Options 1, 3, and 4 are incorrect. Options 3 and 4 are laboratory measurements that are not prescribed routinely by the nurse and would not be done on a daily basis in a long-term care facility. The patient is demonstrating manifestations of fluid volume overload. HIV antibodies do not appear for several weeks to months after exposure, so testing drug uses would not be very effective in reducing risk for HIV exposure. They should be disposed of in a labeled, impermeable container that is specifically used for this purpose. The patient will eat more if disliked foods are avoided and foods that patient likes are included instead.

The wound is a superficial burn, and will take up to three weeks to heal. Remain with the client for the first 15 min of the infusion. The nurse and a client are discussing possible behaviors that might be interfering with the client’s ability to fall asleep. Which nursing diagnosis takes highest priority? Carbonated liquids such as cola may also be used, but only if agency policy identifies it as acceptable. At what ages should the MMR measles, mumps, rubella vaccination be given to children?

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Infectious diseases can be transmitted through contaminated items such as hands and bed liners in clients with endometritis. When is a lumbar puncture indicated? The nurse is teaching a client who suspects that she has a acse in her breast.

Thermal burns result from exposure to dry or moist heat.

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Enhanced cardiac output 3. Which nursing diagnosis may be appropriate for this client? The most potentially hazardous method for checking NG tube placement is to submerge the end of the tube in water to observe for bubbling. Ability to filter particles from the air C. Comparable subjects that would interest. The amount of the medication prescribed is based on the blood level achieved. A client who had a total hip replacement and requires assistance with ambulation.


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Which of the following cergical will be most therapeutic to the patient? Lying supine sgudy bed 4. After teaching the patient about pernicious anemia, the nurse determines that the patient understands the disorder when the patient states, a. Intake and output measurements indicate the adequacy of fluid resuscitation, and should range from 30 to 50 mL per hour in an adult. Clients need to avoid aspirin and aspirin-containing products to minimize the risk of bleeding, and they need to avoid alcohol to minimize the risk of toxicity and side effects.

A nurse is reviewing the medical record of a client who is taking warfarin for chronic atrial fibrillation. What type of current was involved? What term should the nurse use to refer to this drop in the platelet count? A patient has a scald burn on the arm that is bright red, moist, and has several blisters.

What is important for the patient to understand before participating in the study? A patient with ovarian cancer tells the nurse, “I don’t think my husband cares about me anymore. Remain with the client for the first 15 min of the infusion.

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A patient receiving treatment for severe burns over more than half of his body has an indwelling urinary catheter. Bottles of solution that are sitting in the client’s room should be closed to prevent airborne contaminants from entering and creating an unsterile situation. What are the 4 goals of poison control therapy? Which expected outcome is best for the patient with a nursing diagnosis of Acute Pain related to movement and secondary to sttudy resection of a ruptured spleen and possible inadequate analgesia?


Options 1, 2, and 3 are incorrect.

RN Adult Medical Surgical Online Practice 2016 B

Wet-to-damp dressings allow epidermal cells to migrate more rapidly across the wound surface than dry dressings, thereby facilitating wound healing.

What percentage of the total daily caloric intake should be through fat? Evolvf of the following activities should the nurse instruct the client to avoid? Pain perception is diminished.

RN Adult Medical Surgical Online Practice B –

She asks, “Why does God hate me? A nurse is assessing a client who is at risk for development of pernicious anemia resulting from peptic ulcer disease. The repaglinide is taken 30 minutes before eating. Your client has a Braden scale score of A nurse is assessing a client following IV urography.