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Question 1 of 30
1. Question
1 point(s)Patient X is diagnosed with constipation. As a knowledgeable nurse, which nursing intervention is appropriate for maintaining normal bowel function?
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Question 2 of 30
2. Question
1 point(s)A 12-year-old boy was admitted to the hospital two days ago due to hyperthermia. His attending nurse, Dennis, is quite unsure about his plan of care. Which of the following nursing interventions should be included in the care plan for the client?
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Question 3 of 30
3. Question
1 point(s)Tom is ready to be discharged from the medical-surgical unit after 5 days of hospitalization. Which client statement indicates to the nurse that Tom understands the discharge teaching about cellular injury?
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Question 4 of 30
4. Question
1 point(s)Nurse Katee is caring for Adam, a 22-year-old client, in a long-term facility. Which nursing intervention would be appropriate when identifying nursing interventions aimed at promoting and preventing contractures? Select all that apply.
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Question 5 of 30
5. Question
1 point(s)A 36-year-old male client is about to be discharged from the hospital after 5 days due to surgery. Which intervention should be included in the home health care nurse’s instructions about measures to prevent constipation?
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Question 6 of 30
6. Question
1 point(s)Mr. McPartlin suffered abrasions and lacerations after a vehicular accident. He was hospitalized and was treated for a couple of weeks. When planning care for a client with cellular injury, the nurse should consider which scientific rationale?
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Question 7 of 30
7. Question
1 point(s)A 22-year-old lady is displaying facial grimaces during her treatment in the hospital due to burn trauma. Which nursing intervention should be included for reducing pain due to cellular injury?
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Question 8 of 30
8. Question
1 point(s)Lisa, a client with altered urinary function, is under the care of nurse Tine. Which intervention is appropriate to include when developing a plan of care for Lisa who is experiencing urinary dribbling?
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Question 9 of 30
9. Question
1 point(s)Jeron is admitted to the hospital due to bacterial pneumonia. He is febrile, diaphoretic, and has shortness of breath and asthma. Which goal is the most important for the client?
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Question 10 of 30
10. Question
1 point(s)Rogelio, a 32-year-old patient, is about to be discharged from the acute care setting. Which nursing intervention is the most important to include in the plan of care?
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Question 11 of 30
11. Question
1 point(s)Mrs. dela Riva is in her first trimester of pregnancy. She has been lying all day because her OB-GYN requested her to have a complete bed rest. Which nursing intervention is appropriate when addressing the client’s need to maintain skin integrity?
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Question 12 of 30
12. Question
1 point(s)Maya, who is admitted to a hospital, is scheduled to have her general checkup and physical assessment. Nurse Timothy observed a reddened area over her left hip. Which should the nurse do first?
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Question 13 of 30
13. Question
1 point(s)Pierro was noted to be displaying facial grimaces after nurse Kara assessed his complaints of pain rated as 8 on a scale of 1 (no pain) 10 10 (worst pain). Which intervention should the nurse do?
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Question 14 of 30
14. Question
1 point(s)Nurse Martha is teaching her students about bacterial control. Which intervention is the most important factor in preventing the spread of microorganisms?
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Question 15 of 30
15. Question
1 point(s)A patient with tented skin turgor, dry mucous membranes, and decreased urinary output is under nurse Mark’s care. Which nursing intervention should be included in the care plan of Mark for his patient?
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Question 16 of 30
16. Question
1 point(s)Khaleesi is admitted to the hospital due to having a lower than normal potassium level in her bloodstream. Her medical history reveals vomiting and diarrhea prior to hospitalization. Which foods should the nurse instruct the client to increase?
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Question 17 of 30
17. Question
1 point(s)Mary Jean, a first year nursing student, was rushed to the clinic department due to hyperventilation. Which nursing intervention is the most appropriate for the client who is subsequently developing respiratory alkalosis?
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Question 18 of 30
18. Question
1 point(s)Nurse John Joseph is totaling the intake and output for Elena Reyes, a client diagnosed with septicemia who is on a clear liquid diet. The client intakes 8 oz of apple juice, 850 ml of water, 2 cups of beef broth, and 900 ml of half-normal saline solution and outputs 1,500 ml of urine during the shift. How many milliliters should the nurse document as the client’s intake? Fill in the blank and write your answer as a whole number.
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Answer: mL.
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Question 19 of 30
19. Question
1 point(s)Marie Joy’s lab test revealed that her serum calcium is 2.5 mEq/L. Which assessment data does the nurse document when a client diagnosed with hypocalcemia develops a carpopedal spasm after the blood-pressure cuff is inflated?
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Question 20 of 30
20. Question
1 point(s)Lab tests revealed that patient Z’s [Na+] is 170 mEq/L. Which clinical manifestation would nurse Natty expect to assess?
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Question 21 of 30
21. Question
1 point(s)Mang Teban has a history of chronic obstructive pulmonary disease and has the following arterial blood gas results: partial pressure of oxygen (PO2), 55 mm Hg, and partial pressure of carbon dioxide (PCO2), 60 mm Hg. When attempting to improve the client’s blood gas values through improved ventilation and oxygen therapy, which is the client’s primary stimulus for breathing?
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Question 22 of 30
22. Question
1 point(s)A client with a very dry mouth, skin, and mucous membranes is diagnosed with dehydration. Which intervention should the nurse perform when caring for a client diagnosed with fluid volume deficit?
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Question 23 of 30
23. Question
1 point(s)Which client situation requires the nurse to discuss the importance of avoiding foods high in potassium?
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Question 24 of 30
24. Question
1 point(s)Genevieve is diagnosed with hypomagnesemia, which nursing intervention would be appropriate?
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Question 25 of 30
25. Question
1 point(s)Which electrolyte would the nurse identify as the major electrolyte responsible for determining the concentration of the extracellular fluid?
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Question 26 of 30
26. Question
1 point(s)Jon has a potassium level of 6.5 mEq/L, which medication would nurse Wilma anticipate?
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Question 27 of 30
27. Question
1 point(s)Which clinical manifestation would lead the nurse to suspect that a client is experiencing hypermagnesemia?
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Question 28 of 30
28. Question
1 point(s)Joshua is receiving furosemide and Digoxin, which laboratory data would be the most important to assess in planning the care for the client?
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Question 29 of 30
29. Question
1 point(s)Mr. Salcedo has the following arterial blood gas (ABG) values: pH of 7.34, partial pressure of arterial oxygen of 80 mm Hg, partial pressure of arterial carbon dioxide of 49 mm Hg, and a bicarbonate level of 24 mEq/L. Based on these results, which intervention should the nurse implement?
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Question 30 of 30
30. Question
1 point(s)A client is diagnosed with metabolic acidosis, which would the nurse expect the health care provider to order?
CorrectIncorrect