PN Comprehensive Predictor (2022 – 2023) 100% Correct Questions & Answers

A nurse is caring for four clients. Which of the following client statements should the nurse attend to first? - "My heartburn pain is going into my jaw now." A nurse is caring for a client who is receiving mechanical ...

A nurse is caring for four clients. Which of the following client statements should the nurse attend to first? - "My heartburn pain is going into my jaw now." A nurse is caring for a client who is receiving mechanical ventilation via an endotracheal tube. Which of the following actions should the nurse take? - Perform oral care every 2 hr. A nurse is caring for a client who is receiving warfarin 5 mg PO daily. Which of the following laboratory values should the nurse check prior to administering the medication? - - PT - INR A nurse is collecting data from a client who is at 9 weeks of gestation and has hyperemesis gravidarum. Which of the following findings should the nurse expect? - Weight loss A nurse is reinforcing teaching with a client about the importance of a low sodium diet. Which of the following foods should the nurse recommend as the best choice to include in a low sodium diet? - 2 tbsp of peanut butter A nurse is collecting data from an 18 month old toddler at a well child visit. Which of the following findings should the nurse report to the provider? - The toddler can say four words. A nurse is collecting data from a client who has diabetes mellitus. Which of the following findings indicates that the client might be experiencing diabetic ketoacidosis? - Kussmaul respirations A nurse is reinforcing teaching with a client who has a permanent pacemaker in place. Which of the following statements by the client indicates an understanding of the teaching? - "I need to record my pulse rate daily." A nurse is caring for a client who is in mechanical restraints after becoming violent with a staff member. Which of the following actions should the nurse take? - Document in the clients medical record every 15 min. A nurse is reinforcing teaching about self-administration of nasal drops with a client. Which of the following positions should the nurse recommend for instillation of the drops? - Supine A nurse is preparing to administer furosemide to a client who has heart failure. Which of the following laboratory results should the nurse review prior to administering the medication? - Potassium A nurse is caring for a client who has methicillin-resistant staphylococcus aureus (MRSA) infection. Which of the following actions should the nurse plan to take? - Don a gown and gloves when providing perineal care A nurse is assisting with the plan of care for a client who has dementia and often wanders in the halls at night. Which of the following interventions should the nurse recommend including in the plan of care? - Labeling the clients bathroom door A charge nurse is reinforcing teaching with a newly hired licensed practical nurse about scope of practice. Which of the following responsibilities should the nurse include in the teaching? - Providing direct client care A nurse is working on a mental health unit is meeting with a client who has been in the unit for 2 days. The nurse greets the client and asks, "What has been happening with you today?" Which of the following therapeutic techniques is the nurse using?