RN Comprehensive Online Practice 2016 B - Flashcards

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autism spectrum disorder. Instruction nurse should include:

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reward system

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reviewing clients rights. Which ethical principle?

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autonomy

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mag 2.5

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initiate cardiac monitoring

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school age cystic fibrosis; high frequency compression vest-

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small amount of mucus

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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

RN Comprehensive Online Practice 2016 B – Flashcards

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