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PN Comprehensive Online Practice 2020 B ALL SOLUTION 100% CORRECT RATED GRADE A+

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A nurse is caring for a client who has a prescription for famotidine 160 mg PO every 6 hr. Available is famotidine oral suspenision 40 mg/5 mL. How many mL should the nurse administer per dose? 20 mL A nurse is collecting data from a client who has an iron deficiency anemia. Which of the fo...

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  • September 25, 2023
  • 11
  • 2023/2024
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PN Comprehensive Online Practice 2020 B
ALL SOLUTION 100% CORRECT RATED
GRADE A+
A nurse is caring for a client who has a prescription for famotidine 160 mg PO every 6 hr. Available is
famotidine oral suspenision 40 mg/5 mL. How many mL should the nurse administer per dose?

20 mL

A nurse is collecting data from a client who has an iron deficiency anemia. Which of the following
findings should the nurse expect?

Difficulty concentrating

*In clients who have iron deficiency anemia, body cells do not receive the required oxygen because
there is less hemoglobin for binding. The nurse should recognize that impaired oxygenation of brain
tissue can lead to dizziness and difficulty concentrating.

A nurse manager is preparing to complete a performance analysis for a group of assistive personnel
(AP). The manager asks a staff nurse for feedback on each AP's abilities. Which of the following actions
should the staff nurse take?

Discuss how each AP's actions measure against the job description.

*To provide objective information, the staff nurse should compare the behavior of each AP to the facility
job description. The nurse can provide specific information about how each AP either meets the
standard or demonstrates a need for improvement.

A nurse is reviewing a client's electronic medical record and kids that an assistive personnel (AP)
recorded the client's temperature as 35.5°C (95.5°F) 2 hr earlier. Which of the following actions should
the nurse take first?

Check the client's temperature

*According to the nursing process, the first action the nurse should take is to collect data from the
client. Therefore, the nurse should retake the client's temperature.

A nurse on an acute care unit is collecting data from a school-age child who has cystic fibrosis (CF).
Which of the following findings is the priority for the nurse to report to the provider?

Reports lack of appetite

*The nurse should identify that the greatest risk to a child who has a decreased appetite is pulmonary
infection. Anorexia, along with other manifestations, such as loss of weight and lethargy, are commonly

, seen in children who have CF which an infection exacerbation. Typical manifestations of pulmonary
infection, such as fever and tachypnea, might now be seen in a child who has CF. Additionally, a child
who is anorexic is at increased risk for diminished lung function.

A nurse in a long-term care facility is observing a newly licensed nurse who is providing tracheostomy
care for a client. The nurse identifies proper performance of the procedure when the newly licensed
nurse selects which of the following solutions to clean the inner cannula?

Hydrogen peroxide

*The nurse should identify that sterile hydrogen peroxide solution is used to loosen secretions from the
inner cannula during cleaning. If the client skin becomes irritated, the nurse should choose 9% sodium
chloride solution.

A nurse is reinforcing discharge teaching with a client who is postoperative following an open radical
prostatectomy. Which of the following instruction should the nurse include in the teaching?

"Perform Kegel exercises daily."

*The nurse should instruct the client to perform Keagle exercises to promote the control of urine flow
and reduce incontinence.

A nurse is reinforcing teaching with a group of clients about the Heimlich maneuver during a first aid
class. The nurse should include the teaching that which of the following manifestations indicates the
need for the Heimlich maneuver to be performed?

Difficulty breathing
Coughing
Presence of stridor

*The Heimlich maneuver is performed when the airway is obstructed by foreign body. A client who has
an obstructed airway may exhibit manifestation such as coughing, choking, gagging, difficulty breathing,
cyanosis, and stridor.

A nurse is reinforcing discharge teaching with a client who has undergone been litigation and stripping
to treat varicose veins. Which of the following instruction should the nurse include in the teaching?

Walk for 1 to 2 hr each day.

* the nurse should instruct the client to walk at least 1 to 2 hours per day after surgery to promote
venous return.

A nurse is caring for a client following a bronchoscopy. Which of the following action should the nurse
take first?

Check for a gag reflex

*The greatest race to this client is injury from aspiration. Therefore, the first action the nurse should
take is to check for a gag reflex.

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