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VATI Med surg new With Complete Solution.
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VATI Med surg new With Complete Solution.
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VATI Med surg new With Complete Solution.A nurse is collecting data from a client who has right-sided heart failure. Which of the
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following findings should the nurse expect? (Select all that apply.) - (correct answer) -
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Poripheral edema ui ui
Hepatomegaly ui
Abdominal distention ui
A nurse is caring for a client who has heart failure and a new prescription for furosemide.
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The nurse should monitor the client for which of the following adverse effects of the
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medication? - (correct answer) -Tinnitus
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The nurse should monitor clients who take furosemide for tinnitus and hearing loss.
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Audiometry is recommended for clients recelving prolonged IV furosemide.
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A nurse is reinforcing teaching with a client who is recovering from severe diarrhea and
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is ready to resume eating solid foods. Which of the following food items should the
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nurse recommend? - (correct answer) -Yogurt
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The nurse should recommend adding yogurt to the diet to provide probiotics and add
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substance to the stool, making it more formed. A client who is recovering from diarrhea
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should consume a diet that is low in fiber. Taking probiotics can also help restore the
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natural gastrointestinal flora.
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A nurse is monitoring a client who has a new prescription for furosemide for peripheral
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edema. For which of the following adverse effects should the nurse monitor? - (correct
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answer) -Muscle weakness
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Furosemide is a loop diuretic, which is used to treat hypertension and edema.
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Furosemide can cause excess excretion of potassium. The nurse should monitor the
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client for manifestations of hypokalemia such as nausea, muscle weakness, and
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spasms.
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A nurse is contacting the provider of a client who has heart failure and a potassium level
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of 3.4 mEq/L. Which of the following client medications should the nurse expect the
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provider to withhold? - (correct answer) -Digoxin
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The nurse should expect the provider to withhold digoxin when the client's potassium
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level is low to decrease the client's risk of dysrhythrmias due to digoxin toxicity.
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Potassium assists in displacing digoxin, because digoxin binds to potassiurm, and
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reduces the risk for digoxin toxicity.
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A nurse is assisting with the care of a client who has cellulitis and is receiving IV
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ceftriaxone. During data collection, the nurse notes the client is flushed and the client
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reports urticaria. After stopping the IV infusion, which of the following actions should the
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nurse take first? - (correct answer) -Check the client's respirations.
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, After stopping the IV infusion, the first action the nurse should take when using the
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airway, breathing, circulation approach to client care is to count the client's respirations
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and monitor for dyspnea because a client experiencing an allergic reaction can progress
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to anaphylactic shock and death.
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A registered nurse (RN) in an acute care facility is caring for a group of clients with the
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assistance of a licensed practical nurse (LPN). Which of the following tasks should the
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RN delegate to the LPN? (Select all that apply.) - (correct answer) -Inserting an NG tube
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Monitoring an IV infusion ui ui ui ui
Administering IM medications ui ui
A nurse is reinforcing teaching with a young adult client about testicular self-
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examination. Which of the following instructions should the nurse include? - (correct ui ui ui ui ui ui ui ui ui ui ui
answer) -"Examine your testicles after a warm shower."
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After exposure to warm water in a shower or bath, the scrotum relaxes and becomes
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easy to palpate. The testicle should feel smooth and round, and the client should report
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any lumps to his provider.
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A nurse is assisting in the planning of a health education class for a group of older adult
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clients. Which of the following recommendations should the nurse include? - (correct
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answer) -Obtain a pneumococcal immunization
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The pneumococcal immunization should be obtained to prevent pneumonia and is
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generally given at or near the age of 65, One dose provides lifelong immunity
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A nurse is preparing to administer eardrops to an adult client who has otitis media.
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Which of the following actions should the nurse plan to take? - (correct answer) -Warm
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the bottle by holding it in the palm for 5 min before administration.
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The nurse should plan to warm the bottle of drops slightly by holding it in the palm of the
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hand or putting the bottle in a pocket for about 5 min. Administering cold ear drops can
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cause the client to experience discomfort or dizziness.
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A nurse is reinforcing teaching about the use of an oxygen concentrator in the home for
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a client who has end-stage emphysema. Which of the following instructions should the
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nurse include to promote client safety? - (correct answer) -Maintain an electrical backup
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system.
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medical services and the electric company of the The nurse should remind the client to
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maintain an electrical backup system to ensure continuity of oxygen therapy. This
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includes notifying local emergency use of home oxygen equipment. In the event of
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power loss, the client should notify 911, the provider, and the home health care agency.
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A nurse is caring for a client who is receiving continuous bladder irrigation following a
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transurethral resection of the prostate. The client has reduced urinary output, red urine,
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and reports bladder pain. Which of the following actions should the nurse take first? -
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(correct answer) -Increase the flow rate of the irrigation
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