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TESTBANK REAL (13VERSIONS) QUESTIONS AND
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DETAILED ANSWERS 2024 UPDATE.
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A nurse notes a small section of bowel protruding from the abdominal incision
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a client
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YUE following YUE actions should thenurse take first?
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1) Cover the client's wound with a moist, sterile dressing.
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2) Have the client lie supine with knees flexed.
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3) Check the client's vital signs.
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4) Inform the client about the need to return to surgery.
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A nurse is collecting data from a client who has alcohol use disorder and is
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experiencing
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, metabolic acidosis. Which of the following
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expect?
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1) Cool, clammy skin.YUE YUE
2) Hyperventilation Y U E Y U E → Y U E S/Sx Y U E of Y U E Metabolic Acidosis: YUE Y U E jaundice, Y U E tachycardia
(inc. HR)
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Confusion, fatigue, YUE YUE rapid and shallow breathing, headache,
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sleepiness,
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3) Increased blood pressure YUE YUE
4) Bradycardia
A nurse is reinforcing discharge teaching with a client following a
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cataract extraction. Which of the following
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YUE in the teaching?
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1) Avoid bending at the waist. → brings more pressure to the eyes; bending
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YUE over can cause a rush of blood to your head that interferes
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2) Remove the eye shield at bedtime.
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3) Limit the use of laxatives if constipated.
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4) Seeing flashes of light is an expected finding
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A nurse is caring for a client who has heart failure
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Y UE digoxin 0.25 mg daily. YUE YUE YUE YUE The client YUE YUE refuses breakfast and reports
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nausea. Which of the following
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1) Suggest that the client rests before eating the meal.
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2) Request a dietary consult.YUE YUE YUE
3) Check the client's vital signs. → adverse effect of digoxin
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with them being in heart failure
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4) Request an order for an antiemetic.
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, .A nurse is caring for a client who is 3 days postoperative following a
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cholecystectomy
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YUE Which of the following
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as the type of
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1) Sanguineous - bright red YUE YUE YUE
2) Serous - clear drainage
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3) Serosanguineous - pink-tinged YUE YUE YUE drainage, YUE but can look clear
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4) Purulent - white, yellow or brown thick fluid (sign of an infection)
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.A nurse is reinforcing discharge teaching to a client following arthroscopic surgery.
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To prevent postoperative complications which of the following
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be reinforcedduring the
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teaching?
1) Administer an opioid analgesic to the client 30 min prior to
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YUE initiating YUE CPM (continuous passive motion) exercises.
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2) Place the client’s affected leg into the CPM machine with the machine
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in the flexed position.
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3) Place the client into a high Fowler’s position when initiating the CPM exercises.
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4) Align the joints of the CPM machine with the knee gatch in the client’s bed.
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