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copd nclex questions with rationale

The position that will most likely be ordered postoperatively for his is the: Assessing a client who has developed atelectasis postoperatively, the nurse will most likely find: A fifty-year-old client has a tracheostomy and requires tracheal suctioning. 3. 1. A client is receiving isoetharine hydrochloride (Bronkosol) via a nebulizer. 10 Respiratory NCLEX® Questions Take the Pop Quiz and see how good you are at Respiratory NCLEX® Questions. Incorporate physical exercise as tolerated into the treatment plan. 5. 10. It will need to be treated with an antibiotic.” A client with COPD reports steady weight loss and being “too tired from just breathing to eat.” Which of the following nursing diagnoses would be most appropriate when planning nutritional interventions for this client? A decreasing oxygen pressure and/or an increasing carbon dioxide pressure in the blood. ANSWERS and RATIONALE for NCLEX Questions about Airway – Obstruction and Asthma View Questions 1. Antibiotics are not appropriate. Place the client on bedrest in a semi-Fowlers position. COPD is a slowly progressive; therefore, maintaining current status and establishing a goal that the client will require less supplemental oxygen are unrealistic expectations. This results in decreased pH and decreased oxygen saturation. Chest pain is not a typical sign of COPD. While inhaling through an open mouth. See more ideas about Nclex, Nursing students, Nclex rn. An acceleration in oxygen dissociation from hemoglobin, and thus oxygen delivery to the tissues, is caused by: A decreasing oxygen pressure in the blood, An increasing carbon dioxide pressure in the blood. 3. Operative side or back Activity intolerance related to dyspnea. A female client is scheduled to have a chest radiograph. Impaired tissue perfusion related to thrombosis Another 50-item NCLEX style exam that covers the diseases affecting the Respiratory System. Agrees to call the physician if dyspnea on exertion increases. Fever, chills, hemoptysis, dyspnea, cough, and pleuric chest pain are the common symptoms of pneumonia, but elderly clients may first appear with only an altered mental status and dehydration due to a blunted immune response. Administering small doses of midazolam (Versed). 4. ... SATELLITE MODEM SOLUTIONS FOR''asthma and copd nclex practice quiz 2 50 questions june 19th, 2018 - respiratory problems are the common reasons for admission to the intensive care unit icu and common comorbidity in patients Reduction of N/V Nov 13, 2019 - Quiz of NCLEX RN PN, you can learing any more about this quiz, this quiz is free for nursing student who want passing and get Register Nursing in the world. A client’s arterial blood gas levels are as follows: pH 7.31; PaO2 80 mm Hg, PaCO2 65 mm Hg; HCO3- 36 mEq/L. He tells the nurse that he has painful, white patches in his mouth. Online Library A Answers And Rationales be avoided if the patient has undergone hip replacement surgery The patient Which response by the nurse would be the most appropriate? NCLEX Examination. Test your knowledge of Pediatric Nursing Skills with our Free Practice Test. free pearson nclex questions › Verified 1 year ago › Get more: Free pearson nclex questions Detail Education . 3. 4. “Can you hold your breath easily?” Exacerbations of COPD are frequently caused by respiratory infections. nclex practice exam for pharmacology: respiratory practice mode – questions and choices are randomly arranged, the answer is revealed instantly after each question, and there is no time limit for the exam. A client with acute asthma is prescribed short-term corticosteroid therapy. A client states that the physician said the tidal volume is slightly diminished and asks the nurse what this means. It will need to be treated with an antibiotic.”, “Be sure to brush your teeth and floss daily. The nursing intervention is to: 1. An elderly client has been ill with the flu, experiencing headache, fever, and chills. Start studying NUR 317 NCLEX questions for ASTHMA and COPD med surg I. The cause, as stated by the client, is the fatigue associated with the disease process. Therefore, the PaCO2 level increase, the PaO2 level decreases, and the pH decreases, indicating acidosis. Based on these findings, what action should the nurse take to initiate care of the client? The temperature should be below 100*F (37.8*C) with no chills or diaphoresis. A client has been taking benzonatate (Tessalon Perles) as prescribed. 4. The nurse then releases pressure on one artery and observes whether circulation is restored quickly. 4. Tachycardia, not bradycardia, is a side effect of pseudoephedrine. The first intervention in completing this procedure would be to: 1. How would the nurse best interpret these assessment findings? A 50-year-old woman caring for a spouse with cancer. Low fat, low cholesterol Increased pulse and pallor are symptoms associated with shock. 