A nurse is caring for a client who is receiving radiation. The client reports nausea since the therapy was initiated.

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A nurse is caring for a client who is receiving radiation. The client reports nausea since the therapy was initiated. Which of the following considerations should the nurse include when planning the client’s meals?

a. Offer a snack prior to radiation therapy

b. Offer highly seasoned foods.

c. Offer frequent, high carbohydrate meals

d. Offer hot beverages with meals

 
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A nurse is caring for a client who has a pressure ulcer with necrotic tissue and requires wet- to-damp dressing changes daily. Which of the following types of debridement should the nurse include in the plan of care?

a. Enzymatic

b. Surgical

c. Autolytic

d. Mechanical

 
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A nurse in the emergency department is caring for a client who has a gunshot wound in the abdomen.

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A nurse in the emergency department is caring for a client who has a gunshot wound in the abdomen. Which of the following actions should the nurse take first?

a. Prepare the client for peritoneal lavage

b. Remove all of the client’s clothing

c. Check the color of the client’s skin

D. Give ipioids

 
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A nurse is assessing a client who has pyelonephritis and reports flank pain. Which of the following actions should the nurse take?

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A nurse is assessing a client who has pyelonephritis and reports flank pain. Which of the following actions should the nurse take?

a. Auscultate for a bruit over the costovertebral area

b. Assist the client to a sitting position

c. Thump the area of tenderness directly with a closed fist

d. Percuss the side of tenderness first

 
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A nurse is planning a staff education session about hepatitis A. Which of the following information should the nurse include?

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A nurse is planning a staff education session about hepatitis A. Which of the following information should the nurse include?

a. Clients who have hepatitis A require a broad-spectrum antibiotic

b. Hepatitis A is transmitted is through blood-to-blood exposure

c. The incubation period of hepatitis A is 5 to 10 days

d. Immunizations for hepatitis A is recommended prior to travel to high-risk areas

 
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A nurse in the post anesthesia care unit is assessing a client following an appendectomy and finds a 2 cm (3/4 in) area of blood on the postoperative dressing.

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A nurse in the post anesthesia care unit is assessing a client following an appendectomy and finds a 2 cm (3/4 in) area of blood on the postoperative dressing. Which of the following actions should the nurse take?

a. Loosen the dressing

b. Circle the drainage

c. Apply a new dressing

d. Apply pressure

 
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A nurse in the emergency department is caring for a client who has deep partial thickness burns over 30% of his body, including his upper chest and abdomen.

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A nurse in the emergency department is caring for a client who has deep partial thickness burns over 30% of his body, including his upper chest and abdomen. Which of the following actions is the nurse’s priority?

a. Insert an 18-gauge IV catheter

b. Administer tetanus toxoid

c. Check the client’s mouth for black particles

d. Remove the client’s burned clothing

 
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A nurse is planning a staff education session about hepatitis A.

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A nurse is planning a staff education session about hepatitis A. Which of the following information should the nurse include?

a. Clients who have hepatitis A require a broad-spectrum antibiotic

b. Hepatitis A is transmitted is through blood-to-blood exposure

c. The incubation period of hepatitis A is 5 to 10 days

d. Immunizations for hepatitis A is recommended prior to travel to high-risk areas

 
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A nurse working in the emergency department is caring for a client who has a burn injury.

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A nurse working in the emergency department is caring for a client who has a burn injury. After securing the client’s airway, which of the following interventions should the nurse take first?

a. Cleanse the client’s wounds

b. Administer analgesic medication

c. Start an IV with a large-bore needle

d. Increase the room temperature

 
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The nurse is caring for a client who previously experienced an allergy while taking Penicillin.

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The nurse is caring for a client who previously experienced an allergy while taking Penicillin. Which of the following actions is appropriate for the nurse to take before the administration of a newly prescribed Cephalosporin ?

 
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