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1. Guaiac Occult Test. What lab is most important? Platelet Count 2. Patient had BDP 3 months ago with dehydration. What would warrant the nurse immediate intervention? Positive Gastro Occult 3. ... A patient with Parkinson’s. “Freezes.” Pretends there is a crack on the floor and Carefully lifts leg and steps over. Confirm that this is the correct and effective technique. 4. Patient had Atrial Fibrillation and then AED was used. One minute later, Patient sudden goes in to ventricular Tachycardia. What should the nurse do? Administer Adenosine over 1-2 seconds IV 5. Heart failure acute exacerbation. How to Reduce Cardiac Workload? Bedside Commode 6. External Fixation Device- What should the nurse do first? Assess for peripheral pulse at the foot 7. COPD patient is experience shortness of breath. Pursed Lip Breathing 8. Client with CVA (stroke). Has only eaten half of their food. Family is concern about nutrition. What should the nurse tell the family? Demonstrate the use of Visual Scanning. 9. A male client with asthma has bronchoconstriction and mucous production due to exercising. What should the nurse do? Determine if the client is using an inhaler before exercising. 10. A client with liver abscess and drainage of abscess. Which lab value? White blood Cell Count 11. Suprapubic prostatectomy. Three-way catheter. Which assessment? Urine Leaking meatus 12. A client with ulcerative colitis. UAP report what finding? Stool with fatty streaks 13. Flank pain and acute pyelonephritis. Priority nursing action. Administer IV antibiotics. 14. Long-standing pulmonary infection. Assess for hypoxia. Select All That Apply. Breathing patterns, Check mentation, color of skin and nailbeds 15. Traction applied, but client is frustrated because client keeps calling nurse for help with repositioning. Use a trapeze bar. 16. Multiple Sclerosis and urinary retention. Self-Catheterization 17. Client works as a data desk job with Raynaud’s syndrome. What to do to prevent wrist injury? Space Heater 18. C.K.D. Lab to report. Potassium 6.5 19. Client withy Gullian Barre is not blinking. Administer Lubricant 20. Taking prednisone PO 5mg. What symptom? Rapid Weight Gain. 21. Succinylcholine. High Temperature. Ice Pack axillary 22. The nurse drops a sterile package of supplies on the floor in the operating room (OR) suite. The … impervious wrapper. Which action should the nurse implement? Open contents to sterile field package intact. 23. Client with Acute Glomerulonephritis. Restrict Sodium. 24. Client ask about biopsy results from cancer cells well differentiated. What response? Ask Healthcare provider to gather more information. 25. Right cataract and lens implant. Which intervention should the nurse first? Provide an eye shield to be worn while sleeping. 26. The unlicensed assistive personnel (UAP) reports to the nurse that a client who was admitted with abdominal pain has just had a large black tarry stool. What intervention should the nurse i [Show More]

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