NCLEX-RN Exam Dumps | A 32-year-old female client is being treated for Guillain- Barré syndrome. She complains of gradually

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Question 344/859

A 32-year-old female client is being treated for Guillain- Barré syndrome. She complains of gradually increasing muscle weakness over the past several days. She has noticed an increased difficulty in ambulating and fell yesterday. When conducting a nursing assessment, which finding would indicate a need for immediate further evaluation?

A. Complaints of a headache

B. Loss of superficial and deep tendon reflexes

C. Complaints of shortness of breath

D. Facial paralysis

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Her parents...; Question 412: Which of the following procedures is necessary to establish ...; Question 413: A 2-month-old infant is receiving IV fluids with a volume co...; Question 414: A male client receives 10 U of regular human insulin SC at 9...; Question 415: A client had a vaginal delivery 3 days ago and is discharged...; Question 416: Following a bicycle accident, a 12-year-old client sustained...; Question 417: Painless vaginal bleeding in the last trimester may be cause...; Question 418: A 32-year-old mother of two was brought to the hospital by h...; Question 419: Prenatal clients are routinely monitored for early signs of ...; Question 420: MgSO4 is ordered IV following the established protocol for a...; Question 421: Diabetes mellitus is a disorder that affects 3.1 out of ever...; Question 422: Assessment of the client with pericarditis may reveal which ...; Question 423: A client had a renal transplant 3 months ago. He has suddenl...; Question 424: In acute episodes of mania, lithium is effective in 1-2 week...; Question 425: A 16-year-old female client is admitted to the hospital beca...; Question 426: Plans for the care of a client with an ulcer caused by emoti...; Question 427: A client is admitted to the labor room. She is dilated 4 cm....; Question 428: The physician prescribes amitriptyline (Elavil) for a client...; Question 429: A 6-month-old infant who was diagnosed at 4 weeks of age wit...; Question 430: A male client has a history of diverticulosis. He has questi...; Question 431: A 22-year-old single woman was admitted to the psychiatric h...; Question 432: To prevent fungal infections of the mouth and throat, the nu...; Question 433: A type I diabetic client is diagnosed with cellulitis in his...; Question 434: A postpartum client complains of rectal pressure and severe ...; Question 435: A dose of theophylline may need to be altered if a client wi...; Question 436: A client is being discharged from the hospital tomorrow foll...; Question 437: In performing the initial nursing assessment on a client at ...; Question 438: A pregnant client comes to the office for her first prenatal...; Question 439: A 48-year-old male client is hospitalized with mild ascites,...; Question 440: A client has returned to the unit from the recovery room aft...; Question 441: A male client is admitted to the psychiatric unit after expe...; Question 442: A 3-year-old child was hospitalized for acute laryngotracheo...; Question 443: In working with a manipulative client, which of the followin...; Question 444: A client reports to the nurse that the voices are practicall...; Question 445: A client is admitted to the hospital for an induction of lab...; Question 446: When assessing a female child for Turner's syndrome, the nur...; Question 447: A 22-year-old client is 16 weeks pregnant. She and her husba...; Question 448: A client's transfusion of packed red blood cells has been in...; Question 449: A 29-year-old client is diagnosed with borderline personalit...; Question 450: A mother brings her 3-year-old child who is unconscious but ...; Question 451: A female client presents to the obstetric-gynecology clinic ...; Question 452: A client is a victim of domestic violence. She is now receiv...; Question 453: An 80-year-old widow is living with her son and daughter- in...; Question 454: With a geriatric client, the nurse should also assess whethe...; Question 455: A common complication of cirrhosis of the liver is prolonged...; Question 456: A female baby was born with talipes equinovarus. Her mother ...; Question 457: A 14-year-old teenager is demonstrating behavior indicative ...; Question 458: A baby is circumcised. Immediate postoperative care should i...; Question 459: A six-month-old infant has been admitted to