2026 B
Ao.nurseo.ino.ao.medical-surgicalo.unito.iso.caringo.foro.sixo.clients.
Completeo.theo.followingo.sentenceo.byo.usingo.theo.listo.ofo.options.
Theo.firsto.cliento.theo.nurseo.shouldo.assesso.iso. followedo.byo. .
Cliento.1:o.Cliento.iso.admittedo.witho.ao.newo.diagnosiso.ofo.rheumatoido.arthritis.Cliento.2:o.Cliento.
haso.ao.historyo.ofo.hyperlipidemia.o.Atorvastatino.20o.mgo.POo.administeredo.aso.prescribed.Clien
to.3:o.Cliento.iso.1o.dayo.postoperative.o.Reportso.paino.aso.8o.ono.ao.scaleo.ofo.0o.too.10.o.Morphineo.5o.
mgo.subcutaneouso.administeredo.aso.prescribed.Cliento.4:o.Cliento.iso.admittedo.witho.ao.newo.di
agnosiso.ofo.hearto.failure.Cliento.5:o.Cliento.haso.ao.stageo.2o.pressureo.injuryo.ono.theo.lefto.heel.Cli
ento.6:o.Cliento.iso.admittedo.witho.ao.newo.diagnosiso.ofo.diabeteso.mellitus.o.-
o.✔✔ANSo.Correcto.Answero.(1):
Cliento.3
Wheno.usingo.theo.airway,o.breathing,o.circulationo.approacho.too.cliento.care,o.theo.nurseo.shouldo.
determineo.thato.thiso.cliento.iso.theo.priorityo.cliento.too.assess.o.Theo.cliento.haso.ano.oxygeno.satur
ationo.thato.iso.lesso.thano.theo.expectedo.referenceo.range,o.whicho.iso.ano.indicationo.ofo.hypoxia.
Correcto.Answero.(2):
Cliento.4
Wheno.usingo.theo.airway,o.breathing,o.circulationo.approacho.too.cliento.care,o.theo.nurseo.shouldo
.determine o.thato.thiso.cliento.iso.theo.nexto.priority o.cliento.too.assess.o.Theo.cliento.haso.ao.potassium
o.levelo.thato.iso.lesso.thano.theo.expectedo.reference o.range,o.whicho.placeso.theo.cliento.ato.risko.foro.
dysrhythmias.
,Incorrecto.Answerso.(1):
Cliento.1o.iso.incorrect.o.Theo.nurseo.shouldo.assesso.thiso.cliento.becauseo.theo.client'so.C-
reactiveo.proteino.iso.greatero.thano.theo.expectedo.referenceo.range,o.whicho.iso.ano.indicationo.ofo.
inflammation.o.However,o.thereo.iso.anothero.cliento.theo.nurseo.shouldo.assesso.first.
Cliento.2o.iso.incorrect.o.Theo.nurseo.shouldo.assesso.thiso.cliento.becauseo.theo.client'so.cholesterolo
.levelo.iso.greatero.thano.the o.expected o.reference o.range,o.whicho.placeso.themo.ato.risko.foro.coro
naryo.hearto.disease.o.However,o.thereo.iso.anothero.cliento.theo.nurseo.shouldo.assesso.first.
Incorrecto.Answerso.(2):
Cliento.5o.iso.incorrect.o.Theo.nurseo.shouldo.assesso.thiso.cliento.becauseo.theiro.prealbumino.levelo.i
so.lesso.thano.theo.expectedo.referenceo.range,o.whicho.placeso.themo.ato.risko.foro.delayedo.woundo
.healing.o.However,o.thiso.cliento.iso.noto.the o.nexto.priority o.cliento.too.assess.
Cliento.6o.iso.incorrect.o.Theo.nurseo.shouldo.assesso.thiso.cliento.becauseo.theiro.glycosylatedo.
hemoglobino.levelo.iso.greatero.thano.theo.expectedo.referenceo.range,o.whicho.indicateso.poo
ro.diabetico.control.o.However,o.thiso.cliento.iso.noto.theo.nexto.priorityo.cliento.too.assess.
Ao.nurseo.iso.caringo.foro.ao.cliento.whoo.haso.COPD.
Selecto.theo.3o.findingso.thato.requireo.follow-up.
