A client is admitted with a diagnosis of heart failure. Which dietary instruction should the nurse provide?
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Question 2 of 54
When discussing dietary preferences with a client adhering to a vegan diet, which dietary supplement should the nurse encourage the client to include in the dietary plan?
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Question 3 of 54
When is the first dose of Hepatitis B given?
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Question 4 of 54
The healthcare provider identifies a potential for infection in a client with partial-thickness (second-degree) and full-thickness (third-degree) burns. What intervention has the highest priority in decreasing the client's risk of infection?
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Question 5 of 54
The client is being instructed on the proper use of a metered-dose inhaler. Which instruction should be provided to ensure the optimal benefits from the drug?
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Question 6 of 54
A client's blood pressure reading is 156/94 mm Hg. Which action should the nurse take first?
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Question 7 of 54
The healthcare provider assesses a 2-year-old who is admitted for dehydration and finds that the peripheral IV rate by gravity has slowed, even though the venous access site is healthy. What should the healthcare provider do next?
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Question 8 of 54
A community hospital is opening a mental health services department. Which document should the nurse use to develop the unit's nursing guidelines?
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Question 9 of 54
A staff member is assigned to care for a close friend in the hospital setting. Which action should the staff member take first when given the assignment?
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Question 10 of 54
The healthcare provider selects the best site for insertion of an IV catheter in the client's right arm. Which documentation should the healthcare provider use to identify placement of the IV access?
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Question 11 of 54
The caregiver learns the use of a gait belt from the nurse for a woman with right-sided weakness. The caregiver demonstrates the skill. Which observation indicates that the caregiver has learned how to perform this procedure correctly?
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Question 12 of 54
A client with frequent urinary tract infections (UTIs) asks the nurse about drinking juice daily to prevent future UTIs. Which response is best for the nurse to provide?
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Question 13 of 54
A healthcare professional stops at a motor vehicle collision site to render aid until the emergency personnel arrive and applies pressure to a groin wound that is bleeding profusely. Later, the client has to have the leg amputated and sues the healthcare professional for malpractice. What is the most likely outcome of this lawsuit?
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Question 14 of 54
The mental health nurse plans to discuss a client's depression with the health care provider in the emergency department. There are two clients sitting across from the emergency department desk. Which nursing action is best?
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Question 15 of 54
A male client is laughing at a television program with his wife when the evening nurse enters the room. He says his foot is hurting and he would like a pain pill. How should the nurse respond?
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Question 16 of 54
The health care provider has changed a client's prescription from the PO to the IV route of administration. The nurse should anticipate which change in the pharmacokinetic properties of the medication?
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Question 17 of 54
In taking a client's history, the nurse asks about the stool characteristics. Which description should the nurse report to the health care provider as soon as possible?
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Question 18 of 54
An older adult who recently began self-administration of insulin calls the nurse daily to review the steps that should be taken when giving an injection. The nurse has assessed the client's skills during two previous office visits and knows that the client is capable of giving the daily injection. Which response by the nurse is likely to be most helpful in encouraging the client to assume total responsibility for the daily injections?
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Question 19 of 54
The healthcare provider is assessing the nutritional status of several clients. Which client has the greatest nutritional need for additional intake of protein?
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Question 20 of 54
A client is to receive cimetidine (Tagamet) 300 mg q6h IVP. The preparation arrives from the pharmacy diluted in 50 ml of 0.9% NaCl. The nurse plans to administer the IVPB dose over 20 minutes. For how many ml/hr should the infusion pump be set to deliver the secondary infusion?
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Question 21 of 54
A client who is a Jehovah's Witness is admitted to the nursing unit. Which concern should the nurse have for planning care in terms of the client's beliefs?
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Question 22 of 54
A client is to receive 10 mEq of KCl diluted in 250 ml of normal saline over 4 hours. At what rate should the nurse set the client's intravenous infusion pump?
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Question 23 of 54
Which intervention is most important when caring for a client with a chest tube?
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Question 24 of 54
During a client assessment, the healthcare provider is evaluating cranial nerve function. Which assessment finding suggests that cranial nerve II is intact?
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Question 25 of 54
The client with chronic obstructive pulmonary disease (COPD) is being taught pursed-lip breathing by the nurse. What is the purpose of this technique?
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Question 26 of 54
A client is admitted with a diagnosis of acute pancreatitis. Which assessment finding is most indicative of this diagnosis?
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Question 27 of 54
A client with a diagnosis of chronic obstructive pulmonary disease (COPD) is receiving oxygen via nasal cannula at 4 liters per minute. Which assessment finding indicates a need for immediate action?
