1. A nurse is providing follow-up care for a client who sustained a compound
fracture 3 weeks ago. The nurse should recognize that an UNEXPECTED
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for which of the following LABORATORY VALUES is a manifestation of
OSTEOMYELITIS and should be reported to the provider? - An increased
sedimentation rate occurs when a client has any type of inflammatory process,
such as osteomyelitis
2. A nurse is reviewing the medical records of a client who is taking WARFARIN for
chronic arterial fibrillation. Which of the following values should the nurse identify
as a desired outcome for this therapy? - INR 2.5
3. Clients receive warfarin therapy to decrease the risk of stroke, myocardial
infarction (MI), or pulmonary emboli (PE) from blood clots. Since warfarin is an
anticoagulant, the medication must be monitored to ensure the anticoagulation is
within the therapeutic range and prevent hemorrhage (levels of anticoagulation)
or stroke, MI, PE (low levels of anticoagulation). An INR 2.5 is within the targeted
therapeutic range of 2 to 3 for a client who has atrial fibrillation.
4. A nurse is planning a health promotional presentation for a group of African
American clients at a community center. Which of the following disorders
presents the greatest risk to this group of clients? - Hypertension
5. When using the safety/risk reduction approach to client care, the nurse should
determine that the disorder with the greatest risk for this group of clients is
hypertension. The prevalence of hypertension is highest among African
American clients, followed by Caucasian clients, and then Hispanic clients.
6. A nurse is reviewing the laboratory results of a client who has aplastic anemia.
Which of the following findings indicates a potential complication? - WBC count
2,000/mm3
A WBC count of 2,000/mm3 is below the expected reference range and indicates
a risk for severe immunosuppression
7. A nurse is caring for an older adult client who has dementia and requires acute
care for a respiratory infection. The client is agitated and is attempting to remove
the IV catheter. Which of the following actions should nurse take to avoid
restraining the client? - Keep the client occupied with a manual activity.
The nurse should provide the client with a manual activity such as a puzzle or an
art project. This can help to distract the client from the IV catheter.8. A nurse is planning care for a client who has a sealed radiation implant for
cervical cancer. Which of the following interventions should the nurse include in
the plan of care? - Keep a lead-lined container in the client's room
The nurse should keep a lead-lined container and forceps in the client's room in
case of accidental dislodgement of the implant.
9. A nurse reviewing the ABG results of a client who has advanced COPD. Which
of the following results should the nurse expect? - PaCO2 56 mm Hg
A client who has COPD retains PaCO2 duet to the weakening and the collapse
of the alveolar sacs, which is decreases the area in the lings for gas exchange
and causes the PaCO2 to increase above the expected reference range.
10.A nurse is assessing a client who has peripheral arterial disease. Which of the
following findings should the nurse expect? - Hair loss on the lower legs
The nurse should expect a client who has a peripheral arterial disease to have
hair loss on the lower legs as a result of impaired arterial circulation affecting
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