Which of the following information should the nurse include in the teaching? 
A. Avoid using glucosamine with chondroitin 
B. Glucosamine can cause degradation of cartilage when used over a long time 
C. ...
A nurse is caring for a client who had a left lower lobectomy to treat lung cancer. Which of the following factors will have a significant impact on the plan of care for this client? Correct Answer - C. Lung cancer usually has metastasized before the client presents with symptoms. 
 
A nurse is prep...
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Add to cartA nurse is caring for a client who had a left lower lobectomy to treat lung cancer. Which of the following factors will have a significant impact on the plan of care for this client? Correct Answer - C. Lung cancer usually has metastasized before the client presents with symptoms. 
 
A nurse is prep...
Wound Evisceration, Emergency management Correct Answer - 1. Saline cover wound 
 
Asthma emergency management of bee sting allergies Correct Answer - 1. Epi Pen 
 
Hypocalcemia Correct Answer - 1. Paresthesia fingers and lips 
2. Tetany 
3. Muscle Twitching 
 
Peripheral Vascular Disease, Data Coll...
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Add to cartWound Evisceration, Emergency management Correct Answer - 1. Saline cover wound 
 
Asthma emergency management of bee sting allergies Correct Answer - 1. Epi Pen 
 
Hypocalcemia Correct Answer - 1. Paresthesia fingers and lips 
2. Tetany 
3. Muscle Twitching 
 
Peripheral Vascular Disease, Data Coll...
A nurse is caring for a client who has a tracheostomy with an inflated cuff in place. Which of the following findings indicates that the nurse should suction the client's airway secretions? 
a.The client is unable to speak. 
b. The client's airway secretions were last suctioned 2 hr ago. 
c. The c...
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Add to cartA nurse is caring for a client who has a tracheostomy with an inflated cuff in place. Which of the following findings indicates that the nurse should suction the client's airway secretions? 
a.The client is unable to speak. 
b. The client's airway secretions were last suctioned 2 hr ago. 
c. The c...
What should the nurse do before witnessing the client signing an informed consent who has expressed fears of the surgery? Correct Answer - Ask the surgeon to speak to the client for clarification 
 
Medication history: which medicine puts the client at risk for complications with anesthetic? Correct...
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Add to cartWhat should the nurse do before witnessing the client signing an informed consent who has expressed fears of the surgery? Correct Answer - Ask the surgeon to speak to the client for clarification 
 
Medication history: which medicine puts the client at risk for complications with anesthetic? Correct...
A nurse is reinforcing teaching with an older adult client who has osteoporosis. Which of the following instructions should the nurse in the teaching? 
a) "Place throw rugs on wooden floors at home." 
b) "Supplement your diet with vitamin E." 
c) "Swim laps for 20 minutes twice per week." 
d) ...
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Add to cartA nurse is reinforcing teaching with an older adult client who has osteoporosis. Which of the following instructions should the nurse in the teaching? 
a) "Place throw rugs on wooden floors at home." 
b) "Supplement your diet with vitamin E." 
c) "Swim laps for 20 minutes twice per week." 
d) ...
a nurse is assessing a pt who has a herniated lumbar disc, what finding would the nurse expect Correct Answer - the pt reports tingling and burning sensation in one foot 
 
a nurse is assessing a pt who has a history of migraine headaches with aura and reports feeling a "migraine coming on", the n...
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Add to carta nurse is assessing a pt who has a herniated lumbar disc, what finding would the nurse expect Correct Answer - the pt reports tingling and burning sensation in one foot 
 
a nurse is assessing a pt who has a history of migraine headaches with aura and reports feeling a "migraine coming on", the n...
Colon resection Correct Answer - Surgical removal of a portion of the colon. 
 
Hemorrhaging Correct Answer - Excessive bleeding. 
 
Diabetes insipidus Correct Answer - Condition characterized by decreased production of antidiuretic hormone (ADH), resulting in excessive urination. 
 
Desmopressin Co...
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Add to cartColon resection Correct Answer - Surgical removal of a portion of the colon. 
 
Hemorrhaging Correct Answer - Excessive bleeding. 
 
Diabetes insipidus Correct Answer - Condition characterized by decreased production of antidiuretic hormone (ADH), resulting in excessive urination. 
 