the emergency ro...; Question 460: The nurse assesses a client on the second postpartum day and...; Question 461: A 68-year-old woman is admitted to the hospital with chronic...; Question 462: Clinical manifestations seen in left-sided rather than in ri...; Question 463: Following a vaginal delivery, the postpartum nurse should ob...; Question 464: The nurse is preparing a 6-year-old child for an IV insertio...; Question 465: A 23-year-old college student seeks medical attention at the...; Question 466: A client is hyperactive and not sleeping. She will not remai...; Question 467: A 12-year-old girl has been diagnosed with insulindependent ...; Question 468: During burn therapy, morphine is primarily administered IV f...; Question 469: The nurse is caring for a 3-month-old girl with meningitis. ...; Question 470: The nurse explains perineal hygiene self-care postpartum to ...; Question 471: The nurse is planning a reality orientation program for a gr...; Question 472: Provide the 1-minute Apgar score for an infant born with the...; Question 473: A client who has been diagnosed with anorexia nervosa reluct...; Question 474: The physician prescribes phenytoin (Dilantin) for a client w...; Question 475: A 17-year-old client has a T-4 spinal cord injury. At presen...; Question 476: The nurse teaches a pregnant client that a high-risk symptom...; Question 477: Cheyne-Stokes respiratory pattern can be associated with whi...; Question 478: As the nurse assesses a male adolescent with chlamydia, the ...; Question 479: A 19-month-old child is admitted to the hospital for surgica...; Question 480: A client is pleased about being pregnant, yet states, "It is...; Question 481: Prior to an amniocentesis, a fetal ultrasound is done in ord...; Question 482: A premature infant needs supplemental O2 therapy. A nursing ...; Question 483: A mother came to the pediatric clinic with her 17- month-old...; Question 484: In the coronary care unit, a client has developed multifocal...; Question 485: In counseling a client, the nurse emphasizes the danger sign...; Question 486: During the admitting mental health assessment, a client demo...; Question 487: The nurse and prenatal client discuss the effects of cigaret...; Question 488: A client who is a breast-feeding mother develops mastitis. T...; Question 489: A 4-year-old child has Down syndrome. The community health n...; Question 490: An 18-year-old client enters the emergency room complaining ...; Question 491: Often children are monitored with pulse oximeter. The pulse ...; Question 492: A client's physician has prescribed theophylline (Theo- Dur)...; Question 493: A 24-hours' postpartum client complains of discomfort at the...; Question 494: A 30-year-old client has a history of several recent traumat...; Question 495: After the RN is finished the initial assessment of a newborn...; Question 496: A female client has just died. Her family is requesting that...; Question 497: A client diagnosed with severe anemia is to receive 2 U of p...; Question 498: A male client is being treated in the burn unit for thirddeg...; Question 499: Which of the following would differentiate acute from chroni...; Question 500: A client returns to the cardiovascular intensive care unit f...; Question 501: An elective saline abortion has been performed on a 3- week ...; Question 502: A client delivered a term infant 1 hour ago. Her uterus on a...; Question 503: The nurse is teaching a mother care of her child's spica cas...; Question 504: A client is dilated 8 cm and entering the transition phase o...; Question 505: The mother of a preschooler reports to the nurse that he fre...; Question 506: A 7-year-old girl has been diagnosed with juvenile arthritis...; Question 507: A postoperative TURP client returns from the recovery room t...; Question 508: The physician has prescribed metoclopramide (Reglan). When a...; Question 509: After performing a sterile vaginal exam on a client who has ...; Question 510: Goal setting for a client with Meniere's disease should incl...; Question 511: The nurse would be sure to instruct a client on the signs an...; Question 512: A client has a history of alcoholism. He is currently diagno...; Question 513: A pregnant woman at 36 weeks' gestation is followed for PIH ...; Question 514: The nurse observes a client crying quietly. She has just exp...; Question 515: A female client at 36 weeks' gestation is experiencing prete...; Question 516: A female client was recently diagnosed with gastric