NR 325 Week 7 CJE Exam - 75 Questions and Correct Answers
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What is the maximum daily dose of amphotericin the nurse will administer for this client? Round to the nearest who le number. 4. Nursing Notes 6/3 Client's vital signs are stable. Some swelling of the right arm when dependent. Slight redness at incision site with serous drainage. Client turns away during incision care. The nurse reviews documentation for a client post-mastectomy. Which client health promotion need should be addressed? a. Manage postoperative sensations b. Relieve pain and discomfort. c. Monitor and manage potential complications. d. Promote positive body image 5. The nurse develops a teaching plan for a client diagnosed with basal cell carcinoma. Which statement would be most appropriate to include? a. This cancer has a 90% cure rate. b. "Radiation therapy will be used to control this cancer." c. "Surgery with lymph node evaluation will be scheduled." d. "Chemical peels can be used to remove this cancer. 6. The nurse plans care for an older adult client in end-of-life care. Which instructions would the nurse give to the health care team to help meet the client's psychosocial needs? select all that apply a. "Complete full physical assessment each day." b. "Administer pain medication as needed. c. "Encourage the family to spend time with the client. d. "Assess need for anti-anxiety medications. e. "Offer to contact a spiritual care service provider.' 7. The nurse cares for a client in diabetic ketoacidosis (DKA) secondary to pneumonia. The client's initial assessment includes comatose, blood glucose level of 500 mg/dL, blood pressure 90/50, heart rate 120, temperature 102 F (38.9 C) and dry mucous membranes. After evaluating the client's condition, which prescription should the nurse implement first? a. Obtain blood cultures b. Intravenous cefazolin c. Normal saline at 150 mL/hour. d. Obtain hemoglobin A1c. 8. The nurse assesses a client post myocardial infarction (MI) in the intensive care unit. Which assessment finding would be most concerning? a. Stroke volume of 100 mL/beat. (50-100ml) b. Pulmonary artery diastolic pressure (PADP) of 10 mmHg 8-12 c. Mean arterial pressure (MAP) of 95 mmHg 70-100 d. Central venous pressure (CVP) of 7 mmHg 8-12 9. The nurse cares for a client with peptic ulcer disease (PUD). Which interventions should the nurse implement? Select all that apply. e. Preoperative restriction of foods and fluids. 13. The nurse assesses a client suspected of having experienced an embolic stroke. Imaging studies reveal the embolism in the anterior cerebral artery. Which signs and symptoms should the nurse expect to find in this client? a. Dizziness and nausea b. Gait problems and loss of proprioception. c. Aphasia and hemianopsia. d. Pain and visual hallucinations. 14. The nurse reviews a client's end of life care prescription of "Allow Natural Death." Which would be appropriate for this client? Select all that apply. a. Ondansetron 4 mg IV every 8 hours PRN. b. Intubation and mechanical ventilation if respirations
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