A nurse is assessing a client who has fluid volume deficit

A nurse is assessing a client who has fluid volume deficit. Which of the following findings should the nurse expect? A.Increased skin turgor. B.Hypertension. C.Tachycardia. D.Crackles in the lungs. The Correct Answer and Explanation is: The correct answer is C. Tachycardia. Explanation: Fluid volume deficit, also known as hypovolemia, occurs when the body loses more […]

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A nurse is assessing a client’s cranial nerves as part of a neurological examination

A nurse is assessing a client’s cranial nerves as part of a neurological examination. Which of the following actions should the nurse take to assess cranial nerve III? A.Eliciting the gag reflex B.Testing visual acuity C.Observing for facial symmetry D.Checking the pupillary response to light The Correct Answer and Explanation is: The correct answer is

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A patient reports gas pains and abdominal distention 2 days after a small bowel resection

A patient reports gas pains and abdominal distention 2 days after a small bowel resection. Which nursing action should the nurse take? A.Administer morphine sulfate. B.Encourage the patient to ambulate. C.Offer the prescribed promethazine. D.Instill a mineral oil retention enema. The Correct Answer and Explanation is: The correct answer is B. Encourage the patient to

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A nurse is caring for a client who has a prescription for total parental nutrition (TPN)

A nurse is caring for a client who has a prescription for total parental nutrition (TPN).Which of the following routes of administration should the nurse use? A.Central venous access device. B.Midline catheter. C.Subcutaneous. D.Intraosseous. The Correct Answer and Explanation is: The correct answer is: A. Central venous access device. Explanation: Total Parenteral Nutrition (TPN) is

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The physician ordered digoxin (Lanoxin) 0.125 mg IV push every morning.

The physician ordered digoxin (Lanoxin) 0.125 mg IV push every morning. Digoxin is available in a vial labeled 0.5mg/2mL. How many mL with the nurse administer? The Correct Answer and Explanation is: To determine how many milliliters (mL) of digoxin the nurse should administer, follow these steps: Calculation Steps Explanation Digoxin is a cardiac glycoside

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A nurse is planning care for a child who has mumps

A nurse is planning care for a child who has mumps. Which of the following instructions should the nurse include in the plan? A.Initiate contact precautions. B.Initiate standard precautions. C.Initiate airborne precautions. D.Initiate droplet precautions. The Correct Answer and Explanation is: The correct answer is D. Initiate droplet precautions. Explanation: Mumps is a contagious viral

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Nursing care management of the child with bacterial meningitis includes which interventions

Nursing care management of the child with bacterial meningitis includes which interventions? (Select all that apply). A.Monitoring level of consciousness (LOC) B.Administration of IV antibiotics C.Decreasing environmental stimuli D.Increasing TV fluids above the maintenance E.Instituting droplet precautions The Correct Answer and Explanation is: Nursing Care Management of the Child with Bacterial Meningitis A. Monitoring Level

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