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A rehabilitation nurse is caring for a client who has had a spinal cord injury that resulted in paraplegia. After a week on the unit, the nurse notes that the client is withdrawn and increasingly resistant to rehabilitative efforts by the staff. Which of the following actions should the nurse take?

A nurse is caring for a client who is 5 hours postoperative following a transurethral resection of the prostate (TURP) receiving continuous bladder irrigation (CBI). The nurse notes that the client’s indwelling urinary catheter has not drained in the past hour. Which of the following actions should the nurse take first?

A nurse is caring for a client with a tracheostomy. The client’s partner has been taught to   perform suctioning. Which of the following actions by the partner should indicate to the   nurse a readiness for the client’s discharge?

A nurse is instructing a client who is schedule led for a transurethral resection of the prostate(TURP) about  the postoperative care. Which of the following information should the nurse include in the teaching?

A nurse is assessing a client who has end stage kidney disease that is receiving hemodialysis. Which of the following  findings should the nurse identify an an indication that the cline is experiencing fluid overload ? Select all that apply

The nurse is caring for a client with bowel obstruction, who has a nasogastric tube connected to low, intermittent suction.  Which of the following assessment findings by the nurse suggest that the bowel obstruction is resolving? Select all that apply.

 A nurse is caring for a client who is having an ischemic stroke. Which of the following manifestations should the nurse expect?

A nurse is teaching a client who has chronic kidney disease about the process of continuous ambulatory peritoneal dialysis (CAPD). Which of the following information should the nurse include in the teaching?

The nurse reviews laboratory results for a client diagnosed with myocardial infarction (MI).  Which lab value is most specific for the diagnosis of a MI?

The nurse cares for a client diagnosed with asthma.  The client reports expiratory wheezing, shortness of breath, and chest tightness.  What is the most likely cause of the clinical findings?