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The client with advanced AIDS is placed on comfort care measures only.  During your assessment, the client is nonverbal but moaning and agitated. The provider does not wish to prescribe pain medication due to the client’s known history of drug abuse.  What is the priority intervention as the nurse?

While caring for the client admitted with recurring pneumonia, the nurse assesses flat, purplish lesions on the back and trunk.  Which condition correlates with this assessment finding?

The client 9 months post bariatric surgery tells the nurse that she is doing well and is meeting the weight loss goal.  The client states, “There is no need for me to follow-up with my support group, nutritional counselor, or healthcare provider.”  Which response by the nurse is most appropriate?

The client with known advanced HIV presents with a cluster of respiratory cues including a wet productive cough and discolored sputum.  The client is 98% on room air and does not appear to be in respiratory distress.  What is the priority action by the nurse at this time?

The nurse is reviewing the medical record of the client who reports drinking three to four glasses of wine each night and taking 3,000 mg of ibuprofen daily.  Which of the following abnormal laboratory values indicate a negative response to these lifestyle choices? Laboratory Reference Range Client Values AST 10-40U/mL 54U/mL WBC 4500-10,000mm/L 7000m/L Serum Albumin 3.5-5.5g/dL 5.7g/dL HCT 35-52% 33% K+ 3.5-5.2 mEq/L 3.5 mEq/L Na 135-145 mEq/L 148 mEq/L _______

The nurse is caring for the client with hepatic encephalopathy.  Which priority intervention should be included in the plan of care?

The nurse is caring for the client who is receiving tube feedings via a gastrostomy tube.  The nurse knows that which one of the following interventions is most important? 

The nurse is caring for the client who had a liver biopsy.  Vital signs: blood pressure 95/58, heart rate 110 beats per minutes, respirations 28 breaths per minute.  Which of the following actions should the nurse perform first?

The client is to receive cefactor 20mg/kg/day in two divided doses.  The medication is available as 125mg per 5mL.  The client weighs 105 pounds.  How many mLs will the nurse administer to the client per dose?  Round to the nearest hundredth place.

The nurse is caring for the client post-op open cholecystectomy.  The client had a T-tube placed for drainage.  Which of the following manifestations requires the nurse to notify the healthcare provider immediately?