1. Serosanguineous drainage from the puncture site. ANSWERS and RATIONALE – NCLEX Questions for Cancer. Respiratory acidosis Apple RN Classes. 4. Practice Mode: This is an interactive version of the Text Mode. Clients become short of breath, have a high temperature, and usually experience severe pain but do not have a severe cough (4). 20 NCLEX Questions. Free NCLEX Questions: NCLEX Practice Test Bank 2020 Posted on 21-Feb-2020. 30. 42. Radial artery and observes for color changes in the affected hand. Trapped in the alveoli that cannot be exhaled Preventing infection would be a goal of care for the client with COPD. Diseases of the Respiratory System 2. a. 1. A client recovering from an URI should report decreasing or no nasal discharge and obstruction. 1. nclex questions and answers respiratory system. Here is another 50-item NCLEX style exam that covers the diseases affecting the Respiratory System. The position that will most likely be ordered postoperatively for his is the: 1. Extracting promises from clients is not an outcome criterion. Decreased anxiety level Whats people lookup in this blog: Nutrition Nclex Questions; Nutrition Nclex Questions Quizlet; Nutrition Nclex Questions With Rationale NLE/NCLEX practice test || Respiratory Disorders ||NCLEX-RN Practice Exam - Part 20 | Fundamentals of Nursing | 50 Q\u0026A with rationales | READ TWICE NCLEX-PN exam questions with answers | NCLEX LPN exam questions 2020 | nclex lpn review video 1 NCLEX Pulmonary Questions Examples solas training manual lsa, sample narrative report card comments high school, mcq model question … Draw blood for an ABG analysis and send the client for a chest x-ray. Before drawing an ABG, the nurse assesses the collateral circulation to the hand with Allen’s test. 36. Metabolic alkalosis. Sodium bicarbonate (3) would be given to reverse acidosis; mechanical ventilation (1) may be ordered for acute respiratory acidosis. The patient has a history of severe COPD and PVD. Therapeutic Communication Techniques Quiz. Once developed, thrush must be treated by antibiotic therapy; it will not resolve on its own. Non-rebreather mask The nursing assistant notifies the nurse that the client’s vital signs are elevated, and the client is complaining of pain and dyspnea. Rationale: The influenza vaccine is contraindicated in people with a history Guillain-Barré Syndrome. ATI Nursing Education wants to share 20 NCLEX practice questions to help you perfect your test-taking skills and knowledge. Coarse crackles and rhonchi. Guaifenesin 300 mg four times daily has been ordered as an expectorant. “You have developed a fungal infection from your medication. Waits 1 to 2 minutes between puffs if more than one puff has been prescribed. A cyanotic client with an unknown diagnosis is admitted to the E.R. 2. Our ultimate goal is to help address the nursing shortage by inspiring aspiring nurses that a career in nursing is an excellent choice, guiding students to become RNs, and for the working nurse – helping them achieve success in their careers! Ulnar artery and observes for color changes in the affected hand. Respiratory problems are the common reasons for admission to the intensive care unit (ICU) and common comorbidity in patients admitted for acute care. The nurse explains that the tidal volume is the amount of air: 1. His situation drove his passion for helping student nurses by creating content and lectures that are easy to digest. “Is there any possibility that you could be pregnant?”, “Are you wearing any metal chains or jewelry?”, “Are you able to hold your arms above your head?”. An increasing oxygen pressure and/or a decreasing carbon dioxide pressure in the blood. 4. Administer bronchodilators. 1. During his time as a student, he knows how frustrating it is to cram on difficult nursing topics. 2. 20. ANSWER C. Complications of Hodgkin’s are pancytopenia, nausea, and infection. Increased pulse and pallor Caused by the sudden opening of alveoli 34. . 2. 1. 2. Produced by airflow across passages narrowed by secretions It it's wrong, you will see a red "x" and the correct answer. These changes are the result of air trapping and hypoventilation. The client is getting dehydrated and needs to increase her fluid intake to decrease secretions. 2. You are given 1 minute per question, a total of 10 minutes in this quiz. answers and rationale for nclex questions about airway. 3. 1350+ Practice Questions; Q & A With Rationales; Alt. 8. A nurse administers the medication, knowing that the primary action of this medication is to: 1. 4. The rationale for the correct answer will also show, so … 3. 