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Comprehensive Practice B Questions and Answers | Latest Version | 2025/2026 | Correct & Verified
What is the first action a nurse should take when a client with heart failure reports a 5-pound weight gain in 2 days?✔✔ Notify the provider due to possible fluid retention
What should the nurse monitor closely in a client receiving a loop diuretic like furosemide?✔✔ Potassium levels
What is a priority teaching point for a client newly prescribed warfarin?✔✔ Avoid foods high in vitamin K like spinach
Why should a nurse hold a dose of metoprolol if the client's apical pulse is 50 beats/min?✔✔ Bradycardia is a contraindication for beta-blocker administration
What is the appropriate nursing intervention when a client receiving a blood transfusion develops chills and back pain? 1 / 3
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✔✔ Stop the transfusion immediately
What dietary teaching should the nurse provide to a client taking lithium?✔✔ Maintain consistent sodium intake
What is an expected finding after administration of naloxone?✔✔ Increased respiratory rate
Why is it important to auscultate bowel sounds before administering enteral feeding via an NG tube?✔✔ To confirm presence of gastrointestinal activity
What is the nurse’s priority action for a client with a blood glucose of 45 mg/dL and confusion?✔✔ Administer 15 grams of fast-acting carbohydrate
What is a sign of digoxin toxicity the nurse should assess for?✔✔ Blurred or yellow vision
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What is the priority action when a nurse discovers an IV site with redness and swelling?✔✔ Discontinue the IV immediately
How should the nurse respond to a client expressing fear about upcoming surgery?✔✔ Encourage the client to talk about their feelings
What lab value should be reported immediately for a client on heparin therapy?✔✔ Platelet count of 90,000/mm³
What should the nurse assess before administering morphine?✔✔ Respiratory rate
What teaching should be given to a client prescribed alendronate for osteoporosis?✔✔ Sit upright for 30 minutes after taking the medication
Why should a nurse report a newborn’s axillary temperature of 96.5°F (35.8°C)?✔✔ Risk for cold stress and hypoglycemia
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