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th NGN Questions and Verified Rationalized Answers,
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100% A+ Graded Guarantee Pass
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With 90 multiple choices questions and answers
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1. ***A nurse is caring for a client who presents to a clinic for a 1-week follow-
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up visit after hospitalization for heart failure.
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Prescriptions :
Digoxin 0.25 mg PO daily Fur
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osemide 40 mg PO daily r r r r
Potassium chloride 20 mEq/L PO daily History andPhysi
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cal
Discharge:Weight 66.7 kg (147 lb) r r r r
SaO2 94% r
2+ pedal edema H
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eart rate 74/min
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Current:Weight 67.1 kg (148 lb) r r r r
SaO2 92% r
1+ pedal edema
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,Heart rate 55/min Laborator
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y Results
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Discharge:Sodium 137 mEq/L (136 to 145 mEq/L)Potassium 4.2 mEq/L (3.5 to r r r r r r r r r r
5 mEq/L)Digoxin 1.2 ng/dL (0.8 to 2 ng/dL)
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Current:Sodium 135 mEq/L (136 to 145 mEq/L)Potassium 4.1 mEq/L (3.5 to 5 r r r r r r r r r r r
mEq/L)Digoxin 1.8 ng/dL (0.8 to 2 ng/dL) r r r r r r
Based on the information in the client's chart, which of the following findings should thenurs
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report to the provider? r r r
-Potassium 4.1 r
-HR 55 r
-SaO2 92 r
-Wt 67.1. kg: Heart rate 55/min
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Rational:
The client's heart rate of 55/min is a decrease from the client's baseline of 74/min, and it can i
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ndicate the development of digoxin toxicity. The nurse should report this finding to the provider.
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2. ***A nurse is teaching a client about the use of transcutaneous electrical nerve stimula
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tion (TENS) for the management of bone cancer pain.The nurse should explainthat applyi
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ng aTENS unit to the painful area has which of the following effects?
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-Electrically generated feelings of heat r r r r
-Cryotherapy for painful areas r r r
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,-Realignment of energy flow through meridians r r r r r
-A tingling sensation replacing the pain: A tingling sensation replacing the pain
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Rational:
A TENS unit applies small electric currents to the painful area, with the client increasing thecurre
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t until the "pins and needles" sensation overrides the pain.
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A TENS unit does not create heat when applied to a painful area. Warm compresses, heatingpads
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nd paraffin dips are examples of modalities that apply heat to painful areas.
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Many over-the- r
counter gels and creams work by creating a sense of cold to help relievemuscles aches and pain. A
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ENS unit does not work by cryotherapy, or cold treatment.
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Acupuncture is a therapy that works via the insertion of fine needles to help unblock any obstr
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ucted flow of energy in other parts of the body. A TENS unit does not clear obstructions in energy fl
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ow.
3. ***A nurse in an ICU is assessing a client who has a traumatic brain injury. Which of the f
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ollowing findings should the nurse identify as a component of Cushing's triad?
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-Hypotension
-Tachypnea
-Nuchal rigidity r
-Bradycardia: *Bradycardia* r
Rational:
A client who has increased intracranial pressure from a traumatic brain injury can develop b
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, radycardia, which is one component of Cushing's triad.The other components
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