Desmopressin Co...
An older adult is brought to an emergency department by a family member. Which of the following assessment findings should cause the nurse to suspect that the client has hypertonic dehydration? Correct Answer - Urine Specific gravity 1.045 
 
A urine specific gravity greater than 1.030 indicates a ...
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Add to cartAn older adult is brought to an emergency department by a family member. Which of the following assessment findings should cause the nurse to suspect that the client has hypertonic dehydration? Correct Answer - Urine Specific gravity 1.045 
 
A urine specific gravity greater than 1.030 indicates a ...
Internal Radiation Correct Answer - Bodily fluids will be contaminated. 
Delivered via IV (radionuclide iodine) 
DO NOT touch body secretions 
Place client in private room 
Sign on door 
Wear dosimeter 
Limit visitors 30 minutes (6 feet away) 
No one under 16 years, pregnant 
Wear lead apron 
Lead ...
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Add to cartInternal Radiation Correct Answer - Bodily fluids will be contaminated. 
Delivered via IV (radionuclide iodine) 
DO NOT touch body secretions 
Place client in private room 
Sign on door 
Wear dosimeter 
Limit visitors 30 minutes (6 feet away) 
No one under 16 years, pregnant 
Wear lead apron 
Lead ...
A nurse is caring for a client who is receiving chemotherapy and requests information about acupuncture to relieve some of the side effects. which of the following findings should the nurse identify as a contraindication to receiving this alternative therapy? Correct Answer - Lymphedema 
 
A nurse i...
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Add to cartA nurse is caring for a client who is receiving chemotherapy and requests information about acupuncture to relieve some of the side effects. which of the following findings should the nurse identify as a contraindication to receiving this alternative therapy? Correct Answer - Lymphedema 
 
A nurse i...
A nurse is working in the emergency department (ED) when a client arrives complaining of substernal and left arm discomfort that has been going on for about 3 hours. All of these baseline lab tests are drawn. Which of these lab values will be most useful in determining whether the nurse should antic...
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Add to cartA nurse is working in the emergency department (ED) when a client arrives complaining of substernal and left arm discomfort that has been going on for about 3 hours. All of these baseline lab tests are drawn. Which of these lab values will be most useful in determining whether the nurse should antic...
Albumin correct answer - 3.5-5 g/dL 
(decrease indicates hepatic disease) 
 
aPTT correct answer - 1.5-2 times normal range of 30-40 seconds 
(monitored for Heparin therapy) 
 
Calcium (Ca) correct answer - 9-10.5 mg/dL 
Hypo: CATS Convulsions, Arrythmias, Tetany/muscle twitches, spasms and strid...
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Add to cartAlbumin correct answer - 3.5-5 g/dL 
(decrease indicates hepatic disease) 
 
aPTT correct answer - 1.5-2 times normal range of 30-40 seconds 
(monitored for Heparin therapy) 
 
Calcium (Ca) correct answer - 9-10.5 mg/dL 
Hypo: CATS Convulsions, Arrythmias, Tetany/muscle twitches, spasms and strid...
. A nurse in a burn treatment center is caring for a client who is admitted with 
severe burns to both lower extremities and is pending an escharotomy. The client's 
spouse asks the nurse what the procedure entails. Which of the following 
nursing statements is appropriate? 
a."large incisions wil...
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Add to cart. A nurse in a burn treatment center is caring for a client who is admitted with 
severe burns to both lower extremities and is pending an escharotomy. The client's 
spouse asks the nurse what the procedure entails. Which of the following 
nursing statements is appropriate? 
a."large incisions wil...
dyspnea on exertion Correct Answer - A nurse is assessing a client who has dilated cardiomyopathy. Which of the following findings should the nurse expect? 
 
A nurse is teaching a client who is starting to take an ACE inhibitor to treat hypertension. The nurse should instruct the client to notify h...
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Add to cartdyspnea on exertion Correct Answer - A nurse is assessing a client who has dilated cardiomyopathy. Which of the following findings should the nurse expect? 
 
