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NGN-RN Complete Package (S3)

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The nurse is working in the operating room. They are reviewing the care plan for a client, who is scheduled for a splenectomy this afternoon. 

The nurse questions the medication order for succinylcholine IV anesthetic based on which of the following aspects of the client's health history?

Ramanpreet Kaur Sidhu

ID: 137304
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The nurse is preparing to administer a regular dose of levothyroxine (Synthroid®) to a 39-year-old female client on an inpatient medical unit. 

The nurse obtains the following vital signs:

  • Pulse: 125 beats per minute
  • Respiratory Rate: 12 breaths per minute
  • Blood pressure: 95/67 mmHg
  • Temperature: 37° C (98.6° F)
  • Pulse oximetry reading 98% on room air
 Which of the vital signs obtained would cause the nurse to hold levothyroxine?

Ramanpreet Kaur Sidhu

ID: 137304
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A client with fibromyalgia syndrome (FMS) asks the nurse why they need to limit their consumption of sugar, caffeine, and alcohol.

Which of the nursing statements best reflects the reasoning for this dietary recommendation?

Ramanpreet Kaur Sidhu

ID: 137304
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The nursing student, supervised by their nursing precepting, is preparing an anxious client for peripheral intravenous catheter insertion. The student decides to implement relaxation breathing techniques to help the client cope with their fears.

 Which of the following instructions or education points by the student would require the nursing preceptor to intervene?

Ramanpreet Kaur Sidhu

ID: 137304
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The nurse is working in a community health clinic. Their client, a male age 35, is seeking advice about the use of laxative medications for the treatment of chronic constipation. Which of the following medications is most likely safest for the client to use in the treatment of this condition?

Ramanpreet Kaur Sidhu

ID: 137304
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A nurse is caring for a post-operative client that just received Coronary Artery Bypass Graft (CABG) surgery. The nurse plans to change the dressing on the client’s chest incision.

 Which of the following is true when regarding sterility and performing a dressing change for this client?

Ramanpreet Kaur Sidhu

ID: 137304
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A nurse is assigned to a client that has just undergone cardiovascular surgery and is prone to cardiac arrest. This client has had a previous left mastectomy and is left hand dominant. The IV nurse reports on the unit to obtain intravenous access for this client.

 Which of the following peripheral IV sites should be selected for administration of medications such as epinephrine?

Ramanpreet Kaur Sidhu

ID: 137304
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The nurse is teaching a nursing student how to use an otoscope for ear examinations.

 Which of the following statements by the student indicates a need for further teaching?

Ramanpreet Kaur Sidhu

ID: 137304
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The nurse is positioning a postoperative client with an above-the-knee amputation. Which of the following positions will help reduce the client's risk of a hip flexion contracture?

Ramanpreet Kaur Sidhu

ID: 137304
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The nurse is caring for a client who is recovering from an

acute episode of

metabolic alkalosis.

Based on the pathophysiology and manifestations of this condition, which of the

following foods is the client likely to be required to increase in their diet

in order to prevent further complications?

Ramanpreet Kaur Sidhu

ID: 137304
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