A nurse is delegating tasks to an assistive personnel (AP). Which of the following tasks should the nurse assign to the AP? A.Assisting the client in selecting a low-residue diet. B.Performing a complex dressing change. C.Reviewing the steps of self-blood glucose monitoring with a client. D.Obtaining vital signs on clients who are stable. The Correct […]
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A nurse is caring for a client post-abdominal aortic aneurysm repair. What is the priority nursing action to detect potential complications?A.Monitoring hourly urine output B.Assisting with early ambulation C.Assessing pedal pulses bilaterally D.Monitoring blood glucose levels The Correct Answer and Explanation is: Answer: A. Monitoring hourly urine output Explanation: Post-abdominal aortic aneurysm (AAA) repair, monitoring
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A nurse is caring for a client who had a surgical repair of an abdominal aortic aneurysm 3 days ago. The client’s vital signs are temperature 38.3°C (100.9°F), heart rate 80/min, respirations 16/min, and blood pressure 128/76 mm Hg. Which of the following actions is the nurse’s priority? A.Notify the surgeon of the temperature elevation.
A client with schizophrenia is demonstrating echolalia, which is becoming annoying to other clients on the unit. Which intervention is best for the nurse to implement? A.Isolate the client from other clients. B.Administer a PRN sedative. C.Escort the client to a private area. D.Avoid recognizing the behavior. The Correct Answer and Explanation is: The best
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A client is receiving a continuous gastric tube feeding at 80 mL/hour. The nurse records the client’s gastric residual volume as 325 mL during each of two consecutive hourly measurements. What assessment should the nurse complete before contacting the healthcare provider? A.Observe for abdominal distention, B.Calculate 24-hour caloric intake. C.Measure the urinary output. D.Check for
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Which of the following is the function of a totipotent cell? A.Fights infectious diseases. B.Aids in the maturation of sex cells. C.Carries electrical impulses. D.Develops into any kind of cell. The Correct Answer and Explanation is: The correct answer is: D. Develops into any kind of cell. Explanation: Totipotent cells are a type of stem
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In the taxonomic classification of the Asian elephant, Animalia, Chordata, Mammalia, Proboscidea, Elephantidae, Elephas, maximus, indicus, which part represents the family? A.Animalia. B.Mammalia. C.Elephantidae. D.Indicus. The Correct Answer and Explanation is: The correct answer is: C. Elephantidae. Explanation: Taxonomic classification is a hierarchical system used to categorize and identify living organisms based on their evolutionary
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A nurse is completing a preoperative checklist for a client. The client tells the nurse. “I am not sure if I want the procedure after all.” Which of the following responses should the nurse make? A.“I will contact the provider to let her know.” B.“You should discuss your concerns with your family.” C.“This procedure is
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A nurse is completing an admission assessment on a client who has hearing loss. Which of the following client statements should indicate to the nurse that the client is experiencing manifestations of Meniere’s disease? A.“l can’t get out of bed because the room is spinning.” B.“l did feel some fluid dripping from my ear when
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A nurse at a provider’s office is reinforcing teaching with a client who is being treated with chemotherapy and is losing weight. Which of the following instructions should the nurse give to increase the client’s caloric intake? (Select all that apply.) A.Use honey on toast. B.Use milk instead of water in recipes. C.Increase fluids during