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A nurse provides care for a patient who has been on prolonged bedrest and now has shortening and tightening of the muscles due to disuse. The nurse includes interventions in the plan of care to address which condition?
A nurse provides care to a patient who proper flexion of the ankle is lost, and permanent plan tarflexion of the foot develops. The nurse includes interventions in the plan of care to address which condition?
A nurse is assisting a patient out of bed to a chair for the first time post operatively.The patient becomes pale and dizzy during the transfer. What is the best explanation for this presentation?
A nurse is caring for a post operative patient who had a surgical repair of an abdominal hernia and hasa history of chronic pulmonary obstructive disease (COPD). Which is the best position for the nurse to place the patient in to facilitate respiratory expansion?
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A nurse is caring for a post operative patient who had abdominal surgery and is preparing to use an incentive spirometer (IS) for the first time. What instruction should the nurse provide for use of this device?
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A nurse plans care for hospitalized patients.When planning care for a patient,then use includes intervention to prevent which preventable condition that is responsible for the most preventable deaths during hospitalization?
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A nurse is caring for a post operative patient who had abdominal surgery 24 hours ago.Bowel sounds are hypoactive, and the patient’s abdomen is slightly distended. What priority action should the nurse take to prevent gastrointestinal complications?
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A nurse reinforce seducation to a patient who is at risk for thrombosis.Which patient action indicates correct understanding of the information presented?
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A nurse is taking care of an abdominal surgery patient on the secondday postop.The patient is receiving intravenous fluids infusing at 200 cc an hour for 12 hours. Which assessment warrants immediate nursing action?
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A student nurse is preparing to transfer a patient from bed to chair for the first time during the hospitalization for pneumonia. Which finding if noted by the nursing instructor requires immediate action
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A nurse has received an order to administer a saline enema to an 85-year-old patient. Which is the best position for the nurse to position the patient?
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A nurse is taking care of amorbidly obese patient admitted for control of diabetes.The patient requires assistance to transfer from the bed to a chair. Which is the best option for the nurse to use when assisting the patient to transfer?
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A group of nurse sarepreparing to log roll a patient who is recovering from spinal surgery.Which finding requires immediate intervention if observed by the nurse manager?
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A nurse observes a care giver positioning a patient in the bed.Which caregiver action requires an intervention by the nurse?
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A nurse is preparing to transfer a patient with right-side weakness from the bed to a wheelchair.When planning for the transfer, which option should be included in the plan of care?
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A 48-year-old patient is complaining of occasional dizziness upon position change and has been admitted to the hospital for observation. Which action should the nurse take when attempting to ambulate the patient for the first time to the bathroom?
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A nurse delegates the task of assisting patients with ambulation to a nursing assistant.Then urse intervenes when observing the nursing assistant implementing which action?
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While assisting the primary nurse who is manually transferring a patient from a bed to a chair,anurse intervenes when the primary nurse implements which action during the transfer?
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A nurse provides care to a patient who begins to fall during ambulation.Which priority nursing action ensures safety for the nurse and the patient in this situation?
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A nurse manager is making rounds on the medical unit and come across two nurses holding on to a patient who has fainted in the patient’s room. Which priority action should the nurse manager take?
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A nurse is providing passive range-of-motion(ROM)exercises to an 86-year-old patient in a long-term care facility who is bedridden. Which finding indicates that the nurse should immediately contact the health-care provider (HCP)?
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A nurse is preparing to move a patient up in bed to improve comfort.Which step should be included in preparation for this action?
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A patient lies in a special type of bed frame that allows the entire bed to turn from side to side. The mattress is low air loss, and the bed can be programmed to turn by degrees at set intervals. Which term would the nurse use when documenting information about this bed in the patient’s medical record?
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A nurse provides care to a patient who has a casted left leg and has anxiety about mobility restrictions.Which interventions should the nurse include in the patient’s plan of care based on this information? Select all that apply.
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A nurse provides care for an immobile patient.Which interventions should the nurse include in the patient’s plan of care to prevent psychological complications for this patient? Select all that apply.
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