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The nurse is caring for a client with chronic lung disease. He understands the principle of oxygen administration for this client is related to which physiologic state?

The client has been diagnosed with an aortic murmur. The nurse would hear this at which auscultatory area? 

The nurse is caring for a client with oxygenation and perfusion needs. The nurse would be most concerned about which of the following test results?

This is a Multiple Response Item. The nurse is developing a teaching plan for the client with oxygenation needs. Which of the following topics should be included? Select the three responses that apply. Type the letters to your answer in alphabetical order using no spaces, commas, or periods. A. Smoking cessation B. Flu and pneumonia vaccinations C. Avoid prolonged standing in one place D. Pursed lip breathing techniques E. Limiting dietary cholesterol

This is a Multiple Response Item. Accurate prioritization of patient problems may be achieved by which of the following? Select the three responses that apply. Type the letters to your answer in alphabetical order using no spaces, commas, or periods. A.  The medical diagnosis B.  Patient clinical status C.  Principles of BLS- Airway – Breathing – Circulation D.  Scheduling of care on the nursing unit E.  Maslow’s Hierarchy of Needs

In addition to identifying responses to actual or potential health problems, what is another purpose of the diagnosing step of the nursing process? 

The nurse is assessing a newly admitted client and notes capillary refill greater than 3 seconds. What is the nurse’s priority action?

This is a Multiple Response Item. The principles of critical thinking in the assessment process include which of the following? Select the three responses that apply. Type the letters to your answer in alphabetical order using no spaces, commas or periods. A. The assessment is purposeful B.  Data is relevant to the problem C.  The medical diagnosis is defined D.  Information collection is organized E.  The client’s statements are not important

This is a multiple select item A client states she is embarrassed because she must wear briefs for incontinence. What are appropriate actions by the nurse? Select the three responses that apply. Type the letters to your answer in alphabetical order using no spaces, commas. A. Advise client to cut back on fluids B. Encourage client to verbalize feelings C. Assess client’s urinary elimination pattern D. Discuss available options for incontinence briefs E. Suggest a Foley catheter to client

This is a multiple select item An elderly client presents to the emergency department after sustaining a fall at home. Which of the following would lead the nurse to believe that geriatric syndrome is a concern for this client? Select the three responses that apply. Type the letters to your answer in alphabetical order using no spaces, commas.   A. The client’s daughter helps prepare client’s meals B. A pressure injury is noted on the client’s left buttock C. The client must use a cane because of osteoarthritis D. Client states sleep pattern averages about 3 hours per night E. The client consumes ensure between meals