*NURSING > EXAM > HESI PN V1 EXIT QUIZ (All)

HESI PN V1 EXIT QUIZ

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40) The LPN/LVN observes that a male client's urinary catheter (Foley) drainage tubing is secured with tape to his abdomen and then attached to the bed frame. What action should the nurse implement? ... A. Raise the bed to ensure the drainage bag remains off the floor B. Attach the drainage bag to the side rail instead of the bed frame C. Observe the appearance of the urine in the drainage tubing D. Secure the tubing to the client's gown instead of his abdomen Correct Answer: C. Observe the appearance of the urine in the drainage tubing 41) In assisting a client to obtain a sputum specimen, the LPN/LVN observes the client cough and spit a large amount of frothy saliva in the specimen collection cup. What action should the nurse implement next? A. Advise the client that suctioning will be used to obtain another specimen B. Re-instruct the client in coughing techniques to obtain another specimen C. Provide the client a glass of water and mouthwash to rinse the mouth D. Label the container and place the container in a bio-hazard transport bag Correct Answer: B. Re-instruct the client in coughing techniques to obtain another specimen 42) After report, the LPN/LVN receives the laboratory values for 4 clients. Which client requires the nurse's immediate intervention? The client who is..... A. short of breath after a shower and has a hemoglobin of 8 grams B. Bleeding from a finger stick and has a prothrombin time of 30 seconds C. Febrile and has a WBC count of 14,000/mm3 D. Trembling and has a glucose level of 50 mg/dL Correct Answer: D. Trembling and has a glucose level of 50 mg/dL 43) 4 hours after administration of 20U of regular insulin, the client becomes shaky and diaphoretic. What action should the nurse take? [Show More]

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