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The nurse identifies an electrolyte imbalance, a weight gain of 4.4lbs (2kg) in 24 hours and an
elevated central venous pressure for a client with full thickness burns. Which intervention
should the nurse implement?
A. Auscultate for irregular heart rate
B. Review arterial blood gases results
C. Measure ankle circumference
D. Document abdominal girth – ANSWER A. Auscultate for irregular heart rate
The nurse is caring for a group of clients with the help of a practical nurse (PN). Which nursing
actions should the nurse assign to the PN? (Select all that apply)
A. Administer a dose of insulin per sliding scale for a client with Type 2 DM
B. Start the second blood transfusion for a client 12 hours following a BKA
C. Initiate patient controlled analgesia (PCA) pumps for two clients immediately postoperatively
D. Perform daily surgical dressing change for a client who had an abdominal hysterectomy
E. Obtain postoperative vital signs for a client one day following unilateral knee arthroplasty –
ANSWER A. Administer a dose of insulin per sliding scale for a client with Type 2 DM
D. Perform daily surgical dressing change for a client who had an abdominal hysterectomy
E. Obtain postoperative vital signs for a client one day following unilateral knee arthroplasty
The nurse is teaching a group of women about osteoporosis and exercise. The nurse should
emphasize the need for which type of regular activity?
A. Core strengthening
B. Aerobic exercise
C. Weight-bearing exercise
D. Muscle stretching and toning – ANSWER B. Aerobic exercise
elevated central venous pressure for a client with full thickness burns. Which intervention
should the nurse implement?
A. Auscultate for irregular heart rate
B. Review arterial blood gases results
C. Measure ankle circumference
D. Document abdominal girth – ANSWER A. Auscultate for irregular heart rate
The nurse is caring for a group of clients with the help of a practical nurse (PN). Which nursing
actions should the nurse assign to the PN? (Select all that apply)
A. Administer a dose of insulin per sliding scale for a client with Type 2 DM
B. Start the second blood transfusion for a client 12 hours following a BKA
C. Initiate patient controlled analgesia (PCA) pumps for two clients immediately postoperatively
D. Perform daily surgical dressing change for a client who had an abdominal hysterectomy
E. Obtain postoperative vital signs for a client one day following unilateral knee arthroplasty –
ANSWER A. Administer a dose of insulin per sliding scale for a client with Type 2 DM
D. Perform daily surgical dressing change for a client who had an abdominal hysterectomy
E. Obtain postoperative vital signs for a client one day following unilateral knee arthroplasty
The nurse is teaching a group of women about osteoporosis and exercise. The nurse should
emphasize the need for which type of regular activity?
A. Core strengthening
B. Aerobic exercise
C. Weight-bearing exercise
D. Muscle stretching and toning – ANSWER B. Aerobic exercise
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