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NGN-RN Complete Package (S3)

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The nurse is caring for a client after a thoracentesis. Which of the following assessment findings should the nurse report immediately to the Health Provider?

Ramanpreet Kaur Sidhu

ID: 137304
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A postoperative client with a pulmonary embolism is receiving heparin 1000 units/hour IV. 

 If the client were to develop a severe bleeding reaction, which of the

following drugs should the nurse have readily available?

Ramanpreet Kaur Sidhu

ID: 137304
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A home health nurse observes as an asthmatic client performs their daily peak flow meter test. The client alerts the nurse to a peak expiratory flow (PEF) of 65%. 

 Which of the following medications should the nurse administer?

Ramanpreet Kaur Sidhu

ID: 137304
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A client comes into the walk in clinic with a high fever. An ABG was completed and the results are below. The nurse interprets these results as which of the following?

pH: 7.45

PCO2: 27 mmHg

PO2: 54 mmHg

HCO3: 20 mEq/L (20 mmol/L)

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 student nurse reports that during their morning assessment, they heard hyperresonance on percussion over the lung fields.

 Which of the following actions should the student nurse do next?

Ramanpreet Kaur Sidhu

ID: 137304
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A nursing student supervised by their preceptor is about to provide teaching to a client with asthma.

 Which of the following statements, if made by the student nurse, would require the preceptor to intervene?

Ramanpreet Kaur Sidhu

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A nurse educator is teaching a nursing student about using fluticasone for allergic rhinitis. 

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

Ramanpreet Kaur Sidhu

ID: 137304
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A nurse is teaching an adolescent client with

asthma about using a peak expiratory flow meter (PEFM) to measure the peak expiratory flow rate (PEFR). Which of the following is an inaccurate interpretation of the PEFR?

Ramanpreet Kaur Sidhu

ID: 137304
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A client in the hospital is exposed to tuberculosis. The client requires a tuberculin skin test (TST) but had a previous bacille Calmette-Guerin (BCG) vaccination. How will this affect the results of the TST?

Ramanpreet Kaur Sidhu

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During midnight rounds, the nurse finds a client awake in supine position who states that they are unable to sleep. 

 Which position is the best for alleviating dyspnea in clients with chronic obstructive pulmonary disease (COPD)?

Ramanpreet Kaur Sidhu

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