cancer. ...; Question 517: The nurse instructs a pregnant client (G2P1) to rest in a si...; Question 518: The health team needs to realize that the compulsive concern...; Question 519: A male client is undergoing cardiac tests. He has been instr...; Question 520: A 15-year-old female adolescent is frequently breaking the r...; Question 521: Clients receiving antipsychotic drug therapy will often exhi...; Question 522: A postoperative TURP client is ordered continuous bladder ir...; Question 523: A pregnant client experiences a precipitous delivery. The nu...; Question 524: The nurse is trying to help a mother understand what is happ...; Question 525: The nurse is caring for a client who has diabetes insipidus....; Question 526: To ensure proper client education, the nurse should teach th...; Question 527: A 5-year-old child is hospitalized for an acute illness. The...; Question 528: A 38-year-old female client with a history of chronic schizo...; Question 529: The nurse has been caring for a 16-year-old female who recen...; Question 530: Priapism may be a sign of:; Question 531: In teaching the client about proper umbilical cord care, the...; Question 532: A client delivered a stillborn male at term. An appropriate ...; Question 533: The nurse is teaching a child's parents how to protect the c...; Question 534: Which of the following findings would be abnormal in a postp...; Question 535: The parents of a 9-year-old child with acute lymphocytic leu...; Question 536: Parents of children receiving chemotherapy should be warned ...; Question 537: A client presented herself to the mental health center, desc...; Question 538: The nurse notes multiple bruises on the arms and legs of a n...; Question 539: A 35-year-old primigravida comes to the clinic for her first...; Question 540: A 68-year-old client developed acute respiratory distress sy...; Question 541: Following her surgery, a 5-year-old child will return to the...; Question 542: The doctor has ordered a restricted fluid intake for a 2- ye...; Question 543: What is the most effective method to identify early breast c...; Question 544: When a client with pancreatitis is discharged, the nurse nee...; Question 545: An 82-year-old former restaurant owner walks to the nursing ...; Question 546: MgSO4 blood levels are monitored and the nurse would be prep...; Question 547: Based on your knowledge of genetic inheritance, which of the...; Question 548: When planning care for the passive-aggressive client, the nu...; Question 549: A young boy tells the nurse, "I don't like my Dad to kiss or...; Question 550: Loss of appetite for a child with leukemia is a major recurr...; Question 551: While the nurse is taking a male client's blood pressure, he...; Question 552: A couple is experiencing difficulties conceiving a baby. The...; Question 553: A client is receiving peritoneal dialysis. He has been taugh...; Question 554: A 19-year-old male client arrived via ambulance to the emerg...; Question 555: A client has been instructed in how to take her nitroglyceri...; Question 556: A physician's order reads: Administer furosemide oral soluti...; Question 557: A 2-year-old child with a scalp laceration and subdural hema...; Question 558: A psychiatric client has been stabilized and is to be discha...; Question 559: Respiratory function is altered in a 16-year-old asthmatic. ...; Question 560: A 64-year-old client is admitted to the hospital with benign...; Question 561: In working with mental health clients who are prescribed med...; Question 562: Following TURP, which of the following instructions would be...; Question 563: The nurse needs to be aware that the most common early compl...; Question 564: A 6-year-old girl is visiting the outpatient clinic because ...; Question 565: An 18-month-old child has been playing in the garage. His mo...; Question 566: A 48-year-old client presents with a long history of severed...; Question 567: A female client has been recently diagnosed as bipolar. She ...; Question 568: Which of the following activities would be most appropriate ...; Question 569: When teaching a sex education class, the nurse identifies th...; Question 570: After 7 hours in restraints and a total of 30-mg haloperidol...; Question 571: The initial focus when providing nursing care for a child wi...; Question 572: Which of the following signs and symptoms indicates a tensio...; Question 573: After a 10-year-old child with insulin-dependent diabetes me...; Question 574: A 27-year-old primigravida