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A nurse is reinforcing a teaching plan with a client who’s prescribed enalapril maleate (Vasotec) for treat- ment of hypertension. Which instructions would the nurse expect to see included in the teaching plan? Se- lect all that apply.
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A nurse is caring for a 45-year-old married woman who has undergone hemicolectomy for colon cancer. The woman has two children. Which concepts about families should the nurse keep in mind when providing care for this client? Select all that apply.
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A client with bladder cancer undergoes surgical removal of the bladder and construction of an ileal conduit. Which data indicate that the client is develop- ing complications? Select all that apply.
A nurse is caring for a client whose cultural back- ground is different from her own. Which actions are appropriate for the nurse? Select all that apply.
A 26-year-old client with chronic renal failure was recently told by his physician that he’s a poor candidate for a transplant because of chronic uncontrolled hypertension and diabetes mellitus. Now, the client tells the nurse, “I want to go off dialysis
. A client is ordered to receive a sodium phosphate enema for relief of constipation. Proper administration of the enema includes which steps? Select all that apply.
A nurse is caring for a client who sustained a chemical burn in his right eye. She’s preparing to irri- gate the eye with sterile normal saline solution. Which steps are appropriate when performing the procedure? Select all that apply.
The nurse reviews the assessment information and identifies that which two (2) pieces of assessment data require follow-up?
The nurse cares for a 56-year-old in the emergency department experiencing epigastric pain, shortness of breath, and dizziness. Nurses note 1900 – A 56-year-old female presents to the emergency department (ED) with reports of epigastric pain, shortness of breath, and dizziness. The client reports that the symptoms started eight hours ago and have progressively worsened. The client arrives pale and diaphoretic. The client has a medical history of type II diabetes mellitus and stated that her blood glucose has been very high. The blood glucose was taken, and it was 110 mg/dL. Which five (5) client findings require follow-up by the nurse? a. Reports of epigastric pain b. Blood glucose of 110 mg/dL c. History of diabetes mellitus type II d. Reports of shortness of breath e. Progressive worsening of symptoms f. Reports of dizziness g. Pale skin and diaphoresis
A nurse is caring for a client receiving digoxin. The client’s most recent serum digoxin level was 2.5 ng/mL. Which of the following essential nursing actions should the nurse take? Select all that apply.
The nurse is providing discharge instructions to a client with accelerated hypertension who has been newly started on Nifedipine. His home medications include calcium supplements for osteoporosis, omeprazole for heartburn, furosemide, and lisinopril. Which statement(s) by the client demonstrates the need for additional teaching regarding Nifedipine? Select all that apply. a. “My gums may swell because of this medication.” b. “I will avoid getting up too quickly from sitting or lying position.” “I will stop taking calcium supplements since they may negate the effects of Nifedipine.” c. d. “It is highly likely that I will get constipated from this drug” e. “If I get cough and tongue swelling, I will hold Nifedipine”
The nurse is evaluating their client's lab results and notes that the potassium is 5.5 mEq/L. They review the telemetry monitor, looking for which of the following signs? Select all that apply.
A client presents with the following ABG results. What is the correct interpretation?
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The nurse in the clinic is reviewing telephone messages from clients previously seen at the facility. The nurse should first telephone the client who had
The nurse precepts a new nurse caring for a client showing signs of improvement from hypovolemic shock. Which action by the new nurse would cause the preceptor to immediately intervene?
Child known recurrent episode of DKA , best way to prevent such an episode?
2 weeks post- anterior posterior repair, a female complain of urine passing PV with micturation. What is the Diagnosis?