*NURSING > NCLEX-PN > BEST LATEST NCLEX-PN Hesi Comp B. (All)

BEST LATEST NCLEX-PN Hesi Comp B.

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The nurse is caring for a client with a cerebrovascular accident (CVA) who is receiving enteral tube feedings. Which task performed by the UAP requires immediate intervention by the nurse? When c ... aring for a postsurgical client who has undergone multiple blood transfusions, which serum laboratory finding is of most concern to the nurse? Which vaccination should the nurse administer to a newborn? The nurse is caring for a client on the medical unit. Which task can be delegated to unlicensed assistive personnel (UAP)? The nurse is caring for a client with an ischemic stroke who has a prescription for tissue plasminogen activator (t-PA) IV. Which action(s) should the nurse expect to implement? (Select all that apply.) This includes close monitoring for bleeding during and after the infusion; if bleeding or other signs of neurologic impairment occur, the infusion should be stopped (B, C, and E). Aspirin is contraindicated with t-PA because it increases the risk for bleeding (A). The administration of t-PA within 6 hours of symptoms is concurrent with a diagnosis of a myocardial infarction and within 4.5 hours of symptoms is concurrent for a stroke (D). When caring for a client in labor, which finding is most important to report to the primary health care provider? . The nurse is caring for a client with heart failure who develops respiratory distress and coughs up pink frothy sputum. Which action should the nurse take first? [Show More]

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