A nurse is teaching a client who is starting to take an ACE inhibitor to treat hypertension. The nurse should instruct the client to notify h...
A nurse is assessing a client who has experienced a gunshot wound. Findings include blood pressure 108/55 mm Hg, heart rate 124/min, respiratory rate 36/min, temperature 38.6 (101.4), and a SaO2 95% on oxygen 30 minute later. Which of the following should the nurse report to the provider? (select al...
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Add to cartA nurse is assessing a client who has experienced a gunshot wound. Findings include blood pressure 108/55 mm Hg, heart rate 124/min, respiratory rate 36/min, temperature 38.6 (101.4), and a SaO2 95% on oxygen 30 minute later. Which of the following should the nurse report to the provider? (select al...
A nurse in an emergency department is assessing a client who has a bradydysrhythmia. Which of the following findings should the nurse monitor for? Correct Answer - Confusion 
 
Rationale: It can cause decreased systemic perfusion, which leads to confusion. ; will manifest hypotension and diaphoresis...
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Add to cartA nurse in an emergency department is assessing a client who has a bradydysrhythmia. Which of the following findings should the nurse monitor for? Correct Answer - Confusion 
 
Rationale: It can cause decreased systemic perfusion, which leads to confusion. ; will manifest hypotension and diaphoresis...
MI vs Angina Correct Answer - Angina pectoris is a warning sign of an impending acute MI 
 
4 major S/Sx differences between Angina and MI Correct Answer - 
 
MI risk factors (10) Correct Answer - 1. male gender 
2. postmenopausal women 
3. hypertension 
4. tobacco use 
5. hyperlipidemia 
6. metabo...
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Add to cartMI vs Angina Correct Answer - Angina pectoris is a warning sign of an impending acute MI 
 
4 major S/Sx differences between Angina and MI Correct Answer - 
 
MI risk factors (10) Correct Answer - 1. male gender 
2. postmenopausal women 
3. hypertension 
4. tobacco use 
5. hyperlipidemia 
6. metabo...
heart failure occurs when the heart muscle is unable to pump effectively, resulting in inadequate _____, myocardial hypertrophy, and pulmonary/systemic congestion. Correct Answer - Heart failure 
 
_____ is a severe, life threatening accumulation of fluid in the alveoli and interstitial spaces of th...
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Add to cartheart failure occurs when the heart muscle is unable to pump effectively, resulting in inadequate _____, myocardial hypertrophy, and pulmonary/systemic congestion. Correct Answer - Heart failure 
 
_____ is a severe, life threatening accumulation of fluid in the alveoli and interstitial spaces of th...
How long should a pt fast before having a lipid profile taken? Correct Answer - 12-14 hours is recommended 
 
Total cholesterol Correct Answer - less that 200 mg/dL 
 
Triglycerides M and F Correct Answer - M: 40-160 mg/dL 
F: 35-135 mg/dL 
 
LDL cholesterol Correct Answer - less than 130 mg/dL 
 
H...
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Add to cartHow long should a pt fast before having a lipid profile taken? Correct Answer - 12-14 hours is recommended 
 
Total cholesterol Correct Answer - less that 200 mg/dL 
 
Triglycerides M and F Correct Answer - M: 40-160 mg/dL 
F: 35-135 mg/dL 
 
LDL cholesterol Correct Answer - less than 130 mg/dL 
 
H...
Troponin T correct answer - <0.2 ng/mL 
elevation detectable after MI 3-5 hrs 
 
Troponin I correct answer - <0.03 ng/mL 
elevation detectable after MI 3 hrs 
 
Myoglobin correct answer - <90 mcg/L 
elevation detectable after MI 2 hrs 
 
Echocardiogram correct answer - ultrasound of the...
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Add to cartTroponin T correct answer - <0.2 ng/mL 
elevation detectable after MI 3-5 hrs 
 
Troponin I correct answer - <0.03 ng/mL 
elevation detectable after MI 3 hrs 
 
Myoglobin correct answer - <90 mcg/L 
elevation detectable after MI 2 hrs 
 
Echocardiogram correct answer - ultrasound of the...
A nurse caring for a client who has a new prescription for atenolol. For which of the following adverse effects should 
the nurse monitor the client? Correct Answer - Bradycardia 
 
A nurse is caring for a client who has hypertension and is to start taking atenolol. The nurse should instruct the 
cl...
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Add to cartA nurse caring for a client who has a new prescription for atenolol. For which of the following adverse effects should 
the nurse monitor the client? Correct Answer - Bradycardia 
 
A nurse is caring for a client who has hypertension and is to start taking atenolol. The nurse should instruct the 
cl...
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