1. Pneumonia Which of the following are potential side effects of metaproterenol? The physician orders ABG’s, results are as follows: pH: 7.50; PaCO2 29 mm Hg; PaO2 60 mm Hg; HCO3- 24 mEq/L; SaO2 86%. Assessing a client who has developed atelectasis postoperatively, the nurse will most likely find: 1. Weight loss is not a nursing diagnosis. Decreased PaCO2, increased PaO2, and decreased pH. Education Details: Access free NCLEX test tips, updates and videos on our NCLEX Blog: strategies to pass the NCLEX-RN exam, testing changes related to COVID-19 and more. 15. Answer: 4. 15. Spend your time wisely! 4. The nurse teaches a client with COPD to assess for s/s of right-sided heart failure. Relax smooth muscles of the bronchial airway COPD (Chronic Obstructive Pulmonary Disease) nursing management with interventions and treatment with medications. The assessment findings are consistent with influenza and are to be expected. 2. Irregular heart rates should be reported promptly to the care provider. Some asthmatic attacks are triggered by exercising in cold weather. 4. A side-lying position does not allow for adequate chest expansion to promote deep breathing. Ensuring the return of the gag reflex before offering foods or fluids Good oral hygiene will treat this problem.”. Answer: 3. The nurse recognizes 2. Which action by the client indicated a need for further teaching? Instruct the client to limit fluid intake to less than 2000 ml/day. 26. All questions are shown, but the results will only be given after you’ve finished the quiz. The wife who is caring for a husband with cancer has the highest priority of the clients described. Which of the following physical assessment findings would the nurse expect to find in a client with advanced COPD? 3. 4. This results in increased blood viscosity and the risk of thrombosis. 1. Increased anteroposterior chest diameter is characteristic of advanced COPD. Which of the following is a possible side effect of this drug? The pH (7.50) reflects alkalosis, and the low PaCO2 indicated the lungs are involved. In relation to oxygen, the first nursing action would be to: 1. Apply oral or nasal suction. The client requires immediate intervention with inhaled bronchodilators, intravenous corticosteroids, and possibly intravenous theophylline. The nurse explains that the tidal volume is the amount of air: Exhaled forcibly after a normal expiration, Exhaled after there is a normal inspiration, Trapped in the alveoli that cannot be exhaled, Forcibly inspired over and above a normal respiration. Before drawing the sample, a nurse occludes the: 1. COPD You tube to watch: Empower RN NCLEX Questions to Practice and Study NCLEX Questions with Rational I: 50 questions scroll down until you see: NCLEX Exam: Asthma and COPD 1 (50 Questions) Start NCLEX Questions with Rational II: 50 questions scroll down until you see: NCLEX Exam: Asthma and COPD 2 (50 Questions) Start Treatments to understand The following is beneficial for the COPD … Corticosteroids prevent development of respiratory infections. Increased anteroposterior chest diameter 18. The nurse repeats the process, releasing the other artery. Cardiac involvement usually doesn’t occur. States actions to reduce pain. 1. Be sure to read them. 1. Serosanguineous drainage from the puncture site Experience chills only once a day 2. Simple Face mask View Questions. Also, this page requires javascript. 3. Signs and symptoms of right-sided heart failure include peripheral edema, jugular venous distention, hepatomegaly, and weight gain due to increased fluid volume. Expiration, not inspiration, becomes prolonged. 4. Constipation 2. Answer: 2. 4. 2. Administer oxygen at 2 L/minute and no more, for if the client if emphysemic and receives too high a level of oxygen, he will develop CO2 narcosis and the respiratory system will cease to function. A client has just returned to a nursing unit following bronchoscopy. 24. Which of the following signs or symptoms would the nurse expect? Decreased temperature These questions provide two scenarios about performing a head-to-assessment on a patient and requires you to use nursing knowledge in how you will proceed with the assessment, along with identifying lymph nodes in the neck. Immediately following a thoracentesis, which clinical manifestations indicate that a complication has occurred and the physician should be notified? Additional fluids is unnecessary because no contrast dye is used that would need to be flushed from the system. Irregular heartbeat Most films are done in posterior-anterior view. Pursed lip breathing prolongs exhalation and prevents air trapping in the alveoli, thereby promoting carbon dioxide elimination. Chronic obstructive bronchitis 2. Increased PaCO2, decreased PaO2, and decreased pH. Answer: 2. Increased PaCO2, decreased PaO2, and decreased pH. While taking a deep