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A nurse is caring for four clients. "My heartburn pain is going into my jaw now."
Which of the following client
statements should the nurse
attend to first?
A nurse is caring for a client who Perform oral care every 2 hr.
is receiving mechanical
ventilation via an endotracheal
tube. Which of the following
actions should the nurse take?
A nurse is caring for a client who - PT
is receiving warfarin 5 mg PO - INR
daily. Which of the following
laboratory values should the
nurse check prior to
administering the medication?
A nurse is collecting data from a Weight loss
client who is at 9 weeks of
gestation and has hyperemesis
gravidarum. Which of the
following findings should the
nurse expect?
A nurse is reinforcing teaching 2 tbsp of peanut butter
with a client about the
importance of a low sodium diet.
Which of the following foods
should the nurse recommend as
the best choice to include in a
low sodium diet?
, A nurse is collecting data from The toddler can say four words.
an 18 month old toddler at a well
child visit. Which of the following
findings should the nurse report
to the provider?
A nurse is collecting data from a Kussmaul respirations
client who has diabetes mellitus.
Which of the following findings
indicates that the client might be
experiencing diabetic
ketoacidosis?
A nurse is reinforcing teaching "I need to record my pulse rate daily."
with a client who has a
permanent pacemaker in place.
Which of the following
statements by the client
indicates an understanding of
the teaching?
A nurse is caring for a client who Document in the clients medical record every 15 min.
is in mechanical restraints after
becoming violent with a staff
member. Which of the following
actions should the nurse take?
A nurse is reinforcing teaching Supine
about self-administration of
nasal drops with a client. Which
of the following positions should
the nurse recommend for
instillation of the drops?
See an expert-written answer
A nurse is preparing to Potassium
administer furosemide to a client
who has heart failure. Which of
the following laboratory results
should the nurse review prior to
administering the medication?
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A nurse is caring for a client who Don a gown and gloves when providing perineal care
has methicillin-resistant
staphylococcus aureus (MRSA)
infection. Which of the following
actions should the nurse plan to
take?
A nurse is assisting with the plan Labeling the clients bathroom door
of care for a client who has
dementia and often wanders in
the halls at night. Which of the
following interventions should
the nurse recommend including
in the plan of care?