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Asthma attack
Respiratory arrest
Seizure
Wake up on his own
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Call the physician
Place a saline-soaked sterile dressing on the wound.
Take a blood pressure and pulse.
Pull the dehiscence closed.
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Septic arthritis
Traumatic arthritis
Intermittent arthritis
Gouty arthritis
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The client lies still.
The client asks questions.
The client hears thumping sounds.
The client wears a watch and wedding band.
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"Put on disposable gloves before bathing."
"Sterilize all plates and utensils in boiling water."
"Avoid sharing such articles as toothbrushes and razors."
"Avoid eating foods from serving dishes shared by other family members."
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Beta-adrenergic blockers
Bronchodilators
Inhaled steroids
Oral steroids
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Place the client on his back remove dangerous objects, and insert a bite block.
Place the client on his side, remove dangerous objects, and insert a bite block.
Place the client o his back, remove dangerous objects, and hold down his arms.
Place the client on his side, remove dangerous objects, and protect his head.
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Platelet count, prothrombin time, and partial thromboplastin time
Platelet count, blood glucose levels, and white blood cell (WBC) count
Thrombin time, calcium levels, and potassium levels
Fibrinogen level, WBC, and platelet count
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A 16-year-old female high school student
A 33-year-old day-care worker
A 43-year-old homeless man with a history of alcoholism
A 54-year-old businessman
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Nights sweats, weight loss, and diarrhea
Dyspnea, tachycardia, and pallor
Nausea, vomiting, and anorexia
Itching, rash, and jaundice
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The attack is over.
The airways are so swollen that no air cannot get through.
The swelling has decreased.
Crackles have replaced wheezes.
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Infection of the lung.
Kinked or obstructed chest tube
Excessive water in the water-seal chamber
Excessive chest tube drainage
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Apply lemon glycerin to the client’s lips at least every 2 hours.
Brush the teeth with client lying supine.
Place the client in a side lying position, with the head of the bed lowered.
Clean the client’s mouth with hydrogen peroxide.
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Prostate-specific antigen, which is used to screen for prostate cancer.
Protein serum antigen, which is used to determine protein levels.
Pneumococcal strep antigen, which is a bacteria that causes pneumonia.
Papanicolaou-specific antigen, which is used to screen for cervical cancer.
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Bone fracture
Loss of estrogen
Negative calcium balance
Dowager’s hump
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Potential hepatic dysfunction indicated by decreased blood urea nitrogen (BUN) and creatinine levels
Low levels of urine constituents normally excreted in the urine
Abnormally low hematocrit (HCT) and hemoglobin (Hb) levels
Electrolyte imbalance that could affect the blood's ability to coagulate properly
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24 hours later, when edema has subsided.
In the operating room.
After the ileostomy begin to function.
When the client is able to begin self-care procedures.
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Increased elastic recoil of the lungs
Increased number of functional capillaries in the alveoli
Decreased residual volume
Decreased vital capacity
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Avoid lifting objects weighing more than 5 lb (2.25 kg).
Lie on your abdomen when in bed
Keep rooms brightly lit.
Avoiding straining during bowel movement or bending at the waist.
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Call the physician
Document the patient’s status in his charts.
Prepare oxygen treatment
Raise the side rails
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Aspirin
Furosemide (Lasix)
Colchicines
Calcium gluconate (Kalcinate)
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E-rosette immunofluorescence.
Quantification of T-lymphocytes.
Enzyme-linked immunosorbent assay (ELISA).
Western blot test with ELISA.
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The 58-year-old client who was admitted 2 days ago with heart failure, blood pressure of 126/76 mm Hg, and a respiratory rate of 22 breaths/minute.
The 89-year-old client with end-stage right-sided heart failure, blood pressure of 78/50 mm Hg, and a “do not resuscitate” order
The 62-year-old client who was admitted 1 day ago with thrombophlebitis and is receiving L.V. heparin
The 75-year-old client who was admitted 1 hour ago with new-onset atrial fibrillation and is receiving L.V. dilitiazem (Cardizem)
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Infusing I.V. fluids rapidly as ordered
Encouraging increased oral intake
Restricting fluids
Administering glucose-containing I.V. fluids as ordered
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Blood pressure is decreased from 160/90 to 110/70.
