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Which finding should the nurse report immediately to the healthcare provider?Low back pain and hypotensionRhinitis and nasal stuffinessDelayed painful rash with urticaria
Arthritic joint changes and chronic pain53. The nurse plans to administer naloxone (Narcan) 1mg .the label of the 10 ml vial indicates that the drug concentration is 0.4 mg/mL how many ml should the nurse administer 54. Which nursing problem has the highest priority when planning care for a client whit ostemalacia?Risk of infection Rick for injury 55. The nurse is providing preoperative educationfor a Jewish client schedule to receive a xenograft to promote burn healing .Which information should the nurse provide this client?56. A client with pheochromocytoma reports the onset of a severe headache The nurse observe that the client is very diaphoretic. Which assessment data should the nurse obtain next?57. A client develops subcutaneous emphysema following a thoracotomy. To evaluate the progression of subcutaneous emphysema,which assements should the nurse make select all that apply 58. The drainage in the chest tube of a client with emphysema has changed from viscous green to clear watery fluid. what action would be best for the nurse to take?
59. Which action is most important for the nurse to implant to reduce the risk for deep vein thrombosis in a postoperative client?A change the client IV access site at least 72 hB assist the client in turning from side to side q 2h C Advise the client to perform leg exercise regular60. An adult female whit multiple sclerosis (MS) fell while walking to the bathroom. On transferto the intensive care unit ,she is confused and has projectile vomiting twice Which interventionshould the nurse implemented first?61. A Fame client whit chronic syndrome of inappropriate ant – diuretic hormone (SIADH) report to the nurse that she is constantly thirsty. What action should the nurse take ?62. The nurse is assessing a group of older adults. What factor in a male clients history puts him at greatest risk for developing colon cancer?63. The nurse should include which information in the teaching plan for a client recently diagnosed whit primary open -angle glaucoma? SELECT ALL THE APPLYA -Limit salt intake to reduce increased intraocular pressure (iop)
B -Regular eye examine are necessary tomonitor IOPand visualfield C -Daily eye medication is instilled to lower intraocular pressureD -expect vision loss to progress Fromm central vision to peripheral vision E -Vigorous exercise such as jogging or running should be avoided64. A client with stage IV bone cancer is admitted to the hospital for pain control the client verbalizes continuous severe pain 8 on a 1 to 10 scale which intervention should the nurse implement 65. The nurse completes the admission assessment of female client whit systemic lupus erythematosus Which finding requires the most immediate follow -up assessment by the nurse?66. What instruction should the nurse include in the discharge teaching plan of a client who had a cataract extraction today? 67. A client who has been takin finasteride (proscar) an enzyme ( 5 alpha reductase) inhibitor used to shrink the gland , is admitted because of continuing begin prostatic hypertrophy(BPH0 symptoms when planning care which nursing problem should the nurse plan to address first?disturbed sleep patters Urinary retention Chronic pain