A nurse is caring for a client who is near the end of life and is on complete bed rest.

A nurse is caring for a client who is near the end of life and is on complete bed rest.The client states that he needs to have a bowel movement and the nurse offers a bedpan.The client states, “I’ve always used the bathroom.” Which of the following responses should the nurse make?A.“Tell me what concerns […]

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The masked villain silently laughed while watching the hero struggle to escape.

The masked villain silently laughed while watching the hero struggle to escape. Which of the following parts of speech is the word “silently” in the previous sentence? A.Preposition B.Adverb C.Verb D.Adjective The Correct answer and Explanation is: The correct answer is B. Adverb. In the sentence, the word “silently” is an adverb because it modifies

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A nurse is initiating IV therapy for a client who had a right-sided mastectomy.

A nurse is initiating IV therapy for a client who had a right-sided mastectomy.In which of the following locations should the nurse place a catheter? A.Most proximal site. B.Left arm. C.Wrist. D.Cordlike vein. E.Cordlike vein. The Correct answer and Explanation is: The correct answer is B. Left arm. When initiating intravenous (IV) therapy for a

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A nurse is educating a client who has fibromyalgia about the use of pregabalin as an adjuvant analgesic

A nurse is educating a client who has fibromyalgia about the use of pregabalin as an adjuvant analgesic.Which of the following information should the nurse include in the education? A.Pregabalin can cause bone marrow suppression, so regular blood tests are needed. B.Pregabalin can cause weight loss, so monitor your weight and nutritional intake. C.Pregabalin can

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A nurse is caring for a patient with thrombocytopenia.

A nurse is caring for a patient with thrombocytopenia.Which statement accurately describes the pathophysiology of immune thrombocytopenic purpura (ITP)?A.“ITP results from decreased platelet production in the bone marrow.” B.“In ITP, autoantibodies mark platelets for destruction by macrophages.” C.“ITP is characterized by impaired cleavage of von Willebrand factor.” D.“Thrombocytopenia in ITP is triggered by heparin-platelet factor

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A client with sickle cell anemia develops a fever during the last hour of administration of a unit of packed red blood cells.

A client with sickle cell anemia develops a fever during the last hour of administration of a unit of packed red blood cells. When notifying the healthcare provider, which information should the nurse provide first using the SBAR (Situation, Background, Assessment, and Recommendation) communication process? A.Explain specific reason for urgent notification. B.Obtain a PRN prescription

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A client with diabetic peripheral neuropathy has been taking pregabalin for 4 days

A client with diabetic peripheral neuropathy has been taking pregabalin for 4 days.Which finding indicates to the nurse that the medication is effective? A.Granulating tissue in foot ulcer. B.Reduced level of pain. C.Improved visual acuity. D.Full volume of pedal pulses. E.Full volume of pedal pulses. The correct answer and Explanation is : The correct answer

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A nurse is caring for a client who is postoperative following a tracheostomy, and has copious and tenacious secretions.

A nurse is caring for a client who is postoperative following a tracheostomy, and has copious and tenacious secretions. Which of the following is an acceptable method for the nurse to use to thin this client’s secretions? A. Provide humidified oxygen.B. Perform chest physiotherapy prior to suctioning.C. Prelubricate the suction catheter tip with sterile saline

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A nurse is assessing a client who has delirium

A nurse is assessing a client who has delirium.Which of the following findings requires immediate intervention by the nurse?A.Command hallucinations. B.Impaired memory. C.Inappropriate speech patterns. D.Rapid mood swings. The correct answer and Explanation is : The correct answer is A. Command hallucinations. Explanation: Delirium is an acute and often fluctuating change in mental status characterized

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A client with sickle cell anemia has “Pain related to thrombotic crisis” as a nursing diagnosis.

A client with sickle cell anemia has “Pain related to thrombotic crisis” as a nursing diagnosis. Which of the following is the most appropriate nursing intervention for this diagnosis? A.Explain disease course and expected signs and symptoms to the family. B.Check peripheral pulses, color, and temperature of extremities every 30 hours. C.Reposition the client, paying

A client with sickle cell anemia has “Pain related to thrombotic crisis” as a nursing diagnosis. Read More »

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