stated that she got up from the c...; Question 575: The physician orders fluoxetine (Prozac) for a depressed cli...; Question 576: In assessing the nature of the stool of a client who has cys...; Question 577: A client had abdominal surgery this morning. The nurse notic...; Question 578: A 26-year-old client is in a treatment center for aprazolam ...; Question 579: Proper positioning for the child who is in Bryant's traction...; Question 580: The most appropriate method of evaluating whether the diet o...; Question 581: A client has returned to the unit following a left femoral p...; Question 582: A client is going to have a pneumonectomy in the morning. Sh...; Question 583: A 6-year-old girl has been diagnosed with a urinary tract in...; Question 584: A mother continues to breast-feed her 3-month-old infant. Sh...; Question 585: A 15-year-old client is admitted to the adolescent unit. The...; Question 586: Prior to administering digoxin to a client with congestive h...; Question 587: The nurse is caring for a 2-year-old girl with a subdural he...; Question 588: A successful executive left her job and became a housewife a...; Question 589: During discharge planning, parents of a child with rheumatic...; Question 590: A client with a diagnosis of C-4 injury has been stabilized ...; Question 591: In assessing cardiovascular clients with progression of aort...; Question 592: The nurse is caring for a 6-week-old girl with meningitis. T...; Question 593: Primary nursing diagnoses for the antisocial client are:...; Question 594: A 55-year-old man has recently been diagnosed with hypertens...; Question 595: A client is diagnosed with organic brain disorder. The nursi...; Question 596: The nurse in the mental health center is instructing a depre...; Question 597: A 30-year-old female client is receiving antineoplastic chem...; Question 598: A nasogastric (NG) tube inserted preoperatively is attached ...; Question 599: In an interview for suspected child abuse, the child's mothe...; Question 600: A client has received digoxin 0.25 mg po daily for 2 weeks. ...; Question 601: A client with cystic fibrosis exhibits activity intolerance ...; Question 602: The most frequent cause of early postpartum hemorrhage is:...; Question 603: The physician of an alcoholic client places him on a low-pro...; Question 604: Which one of the following is considered a reliable indicato...; Question 605: A 2-year-old boy fell out of bed and has a subdural hematoma...; Question 606: A female client is started on warfarin (Coumadin) 5 mg po bi...; Question 607: A burn victim's immunization history is assessed by the nurs...; Question 608: A 35-year-old client is receiving psychopharmacological trea...; Question 609: A 74-year-old client seen in the emergency room is exhibitin...; Question 610: While changing the dressing on a client's central line, the ...; Question 611: Which of the following should the nurse anticipate receiving...; Question 612: Chorioamnionitis is a maternal infection that is usually ass...; Question 613: The nurse enters the room of a client on which a "do not res...; Question 614: An 11-month-old infant is admitted with a possible diagnosis...; Question 615: A male client has heart failure. He has been instructed to g...; Question 616: Cystic fibrosis is transmitted as an autosomal recessive tra...; Question 617: In admitting a client to the psychiatric unit, the nurse mus...; Question 618: Which nursing implication is appropriate for a client underg...; Question 619: A client presents to the psychiatric unit crying hystericall...; Question 620: An IDDM client's condition stabilizes. He begins to receive ...; Question 621: The nurse discovers that a 78-year-old client who received h...; Question 622: After several days, an IDDM client's serum glucose stabilize...; Question 623: A client's record from the ED indicates that she overdosed o...; Question 624: When administering phenytoin (Dilantin) to a child, the nurs...; Question 625: A 4-year-old child is being discharged from the hospital aft...; Question 626: On admission to the postpartal unit, the nurse's assessment ...; Question 627: A client is admitted to the hospital with diabetic ketoacido...; Question 628: At her monthly prenatal visit, a client reports experiencing...; Question 629: A client experiencing delusions states, "I came here because...; Question 630: An expected response to sodium polystyrene sulfonate (Kayexa...; Question 631: A client who was started on antipsychotic