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NGN-RN Complete Package (S3)

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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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During a physical assessment, the nurse observes calf pain during rest, coolness in the lower extremities and poor healing of a foot ulcer. The client's history is remarkable for smoking for that past 10 years. Identifying these signs as possible indications of peripheral arterial occlusion, which of the following interventions should the nurse encourage in order to best promote vasodilation?

Ramanpreet Kaur Sidhu

ID: 137304
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A nurse is assigned to a client with both urinary and bowel incontinence. They have recently been suspected of a urinary tract infection (UTI) as well as C. Difficile. 

 Which of the following precautions should be taken?

Ramanpreet Kaur Sidhu

ID: 137304
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A client is mechanically ventilated due to acute respiratory distress syndrome (ARDS). The ventilator is set to continuous mandatory ventilation (CMV) mode, RR 35, PEEP 5 cmH2o, FiO2 0.75. An arterial blood gas is drawn by the nurse. The results are pH 7.32, PCO2 60mmHg, HCO3 16 mEq/L (16 mmol/L) and PO2 45 mmHg.

 Based on these findings what changes to the ventilator need to be made?

Reference Ranges:

pH: 7.35-7.45

pCO2: 35-45 mmHg

pO2: 80-100 mmHg

HCO3: 22-26 mEq/L (22-26 mmol/L)

Ramanpreet Kaur Sidhu

ID: 137304
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The nurse is educating a group of nursing students on the monitoring device for cerebrospinal fluid (CSF) sampling.   

 Which ICP monitoring device allows for cerebrospinal fluid (CSF) sampling?

Ramanpreet Kaur Sidhu

ID: 137304
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A client with life-threatening ventricular tachycardia is admitted to the Emergency Department (ED). The nurse notes that the client has a pulse present and is hemodynamically stable. The healthcare team is unable to obtain intravenous access. Which of the following actions would best promote a positive outcome for this client?

Ramanpreet Kaur Sidhu

ID: 137304
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The client asks the nurse about pain relief from acute attacks of gout. Which of the following responses by the nurse is best?

Ramanpreet Kaur Sidhu

ID: 137304
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The nurse is performing percussion of the thorax and lung on a client's back.

 What sound is normally heard in the area indicated below?

Image failed to load: Scapula

Ramanpreet Kaur Sidhu

ID: 137304
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A nurse is caring for a client with advanced heart disease. The following week, the nurse was

disappointed to notice that the client has changed their code status to DNR and does not agree with the client's decision. 

Which of the following nursing actions is the most appropriate?

Ramanpreet Kaur Sidhu

ID: 137304
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The nurse is caring for a client with insulin-dependent type 1 diabetes mellitus. They are working with a nursing student for the day, who is helping to care for a client. 

 Which of the following actions by the student would require intervention?

Ramanpreet Kaur Sidhu

ID: 137304
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