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A nurse is developing nursing diagnoses for a patient. Beginning with the first step, place in order the steps the nurse will use.1. Observes the patient having dyspnea (shortness of breath) and a diagnosis of asthma2. Writes a diagnostic label of impaired gas exchange3. Organizes data into meaningful clusters4. Interprets information 5. Writes an etiology

A nurse is teaching a patient with newly diagnosed hypertension about lifestyle modifications. Which of the following should the nurse include as the most effective intervention in controlling blood pressure?  

The patient is experiencing heart failure with exacerbation with fluid overload. Select interventions (actions) that apply to this patient.Select all that apply.

The nurse on a medical-surgical unit is working with a student nurse. The student nurse proceeds to auscultate breath sounds. The student nurse will use the stethoscope correctly, as follows:

A nurse is caring for a child who is irritable and angry because their parents are getting a divorce. Which of the following represents the most important reason why the nurse should establish a therapeutic relationship with the client?

What is the best reason for the nurse to instruct the patient to rotate injection sites for insulin?

The nurse is admitting a 54-year old patient with COPD (chronic obstructive pulmonary disease).  The physician has prescribed supplemental oxygen at 26% FiO2. What is the most appropriate delivery method for this patient?

The nurse is caring for a patient with a traumatic brain injury and notes a fixed, dilated pupil on one side, irregular respirations, and decerebrate posturing. The ICP has gone from 65 mm Hg to 12 mm Hg. What should the nurse suspect is happening?

The usual dose of chlorambucil is 0.1 – 0.2mg/kg/day. If the patient weighs 160lbs, what would be the maximum dose in mg each day?  If rounding is required, round to the 100thplace.  Enter a numeric value only.

The nurse is caring for a patient with a traumatic brain injury. The nurse knows that the primary mechanism for physiologic control of cerebral blood flow is