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The nurse cares for a client with acute respiratory failure. Which of the following will the nurse include
in the plan of care for this client? correct answers SATA
Add humidification to oxygen
Early ambulation
Head of bed elevated
in reviewing the medical record for a patient admitted with acute pancreatitis, the nurse sees that the
patient has a positive Cullen's sign, Indicate the area in the accompanying figure where the nurse will
assess for this change
Around the umbilicus
A young adult contracts hepatitis from contaminated food. What should the nurse expect sure logic
testing to remove ____ the acute (icteric) phase of the patients illness.
Anti- hepatits A. virus immunoglobin M (anti-HAV IgM)
Which topic his most important to include in testing for a 41 year old patient diagnosed with early
alcoholic cirrhosis? correct answers
Avoiding all alcohol use
, The nurse cares for a patient who arrived in the emergency department with acute respiratory distress.
Which assessment finding by the nurse requires the most rapid action? correct answers
The patient PaO2 is 45 mm HG
The nurse cares for an acute respiratory distress syndrome (ARDS). Which finding indicated that the
client is experiencing a complication resulting from ARDS? correct answers
Urine output 20mL dark amber in the past 8 hours
The nurse cares for a patient who develops watery diarrhea and a fever after prolonged omeprazole
(Prilosec) therapy. Which actions will the nurse take? correct answers SATA
Contact the health care provider
Assess blood pressure and heart rate
Give the PRN acetaminophen (Tylenol)
Place the patient on contact precautions
The nurse provides discharge education to a client with Hepatitis B. What information needed to be
included in the teaching? correct answers SATA
Do not share razors or other hygiene products
Eat small frequent meals throughout the day
The nurse reviews the medical records for five patients who are scheduled for their yearly physical
examinations in September. Which patients should receive the live influenza vaccination? correct
answers SATA
A 42 year old patient who has a 15 pack- year smoking hx
A 24 year old patient who has allergies to penicillin and cephalosporins
The clinic nurse teachers a patient with acute sinusitis. Which interventions should the nurse plan to
include in the teaching sessions? correct answers SATA