Term
the nurse is obtaining the client's vital signs prior to an endoscopy
complete the following sentence by using the list of options
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obtain IV access acquire a 12 lead ecg
provide 100% oxygen via a
obtain a 12 lead ecg
nonrebreathing mask
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2 of 208
Term
,A nurse is admitting a client who is hesitant to create advance
directives due to concerns about affording legal representation.
Which of the following statements should the nurse make?
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apply direct pressure to the would administer analgesics on schedule
with thick dressing material basis for the first 24 hr
"advanced directives can be
a client who has a hip fracture and a
signed without legal
new onset of tachypnea
representation"
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3 of 208
Term
A nurse is admitting a client who is 1 week postpartum and reports
excessive vaginal bleeding. The nurse speaks a different language
than the client, the client's partner and 10 year old are
accompanying her. Which of the following actions should the nurse
take to gather the clients admission data?
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infuse 0.9% sodium chloride 500ml request a female interpreter
IV bolus over 1 hr through the facility
, tell the client, "you seem to be very a. How to operate portable suction
upset" machine
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4 of 208
Term
A nurse is caring for a client who has end stage kidney disease. The
clients adult child asks the nurse about becoming a living kidney
donor to their parent. Which of the following conditions in the childs
medical history should the nurse identify as a contraindication to the
procedure?
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increased pain b. Participate in ROM exercises
tell the client, "you seem to be very
hypertension
upset"
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, 5 of 208
Term
a nurse is planning teaching for a client and their family about
oxygen therapy. which of the following information should the nurse
plan to include in the teaching?
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avoid using nail polish encourage using nail polish around
remover around the client the client
use oil-based lotions on the client's
allow smoking near the client
skin
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6 of 208
Term
A nurse planning care for a client who is receiving alteplase
recombinant for thrombus in the coronary artery which of the
following should the nurse include in the plan of care
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observe for bruising of the
observe for fever and chills
skin