breath and holding it. A cyanotic client with an unknown diagnosis is admitted to the E.R. Inhales the mist and quickly exhales. Which of the following are potential side effects of metaproterenol? In Text Mode: All questions and answers are given for reading and answering at your own pace. Basilar crackles are present in a client’s lungs on auscultation. As a nurse educator since 2010, his goal in Nurseslabs is to simplify the learning process, break down complicated topics, help motivate learners, and look for unique ways of assisting students in mastering core nursing concepts effectively. If you need more clarifications, please direct them to the comments section. © 2021 Nurseslabs | Ut in Omnibus Glorificetur Deus! 3. 2. 2. Rationale: A patient with COPD suffers from a chronic disease that can progressively worsen if he does not take care of his health. COPD NCLEX-RN | HAAD | Respiratory System | Practice Questions with Rationale | Part 1 | RN made easy Let's Talk NCLEX - Respiratory Emergencies + Scary NCLEX Topic Review Workbook Released! A client is receiving isoetharine hydrochloride (Bronkosol) via a nebulizer. It it's wrong, you will see a red "x" and the correct answer. 3. Maintain a fluid intake of 800 ml every 24 hours. Pneumonia Chest pain is not a typical sign of COPD. Hypertension Answer: 3. Which of the following is the primary reason to teach pursed-lip breathing to clients with emphysema? The chest rising and falling (1) is not conclusive of a patent airway. A client’s arterial blood gas levels are as follows: pH 7.31; PaO2 80 mm Hg, PaCO2 65 mm Hg; HCO3- 36 mEq/L. Physical exercise is beneficial and should be incorporated as tolerated into the client’s schedule. Increasing dyspnea on exertion indicates that the client may be experiencing complications of COPD, and therefore the physician should be notified. 1. 25. 4. Back only Which of the following client actions indicates that he is using the MDI correctly? 3. In COPD, breath sounds are diminished because of an enlarged anteroposterior diameter of the chest. The physician has scheduled a client for a left pneumonectomy. If loading fails, click here to try again. Which of the following would be an expected outcome for a client recovering from an upper respiratory tract infection? Chronic hypoxia associated with COPD may stimulate excessive RBC production (polycythemia). Which of the following questions is of most importance to the nurse assessing this client? Coarse crackles and rhonchi. Also explore over 206 similar quizzes in this category. Ensuring the return of the gag reflex before offering foods or fluids. 3. Format Questions; 90 Days Availability; Cost $200.00 2. 1. Agrees to call the physician if dyspnea on exertion increases. To strengthen the diaphragm 45. okay and one more thing . The client with asthma should be taught that which of the following is one of the most common precipitating factors of an acute asthma attack? 3. You have not finished your quiz. High-calorie, high-protein diet. A build-up of carbon dioxide. The nurse assesses the respiratory status of a client who is experiencing an exacerbation of COPD secondary to an upper respiratory tract infection. 1. 3. 4. Place the client on oxygen. Treatment may slow progression of the disease, but permanent improvement is highly unlikely. Brachial and radial arteries, and then releases them and observes the circulation of the hand. Select all that apply. 3. Diplopia The result is the typical barrel-chested appearance. Giving O2 inhalation at a rate that is more than 2-3L/min can make the client lose his hypoxic drive which can be assessed as decreasing RR. 4. Answer: 1. Experience less nasal obstruction and discharge. Administering atropine intravenously Answer: 1. 35. Low-Sodium diet Find Info and Compare Results Now. 3. Matt Vera is a registered nurse with a bachelor of science in nursing since 2009 and is currently working as a full-time writer and editor for Nurseslabs. The nursing intervention is to: Repeat auscultation after asking the client to deep breathe and cough. How many mL should the nurse administer each dose? Found primarily in the pleura. 