A client who sustained a head injury has an intracranial pressure (ICP) monitor reading of 12 mm Hg. Which action should the nurse take?
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Question 2 of 39
The nurse is caring for a client with a tracheostomy. For what protective mechanism will the nurse monitor in the client?
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Question 3 of 39
The nurse is planning care for a client with an oral endotracheal tube. Which interventions should be included in this clients plan of care?
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Question 4 of 39
A nurse is admitting a client who has an abdominal wound with a large amount of purulent drainage. Which of the following types of transmission precautions should the nurse initiate?
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Question 5 of 39
A nurse is reinforcing teaching with the parents of a child who is starting to use a spacer with a metered-dose inhaler (MDI) to treat asthma. Which of the following information should the nurse include in the teaching?
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Question 6 of 39
A nurse is caring for a patient with a tracheostomy. What is the priority intervention?
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Question 7 of 39
The nurse is assessing an older client. What effects of aging should the nurse keep in mind during this assessment?
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Question 8 of 39
The nurse is caring for a client who is postoperative and is exhibiting signs of hemorrhagic shock. The nurse notifies the surgeon, who tells the nurse to continue to measure the client’s vital signs every 15 min and to report back in 1 hr. Which of the following actions should the nurse take next?
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Question 9 of 39
Which intervention should the nurse prioritize to promote effective airway clearance in a client with impaired oxygenation?
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Question 10 of 39
A client has a medical condition that often results in the development of metabolic acidosis. The nurse should observe this client for the development of which breathing pattern as a result of this condition?
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Question 11 of 39
A nurse is teaching the patient with mitral valve problems about the valves in the heart. Starting on the right side of the heart, describe the sequence of the blood flow through those valves. Mitral, Aortic, Tricuspid, Pulmonary
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Question 12 of 39
A client with anemia presents with fatigue and decreased exercise tolerance. What is the primary indication for initiating oxygen therapy in this client?
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Question 13 of 39
A nurse is caring for a client receiving high-flow oxygen therapy via a noninvasive positive pressure ventilation (NPPV) device. What is an important nursing intervention for this client?
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Question 14 of 39
A nurse is caring for a client who is expressing anger about his diagnosis of colorectal cancer. Which of the following actions should the nurse take?
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Question 15 of 39
A patient with a pulse oximetry reading of 88% requires which intervention?
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Question 16 of 39
A nurse is evaluating a client's use of a cane. Which of the following actions should the nurse identify as an indication of correct use?
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Question 17 of 39
Doctor's order: 750 mL NS to infuse over 8 hours. How many mL/hr will you set the IV pump? Round to the nearest whole number.
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Question 18 of 39
Which assessment finding indicates ineffective oxygenation?
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Question 19 of 39
A nurse is caring for a client who has a sodium level of 125 mEq/L. Which of the following findings should the nurse expect?
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Question 20 of 39
A client who is postoperative is verbalizing pain as a 2 on a pain scale of 0 to 10. Which of the following statements should the nurse identify as an indication that the client understands the preoperative teaching she received about pain management?
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Question 21 of 39
A nurse is talking with an older adult client who is contemplating retirement. The client states, 'I keep thinking about how much I enjoy my job. I’m not sure I want to retire'. Which of the following responses should the nurse make?
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Question 22 of 39
A nurse is caring for a client who is postoperative following a knee arthroplasty and requires the use of thigh-length sequential compression sleeves. Which of the following actions should the nurse take?
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Question 23 of 39
Which time would be ideal for the LPN/LVN to collect a sputum specimen?
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Question 24 of 39
During an admission assessment a client responds with rhyming statements such as 'tip, rip, dip and hip'. The nurse recognizes this speech pattern is associated with which mental health disorder?
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Question 25 of 39
The nurse is performing nasotracheal suctioning of a client. What should the nurse do when suctioning this client?
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Question 26 of 39
The nurse has just initiated oxygen by nasal cannula for a client with the medical diagnosis of chronic obstructive pulmonary disease. What is the nurses next action?
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Question 27 of 39
Which term refers to the exchange of oxygen and carbon dioxide at the alveolar level?
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Question 28 of 39
A 78 year-old client reports constipation for three days. What should the nurse take next?
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Question 29 of 39
Which statement by a client on oxygen therapy indicates the need for further education?
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Question 30 of 39
A nurse hears crackles in a patient’s lungs. What does this suggest?
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Question 31 of 39
A nurse is teaching a patient with COPD about energy conservation. Which strategy is best?
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Question 32 of 39
The nurse is caring for a client with a tracheostomy receiving oxygen therapy. Which intervention should the nurse prioritize to prevent infection and ensure proper oxygen delivery?
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Question 33 of 39
A nurse on a medical-surgical unit is caring for a client who has a new prescription for wrist restraints. Which of the following actions should the nurse take?
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Question 34 of 39
A nurse is caring for a child who has a prescription for a blood transfusion. The child's parents have refused the treatment due to their religious beliefs. Which of the following actions should the nurse take?
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Question 35 of 39
A client who has endometrial cancer is receiving sealed internal radiation therapy. Which actions should the nurse implement? Select one that doesn't apply.
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Question 36 of 39
A client has a newly created tracheostomy for mechanical ventilation after a surgical procedure. What action should the nurse plan for this client?
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Question 37 of 39
The nurse is documenting on a patient with an SRD. What information must the nurse include in this documentation?
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Question 38 of 39
A client who was a victim of a house fire is coughing. The nurse realizes that the purpose of the cough is to
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Question 39 of 39
A client with sleep apnea requires positive pressure ventilation during sleep. Which oxygen delivery system would be most appropriate for this client to ensure continuous positive airway pressure (CPAP)?
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