medication 2 weeks...; Question 632: A client admitted with a diagnosis of possible myocardial in...; Question 633: Assessment of a client reveals a 30% loss of preillness weig...; Question 634: A 10-year-old client with a pin in the right femur is immobi...; Question 635: The physician recommends immediate hospital admission for a ...; Question 636: A 2-year-old toddler is hospitalized with epiglottitis. In a...; Question 637: A client delivered her first-born son 4 hours ago. She asks ...; Question 638: A mother frantically calls the emergency room (ER) asking wh...; Question 639: A 45-year-old client has a permanent colostomy. Which of the...; Question 640: A 72-year-old client with a new colostomy is being evaluated...; Question 641: A child is to receive atropine 0.15 mg (1/400 g) as part of ...; Question 642: The cardiac client who exhibits the symptoms of disorientati...; Question 643: Several months after antibiotic therapy, a child is readmitt...; Question 644: The nurse caring for a client who has pneumonia, which is ca...; Question 645: In the client with a diagnosis of coronary artery disease, t...; Question 646: A 26-year-old client is diagnosed with an astrocytoma, a ben...; Question 647: A client is receiving IV morphine 2 days after colorectal su...; Question 648: Which of the following nursing care goals has the highest pr...; Question 649: When a client is receiving vasoactive therapy IV, such as do...; Question 650: In caring at home for a child who just ingested a caustic al...; Question 651: The nurse working in a prenatal clinic needs to be alert to ...; Question 652: Which of the following ECG changes would be seen as a positi...; Question 653: Which of the following would have the physiological effect o...; Question 654: Except for initial explosiveness on admission, a client diag...; Question 655: A 4 year old has an imaginary playmate, which concerns the m...; Question 656: The nurse is collecting a nutritional history on a 28- year-...; Question 657: A 67-year-old client will be undergoing a coronary arteriogr...; Question 658: A seventh grader lost consciousness after being hit in the h...; Question 659: A pregnant client during labor is irritable and feels the ur...; Question 660: A female client is seeking counseling for personal problems....; Question 661: The most important reason to closely assess circumferential ...; Question 662: A 74-year-old obese man who has undergone open reduction and...; Question 663: A client has been admitted to the labor and delivery unit in...; Question 664: A husband asks if he can visit with his wife on her ECT trea...; Question 665: A client has received preoperative teaching for the vertical...; Question 666: Which of the following symptoms might the nurse observe in a...; Question 667: The nurse who is caring for a client with pneumonia assesses...; Question 668: The nurse is admitting an infant with bacterial meningitis a...; Question 669: A 1000-mL dose of lactated Ringer's solution is to be infuse...; Question 670: Which of the following medications requires close observatio...; Question 671: The serial sevens test is often used to determine delirium a...; Question 672: A male client is experiencing extreme distress. He begins to...; Question 673: A client diagnosed with bipolar disorder continues to be hyp...; Question 674: When interviewing parents who are suspected of child abuse, ...; Question 675: A 45-year-old client diagnosed with major depression is sche...; Question 676: A client with a C-3-4 fracture has just arrived in the emerg...; Question 677: A client is scheduled for a magnetic resonance imaging (MRI)...; Question 678: A 30-year-old client is exhibiting auditory hallucinations. ...; Question 679: A 72-year-old male client had the Foley catheter that was in...; Question 680: A 20-year-old male client is being treated for protein defic...; Question 681: A client calls the prenatal clinic to schedule an appointmen...; Question 682: A client at 6 months' gestation complains of tiredness and d...; Question 683: A male client seeks counseling after his wife of 19 years th...; Question 684: A client has ascites, which is caused by:...; Question 685: The physician has ordered that ampicillin 250 mg IV be given...; Question 686: A 55-year-old client is unconscious, and his physician has d...; Question 687: A 20-year-old client presents to the obstetrics-gynecology c...; Question 688: A client is resting comfortably after delivering her first c...; Question 