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A client undergoes the Tensilon test using Edrophonium to confirm the diagnosis of Myasthenia Gravis. When assessing the client, the nurse anticipates a positive diagnosis if which of the following is observed after Endrophonium administration?

A nurse is completing a pain assessment on a patient with a broken foot. The patient describes their pain as “throbbing and intermittently sharp.” What type of information is the patient providing to the nurse?

A nurse is caring for a client who is 1 day postoperative following a total hip replacement.  Read the information below to answer the question.   Nurse Note Client is alert and oriented to person, place, time, and situation.  Left hip surgical site has drainage on dressing and incision that is yellowish green in color and has an odor.  Client reports pain as 5 on a scale of 0 to 10.  Incision is intact with staples.  Abductor pillow in place.  Client is repositioned every 2 hours.  Client is diaphoretic.  Lungs are clear to auscultation.  Bowel sounds are active in all 4 quadrants.  Last bowel movement was yesterday.   Vital Signs                                                                                                                                                                  Blood pressure 128/76mm Hg                                                                                                                                 Heart rate 84/bpm                                                                                                                                               Respiratory rate 20/min                                                                                                                                            Temperature 38.7*C (101.7*F) oral                                                                                                                 Oxygen saturation 94% on room air                                                                                                                               CONDITION                                 FINDING pneumonia                                   bedrest contractures                                 positioning infection                                        respiratory dislocation                                    hypertension  angina                                          drainage Write 1 blue condition in the first box and 1 orange finding in the second box to fill in the blank spaces in the following sentence.  The priority concern is [Blank-1] as evidence by  [Blank-2].         _______ _______

Clients of various ages and health conditions are at risk for pressure injury formation. What is an evidence-based way to identify each client’s level of risk?

A client comes to the emergency department with major burns on over 40% of their body. Although all of the following are true, which one would provide the rationale for a nursing diagnosis/clinical problem of Risk for Infection?

A client arrives in the ER after sustaining an injury to their hand that involves a significant tissue loss. The edges of the wound are jagged and impossible to approximate. How will this wound heal with no intervention?

Applying the gate control theory of pain, which nursing intervention would be most effective for a client with low back pain?

A nurse is planning care for a 2-month-old infant following a surgical procedure. Which pain rating scale should the nurse plan to use to determine the infant’s level of pain?

Due to the reduced inflammation and immune response system, which patient would present with abnormal manifestations of a healthcare-associated infection based on your knowledge of this population?

What is an expected desire for a client undergoing a bowel training program?