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NGN-RN Complete Package (S3)

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A nurse is caring for a client on warfarin therapy and notes that the next dose of warfarin is due. Upon reading the most recent bloodwork, the client's INR is 2.8. What should the nurse do next?

Reference Range:

International Normalized Ratio (INR): 0.9 - 1.1

Therapeutic INR: 2 - 3

Ramanpreet Kaur Sidhu

ID: 137304
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A client with acute kidney injury (AKI) has a serum potassium level of 6.5 mEq/L (6.5 mmol/L). To treat the client's hyperkalemia, the health care provider prescribes sodium polystyrene sulfonate (Kayexalate®).

 The nurse understands that the purpose of this drug is which of the following?

Reference Ranges:

Potassium: 3.5-5.0 mEq/L (3.5-5.0 mmol/L)

Ramanpreet Kaur Sidhu

ID: 137304
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A community health nurse is providing an information session to women about breast self-examinations (BSEs). The nurse should teach that the best time to perform a BSE is which of the following?

Ramanpreet Kaur Sidhu

ID: 137304
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The nurse is caring for a client in balanced suspension traction. 

 Which of the following nursing actions using traction is the least appropriate?

Ramanpreet Kaur Sidhu

ID: 137304
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The nurse is examining the role of safety in promoting health care quality for clients while administering medications. 

 Which of the following examples demonstrate safety in this process?

Ramanpreet Kaur Sidhu

ID: 137304
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The nurse is educating a group of students on basic life support (BLS).  

 Which of the following practices should be performed on an 8 year-old child in regards to basic life support (BLS)?

Ramanpreet Kaur Sidhu

ID: 137304
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A nurse caring for a pregnant client notices a portion of the umbilical cord protruding out of the birth canal. 

What should the nurse do first?

Ramanpreet Kaur Sidhu

ID: 137304
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The nurse is caring for a 2 year-old male client with severe dehydration. Upon discussion with the child's parents, they report that their child has been drinking traditional herb mixtures made by the traditional medicine doctor in their small village. When reviewing the ingredients of the mixture with the family, the nurse suspects that they are contributing and exacerbating the child's diarrhea leading to dehydration. Which of the following is the most appropriate next step to take in caring for the child and mother?

Ramanpreet Kaur Sidhu

ID: 137304
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A nurse is working in a pediatric cardiology unit and is assigned to a 2-month old infant with heart failure and trouble feeding. The nurse works with the parents of the child to create a nutritional plan and promote feeding. Which of the following statements made by the parents indicates a need for further teaching?

Ramanpreet Kaur Sidhu

ID: 137304
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The public health nurse is attending a meeting at a catholic school where they plan to teach a lesson on contraceptive methods. One of the parents is upset and states that the topic is not appropriate based on their self reported catholic values. 

 Which of the following is the most therapeutic and correct statement the nurse can provide for the parents?

Ramanpreet Kaur Sidhu

ID: 137304
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