13.A nurse is planning for a client who practices Orthodox Judaism. The client tellsthe nurse that (Unable to read) Passover holiday. Which of the following actionshould the nurse include in the plan ... of care? A.Provide chicken with cream sauce. B.Avoid serving fish with fins and scales.C.Provide unleavened bread. D.Avoid serving foods containing lamb. 14.A nurse is caring for a client who has a pulmonary embolism. The nurse shouldidentify the effectiveness of the treatment A.A chest x-ray reveals increased density in all fields.B.The client reports feeling less anxious. C.Diminished breath sounds are auscultated bilaterally D.ABG results include Ph 7.48 PaO2 77 mm Hg and PaCO2 47 mm Hg. 15.A nurse in an emergency department is assessing a client who reportsingesting thirty diazepam tablets (Unable to read) a respiratory rate of 10/min.After securing the client’s airway and initiating an IV, which of the followingactions should the nurse do next. A.Monitor the client’s IV site for thrombophlebitis.B.Administer flumazenil to the client. C.Evaluate the client for further suicidal behavior. D.Initiate seizure precautions for the client. a) 3 of 640 16. A nurse in an emergency department is caring for a client who reports cocaine use 1hr ago. Which of the following findings should the nurse expect? A. Hypotension B. Memory loss C. Slurred speech D. Elevated temperature 17. A nurse is assessing a newborn who has a blood glucose level of 30 mg/dl. Which of the following manifestations should the nurse expect? A. Loose stools B. Jitteriness C. Hypertonia D. Abdominal distention 18. A nurse in a pediatric clinic is reviewing the laboratory test results of a school age child. Which of the following findings should the nurse report to the provider? A. Hgb 12.5 g/dl B. Platelets 250,000/mm3 C. Hct 40% D. WBC 14,000/mm3 1. A nurse in a pediatric unit is preparing to insert an IV catheter for 7-year-old. Which of the following actions should the nurse take? A. (Unable to read) B. Tell the child they will feel discomfort during the catheter insertion. C. Use a mummy restraint to hold the child during the catheter insertion. D. Require the parents to leave the room during the procedure. 2. A nurse is caring for a client who has arteriovenous fistula Which of the following findings should the nurse report? A. Thrill upon palpation. a) 4 of 640 B. Absence of a bruit. C. Distended blood vessels D. Swishing sound upon auscultation. [Show More]
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