689: A 27-year-old healthy primigravida is brought to the labor a...; Question 690: After instructing a female client on circumcision care, the ...; Question 691: A 30-year-old client has just been treated in the ER for bru...; Question 692: Diabetes during pregnancy requires tight metabolic control o...; Question 693: A female client is exhibiting signs of respiratory distress....; Question 694: A nurse is performing a vaginal exam on a client in active l...; Question 695: A 67-year-old man had a physical examination prior to beginn...; Question 696: A 47-year-old client has been admitted to the general surger...; Question 697: A female client has been hospitalized for several months fol...; Question 698: The nurse recognizes that a client with the diagnosis of cho...; Question 699: A male client has experienced low back pain for several year...; Question 700: A client's behavior is annoying other clients on the unit. H...; Question 701: A 26-year-old client has no children. She has had an abdomin...; Question 702: A normal 3-year-old child is suspected of having meningitis....; Question 703: A client who is 7 months pregnant is diagnosed with pyelonep...; Question 704: The pediatrician has diagnosed tinea capitis in an 8- year-o...; Question 705: A 24-year-old male client is admitted with a diagnosis of si...; Question 706: Parents of young children often need anticipatory guidance f...; Question 707: A 49-year-old obese woman has been admitted to the general s...; Question 708: A client is to be discharged from the hospital and is to con...; Question 709: Other drugs may be ordered to manage a client's ulcerative c...; Question 710: A parent told the public health nurse that her 6-year-old so...; Question 711: A male client is scheduled to have angiography of his left l...; Question 712: A 3-year-old child is admitted with a diagnosis of possible ...; Question 713: The nurse is teaching a 10-year-old insulin-dependent diabet...; Question 714: A 74-year-old female client is 3 days postoperative. She has...; Question 715: Signs and symptoms of an allergy attack include which of the...; Question 716: A 27-year-old male client is admitted to the acute care ment...; Question 717: A primigravida is at term. The nurse can recognize the secon...; Question 718: At 32 weeks' gestation, a client is scheduled for a fetal ac...; Question 719: The nurse is assisting a 4th-day postoperative cholecystecto...; Question 720: The physician prescribes a medical regimen of isoniazid, rif...; Question 721: When planning care for a 9-year-old client, the nurse uses w...; Question 722: A client has chronic obstructive pulmonary disease. She is s...; Question 723: A client is having a vertical partial laryngectomy, and the ...; Question 724: Which stage of labor lasts from delivery of the baby to deli...; Question 725: A young child has been placed in a spica cast. The chief con...; Question 726: A 23-year-old borderline client is admitted to an inpatient ...; Question 727: What is the appropriate nursing action for a child with incr...; Question 728: A female client admitted to the labor and delivery unit thin...; Question 729: Which of the following risk factors associated with breast c...; Question 730: A 22-year-old client presents with a diagnosis of antisocial...; Question 731: A 2-year-old child is recovering from surgery. Considering g...; Question 732: A client states to his nurse that "I was told by the doctor ...; Question 733: A group of nursing students at a local preschool day care ce...; Question 734: A client is admitted to the hospital with a diagnosis of apl...; Question 735: A female client has experienced varying degrees of depressio...; Question 736: A 48-hour-old male infant is ordered to have phototherapy. W...; Question 737: A client has been admitted to the nursing unit with the diag...; Question 738: The nurse instructs a client on the difference between true ...; Question 739: When evaluating a client with symptoms of shock, it is impor...; Question 740: A 65-year-old client who has a new colostomy is preparing fo...; Question 741: A physician's order reads: 0.25 normal saline at 50 mL/hr un...; Question 742: A 24-year-old woman who is gravida 1 reports, "I can't take ...; Question 743: Forty-eight hours after a thyroidectomy, a female client com...; Question 744: The client will be more comfortable and the results more acc...; Question 745: A client had a myocardial infarction 5 days ago. His physici...; Question 746: A