PNII Exam 2 (Professional Nursing II) Answered 100% Correct
A nurse cares for a client who had a chest tube placed for 6 hours ago and refuses to take deep breaths because of the pain. Which action should the nurse tak
...
PNII Exam 2 (Professional Nursing II) Answered 100% Correct
A nurse cares for a client who had a chest tube placed for 6 hours ago and refuses to take deep breaths because of the pain. Which action should the nurse take?
A. Administer pain medication and encourage the client to take deep breaths
B. Ambulate the client in the hallway to promote deep breathing
C. Auscultate the client's anterior and posterior lung fields
D. Encourage the client to take shallow breaths to help witht he pain
A nurse is caring for a client who has heart failure and is taking digoxin daily. The client refused breakfast and is complaining of nausea and weakness. Which of the following actions should be priority for the nurse?
A. Request a dietician consult
B. Administer the ordered prn antiemetic
C. Check the client's vital signs and heart rhythm
D. Suggest the client rest adequately before eating meals
The healthcare provider has just prescribed warfarin sodium for a client with a deep vein thrombosis (dvt). The nurse knows that this client is still receiving intravenous heparin. Which is the nurse's best action?
A. Discontinue the heparin drip completely before warfarin sodium administration
B. Turn off the heparin drip 1 hour before administration of the warfarin sodium
C. Administer the medications as prescribed
D. Hold the dose of warfarin sodium
A client with bacterial pneumonia becomes increasingly restless and confused. Temperature is 100 f, and pulse, blood pressure and respirations are increased since the last assessment 6 hours ago. Which action should the nurse take first?
A. Assess oxygen saturation
B. Initiate npo status
C. Administer a mild sedative
D. Administer a nonsteroidal anti-inflammatory drug (nsaid)
[Show More]