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PN MED SURG

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The home health practical nurse is visiting with a client who has a history of second degree heart block and pacemaker placement six months ago. Which symptom compliant by the client would be indicati... ve of pacemaker failure? Feelings of dizziness Feelings of dizziness may occur as the result of a decreased heart rate, leading to decreased cardiac output as a result of pacemaker failure. Which foods should the practical nurse encourage a client to eat to increase their potassium intake? (Select all that apply.) Green beans Milk Flounder Sweet potatoes Cantaloupe Flounder, sweet potatoes, milk, green beans, and cantaloupe are all potassium-rich foods. The health care provider informed a client diagnosed with stage 4 liver cancer that the cancer has spread to their spine. The client states to the practical nurse, "I have a cancer, but it is not malignant." What is the best initial nursing action? Ask the client to explain his understanding of the term malignancy. The best initial action is to assess the client's knowledge of the term malignancy when used to describe cancer. The client appears to have inaccurate knowledge. Stage 4 cancer means the cancer has spread (metastasized) from where it has started to another body part. A client sustained a burn injury greater than 25% of total body surface with majority of it lower extremities during a house fire. During the acute phase of care, which intervention is most important for the practical nurse to implement? Administer 0.5 mL of tetanus toxoid IM. Prevention of infection from Clostridium tetani by administering tetanus toxoid has the highest priority for care of a client in the acute phase of burn care. In order to provide culturally competent care, what action must the practical nurse do first? Understand one's own world views in addition to the client's. The nurse should understand their own values and views to prevent those beliefs being imparted to others, in addition to understanding the client's cultural views when providing cultural competent care. Treating every client the same or assuming that all clients share the same values does not exhibit cultural competence or sensitivity. The [Show More]

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