physician's order reads: Administer KCl 10% oral solution ...; Question 747: The nurse assesses a client's monitor strip and finds the fo...; Question 748: The nurse assesses a postoperative mastectomy client and not...; Question 749: A 52-year-old client's abdominal aortic aneurysm ruptured. S...; Question 750: A 3-year-old child is in the burn unit following a home acci...; Question 751: Following the delivery of a healthy newborn, a client has de...; Question 752: One of the medications that is prescribed for a male client ...; Question 753: A client has been diagnosed with congestive heart failure. H...; Question 754: A female client at 30 weeks' gestation is brought into the e...; Question 755: A mother brings a 6-month-old infant and a 4-year-old child ...; Question 756: A client had a right below-the-knee amputation 4 days ago. H...; Question 757: A client is admitted to the labor unit. On vaginal examinati...; Question 758: The primary focus of nursing interventions for the child exp...; Question 759: A pregnant client complains of varicosities in the third tri...; Question 760: The nurse is notified that a 27-year-old primigravida diagno...; Question 761: The mother of a client is apprehensive about taking home her...; Question 762: The nurse documents a client's surgical incision as having r...; Question 763: Prior to his discharge from the hospital, a cardiac client i...; Question 764: A 16-year-old student has a long history of bronchial asthma...; Question 765: An 8-year-old boy has been diagnosed with hemophilia. Which ...; Question 766: Following a gastric resection, which of the following action...; Question 767: Early in her ninth month of pregnancy, a client has been dia...; Question 768: The usual treatment for diabetes insipidus is with IM or SC ...; Question 769: The physician of a client diagnosed with alcoholism orders n...; Question 770: A client is being discharged with albuterol (Proventil) and ...; Question 771: The nurse is caring for a client with pancreatitis. Which of...; Question 772: A newborn infant is exhibiting signs of respiratory distress...; Question 773: A 4-year-old child with a history of sickle cell anemia is a...; Question 774: The nurse is aware that nutrition is an important aspect of ...; Question 775: A client is a depressed, 48-year-old salesman. A serious con...; Question 776: A client suffering from schizophrenia has been taking chlorp...; Question 777: On morning rounds, the nurse found a manic-depressive client...; Question 778: The mother of a 7-year-old mental health center client repor...; Question 779: Assessment of a newborn for Apgar scoring includes observati...; Question 780: A female client has been treated since childhood for mitral ...; Question 781: The therapeutic blood-level range for lithium is:...; Question 782: To prevent thrombophlebitis in a client on complete bed rest...; Question 783: The nurse will be alert to the most potentially lifethreaten...; Question 784: A 79-year-old client with Alzheimer's disease is exhibiting ...; Question 785: The following medications were noted on review of the client...; Question 786: When the nurse is evaluating lab data for a client 18-24 hou...; Question 787: A client undergoes a transurethral resection, prostate (TURP...; Question 788: A client who has sustained a basilar skull fracture exhibits...; Question 789: The nurse is caring for a client who has had a tracheostomy ...; Question 790: A client takes warfarin (Coumadin) 15 mg po daily. To evalua...; Question 791: The nurse would teach a male client ways to minimize the ris...; Question 792: The client tells the nurse, "I have pain in my left shoulder...; Question 793: A 37-year-old client has been taking antipsychotic medicatio...; Question 794: A 47-year-old male client is admitted for colon surgery. Int...; Question 795: A client is pregnant with her second child. Her last menstru...; Question 796: A 10-year-old boy has been diagnosed with Legg-Calvé Perthes...; Question 797: A client has a chest tube placed in his left pleural space t...; Question 798: Two weeks after a client's admission for depression, the phy...; Question 799: A client has begun to exhibit signs of alcohol withdrawal. H...; Question 800: A complication for which the nurse should be alert following...; Question 801: A female client who has chronic obstructive pulmonary diseas...; Question 802: A 26-year-old male client is brought by his wife to the emer...; Question 803: Before giving methergine