A nurse is assessing a client who received 2 units of packed RBCs 48 hrs ago. Which of the following findings should indicate to the nurse that the therapy has been effective? Correct Answer - hemoglobin 14.9 g/dL
a nurse working in an emergency department is triaging four clients. which of the following clients should the nurse recommend for treatment first? Correct Answer - a middle adult client who has unstable vital signs
a nurse is caring for a client who has fluid volume overload. which of the following tasks should the nurse delegate to an assistive personnel? Correct Answer - measure the client's daily weight
a nurse is preparing to administer mannitol 0.2 g/kg IV bolus over 5 min as a test dose to a client who has severe oliguria. The client weighs 198 lb. what is the amount in grams the nurse should administer? Correct Answer - 18 g
a nurse is conducting a physical examination for an adolescent and is assessing the rang of motion of the legs, which of the following images indicates the adolescent is abducting the hip joint? Correct Answer - Moving the leg away from the midline of the body (off to the side, not to the front)
a nurse is caring for a client who has hyperthyroidism. which of the following findings should the nurse expect? Correct Answer - tremors
tachycardia, diaphoresis, weight loss, insomnia, exopthalmia
hypothyroidism has dry corase hair, bradycardia, and periorbital edema
a nurse is assessing a school age child who has bacterial meningitis. which of the following findings should the nurse expect? Correct Answer - nuchal rigidity
also weight loss
a nurse is assessing a newborn's heart rate. which of the following actions should the nurse take? Correct Answer - auscultate the apical pulse at least 1 min
a nurse is preparing to assist with a thoracentesis for a client who has pleurisy. the nurse should plan to perform which of the following actions? Correct Answer - instruct the client to avoid coughing during the procedure
a nurse is the emergency department is assessing a preschooler who has a facial laceration. the nurse should identify which of the following findings as a potential indication of child sexual abuse? Correct Answer - the child exhibits discomfort while walking
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