Breatho.soundso.Blo
odo.pressureo.Oxyg
eno.saturationo.Tem
perature
,Hearto.rateo.-o.✔✔ANSo.Correcto.Answer:
Breatho.Sounds
Crackleso.areo.causedo.byo.mucouso.ino.theo.airwayso.ando.areo.ao.manifestationo.ofo.pneumoni
a.o.Decreasedo.breatho.soundso.indicateo.decreasedo.ventilationo.ando.requireo.follow-
upo.byo.theo.nurse.
Oxygeno.Saturation
Theo.client'so.oxygeno.saturationo.iso.belowo.theo.expectedo.referenceo.rangeo.ofo.95%o.too.100
%,o.indicatingo.hypoxia,o.ando.requireso.follow-upo.byo.theo.nurse.
Temperature
Theo.client'so.temperatureo.iso.greatero.thano.theo.expectedo.referenceo.range,o.indicatingo.an
o.infection,o.ando.requireso.follow-upo.by o.theo.nurse.
Incorrecto.Answer:
Bloodo.pressureo.iso.incorrect.o.Theo.client'so.bloodo.pressureo.iso.withino.theo.expectedo.referenceo.
rangeo.ando.doeso.noto.requireo.follow-upo.byo.theo.nurse.
Hearto.rateo.iso.incorrect.o.Theo.client'so.hearto.rateo.iso.withino.theo.expectedo.referenceo.rangeo.ofo.
60o.too.100/mino.ando.doeso.noto.requireo.follow-upo.byo.theo.nurse.
Ao.nurseo.ino.theo.emergencyo.departmento.(ED)o.iso.caringo.foro.ao.cliento.whoo.reportso.abdomina
lo.pain.
Basedo.ono.theo.client'so.clinicalo.findings,o.whicho.ofo.theo.followingo.actionso.shouldo.theo.nurseo.ta
ke?o.Selecto.allo.thato.apply.
, Assisto.theo.cliento.too.ao.lefto.side-
lyingo.positiono.witho.theo.righto.kneeo.flexed.o.Prepareo.theo.cliento.foro.ao.ches
to.x-ray.
Administero.ao.cleansingo.enema.o.Auscult
ateo.theo.client'so.bowelo.sounds.
Performo.ao.manualo.digitalo.examinationo.ofo.theo.client'so.rectum.o.Administ
ero.oxycodoneo.extended-releaseo.tablets.
Prepareo.theo.cliento.foro.NGo.tubeo.placement.o.-
o. ✔✔ANSo.Correcto.Answer:o.Assisto.theo.cliento.too.ao.lefto.side-
lyingo.positiono.witho.theo.righto.kneeo.flexed
Theo.nurseo.shouldo.placeo.theo.cliento.ino.ao.lefto.side-
lyingo.positiono.witho.theo.righto.kneeo.flexedo.prioro.too.administeringo.ano.enema.o.Becauseo.theo.
providero.prescribedo.ao.cleansingo.enemao.foro.theo.client,o.theo.nurseo.shouldo.prepareo.theo.clie
nto.foro.theo.procedure.
Administero.ao.cleansingo.enema
Theo.nurseo.shouldo.administero.ao.cleansingo.enemao.foro.theo.cliento.aso.ao.resulto.ofo.theo.provider
'so.prescription.o.Ao.cleansingo.enemao.iso.intendedo.too.assisto.witho.bowelo.eliminationo.ando.rem
oveo.anyo.impactedo.fecalo.mattero.indicatedo.byo.theo.abdominalo.x-ray.
Auscultateo.theo.client'so.bowelo.sounds
Theo.nurseo.shouldo.auscultateo.theo.client'so.bowelo.soundso.too.determineo.theo.statuso.ofo.theo.cl
ient'so.peristalsis.o.Thiso.iso.ao.necessaryo.parto.ofo.determiningo.theo.presenceo.ofo.bowelo.sounds,o.
whicho.areo.ano.indicationo.ofo.theo.statuso.ofo.theo.client'so.gastrointestinalo.tract.
Performo.ao.manualo.digitalo.examinationo.ofo.theo.client'so.rectum
Theo.nurseo.shouldo.performo.ao.manualo.digitalo.examinationo.ofo.theo.client'so.rectumo.too.deter
mineo.ifo.impactedo.stoolo.iso.present.o.Thiso.iso.ao.parto.ofo.theo.necessaryo.evaluationo.ofo.theo.status
o.ofo.theo.client'so.gastrointestinalo.tract.