| NEWEST ACTUAL ACCURATE EXAM CO
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FIED | 2024 UPDATE!!! m m m
A nurse cares for a patient who possibly has syndrome of inapp
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ropriate antidiuretic hormone (SIADH). The patient's serum sodi
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um level is 114 mEq/L (114 mmol/L). What action would the nur
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se take first?
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Restrict patients fluid intake to 600 mL/day
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The nurse is caring for a patient on the medical-
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surgical unit who suddenly becomes unresponsive and has no p
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ulse. The cardiac monitor shows the rhythm. After calling for as
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sistance and a defibrillator, what action would the nurse take n
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ext?
Initiate CPR m
,A nurse assesses a patient with diabetes mellitus and notes that
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mthe patient only responds to a sternal rub by moaning, has capi
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llary blood glucose of 33 mg/dL, and has an intravenous line th
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at is infiltrated with 0.45% normal saline. What action would th
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e nurse take first?
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Administer 1mg of IM glucagon m m m m
A nurse teaches a patient who is prescribed an unsealed radioa
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ctive isotope. Which statements will the nurse include in this pa
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tient's education? (Select all that apply.)
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"Do not share utensils, plates, and cups with anyone else." "T
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ake a laxative 2 days after therapy to excrete the radiation."
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A nurse cares for a patient who is recovering from a pituitary gl
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and resection (hypophysectomy). What action would the nurse
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take first? m
Report clear or light yellow drainage from the nose
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A patient had a percutaneous transluminal coronary angioplast
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y for peripheral arterial disease. What assessment
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,finding by the nurse indicates that a priority outcome for this pa
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tient has been met?
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Distal pulse on affected extremity 2+/4+
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A nurse assesses a patient's electrocardiograph tracing and obs
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erves that not all QRS complexes are preceded by a P wave. Ho
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w would the nurse interpret this observation?
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Ventricular and atrial depolarizations are initiated from differe
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nt sites
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A nurse assesses a patient who is recovering from a total thyroi
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dectomy and notes the development of stridor. What action do
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es the nurse take first?
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Contact the provider and prepare for intubation
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A nurse teaches a patient with hyperthyroidism. Which dietary
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modifications should the nurse include in this patient's teaching
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? (Select all that apply.)
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Increased Carbohydrates m
, increased calorie intake increase m m m
d proteins
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The nurse suspects that a patient is deficient in thyroid-
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mstimulating hormone. What assessment findings would
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mcorrelate to this condition? (Select all that apply.)
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Decreased libido w m m
eight gain alopecia m m
After teaching a patient who is recovering from a complete thyr
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oidectomy, the nurse assesses the patient's understanding. Whi
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ch statement made by the patient indicates a need for addition
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al instruction?
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"After surgery, I won't need to take thyroid medication."
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A nurse evaluates the following laboratory results for a patient
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mwho has hypoparathyroidism: Calcium 7.2 mg/dL (1.8 mmol/L
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) Sodium 144 mEq/L (144 mmol/L) Magnesium 1.2 mEq/L (0.6
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