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[Solved] RN Comprehensive Online Practice 2018 B

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RN Comprehensive Online Practice 2018 B 1. Patient refused a newly open fentanyl patch. Which of the following actions should the nurse take? 2. Client receiving heparin continuous IV infusion and warfarin 5 mg PO daily. Lab values are aPTT 98 seconds and INR 1.8 3. A nurse at an urgent care cli...

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  • March 9, 2021
  • 21
  • 2020/2021
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RN Comprehensive Online Practice 2018 B
1. Patient refused a newly open fentanyl patch. Which ofthe following

actions shouldthe nurse take?

Ask another nurse to witnessthe disposal ofthe new patch.

2. Client receiving heparin continuous IV infusion and warfarin 5 mg PO

daily. Lab values are aPTT 98 seconds and INR 1.8

Withholdthe heparin infusion

3. A nurse at an urgent care clinic is assessing a client who reports

impaired vision in one eye . Which indicatesthe client has a detached

retina

Floating dark spots

4. infant with hydrocephalus 6 hr post op following ventriculoperitoneal

shunt placement . finding to report to provider

Irritability when being held. signifies increased ICP

5. Assessing a newborn heart rate follow actionsthe nurse should take

Auscultatethe apical pulse and count beats for at least 1 min.

6. Caring for a client who has a fecal impaction actions to be taken when

digitally evacuatingthe stool

Insert a lubricated gloved finger and advance alongthe rectal wall.

7. Dietary teaching for a new prescription of phenelzine

Broccoli, Yogurt, Cream Cheese

, 8. Nurse administers incorrect dose of medication. Which facts related to

incident report shouldthe nurse document inthe client's medical

record?

Timethe medication was given

9. Nurse on pediatric unit received shift report on 4 children. Which

shouldthe nurse assess first?

A 10-year old child who is awaiting surgery for an appendectomy

and experienced sudden relief of pain. Can indicate peritonitis from

a ruptured appendix.

10. Community health nurse providing teaching on home safety for

older adults

Have grab bars installed around your bathtub and toilet.

11. School age child with scald burns on both hands and wrists

suspected abuse

Contact child protective services.

12. Client who has acute blood loss following trauma refuses

potentially life saving blood transfusion

Explorethe client's reasons fro refusingthe treatment

13. Discussing common prenatal discomfort 20 weeks gestational

I will wear a supportive bra overnight

14. Discharge instructions to client to received home oxygen therapy

Wear clothing made with cotton fabrics while oxygen is in use.

, 15. Preparing an educational session about advocacy to a group of

nurses

Advocacy is a leadership role that helps others to self actualize

16. Continuous bladder irrigation following transurethral resection of

prostate. Bladder spasms and decreased urinary output

Irrigatethe catheter with 0.9% sodium chloride irrigation

17. Child with sickle cell anemia and is having a vaso-occlusive crisis

Infuse IV fluids

18. Client teaching aboutthe basal body temp method for birth

control

Your body temperature might decrease slightly just prior to ovulation

19. Caring for a client who is unconscious and requires emergency

medical procedures. Unable to locate family to obtain consent

Proceed with provision of medical care

20. Client who has fluid volume overload. Which tasks can nurse

delegate to UAP

Measurethe client's daily weight

21. Checking for Chvostek's sign

The nurse should assess for a Chvostek's sign by tappingthe client's facial

nerve about an inch in front ofthe tragus ofthe ear. Facial twitching is a

positive finding that indicates hypocalcemia.

22. Reviewing urinalysis report of client with acute

glomerulonephritis expected findings

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