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A client with COPD is in respiratory failure. The following arterial blood gas results are obtained: PCO2 58 mmHg, SaO2 90%, pH 7.23, HCO3 30 mEq/L. Which of these results is the most sensitive indicator that the client requires mechanical ventilation?
A client makes a routine visit to the prenatal clinic. Although she is 14 weeks pregnant, the size of her uterus approximates that of an 18- to 20-week pregnancy. Dr. Charles diagnoses gestational trophoblastic disease (hydatidiform mole) and orders ultrasonography. The nurse expects the ultrasonography to reveal:
A home health nurse is making preparations for morning visits. Which of the following clients should the nurse visit first?
The client is receiving total parenteral nutrition (TPN). Which lab value should be monitored while the client is receiving TPN?
What is most important to remember about extracellular electrolyte balance regarding sodium (Na+) and fluid shifts?
The nurse is admitting a client with a suspected duodenal ulcer. The client will most likely report that his abdominal discomfort decreases when he:
Which goal should be evaluated as met prior to a client's discharge from an inpatient psychiatric unit?
A 9-year-old girl with rheumatic fever is being assigned a roommate. Which of the following patients would be the best roommate for her?
Which information should be given to a patient undergoing radiation therapy for breast cancer?
The nurse is caring for a client with epilepsy who is to receive phenytoin sodium (Dilantin) 100 mg IV push. The client has an IV of D5(1/2)NS infusing at 100 mL/hr. When administering the Dilantin, which is the appropriate initial nursing action?
You are caring for a patient and pour out his evening risperidone (Risperdal) 2 mg tablet. The pill falls onto the countertop. What is your next intervention?
What is the most appropriate response by the nurse when a despondent client says, "Nothing matters anymore"?
A client with inflammatory bowel disease (IBD) requires an ileostomy. As an essential part of caring for the stoma, the nurse should instruct the client to do which of the following?
A patient was recently diagnosed with malignant hyperthermia, but she does not understand what manifestations of this condition look like. Which of the following will you NOT include in your explanation?
You are caring for a COPD patient who has arrived in your clinic presenting with symptoms of an exacerbation. Which symptoms would this patient likely present with? (Select all that apply.)
Which of the following situations best supports the stress-diathesis model of mental illness development?
With regard to small-for-gestational-age (SGA) infants and intrauterine growth restriction (IUGR), nurses should be aware that:
The healthcare provider is assessing the skin of a patient who is at risk for becoming infected with the human immunodeficiency virus (HIV). Which of the following findings requires immediate follow-up by the healthcare provider?
A client is admitted with a two-day history of nausea and vomiting. Which IV fluid is appropriate for a client with moderate dehydration?
Chemotherapy is used for cancer treatment. Which of the following best describes what chemotherapy actually does?