A nurse is collecting data from a client who has heart failure, prior to the administration of furosemide.For which of the following findings should the nurse withhold the medication? A.Oxygen saturation of 95%. B.Serum sodium level of 140 mEq/L. C.Blood pressure of 80/40 mm Hg. D.Serum potassium level of 4.8 mEq/L. The Correct Answer and […]
A nurse is caring for a client who is refusing medical treatment. Which of the following actions should the nurse take? A.Explain the negative consequences of the refusal. B.Discuss with the client’s partner why the treatment is necessary. C.Document the client’s refusal of the treatment. D.Try to convince the client that the treatment is needed.
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A nurse is caring for a client whose partner died in a fire that destroyed their home. Which of the following actions should the nurse take first? A.Empower the client to feel that he is in charge of his life. B.Find the client a temporary shelter where he can feel safe. C.Determine if the client
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A nurse is caring for a client who consumes 3 oz of milk, 2 oz of orange juice, 3 oz of tea, and 4 oz of water over a 4-hr period. The client is also receiving dextrose 5% in 0.45% sodium chloride 30 mL/hr by continuous IV infusion. Calculate the client’s intake for that 4-hr
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A nurse is caring for a young adult client who has acute schizophrenic disorder and tells the nurse, “Yesterday noon the sun moon went over the rover to see the lawnmower.”. Which of the following manifestations is the client exhibiting? A.Delusional disorder. B.Anhedonia. C.Associative looseness. D.Hallucination. The correct answer and Explanation is : The client
A nurse is caring for a client who has an indwelling urinary catheter. The nurse notes that sediment is present in the urine. Which of the following actions should the nurse take to obtain a sterile urine specimen? A.Unclamp the collection port below the bag. B.Obtain the specimen from the retention port. C.Disconnect the catheter
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What is the name of the valve that separates the left atrium and left ventricle in the heart? A.Aortic valve B.Mitral valve C.Tricuspid valve D.Pulmonary valve The Correct Answer and Explanation is: The valve that separates the left atrium and the left ventricle in the heart is the Mitral valve (Option B). Explanation The heart
Why is a patient who is using a transdermal nitroglycerin patch instructed to remove the patch at bedtime and apply a new one in the morning? A.To avoid allergic response. B.To prevent tolerance. C.To prevent overdosage. D.To prevent the patient from forgetting to remove the patch in the morning. The correct answer and Explanation is
A patient with a history of sickle cell disease is being admitted for sickle cell crisis. Which of the following nursing diagnoses should guide the nurse when providing care for the patient? A.Risk for Injury related to compromised blood volume. B.Risk for Deficient Fluid Volume related to infection. C.Ineffective Airway Clearance related to sickled cells.
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A new nurse is working in a hospital.Which of the following actions by the nurse is NOT related to one of the National Patient Safety Goals? A.Refraining from changing alarm settings. B.Using 2 patient identifiers for medication administration. C.Giving report to a provider in SBAR format. D.Arriving 15 minutes prior to the start of the
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