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NGN-RN Complete Package (S3)

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A young adult female client presents with sore throat, heartburn, abdominal discomfort, and dental enamel erosion. Her mother reports that the client often eats unusually large amounts of junk food in a short amount of time, followed by long periods in the bathroom.

 Which of the following referrals is the most appropriate?

Ramanpreet Kaur Sidhu

ID: 137304
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A nurse is caring for a G1 P0 client who is fully dilated, 100% effaced, the fetal head is at +2 station, and had a spontaneous rupture of membranes with clear fluid. The nurse has been coaching the client through pushing with contractions for approximately 3 hours, without significant fetal descent. The nurse notes that although the fetal heart rate is normal, the client is experiencing a prolonged second stage of labor and is now too exhausted to push effectively. The nurse communicates this assessment with the Obstetrician on call. A few minutes later the Obstetrician enters the room and begins preparing the delivery tray. The Obstetrician adds Simpson's forceps to the delivery tray and begins inserting the right forcep inside into the vaginal orifice. 

 What is the nurse's priority concern?

Ramanpreet Kaur Sidhu

ID: 137304
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The nurse is caring for a client in the CVICU with a history of ischemic heart disease. The client has just gone into pulseless ventricular tachycardia.

 Which of the following is the highest priority intervention?

Ramanpreet Kaur Sidhu

ID: 137304
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Which of the following examples best promotes the concept of engagement from a relational ethics perspective?

Ramanpreet Kaur Sidhu

ID: 137304
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A female client on an oncology unit undergoes a therapeutic abortion at 13 weeks prior to starting chemotherapy for stage 2 pancreatic cancer. The nurse does not morally believe in abortion and is assigned to administer the next dose of chemotherapy to the client. How can the nurse demonstrate mutuality in client care from a relational ethics perspective?

Ramanpreet Kaur Sidhu

ID: 137304
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After a day shift a nurse posts on their social media site "What a frustrating day could my co-workers be any lazier?" What are potential implications for the nurse after posting this statement?

Ramanpreet Kaur Sidhu

ID: 137304
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A client was recently diagnosed with labyrinthitis. 

 The most important professional for the nurse to refer this client to is?

Ramanpreet Kaur Sidhu

ID: 137304
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The registered nurse (RN) is working with an unlicensed assistive personnel (UAP) on a general respiratory unit. 

 Which of the following interventions assigned to the UAP would require follow-up?

Ramanpreet Kaur Sidhu

ID: 137304
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The nurse is beginning their day shift on the acute medical unit and is assigned the following 4 clients. 

 Which client should the nurse assess first?

Ramanpreet Kaur Sidhu

ID: 137304
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The nurse is caring for a client who is unconscious and actively dying. The nurse greets the client and their family member who has been at the bedside all night. 

Which of the following should the nurse address first when providing care?

Ramanpreet Kaur Sidhu

ID: 137304
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