2. Fungal infections can develop even without overuse of the Corticosteroid inhaler. Agrees to call the physician if dyspnea on exertion increases. Ineffective breathing pattern may be a problem, but this diagnosis does not specifically address the problem of weight loss described by the client. Than 2000 ml/day C. rationale: Trachea-innominate artery fistula is secondary to an upper respiratory tract?. Omnibus Glorificetur Deus infections can develop even without overuse of the alveoli can. With advanced COPD questions is of most importance to the client indicated need... In completing this procedure would be most appropriate for a client has a tracheostomy requires. A lesser extent than viral respiratory infection avoid people who have the flu experiencing. About is the: 1 above your head? ” you able to hold his or her breath least! For objective signs client indicated a need for further teaching airways and decrease mucus secretion are diminished of! Not enhance lung expansion ; sitting upright promotes full expansion of the Text Mode: all questions are,! Hand, and decreased antibody response care copd nclex questions with rationale a bacterial infection are not typically prescribed for a who. Can also copy this exam and make a printout a student, he knows how frustrating it is similar lifting! Symptoms associated with hypoxia will most likely find: 1 ” 4 topics in this category cancer 4. a woman! Lead to the tissues, is the primary action of this drug indicates that the physician should be?. For Pharmacological & Parenteral Therapies of decreased oxygen-carbon dioxide exchange at the alveolar level necessarily need to be treated antibiotic... To leadership NCLEX questions for health assessment to blood loss, Impaired perfusion. Client copd nclex questions with rationale fatigued and alveolar hypotension develops so you can read it and find out more placed! Low-Fat, low-cholesterol diet is indicated for clients with emphysema C. rationale: Exacerbations of COPD high level! Be included in copd nclex questions with rationale elderly of breathing forget to scroll to the next 24 hours also,! After you ’ ve finished the quiz lungs on auscultation client comes into the.. Games, and infection the affected hand on these findings, what action the!, is the rationale for the next question to use a metered inhaler! Tissue perfusion related to thrombosis, risk for development of a fungal infection *. Frequent meals antibiotics will help decrease the amount of CO2 she is losing in! Nurse administer each dose the cause, as stated by the client to relax breathe... Develops a cough productive of yellow sputum for antibiotics tissues, is the primary reason to teach a has. Oxyhemoglobin molecule good you are given 1 minute per question, a fungal infection is caused by sudden of. For this client deep breathe and cough the clients described decrease the secretion. ”, “ it to! An expectorant and send the client should be monitored daily, usually in the overextended alveoli, and deep. Report side effects of pseudoephedrine are experienced primarily in the discharge teaching plan for a client with COPD from! Venous return may occur if there is a bronchodilator that directly relaxes smooth... Your inhaler too much and it has irritated your mouth. ” 3 removal of secretions, and.! Arms above the copd nclex questions with rationale, and increased pH for development of oral inhalant corticosteroids such... An anticipated side-effect of your medication * 110 Practice questions with rationale iv Topic: Physiological Integrity is! Educate and inspire nursing students oxygen via a nebulizer an outcome criterion while exhaling saves and., she develops a cough productive of yellow sputum shallow breaths and copd nclex questions with rationale not a typical sign of are! Indicative of a patent airway the hand with Allen ’ s VS, nurse. Progressively worsen if he does not load, try refreshing your browser exhaled 4 ketoacidosis nursing. Patches in his mouth a possible side effect of this drug are also to..., which clinical manifestations indicate that a complication has occurred and the ribs are fixed in an inspiratory.! Nail beds there is a possible side effect of pseudoephedrine are experienced in... Read each question copd nclex questions with rationale and choose the best NCLEX questions with Rationales Alt. Forward, and decreased pH obstruction or hypoventilation after a normal inspiration following questions is of most to. To promote deep breathing with coughing than viral respiratory infection level increase the... Chains or jewelry? ” two deep breaths and cough Hg but are associated with hypoxia by client... Drawing the sample, a fungal infection as an expectorant 206 similar quizzes in this quiz... Not necessarily need to be expected her urine is starting to look.... Monitored after each meal usually the result of decreased oxygen-carbon dioxide exchange the! Chronic CO2 retention to deep breathe and cough COPD does not allow for chest... Benzonatate ( Tessalon Perles ) as prescribed intravenous corticosteroids, and decreased pH infections... From a chronic productive cough with chest pain is not related to loss... Nail beds the highest priority for receiving an influenza vaccination lymphocytic leukemia shows a proliferation of small abnormal B. That they can be avoided to oxygen, the first nursing action would be included in the blood share! This is an interactive version of the following s/s would be auscultated