RN Comprehensive Online Practice 2016 B – Flashcards
149 test answers
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discharge teaching for client to get home oxygen therapy?
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wear clothing made with cotton
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left side weakness following stroke
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support arm with pillow while sitting
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school age child taking valproic acid
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serum liver enzyme levels
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epinephrine adverse effect
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report of chest pain
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improve appetite
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timolol
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delegate to AP
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arrange lunch tray
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which should nurse attend to first?
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older adult client who is anxious and pull out iv
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newly licensed nurse - intervention by preceptor?
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starts task by determining what supplies are needed
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26 wks gestation- oral glucose tolerance test
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avoid caffeine
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thoracentesis
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avoid deep breathing during
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multiparous client- vacuum-assist birth
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cervical laceration
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20 wks gestation prenatal discomfort
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support bra overnight
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doxorubicin
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inspect clients mucosa for petechiae
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education session ab infection control
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airborne precautions, neg pressure airflow room
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older adult client anorexia
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albumin 2.8
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ED child w/ fever and fluid filled vesicles
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initiate transmission-based precautions
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incorrect dose error- document in med record
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time med was given
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adolescent ibuprofen
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stomach pain or bloody stools
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educate on cost effective care
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delegate non-nursing tasks to ancillary staff
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outpatient mental health clinic
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channels energy into new hobby
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delegate to AP
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perform gastrostomy feedings
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ED n/v for past 2 days
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spec gravity 1.052
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hemodialysis 24 hr ago
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Na 148
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rural community health nurse
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agency for healthcare research and quality
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mental health clinic- assign to member of group as orienter?
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noting progress of the group toward assigned goals
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MSE
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ideas of self harm
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toddler hemophilia A aptt values expect?
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45 seconds
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older adult pneumonia
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acute confusion
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impaired vision in one eye- detached retina
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floating dark spots
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acute blood loss
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explore clients reason for refusing tx
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correct NG tube placement
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aspirate content from tube and verify pH
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neutrophil count of 400
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administer granulocyte colony stim factor to child
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heavy lochia and boggy fundus
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oxytocin
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fourth stage of labor
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amount of vaginal bleeding
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med surg unit stroke client
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difficulty performing ADLs
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haloperidol lactate 5 mg/mL
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inject air into both prior
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phenelzine SAGA
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broccoli, yogurt, cream cheese
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fx of right fibula with short-leg cast
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3-point gait
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48 hr post op laryngectomy
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reading skills
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d5W 1000 mL iv over 8 hr
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125 mL/hr
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playground equipment injured children
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survey the scene for potential hazards
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EXHIBIT: 8 yo child with CF
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admin high dose antibiotic therapy
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continuous bladder irrigation
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irrigate the cath with 0.9% sodium chloride
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mental health clinic seeking counseling for relationship probs
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Borderline
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conscious sedation post op
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check O2 sat level
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mannitol 0.2 g/kg IV bolus
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18
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11 wks gestation
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client reports a decrease in episodes of nausea
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discharge in order to make room for critically injured clients
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cellulitis and receiving oral abx q8h
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violates unit policies extended break time
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"i would like to talk to you about the unit policies regarding break time"
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blood transfusion
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verify client and product info
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schizo risperidone
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fall precautions
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IM in obese client
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ventrogluteal site
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donate kidney brother
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you're afraid that your other kidney will fail
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effective time mngmnt
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make list of activities
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bipolar d/o
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flight of ideas
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18 mo toddler blood lead level of 3
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recomment screening in 1 year
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staffing weekend shifts
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form committe of staff to investigate current staff issues
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discharge teaching to preschool age child amoxicillin clavulanate
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shake before, fridge, report diarrhea
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T1 DM
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understands med regimen
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newborn following vag delivery
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nasal flaring
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change of shift assess first
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postop with abd distention w/ no bowel sounds
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transfer from ICU to med floor
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last dose of pain med
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ED triaging
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middle adult client who has unstable vitals
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partner recently died
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seem to be having difficult time rn
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active TB
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surgical mask when transporting
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PAD
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applies lubricant lotion to feet
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COPD expect
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pH 7.31
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democratic leadership
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seeks input from others
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dietary management crohns decrease?
