A nurse is assessing a client who received 2 units of packed RBCs 48 hr ago. Which of the following findings should indicate to the nurse that the therapy has been effective?: Hemoglobin 14.9 g/dL 2.... A nurse working in an emergency department is triaging four clients. Which of the following clients should the nurse recommend for treatment first?: A middle adult client who has unstable vital signs 3. A nurse is caring for a client who has fluid volume overload. Which of the following tasks should the nurse delegate to an assistive personnel (AP)?: Measure the client's daily weight. 4. A nurse is preparing to administer mannitol 0.2g/kg IV bolus over 5 min as a test dose to a client who has severe oliguria. The client weighs 198 lb. What is the amount in grams the nurse should administer?: 18 g 5. A nurse is conducting a physical examination for an adolescent and is assessing the range of motion of the legs. Which of the following images indicates the adolescent is abducting the hip joint?: D 6. A nurse is caring for a client who has hyperthyroidism. Which of the following findings should the nurse expect?: Tremors 7. A nurse is assessing a school-age child who has bacterial meningitis. Which of the following findings should the nurse expect?: Nuchal rigidity 8. A nurse is assessing a newborn's heart rate. Which of the following actions should the nurse take?: Auscultate the apical pulse at least 1 min. 9. A nurse is preparing to assist with a thoracentesis for a client who has pleurisy. The nurse should plan to perform which of the following actions?- : Instruct the client to avoid coughing during the procedure. 10. A nurse in the emergency department is assessing a preschooler who has a facial laceration. The nurse should identify which of the following findings as a potential indication of child sexual abuse?: The child exhibits discomfort while walking. 11. A nurse is preparing to teach about dietary management to a client who has Crohn's disease and an enteroenteric fistula. Which of the following nutrients should the nurse instruct the client to decrease in their diet?: Fiber 12. A nurse is caring for a client who has a prescription for a continuous passive motion (CPM) machine following a total knee arthroplasty. Which of the following actions should the nurse take?: Turn off the CPM machine during mealtime [Show More]
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