1. a male client admitted the morning of his scheduled surgery tells the PN that
he drank water last night. What intervention will the PN implement first?
Determine the amount of water and exact time it was taken
2. A
...
1. a male client admitted the morning of his scheduled surgery tells the PN that
he drank water last night. What intervention will the PN implement first?
Determine the amount of water and exact time it was taken
2. A client receives ondansetron prior to chemotherapy treatment.How should
the PN evaluate this medication? Monitor the client for nausea or
vomiting following the treatment
3. The PN is caring for an older adult client who is confused and
spends...factor contributes to an increased risk for impaired skin integrity for
this client? Has increasing episodes of urinary incontinence
4. The pn determines that a client with cirrhosis is experiencing
peripheral....take? Protect the clients feet from injury
5. A client is admitted to the postoperative surgical unit after a left lobectomy
with two chest tubes......observes the water-sealed chambers, set and
prescribed suction of 20cm water...what action should the PN implement?
Maintain system integrity and to promote lung reexpansion
6. photo of chest and locating apical HR just below the left nipple
7. At the end of a 12-hour shift the PN observes the urine in a clients
drainage..what action should the PN take next? note the most recent
white blood count
8. Thirty minutes after receiving IV morphine, a postoperative male client
continue to rate his pain...what action should the PN implement first?
implement complementary pain relief methods
9. A male client has been diagnosed with schizophrenia is withdrawn, isolates
himself in....with one or two word responses. the morning the PN observes
that he...Which intervention is most important for the PN to implement?
Measure appropriate vital signs
10.The PN is assisting a female client to obtain a voided specimen for
uri...meatus. Which intervention is performed next? initiate the urine
stream?
11.An 8-year old is placed in 90-90 traction for a fractured femur that resulted
from...further action by the PN?weights are touching the foot of the bed
12.The PN is reviewing diet instructions with a female client who has
hyper...she has increased her intakes of protein and calories. What action
should the PN take? Encourage the client to continue the dietary
changes she has made13.The PN reviews the procedure for measuring fluid intake and output
...glomerulonephritis and is preparing for discharge from the hospital.
What... -why the fluid measurements need to be recoded
14.-which food types are included when measuring fluid take
15.-what container to use for the most accurate measurement
16.... request return visit for examination after her period when hormones
are lowest
17.A mother brings her 5-year old child to the clinic for school physical
examinations. Which assessment... PN that intergenerational violence may
be occurring in the home? -The 6-year old son hits his younger sister
during the interview
18.-the 10-year old daughter has circular burns on her trunk and legs
19.-the 3-year old has multiple bruises on the chest and both legs
20.A client has a prescription to discontinue intravenous therapy when the liter
that is infusing at 150 mL per hour is...1200 the PN notes that there are 750
ml of solution remaining.At what time should the nurse expect to
discontinue the intravenous therapy? 1700
21.the PN is caring for a client who had a total laryngectomy, left radical neck
dissection... client is receiving nasogastric tube feedings via an internal
pump. today the rate of the feeding was increased...ml/hr. What parameter
should the PN use to evaluate the clients tolerate to the rate of the feeding?
gastric residual volumes
22.A new mother is breastfeeding her newborn for the first time after delivery
and complains of nipple pain...Based on the client complaint, what action
should the PN take? Ensure that all the areolar tissue of the nipple is in
the infants mouth.
23.Which site should the PN use when administering an injection of Rho (D)
Immune negative postpartum client? deltoid
24.Before inserting medication into a clients vagina, what instructions should
the pn... urinate until bladder is empty
25.An 18-year old female client with pelvic inflammatory disease (PID0 asks
the pn..Which information is best for the PN to provide? A history of
untreated gonnorhea can lead to PID
26.A new mother is bottle feeding instead of breastfeeding her newborn, The
PN...most effectively deal with breast engorgement and discomfort? Wear
a supportive bra at all times
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