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Question 28 of 54
The client has received a new diagnosis of heart failure, and the nurse is providing dietary management education. Which instruction should the nurse include?
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Question 29 of 54
The healthcare professional is assessing a client with a diagnosis of peripheral arterial disease (PAD). Which assessment finding is most indicative of this condition?
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Question 30 of 54
A 54-year-old male client and his wife were informed this morning that he has terminal cancer. Which nursing intervention is likely to be most beneficial?
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Question 31 of 54
The nursing staff in the cardiovascular intensive care unit is creating a continuous quality improvement project on social media that addresses coronary artery disease (CAD). Which action should the nurse implement to protect client privacy?
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Question 32 of 54
A female client's significant other has been at her bedside providing reassurances and support for the past 3 days, as desired by the client. The client's estranged husband arrives and demands that the significant other not be allowed to visit or be given condition updates. Which intervention should the nurse implement?
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Question 33 of 54
What action should the nurse implement to prepare a client for the potential side effects of a newly prescribed medication?
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Question 34 of 54
A female client with chronic back pain has been taking muscle relaxants and analgesics to manage the discomfort, but is now experiencing an acute episode of pain that is not relieved by this medication regimen. The client tells the nurse that she does not want to have back surgery for a herniated intervertebral disk, and reports that she has found acupuncture effective in resolving past acute episodes. Which response is best for the nurse to provide?
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Question 35 of 54
A female UAP is assigned to take the vital signs of a client with pertussis for whom droplet precautions have been implemented. The UAP requests a change in assignment because she has not yet been fitted for a particulate filter mask. Which action should the nurse take?
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Question 36 of 54
The client was placed in restraints due to confusion while hospitalized. The family removes the restraints in the client's presence. After the family leaves, what should the nurse do first?
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Question 37 of 54
A male client presents to the clinic stating that he has a high-stress job and is having difficulty falling asleep at night. The client reports having a constant headache and is seeking medication to help him sleep. Which intervention should the nurse implement?
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Question 38 of 54
A client with rheumatoid arthritis is experiencing chronic pain in both hands and wrists. Which information about the client is most important for the nurse to obtain when planning care?
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Question 39 of 54
During the admission assessment of a terminally ill male client, he states that he is an agnostic. What is the best nursing action in response to this statement?
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Question 40 of 54
The nurse is preparing to administer 2 units of packed red blood cells (PRBCs) to a client. Which action should the nurse implement to ensure the client's safety?
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Question 41 of 54
The healthcare provider is caring for a client who is experiencing fluid volume deficit (dehydration). Which intervention should the healthcare provider implement to assess the effectiveness of fluid replacement therapy?
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Question 42 of 54
The healthcare provider is caring for a client diagnosed with type 2 diabetes mellitus. Which intervention should the healthcare provider implement to assess the client's glycemic control?
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Question 43 of 54
During the digital removal of a fecal impaction, the nurse should stop the procedure and take corrective action if which client reaction is noted?
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Question 44 of 54
What action should be implemented to prevent the formation of a sacral ulcer for an immobile client?
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Question 45 of 54
A male client with acquired immunodeficiency syndrome (AIDS) develops cryptococcal meningitis and tells the nurse he does not want to be resuscitated if his breathing stops. What action should the nurse implement?
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Question 46 of 54
A client has a nursing diagnosis of, 'Spiritual distress related to a loss of hope, secondary to impending death.' What intervention is best for the nurse to implement when caring for this client?
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Question 47 of 54
When preparing to insert an indwelling urinary catheter, the nurse applies sterile gloves and then tests the catheter balloon for patency. What action should the nurse implement next?
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Question 48 of 54
Before administering a client's medication, the nurse assesses a change in the client's condition and decides to withhold the medication until consulting with the healthcare provider. After consultation with the healthcare provider, the dose of the medication is changed, and the nurse administers the newly prescribed dose an hour later than the originally scheduled time. What action should the nurse take in response to this situation?
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Question 49 of 54
When assessing a client with a nursing diagnosis of fluid volume deficit, the nurse notes that the client's skin over the sternum 'tents' when gently pinched. Which action should the nurse implement?
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Question 50 of 54
When assisting a client with right-sided hemiplegia to get into a wheelchair, how should the nurse position the wheelchair?
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Question 51 of 54
While the nurse is suctioning a tracheostomy tube, the client starts to cough. What is the best action for the nurse to take?
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Question 52 of 54
During a urethral catheterization on a female, where would the healthcare provider observe the urethral meatus after separating the labia?
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Question 53 of 54
What is the main purpose of the working phase of the nurse-patient relationship?
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Question 54 of 54
An adult has a coagulation time of 20 minutes. The nurse should observe the client for which of the following?
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