Pulse is increased from 87 to 95, with an occasional skipped beat.
The client is oriented when aroused from sleep, and goes back to sleep immediately.
The client refuses dinner because of anorexia.
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Hypocalcemia
Hyponatremia
Hyperkalemia
Hypermagnesemia
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On the side, to prevent obstruction of airway by tongue.
Flat on back.
On the back, with knees flexed 15 degrees.
Flat on the stomach, with the head turned to the side.
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Laminectomy
Thoracotomy
Hemorrhoidectomy
Cystectomy.
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Slight asymmetry of the breasts.
A fixed nodular mass with dimpling of the overlying skin
Bloody discharge from the nipple
Multiple firm, round, freely movable masses that change with the menstrual cycle
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Adrenal cortex
Pancreas
Adrenal medulla
Parathyroid
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Encourage the client to change positions frequently in bed.
Administer Demerol 50 mg IM q 4 hours and PRN.
Apply warmth to the abdomen with a heating pad.
Use comfort measures and pillows to position the client.
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Encourage the client to perform pursed lip breathing.
Check the client’s temperature.
Assess the client’s potassium level.
Increase the client’s oxygen flow rate.
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Acute asthma
Bronchial pneumonia
Chronic obstructive pulmonary disease (COPD)
Emphysema
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Report incidents of diarrhea.
Avoid foods high in vitamin K
Use a straight razor when shaving.
Take aspirin to pain relief.
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Eversion of the right nipple and mobile mass
Nonmobile mass with irregular edges
Mobile mass that is soft and easily delineated
Nonpalpable right axillary lymph nodes
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Plan care so the client can receive 8 hours of uninterrupted sleep each night.
Monitor vital signs every 2 hours.
Make sure that the client takes food and medications at prescribed intervals.
Provide milk every 2 to 3 hours.
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A progressively deeper breaths followed by shallower breaths with apneic periods.
Rapid, deep breathing with abrupt pauses between each breath.
Rapid, deep breathing and irregular breathing without pauses.
Shallow breathing with an increased respiratory rate.
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On the client’s right side
On the client’s left side
Directly in front of the client
Where the client like
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Adult respiratory distress syndrome (ARDS)
Myocardial infarction (MI)
Pneumonia
Tuberculosis
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Stop the I.V. infusion of heparin and notify the physician.
Continue treatment as ordered.
Expect the warfarin to increase the PTT.
Increase the dosage, because the level is lower than normal.
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Decrease in arterial oxygen saturation (SaO2) when measured with a pulse oximeter.
Increase in systemic blood pressure.
Presence of premature ventricular contractions (PVCs) on a cardiac monitor.
Increase in intracranial pressure (ICP).
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When sexual activity starts
After age 69
After age 40
Before age 20.
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A walker is a better choice than a cane.
The cane should be used on the affected side
The cane should be used on the unaffected side
A client with osteoarthritis should be encouraged to ambulate without the cane
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Pallor, bradycardia, and reduced pulse pressure
Pallor, tachycardia, and a sore tongue
Sore tongue, dyspnea, and weight gain
Angina, double vision, and anorexia
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Leaving the hair intact
Shaving the area
Clipping the hair in the area
Removing the hair with a depilatory.
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Liver
Colon
Reproductive tract
White blood cells (WBCs)
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Enzyme-linked immunosuppressant assay (ELISA) test.
Electrolyte panel and hemogram.
Stool for Clostridium difficile test.
Flat plate X-ray of the abdomen.
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No evidence of primary tumor, no abnormal regional lymph nodes, and no evidence of distant metastasis
Carcinoma in situ, no abnormal regional lymph nodes, and no evidence of distant metastasis
Can't assess tumor or regional lymph nodes and no evidence of metastasis
Carcinoma in situ, no demonstrable metastasis of the regional lymph nodes, and ascending degrees of distant metastasis
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