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A nurse is assessing a client who has hyperthyroidism. The nurse should expect the client to report which of the following manifestations?

A nurse is preparing to administer ciprofloxacin to a client. The nurse should identify that the medication is treatment for exposure to which of the following agents?

A nurse is assessing a client who presents to the provider’s office for evaluation of multiple nevi. Which of the following findings should the nurse report to the provider as a possible sign of malignancy?

A nurse is caring for a client who has an endotracheal tube and is receiving mechanical ventilation. Which of the following actions should the nurse take to reduce the risk of ventilator-associated pneumonia?

A nurse working for a home health agency is assessing an older adult male client. Which of the following findings is the priority for the nurse to address?

A nurse is caring for a client who is participating in a research study for an experimental chemotherapy medication. After three treatments, the experimental medication is discontinued due to evidence of rapidly advancing kidney failure. The nurse should understand discontinuing this medication demonstrates which of the following ethical principles?

A nurse and an assistive personnel (AP) are providing care for four clients who were admitted to the medical-surgical unit on the previous shift. The nurse should delegate meal assistance for which of the following clients to the AP?

A nurse is caring for a client who is 2 hours postoperative after having a total abdominal hysterectomy.

Nurses’ Notes

0800: Lungs clear to auscultation in all lobes anterior and posterior. 0.9% sodium chloride infusing into left forearm at 125 mL/hr. Bowel sounds hypoactive in all four quadrants. Abdomen soft and tender to palpation. Abdominal dressing dry and intact. Scant vaginal bleeding observed. Intermittent pneumatic compression devices observed on bilateral lower extremities. Foley catheter intact and patent, draining to bedside bag. Instructed client to turn and cough every 2 hours while awake. Demonstrated splinting incision with pillow when coughing.

1000: Attempted to assist client with turning and coughing. Client reports that moving is too painful and refuses to change positions or cough. Client has had visitor remove intermittent pneumatic compression devices and declines having them replaced, stating, “They make my legs too hot.” Reinforced to client the importance of turning, coughing, and wearing intermittent pneumatic compression devices. Client continues refusing to turn, cough, or replace intermittent pneumatic compression devices.

Drag words from the choices below to fill in each blank in the following sentence.

The client is at risk for developing ­­­­­­­­­­­­_____________(Target 1), ____________(Target 2) and _____________( Target 3).

A nurse is reviewing the laboratory test results from a client who has prerenal acute kidney injury (AKI). Which of the following electrolyte imbalances should the nurse expect?

A nurse is providing discharge teaching to a client who has a new diagnosis of heart failure. Which of the following instructions should the nurse include in the teaching?

A nurse is caring for a patient on a medical-surgical unit.

Medical History:

•  
• Day 1:                                                                                                                        
  • Parkinson’s Disease
  • Heart failure

Medication Administration Record:

•  
• Day 1:                                                                                                                     
  • Furosemide 40 mg po bid
  • Carbidopa/Levodopa 25 mg/100 mg po tid

Vital Signs:

•  
• Day 1:                                                                                                                    
  • Temperature: 37.2°C (99°F)
  • BP: 128/56 mm Hg sitting, 92/40 mm Hg standing
  • Heart rate: 66/min
  • Respiratory rate: 18/min
  • Pulse oximetry: 96% on room air (95% to 100%)

Diagnostic Results:

•  
• Day 1:                                                                                                                    
  • Hct: 38% (37% to 47%)
  • Hgb: 13 g/dL (12 g/dL to 16 g/dL)
  • WBC: 6,500/mm³ (5,000 to 10,000/mm³)
  • Potassium: 3.5 mEq/L (3.5 mEq/L to 5 mEq/L)
•  
• Day 2:                                                                                                                    
  • Hct: 39% (37% to 47%)
  • Hgb: 14 g/dL (12 g/dL to 16 g/dL)
  • WBC: 7,000/mm³ (5,000 to 10,000/mm³)
  • Potassium: 3.0 mEq/L (3.5 mEq/L to 5 mEq/L)

A nurse is performing a fall risk assessment on a patient. Which of the following findings indicate that the patient is at increased risk for falls? Select all that apply