ATI RN · Nursing Process · Nursing Process Exam Questions
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Showing all 5 practice questions with expert explanatory rationales.
The nurse has taught a patient with thrombocytopenia how to prevent bleeding. Which of the ff. is the best evidence that the teaching has been effective?
Expert Explanatory Rationale
Correct Answer: The patient uses an electric razor instead of his safety razor.
A client in the terminal stage of cancer is receiving continuous infusion of morphine (Duramorph) for pain management. Which assessment finding suggests that the client is experiencing an adverse effect of this drug?
Expert Explanatory Rationale
Correct Answer: Respiratory rate of 8breaths/min
A client has malignant lymphoma. As part of her chemotherapy, the physician prescribes chlorambucil (Leukeran), 10mg by mouth daily. When caring for the client, the nurse teaches her about adverse reactions to chlorambucil, such as alopecia. How soon after the first administration of chorambucil might this reaction occur?
Expert Explanatory Rationale
Correct Answer: 2 to 3 weeks
Following a unilateral adrenalectomy, the nurse would assess for hyperkalemia shown by which of the following?
Expert Explanatory Rationale
Correct Answer: Muscle weakness
The nurse is caring for a patient who requires a complex dressing change. While in the patient's room, the nurse decides to change the dressing. Which action will the nurse take just before changing the dressing?
Expert Explanatory Rationale
Correct Answer: Gathers and organizes needed supplies
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