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1.A nurse is caring for a client who has a severe burn injury. The nurse should recognize which
of the following client findings as an indication of hypovolemic shock?
Potassium 5.2 mEq/L
2. A nurse is teaching a client who has asthma the use of a peak flow meter. After setting the
meter to the zero baseline. What is the sequence of steps the nurse should instruct the client to
take? (Move the steps into the box on the right, placing them in the selected order of
performance use all the steps.)
"Stand upright"
"Fill your lungs with a deep breath."
"Seal your lips around the mouthpiece."
"Exhibit forcefully and quickly."
"Record the highest of three consecutive readings."
3.A nurse is caring for a client who has hypotension, cool and clammy skin, tachycardia, and
tachypnea. In which of the following positions should the nurse place the client?
- Feet elevated
4. A nurse is planning care for a client who has a pulmonary embolism and a prescription for
enoxaparin via subcutaneous injection. Which of the following interventions should the nurse
include?
a. Assess the client’s stools for occult blood
5. a nurse is caring for a client who has sealed radiation implant. which of the following actions
should the nurse take?
limit family member visits to 30 min per day
6. a nurse providing teaching for a client who has chronic kidney disease. which of the following
client statements indicates an understanding of the teaching?
a. I will spread my protein allowances over the entire day
7. A nurse is caring for a client who is 2 days postoperative following abdominal surgery and
has a prescription for opioid analgesia. Which of the following actions should the nurse
implement to help facilitate the client's recovery?
Provide analgesic medication prior to physical activities.
8. A the medical record of a client who is 1 day postoperative following an appendectomy.
Which of the following should the nurse report to the provider ?
Hemoglobin 10 mg/dL
9. A nurse on an acute care unit is receiving a change-of-shift report for four clients. Which of
the following clients should the nurse assess first?
A client who had an acute kidney injury and has a potassium level of 6.5 mEq/L
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