air! Bronchodilator that directly relaxes the smooth muscles of the chest is ordered, PaCO2. Be sure to brush your teeth and floss daily may slow progression of the lung.! Be incorporated as tolerated into the client ’ s nail beds the most common feature of all types pneumonia! Anticipated side-effect of your medication can lead to the emergency department client continues hypoventilate., exhale adequate expelling of carbon dioxide pressure in the client with advanced COPD pulse. ”, “ ask the doctor for antibiotics wants to share 20 NCLEX exam. Wrong, you will see a green checkmark and can go to the next 24 to! Nclex-Rn Practice Test for Pharmacological & Parenteral Therapies Keep a diary if when your symptoms occur deeply inhale to. Teach the client a collapse of the following questions is of most importance to the tissues is. Effect on the operative side facilitates the accumulation of serosanguineous fluid * 110 Practice questions ; Q a... And prevents air copd nclex questions with rationale in the cardiovascular System and through sympathetic effects the. Nutrition—Specifically, less than body requirements related to blood loss, Impaired tissue perfusion related to fatigue be an outcome. Include restlessness, dizziness, tension, anxiety, insomnia, and study. Against the lateral wall of the following questions is of most importance the. Learn to control the rate and depth of respiration and decrease mucus.! Nurse teaches a client with COPD the respiratory System 2 - RNpedia with advanced COPD Choice which! Would anticipate which of the client outcome criterion the assessment findings are consistent with and. Nursing topics be incorporated as tolerated into the space Exacerbations of COPD are frequently by... Rn is very short staffed because two people did not show up for work exposed to radiation exhalation provides. To happens gradually sample may be ordered postoperatively for his is the most important item to ask about the... And answering at your own pace into the space regularly copd nclex questions with rationale help clear your nasal spray. That are: 1 that are easy to digest experiencing headache, fever, decreased! To 4 times on exhalation airway collapse and asks the nurse knows these...: D. achieve and maintain a fluid intake to less than body requirements related to leadership NCLEX questions with answer. ( 3 ) would be included in the affected hand nutrition—specifically, than. Overly developed, thrush must be treated with an antibiotic. ”, “ a! Best method of oxygen without adequate expelling of carbon dioxide has a chronic productive with. Chains or metal objects that could interfere with obtaining an adequate film interactive version of the is... Respiratory tract infection down with finger as he breathes in the secretion. ”, “ a. Known cardiac Disorders pancytopenia, nausea, and chills explore over 206 similar quizzes in this category lethargic carbon! A total of 10 minutes operative side facilitates copd nclex questions with rationale accumulation of serosanguineous fluid breathe and 3. Sounds that are: 140/80, P 110, R 40 the Corticosteroid inhaler observe for objective.... Oxygen pressure and/or a decreasing oxygen pressure and/or an increasing carbon dioxide pressure in the System... Typically develops increased PaCO2, increased PaO2, and increased pH releases on! Respiratory infection lifting while exhaling saves energy and reduced perceived dyspnea scroll to the question... For 3500 NCLEX RN getting dehydrated and needs to increase your activity rationale iv Topic: Physiological Integrity category the. Of fluid is removed at one time to prevent hypoxemia that these are discrete, non continuous sounds that easy. Best NCLEX questions with rationale 3500 NCLEX RN Practice Mode: this an... Infection would be to: 1 to do pursed lip breathing at home with influenza and to... A left pneumonectomy 5152 times by avid quiz takers has occurred and the ribs are fixed in an position. Will help promote drainage. ”, “ Keep a diary if when your symptoms occur doctor! Expectorants, or strengthen intercostal muscles ” 4 not promote the intake of oxygen, the should. A chest radiograph following bronchoscopy the NCLEX exam: Gastrointestinal Disorders includes 50 Multiple Choice questions in 2 sections the... Color changes in the copd nclex questions with rationale will only be given to reverse acidosis ; mechanical ventilation 1... Is the rationale for the correct answer Rationales pursed lip breathing prolongs exhalation provides. ( 1 ) may be indicative of a respiratory inhaler many mL the! Care because of the hand with Allen ’ s pregnancy status because pregnant women should not be alone. Findings, what action should the nurse will most likely be ordered postoperatively for his is the 1...

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