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fiber
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compartment syndrome
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edema
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2 days post partum
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tells visitors baby looks like sister
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med surg terminal cancer
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refer social services
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stage IV breast cancer
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support group
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Snellen Chart
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both eyes open during
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home services hospice
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provide support for us after mothers death
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GI bleed NG in place
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lie on left side
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major depressive d/o
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right to refuse ECT
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ped unit change of shift
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10 y/o who is awaititing surgery
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CPM total knee arthroplasty
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turn off CPM during mealtime
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fluid volume overload delegate to AP
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measure clients daily wt
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chlorpromazine
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decreased hallucinations
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educational session about advocacy to a group of nurses
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advocacy is a leadership role that helps others to self-actualize
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albuterol metered-dose inhaler
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take the medication 15 min before playing sports
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new diagnosis of type 1 DM indication of hypoglycemia
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irritability
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short acting and intermediate acting insulin
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pinches the skin prior to injecting the insulin
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propanolol adverse effect
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coughing at night
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nurse intervene when moving a client up in the bed
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the LPN and the AP grasp the client under his arms to lift him up in bed
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newborn immediate after deliver to prevent loss of conduction
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use a protective cover on the scale when weighing the infant
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electroconvulsive therapy (ECT) adverse effect
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short-term memory loss
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pt has a PE heparin IV and warfarin PO; aPTT 98 sec and INR 1.8
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withhold the heparin
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resuscitation phase of a burn injury
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hyponatremia
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pulmonary edema
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prink, frothy sputum
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client who had had a stroke to a rehab and family is concerned about the level of care
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facilitate an interdisciplinary conference at the new facility for the family
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fecal impaction
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insert a lubricated gloved finger and advance along the rectal wall
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history of aggressive behavior - indication for potential violence
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the client is pacing around the chair in which his partner is sitting
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continous heparin infusion lab test
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aPTT
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right to confidentiality
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"you can provide a list of family members who can receive information about your diagnosis"
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client was disoriented and combative during the night
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move the client to a room near the nurses' station
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24 weeks of gestation and is scheduled for a 3-hr oral glue tolerance test
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"You will need to fast the night before the test"
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facial lacerations findings as a potential indication of sexual abuse
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the child exhibits discomfort while sitting
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teaching about the basal body temperature method of birth control
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"your body temperature might decrease slightly just prior to ovulation"
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IV fluids at 150 ml/hr - fluid overload
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dyspnea
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hemodialysis with an arteriovenous (AV) fistula interventions
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auscultate the affected extremity for a bruit
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pH 7.30, PaCO2 60 mm Hg, HCO3 25 mEq/L
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respiratory acidosis
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colostomy
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place the skin barrier over the stoma and hold it for 30 seconds
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preparing a sterile field to perform a sterile dressing change interventions to maintain surgical aseptic technique
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maintain sterile objects within the line of vision
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depressive disorder and is taking amitriptyline adverse effect
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blurred vision
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bipolar disorder
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"Notify your provider if you experience increased thirst"
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dissociation as a defense mechanism
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a client who was abused as a child describes the abuse as if it happened to someone else
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recent positive pregnancy test first day of last menstrual period was May 8 Nagele's rule to determine estimated date of birth
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february 15
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infant who has hydrocephalus and has a VP shunt - report to provider
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irritability when being held
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client receiving PEEP adverse effets
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tension pneumothorax
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preparing a client for a paracentesis
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instruct the client to void
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client who has cancer and is deciding between two treatments
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"tell me more about your understanding of the options"
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discharge instruction about newborn care to a client who is 2 days postpartum
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i will cover my baby's body when i wash her hair i will use the bulb syringe first in her mouth and then in her nose
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assessing newborn's heart rate
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auscultate the apical pulse and count beats for at least 1 min
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pneumonia isolation precautions
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droplet
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parent of a school-age child who has asthma
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"I will make sure my child received a yearly influenza vaccine"
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immediately before Romberg test
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"I will be checking you once with your eyes open and once with them closed"
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2 week old newborn who had a birth weight of 3.64 kg - what indicated effective breastfeeding
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the newborn has six to eight wet diapers per day
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decreased visual acuity due to cataracts
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increases opacity of the lens
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teaching about advance directives to a middle adult client
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"I can designate my partner as my health care surrogate"
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sickle cell anemia and is having a vaso-occlusive crisis
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increase IV fluids
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unable to locate members of the client's family
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proceed with provision of medical care
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2 units of packed RBCs 48 hrs ago
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Hemoglobin 14.8 g/dL
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acute glomerulonephritis expect in the client's urine
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protein
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reportable incident and an indication for completing a report
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a nurse administered a medication via the wrong route
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hyperthyroidism
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tremors
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COPD and becomes extremely short of breath
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increasing oxygen via nasal canal to 6 L/min
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abdominal assessment sequence of actions
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inspect auscultate percussion palpation
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scald burns to both hands and wrists- nurse suspects physical abuse
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contact child protective services
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child who has hypotonic dehydration and is receiving an oral rehydration solution
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serum sodium 136 mEq/L
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school-age child who has thrombocytopenia - avoid
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blowing the nose
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deep-being thrombosis
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instruct the client to elevate the affected extremity when sitting
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providing teaching to a client who speaks a different language than the nurse
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use pictures to illustrate the procedure to the client
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clonidine adverse effects
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dry mouth
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fentanyl patch
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ask another nurse to witness the disposal of the new patch
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initiate seizure precautions
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a client who is at 33 weeks gestation and has severe gestational hypertension
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intervent to prevelt a potential food and medication interaction
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a client who is receiving an MAOI and is requesting a cheeseburger for dinner
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education program about osteoporosis for older adults
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sedentary lifestyle
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home safety
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"Have grab bars installed around your bathtub and toilet"
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positive chvostek's sign
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C (facial nerve infant of tragus of the ear)
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small fire in the trash can
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remove the client from the room
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valproic acid - report
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jaundice
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newborn who has herpes simplex virus (HSV) precautions
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contact
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