Latest Updated Solutions HESI EXIT EXAM PN TEST BANK-with 100% verified solutions-2023-2024 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 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 During morning rounds a client is admitted with OCD is in the...of the same table. What intervention should the PN implement when approached? - Provide time for the behavior then guide the client to other activities 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 The pn determines that a client with cirrhosis is experiencing peripheral....take? - Protect the clients feet from injury 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 photo of chest and locating apical HR - just below the left nipple 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 A client with a compound fracture of the left ankle is being discharged with a below Latest Updated Solutions the knee cast ... PN provide to the client prior to discharge? - never scratch under the cast Latest Updated Solutions 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 - implement complementary pain relief methods A male client has been diagnosed with schizophrenia is withdrawn, isolates himself in....with one or two word responses.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 The PN is assisting an unsteady client to ambulate from the bed to the bath...client loses balance and falls onto the bedside table. what action should the PN take first? - Stay with the client and call for assistance The PN is assisting a female client to obtain a voided specimen for uri...meatus. Which intervention is performed next? - initiate the urine stream? 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 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 made A 3-year old child returns to the pediatricians office for a postoperative visit after having...procedure. The PN should expect to observe which behavior that indicates... - plays doctor and nurse with the dolls 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 -which food types are included when measuring fluid take -what container to use for the most accurate measurement Latest Updated Solutions A male client receives a prescription for 3,000 mg of medication daily, which is available...taken twice daily in equal dosages.How many tablets should the PN... - 3 ... - request return visit for examination after her period when hormones are lowest 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 -the 10-year old daughter has circular burns on her trunk and legs -the 3-year old has multiple bruises on the chest and both legs 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 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 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. Which site should the PN use when administering an injection of Rho (D) Immune negative postpartum client? - deltoid Before inserting medication into a clients vagina, what instructions should the pn... - urinate until bladder is empty 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
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