postpartum, the nurse should assess...; Question 804: A 7-year-old child is brought to the ER at midnight by his m...; Question 805: A client returned to the unit following a pneumonectomy. As ...; Question 806: A term neonate has experienced no distress at birth and has ...; Question 807: A client has been uncomfortable in crowds all her life. Afte...; Question 808: A 60-year-old woman exhibits forgetfulness, emotional labili...; Question 809: The primary reason that an increase in heart rate (100 bpm) ...; Question 810: When providing dietary teaching to an individual who has dia...; Question 811: A client is admitted to the psychiatric unit after lavage an...; Question 812: A neonate was admitted to the hospital with projectile vomit...; Question 813: As a nurse works with an adolescent with cystic fibrosis, th...; Question 814: A female client has married recently. A month ago she visite...; Question 815: A client had a hemicolectomy performed 2 days ago. Today, wh...; Question 816: During a client's first postpartum day, the nurse assessed t...; Question 817: Diagnostic assessment findings for an infant with possible c...; Question 818: A primigravida with a blood type A negative is at 28 weeks' ...; Question 819: A 55-year-old woman entered the emergency room by ambulance....; Question 820: A woman diagnosed with multiple sclerosis is disturbed with ...; Question 821: As a postoperative cholecystectomy client completes tomorrow...; Question 822: The FHR pattern in a laboring client begins to show early de...; Question 823: A new mother experiences strong uterine contractions while b...; Question 824: A 70-year-old client has pneumonia and has just had a respir...; Question 825: In discussing the plan of care for a child with chronic neph...; Question 826: A 56-year-old psychiatric inpatient has had recurring episod...; Question 827: A client decided early in her pregnancy to breast-feed her f...; Question 828: Pin care is a part of the care plan for a client who is in s...; Question 829: A female client decides on hemodialysis. She has an internal...; Question 830: A client is being discharged and will continue enteral feedi...; Question 831: A family is experiencing changes in their lifestyle in many ...; Question 832: A 78-year-old female client has a total hip arthroplasty. He...; Question 833: Parents of a child with rheumatic fever express concern that...; Question 834: A psychotic client who believes that he is God and rules all...; Question 835: A 24-year-old client presents to the emergency department pr...; Question 836: A client who is gravida 1 para 1 vaginally delivered a 7- lb...; Question 837: A 54-year-old client is admitted to the hospital with a poss...; Question 838: A client at 9 weeks' gestation comes for an initial prenatal...; Question 839: A client is in active labor and has been admitted to the lab...; Question 840: A family by court order undergoes treatment by a family ther...; Question 841: A female client with major depression stated that "life is h...; Question 842: Nursing interventions designed to decrease the risk of infec...; Question 843: A male client is scheduled for a liver biopsy. In preparing ...; Question 844: Which of the following nursing actions is essential to preve...; Question 845: Home-care instructions for the child following a cardiac cat...; Question 846: Which of the following lab data is representative of a clien...; Question 847: A 44-year-old female client is receiving external radiation ...; Question 848: A school-age child with asthma is ready for discharge from t...; Question 849: At 30 weeks' gestation, a client is admitted to the unit in ...; Question 850: Before completing a nursing diagnosis, the nurse must first:...; Question 851: A 26-year-old female client presents at 10 weeks' gestation....; Question 852: A client is now pregnant for the second time. Her first chil...; Question 853: On the third postpartum day, the nurse would expect the loch...; Question 854: A gravida 2 para 1 client delivered a full-term newborn 12 h...; Question 855: A client had a transurethral resection of the prostate yeste...; Question 856: A 25-year-old outpatient presents with a diagnosis of compul...; Question 857: A nurse should carefully monitor a client for the following ...; Question 858: The nurse practitioner determines that a client is approxima...; Question 859: A 5-year-old child has suffered second-degree thermal burns ...

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